Lefort 1 impaction and advancement shortens the upper lip/philtrum BUT it is also possible to increase philtrum height

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lilhorizontal32

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from: https://www.researchgate.net/figure...mproved-upper-lip-esthetics-with_fig3_8358533

1


however, they later say that it is possible to increase the height of the philtrum

2
 
Doesn't maxillary impaction change only the underlying bone structure tho? I could see advancement decreasing the perceived philtrum length, but that's it.

however, they later say that it is possible to increase the height of the philtrum

View attachment 1304101
Indeed, with a V-Y plasty:
 
Doesn't maxillary impaction change only the underlying bone structure tho? I could see advancement decreasing the perceived philtrum length, but that's it.


Indeed, with a V-Y plasty:
wdym "perceived" philtrum length

what we perceive is all that matters. and what we perceive is the actual length of the philtrum
 
wdym "perceived" philtrum length
Philtrum length is measured from subnasale to labrale superius, so the more acute your nasolabial angle is the shorter your philtrum will appear to be, despite the distance being the same since afaik Lefort 1, be it impaction or advancement doesn't change the actual length of the philtrum.

what we perceive is all that matters. and what we perceive is the actual length of the philtrum
Explain that to the stacies who ignore me because I am sub 6' despite having 6'3" proportions :forcedsmile:
 
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Philtrum length is measured from subnasale to labrale superius, so the more acute your nasolabial angle is the shorter your philtrum will appear to be, despite the distance being the same since afaik Lefort 1, be it impaction or advancement doesn't change the actual length of the philtrum.


Explain that to the stacies who ignore me because I am sub 6' despite having 6'3" proportions :forcedsmile:
how tall is your avi?
 

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