LeFort 1, effects on nose projection?

[one job away]

Basically I wanna know if the end of the nose will be more projected after a lefort 1. and how to achieve it.


@SixCRY @LooksOverAll @Acromegaly_Chad @RealSurgerymax

 

[Deleted member 7725]

I've talked to surgeons about it and they said there's 0 way to predict it. Even a top surgeon who has published papers on nose changes after lefort 1 said the same thing. Some will upturn, some will be more projected, some will just have better paranasal support, etc. It's a good idea to be prepared to get rhinoplasty after/during the surgery.

 

[one job away]

I've talked to surgeons about it and they said there's 0 way to predict it. Even a top surgeon who has published papers on nose changes after lefort 1 said the same thing. Some will upturn, some will be more projected, some will just have better paranasal support, etc. It's a good idea to be prepared to get rhinoplasty after/during the surgery.

Im specifically asking ONLY for the projection of the point where your nose starts. I’m 100% getting a rhino but this you can not change with a rhino. Im not sure you get what I mean

 

[one job away]

I've talked to surgeons about it and they said there's 0 way to predict it. Even a top surgeon who has published papers on nose changes after lefort 1 said the same thing. Some will upturn, some will be more projected, some will just have better paranasal support, etc. It's a good idea to be prepared to get rhinoplasty after/during the surgery.

Here is what I mean.
The mouse points at the beginning of the nose in the first pic. In the second it’s far more projected due to a moved maxilla. Atleast that’s what I imagine or want to happen.

 

[Deleted member 7725]

Im specifically asking ONLY for the projection of the point where your nose starts. I’m 100% getting a rhino but this you can not change with a rhino. Im not sure you get what I mean

I get what you mean, but sometimes the tip of the nose itself will project outwards and other times the nose will stay in the exact same spot and only get smaller.

Like here's 2 different cases:

First guy's entire nose tip projected forward, but the second one only got more support and fullness and the nose tip itself didn't change.

 

[Deleted member 7725]

Here is what I mean.
The mouse points at the beginning of the nose in the first pic. In the second it’s far more projected due to a moved maxilla. Atleast that’s what I imagine or want to happen.

Yeah, I get exactly what you mean. I really need that to project more as well for my case but I think rotation, expansion amount, and individual anatomy play a part. I've seen results where the nose tip projected forward, which I really want, and others where only the teeth projected forward and the nose stayed relatively the same.

That area WILL become fuller though, but the nose itself may or may not move alongside it.

 

[StrangerDanger]

 

[Deleted member 7725]

View attachment 1439108

Yup, exactly what I don't want to happen in my case. I guess it's caused by a cut that isn't high enough? Didn't a top surgeon do that too?

 

[Deleted member 8904]

prob nothing

lefort 1 is tooth only right

 

[one job away]

prob nothing

lefort 1 is tooth only right

No. Much much more. Sadly the lookism thread is down which explains it all.

 

[Deleted member 7725]

View attachment 1439108

Which surgeon did that btw? Wasn't it Rameiri?

 

[StrangerDanger]

Which surgeon did that btw? Wasn't it Rameiri?

Pagnoni iirc

 

[dakchuh]

View attachment 1439108

what cutting around the ANS does to a mf

 

[Deleted member 7725]

what cutting around the ANS does to a mf

The surgeon really had no choice tbh given the patient's nose. The guy who got it was a retard for getting bimax in the first place.

 

[Lorsss]

View attachment 1439108

@Sheyko 's bimax does not count. He has BDD and did not need a bimaxillary surgery. Furthermore he is still bloated in the after and pictures are afftected by different angle and lens distortion

 

[Deleted member 7725]

@Sheyko 's bimax does not count. He has BDD and did not need a bimaxillary surgery. Furthermore he is still bloated in the after and pictures are afftected by different angle and lens distortion

Still, the nose looks terrible and didn't change (in a good way) at all.

 

[Acromegaly_Chad]

Linear advancement (with flat okklusional plane): unpredictable

CW Rotation or downgrafting (yellow arrow): Chimp Lip, little to no fullness to the nose.

CCW Rotation (green): additional fullness and upturn, IF the white circled area doesn't get impacted/shaved down. Obwegeser explained it like this.

That's my understanding.

 

[Deleted member 7725]

View attachment 1439433

Linear advancement (with flat okklusional plane): unpredictable

CW Rotation or downgrafting (yellow arrow): Chimp Lip, little to no fullness to the nose.

CCW Rotation (green): additional fullness and upturn, IF the white circled area doesn't get impacted/shaved down. Obwegeser explained it like this.

That's my understanding.

Fuck. I'm most likely getting linear advancement. Going to be scary af looking in the mirror for the first time after surgery not knowing if I'll still have my droopy nose or a monkey upturned nose.

Getting some fullness and upturn via CCW would be amazing for my case but $30k for CCW vs free for linear (at least for now since idk if my local surgeon does CCW).