Lefort 1 effect on eyes

[Acromegaly_Chad]

Exposure of sclera below the iris in natural head positions is aesthetically undesirable. Studies on post-surgical changes in inferior scleral exposure following orthognathic surgery are scarce and mostly retrospective. The aim of this clinical trial is to examine the effect of Le Fort I osteotomy, a procedure for correction of malocclusion and maxillo-mandibular deformities, on the inferior scleral exposure and overall scleral surface area in skeletal class III patients.

Materials and methods​

This trial was performed on 40 eyes of 20 skeletal class III patients undergoing Le Fort I osteotomy without impaction (n = 20 eyes) and with impaction (n = 20 eyes). Standard true-size frontal photography was performed pre-operatively and post-operatively at 6 months. After measuring the overall eye height and the height of visible inferior sclera, the ratio of inferior sclera to overall eye height (S:E) was calculated three times. Also, overall surface area of the sclera was measured three times. The average of three attempts was considered the main measurement. Changes in the sclera after the surgery and between both methods were compared.

Results​

The average age of patients (9 men, 11 women) was 24.5 years. Age and gender were balanced between the two groups (P > 0.05). S:E ratios decreased in both groups after surgery (P < 0.05, Wilcoxon test). The decrease was greater in the impaction group (P < 0.05, Mann–Whitney test). Similar results were observed for overall sclera surface areas.

Conclusion​

Maxillary advancement, with or without impaction, reduced the inferior scleral exposure and overall scleral surface area. The effect was more pronounced in the impaction group.

 

[Mongrelcel]

Reduced? I thought the scleral show increased, it makes sense, youre stratching the skin down no?

Anyway, life fuel

 

[Carolus]

What does impaction mean in this context exactly?

 

[homo_faber]

looks better then any taban results, including any form of implants, game over for taban

 

[StrangerDanger]

What does impaction mean in this context exactly?

Maxilliary Impaction is a method used for CCW rotation that treats vertical maxillary excess. They basically cut a bit of the maxilla away so that the jaw and lower maxilla rotates upwards. If you have gummy smile for instance, the impaction would reduce it after the cut as you can see in this video

 

[Acromegaly_Chad]

looks better then any taban results, including any form of implants, game over for taban

Taban is overrated af. I've been to plenty of eye surgeons in switzerland who have shown me equally good results in their offices, canthopexy really isn't that hard to perform.

Also, having a canthopexy while having a recessed maxilla as the actual reason for scleral show is just retarded and will looks uncanny.

You first need to fix the structure of a building, then the facade, the same applies for your face.

 

[homo_faber]

Taban is overrated af. I've been to plenty of eye surgeons in switzerland who have shown me equally good results in their offices, canthopexy really isn't that hard to perform.

Also, having a canthopexy while having a recessed maxilla as the actual reason for scleral show is just retarded and will looks uncanny.

You first need to fix the structure of a building, then the facade, the same applies for your face.

what eye surgeons have you visited? name?

 

[Carolus]

Maxilliary Impaction is a method used for CCW rotation that treats vertical maxillary excess. They basically cut a bit of the maxilla away so that the jaw and lower maxilla rotates upwards. If you have gummy smile for instance, the impaction would reduce it after the cut as you can see in this video

I see. Well if anything I guess I would need it the other way around, clockwise. Don't have a gummy smile at all,
mostly need forward projection. Is it harder to CCW or CW, or is there usually no point in CW rotation?

 

[StrangerDanger]

I see. Well if anything I guess I would need it the other way around, clockwise. Don't have a gummy smile at all,
mostly need forward projection. Is it harder to CCW or CW, or is there usually no point in CW rotation?

From what I've seen bimax with CCW is more common than CW, it fixes downward growth. Just because you don't have a gummy smile doesn't exclude the option to get CCW Rotation since it can also be done with posterior downgrafting which is another method.
CW Rotation is usually for people with shortface syndrome. If you just want forward projection then a regular LeFort 1 will achieve it. Anyways a maxfac can evaluate the situation

 

[Deleted member 2875]

Would a class ii patient with maxilliary deficiency and inferior scleral show see similar results post bimax? I don't have gummy smile

 

[Acromegaly_Chad]

Would a class ii patient with maxilliary deficiency and inferior scleral show see similar results post bimax? I don't have gummy smile

Yes.

 

[JimmyDreamsOfZygos]

“What’s that, your insurance failed to clear? Sorry pal looks like we’ll have to pause until you cough up the dough!”

 

[pizza]

now imagine what a lefort 3 or modified lf3 can do

 

[UglyGod360]

now imagine what a lefort 3 or modified lf3 can do

Ascension to chad

 

[pizza]

Ascension to chad

you think lf3 mogs an average orbital decompression?

 

[Acromegaly_Chad]

Stop talking about lf3

That surgery is only for deformed patients and undergoing it for cosmetic purposes as a normie is completely nuts.

 

[UglyGod360]

you think lf3 mogs an average orbital decompression?

I would say so

 

[homo_faber]

Changes in scleral exposure following Le Fort І maxillary advancement or impaction

Inferior scleral exposure is an aesthetic as well as functional concern. The purpose of this study was to evaluate and compare changes in scleral expo…

www.sciencedirect.com

idk in this study (or is the same) the changes are not as impressive

there is improvement but i wouldnt get jaw surgery for the purpose of eye area improvement alone

 

[Acromegaly_Chad]

Changes in scleral exposure following Le Fort І maxillary advancement or impaction

Inferior scleral exposure is an aesthetic as well as functional concern. The purpose of this study was to evaluate and compare changes in scleral expo…

www.sciencedirect.com

idk in this study (or is the same) the changes are not as impressive

there is improvement but i wouldnt get jaw surgery for the purpose of eye area improvement alone

A lefort1 itself is actually not that risky of a procedure provided that you have a decent surgeon and <10mm movements.

The problem with double jaw surgery is the BSSO which is very often accompanied by permanent nerve damage.

That being said, for such a change in the eye area no sane person would consider Bimax. You could probably achieve the same if not better with a ZSO with forward movements.

 

[Deleted member 3020]

if u were a fruit, u'd be a fine apple

 

[homo_faber]

A lefort1 itself is actually not that risky of a procedure provided that you have a decent surgeon and <10mm movements.

The problem with double jaw surgery is the BSSO which is very often accompanied by permanent nerve damage.

That being said, for such a change in the eye area no sane person would consider Bimax. You could probably achieve the same if not better with a ZSO with forward movements.

my cousin got bimax and his nerve damage consisted of being a certain spot below his lower lip that feels "weird" when he touches it, he couldnt really explain it to me.

maybe its not backed up by statistics but id more scared of an uneven bite, assymetrie etc after jaw surgery. what also pisses me off is the relativ long recovery (double jaw) (6 weeks? when can you work again?), braces etc.

this being said i think i asked you a question in your thread about nerve damage but you didnt reply

 

[Acromegaly_Chad]

my cousin got bimax and his nerve damage consisted of being a certain spot below his lower lip that feels "weird" when he touches it, he couldnt really explain it to me.

maybe its not backed up by statistics but id more scared of an uneven bite, assymetrie etc after jaw surgery. what also pisses me off is the relativ long recovery (double jaw) (6 weeks? when can you work again?), braces etc.

this being said i think i asked you a question in your thread about nerve damage but you didnt reply

I haven't seen it what was the question?

Again, a good surgeon won't leave you with an asymmetry if you had a good base. Of course, deformed, asymmetric patients are very hard to fix so yeah they carry a certain risk.

Bimax recovery time depends on your age mostly.
First 3 days are hell. After 7 days you can do everything as before except for chewing, talking without issues, opening your mouth a lot and doing sports.
By 3 weeks the swelling will be down so much that people you don't know wouldn't notice. You can return to the office by then for sure.
Sports + fully hard foods after 6 weeks usually.
Full nerve recovery can take up to 3 years.

 

[Acromegaly_Chad]

what eye surgeons have you visited? name?

"Augenklinik Teufen" for example, they are among the top institutions in europe for everything related with eye surgery.

 

[homo_faber]

"Augenklinik Teufen" for example, they are among the top institutions in europe for everything related with eye surgery.

thanks bruh

 

[remy]

Maxilliary Impaction is a method used for CCW rotation that treats vertical maxillary excess. They basically cut a bit of the maxilla away so that the jaw and lower maxilla rotates upwards. If you have gummy smile for instance, the impaction would reduce it after the cut as you can see in this video

Could I still get that surgery without having a gummy smile? Cus I have a slight class 3 and open bite I would ascend hard from lefort 1

 

[Acromegaly_Chad]

Could I still get that surgery without having a gummy smile? Cus I have a slight class 3 and open bite I would ascend hard from lefort 1

CCW Lf1 only works in combination with a BSSO unless you're a Class 3 open/frontal bite case

 

[remy]

CCW Lf1 only works in combination with a BSSO unless you're a Class 3 open/frontal bite case

I have a good forward grown lower jaw but my upper maxilla is recessed giving me a longish midface, I was supposed to get braces but I’d rather get surgery to both improve my midface and fix my bite simultaneously

 

[yorker12]

CCW Lf1 only works in combination with a BSSO unless you're a Class 3 open/frontal bite case

Huh? Am I getting scammed or are you lying?

I am getting CCW lf1 impaction + genio, surgeon said I don't need BSSO since i have a class 1 bite.

The the impaction is planned in a way that my mandible autorotates forward with the CCW impaction.

 

[Deleted member 2729]

I haven't seen it what was the question?

Again, a good surgeon won't leave you with an asymmetry if you had a good base. Of course, deformed, asymmetric patients are very hard to fix so yeah they carry a certain risk.

so bimax wont increase asymetrie in my face?

 

[Acromegaly_Chad]

so bimax wont increase asymetrie in my face?

Not likely

 

[Acromegaly_Chad]

Funny how this almost 1 year old thread gets revived jfl

 

[LebenistneHure]

What's the point of lefort impaction or CCW rotation if you don't have a gummy smile? Not like you can actually shorten your midface in any way, if your philtrum is short.

 

[lilhorizontal32]

A lefort1 itself is actually not that risky of a procedure provided that you have a decent surgeon and <10mm movements.

The problem with double jaw surgery is the BSSO which is very often accompanied by permanent nerve damage.

That being said, for such a change in the eye area no sane person would consider Bimax. You could probably achieve the same if not better with a ZSO with forward movements.

I thought ZSO does not affect the eye area? And also give you feminine cheek bones?

 

[Deleted member 16861]

I never understood this. My maxilla is quite flat but i have Zero scleral show

 

[Cristiano88]

I never understood this. My maxilla is quite flat but i have Zero scleral show

If you have small orbitals you have no scleral show even with flat maxilla.
If you have big round orbitals and flat maxilla you get scleral show.

 

[Deleted member]

@Acromegaly_Chad would this work for a downgrown maxilla kinda short face class 2 open cross bite?

 

[blackpilledforlife]

Exposure of sclera below the iris in natural head positions is aesthetically undesirable. Studies on post-surgical changes in inferior scleral exposure following orthognathic surgery are scarce and mostly retrospective. The aim of this clinical trial is to examine the effect of Le Fort I osteotomy, a procedure for correction of malocclusion and maxillo-mandibular deformities, on the inferior scleral exposure and overall scleral surface area in skeletal class III patients.

Materials and methods​

This trial was performed on 40 eyes of 20 skeletal class III patients undergoing Le Fort I osteotomy without impaction (n = 20 eyes) and with impaction (n = 20 eyes). Standard true-size frontal photography was performed pre-operatively and post-operatively at 6 months. After measuring the overall eye height and the height of visible inferior sclera, the ratio of inferior sclera to overall eye height (S:E) was calculated three times. Also, overall surface area of the sclera was measured three times. The average of three attempts was considered the main measurement. Changes in the sclera after the surgery and between both methods were compared.

Results​

The average age of patients (9 men, 11 women) was 24.5 years. Age and gender were balanced between the two groups (P > 0.05). S:E ratios decreased in both groups after surgery (P < 0.05, Wilcoxon test). The decrease was greater in the impaction group (P < 0.05, Mann–Whitney test). Similar results were observed for overall sclera surface areas.

Conclusion​

Maxillary advancement, with or without impaction, reduced the inferior scleral exposure and overall scleral surface area. The effect was more pronounced in the impaction group.

View attachment 1120043

That picture is literally photoshopped jfl

 

[Deleted member 23554]

From what I've seen bimax with CCW is more common than CW, it fixes downward growth. Just because you don't have a gummy smile doesn't exclude the option to get CCW Rotation since it can also be done with posterior downgrafting which is another method.
CW Rotation is usually for people with shortface syndrome. If you just want forward projection then a regular LeFort 1 will achieve it. Anyways a maxfac can evaluate the situation

can you help me

Am I a good candidate for lefort 2?

I am already saving for genio so thats obvioıs but what about forward growth? My bodyfat is almost 30% so ignore the double chin lol https://www.hizliresim.com/thi4v0r https://www.hizliresim.com/o2ze5q2

looksmax.org

 

[StrangerDanger]

can you help me

Am I a good candidate for lefort 2?

I am already saving for genio so thats obvioıs but what about forward growth? My bodyfat is almost 30% so ignore the double chin lol https://www.hizliresim.com/thi4v0r https://www.hizliresim.com/o2ze5q2

looksmax.org

Looks like you need infraorbital implants

 

[Deleted member 23554]

Looks like you need infraorbital implants

would bimax/lefort do anything significant for me?

 

[StrangerDanger]

would bimax/lefort do anything significant for me?

You just have an average grown jaw, wouldnt be that significant. Having a concave philtrum with longer mandible and tighter subliminal would look better but not sure if its a realistic expectation and worth the risk

 

[Deleted member 23554]

You just have an average grown jaw, wouldnt be that significant. Having a concave philtrum with longer mandible and tighter subliminal would look better but not sure if its a realistic expectation and worth the risk

sorry for asking too much but 3 years ago i had braces and the jew doc extracted 4 teeth and told me my jaw was too narrow

rn i feel like i got raped. do you think i could be better looking if this never happened?

 

[Deleted member 16371]

Maxilliary Impaction is a method used for CCW rotation that treats vertical maxillary excess. They basically cut a bit of the maxilla away so that the jaw and lower maxilla rotates upwards. If you have gummy smile for instance, the impaction would reduce it after the cut as you can see in this video

I’m not getting this bitch ass

 

[StrangerDanger]

sorry for asking too much but 3 years ago i had braces and the jew doc extracted 4 teeth and told me my jaw was too narrow

rn i feel like i got raped. do you think i could be better looking if this never happened?

I dont know im not an orthodontist
just care about facial aesthetics

 

[Delissola]

Maxilliary Impaction is a method used for CCW rotation that treats vertical maxillary excess. They basically cut a bit of the maxilla away so that the jaw and lower maxilla rotates upwards. If you have gummy smile for instance, the impaction would reduce it after the cut as you can see in this video

As I understand if i get already pretty short philtrum then i shouldnt get ccw rotation lefort? Is it possible not to decrease upper jaw while doing lefort 1 ccw and just improve jaw forward growth?