LeFort 3 Result

[Snicket]

Before:

After:

LeFort 3 is presented as the holy grail of surgeries here but as you can see, it's no silver bullet.

Stats:

- 23 year old Male

- LeFort 3 osteotomy was performed in combination with LF1 + BSSO:

- 4-mm LF3 advancement

- 5-mm upper jaw advance and 7mm mandibular setback

Outcome:

- Mid face still looks sunken.
- Clearly exhibits sunken eyes (enophthalmos) in the after.
- Needs a septoplasty

Anyone else have thoughts on this case?

 

[Snicket]

@lurking truecel @Lefor3Laser

 

[FrenchareMedCucks]

Muh muh 3 fingers forehead is a Mogger trait

> 5 cm and high hairline is subhuman

Another day another ethnic cope debunked

 

[Snicket]

Muh muh 3 fingers forehead is a Mogger trait

> 5 cm and high hairline is subhuman

Another day another ethnic cope debunked

It’s ironic because I think the hairline itself is actually perfect. Zero hairline recession at 23.
The midface is the big issue combined with pretty bad asymmetry.

 

[Lefor3Laser]

Before: View attachment 3543896 After:View attachment 3543878

LeFort 3 is presented as the holy grail of surgeries here but as you can see, it's no silver bullet.

Stats:

- 23 year old Male

- LeFort 3 osteotomy was performed in combination with LF1 + BSSO:

- 4-mm LF3 advancement

- 5-mm upper jaw advance and 7mm mandibular setback

Outcome:

- Mid face still looks sunken.
- Clearly exhibits sunken eyes (enophthalmos) in the after.
- Needs a septoplasty

Anyone else have thoughts on this case?

For a big surgery not a nig change tbh, paranasal was moved a little but not by much, and still has the looks of underbite but functionally i think it benefits him a lot.

People here would think that le fort 3 does a lot of improvment to the nasion and and inframalar region but it didn't do much in this case.

Your best bet will always be le fort 1 with implants.

 

[Snicket]

For a big surgery not a nig change tbh, paranasal was moved a little but not by much, and still has the looks of underbite but functionally i think it benefits him a lot.

People here would think that le fort 3 does a lot of improvment to the nasion and and inframalar region but it didn't do much in this case.

Your best bet will always be le fort 1 with implants.

It was clearly a functional surgery for this guy. But his eyes are now sunken. It's ironic because the paper I took this from said it's a risk of the surgery but completely ignores the fact that their own patient suffers from it.

I wonder what a more aggressive advancement of the LF3 area would have achieved.
It was a very modest movement for such an invasive surgery.

 

[Lefor3Laser]

It was clearly a functional surgery for this guy. But his eyes are now sunken. It's ironic because the paper I took this from said it's a risk of the surgery but completely ignores the fact that their own patient suffers from it.

I wonder what a more aggressive advancement of the LF3 area would have achieved.

Yeah i also am curious to see on how much a bigger movements would end up looking, but it would be riskier and needs to take into consideration the muscles and nerves in the region.

Yeah he was sunken from the begging and by advancing it, it made it even more obvious.

 

[Snicket]

Yeah i also am curious to see on how much a bigger movements would end up looking, but it would be riskier and needs to take into consideration the muscles and nerves in the region.

Yeah he was sunken from the begging and by advancing it, it made it even more obvious.

It was a very modest movement for such an invasive surgery. Calls into question why do it at all that stage. Perhaps the surgeons reasoned that any more advancement came with just too many risks.

 

[Futura]

Muh muh 3 fingers forehead is a Mogger trait

> 5 cm and high hairline is subhuman

Another day another ethnic cope debunked

This hairline mogs tbh

 

[Snicket]

View attachment 3544047
This hairline mogs tbh

He's thinning all over the top so it's irrelevant.

 

[lurking truecel]

Would he have moved the maxilla more then the nose would have been gone litteraly. And yes he would need even more advancements. But its allways about how developed the maxilla is. Leforte only moves forward. But if the mass is low then it will not fix, thats why implants is the only option in some cases

 

[lurking truecel]

View attachment 3544047
This hairline mogs tbh

His his head shape mogs but the hairline is too high

 

[Futura]

His his head shape mogs but the hairline is too high

It's not too high, it only looks high from the side but it's ideal because he has an insanely tall midface and lower third (and width too) nigga's skull ia just massive

 

[Snicket]

His his head shape mogs but the hairline is too high

Lol I started the thread to talk about the maxilla and all people are talking about is the hairline!
He's a perfect NW1 with zero hariline recession. Hair is literally not a problem here!

 

[Azim]

 

[Snicket]

Would he have moved the maxilla more then the nose would have been gone litteraly. And yes he would need even more advancements. But its allways about how developed the maxilla is. Leforte only moves forward. But if the mass is low then it will not fix, thats why implants is the only option in some cases

Yes, he clearly needs additional surgeries to deal pre-exiting problems. Clearly needs a septoplasty to deal with a deviated septum.

 

[puniteking]

Before: View attachment 3543896 After:View attachment 3543878

LeFort 3 is presented as the holy grail of surgeries here but as you can see, it's no silver bullet.

Stats:

- 23 year old Male

- LeFort 3 osteotomy was performed in combination with LF1 + BSSO:

- 4-mm LF3 advancement

- 5-mm upper jaw advance and 7mm mandibular setback

Outcome:

- Mid face still looks sunken.
- Clearly exhibits sunken eyes (enophthalmos) in the after.
- Needs a septoplasty

Anyone else have thoughts on this case?

Why are things like lefort genuinely discussed here. Are you guys that subhuman ?

 

[Snicket]

Why are things like lefort genuinely discussed here. Are you guys that subhuman ?

It's interesting to discuss academically. I enjoy discussing what improved, what didn’t, the benefits, drawbacks of the surgery etc…

 

[lurking truecel]

It's not too high, it only looks high from the side but it's ideal because he has an insanely tall midface and lower third (and width too) nigga's skull ia just massive

View attachment 3544063

He has 2 foreheads

 

[Snicket]

He has 2 foreheads

Does it matter when your entire maxilla is retruded by 1cm +?

 

[MyDreamIsToBe183CM]

Still repulsive to look at

 

[lurking truecel]

Does it matter when your entire maxilla is retruded by 1cm +?

I mean the guy he sent on not the leforte 3 guy

 

[Snicket]

I mean the guy he sent on not the leforte 3 guy

oh my bad.

 

[fayafighta]

this is a much better result i think the person had couzoun syndrome

 

[Snicket]

View attachment 3544519
this is a much better result i think the person had couzoun syndrome

I saw this too. It was a multi-step process. She had LF3 I think, then bimax, then a bunch of smaller cosmetic procedures.
There is no single treatment when your maxilla doesn't grow properly. It creates lots of other problems, which in turn need to be solved.

 

[geenk worg]

In this case it's clear that the planning was bad, his profile still remained concave asf.

 

[Lefor3Laser]

View attachment 3544519
this is a much better result i think the person had couzoun syndrome

I do remember this result, this is what also how. Much she changed in the after.

 

[Snicket]

I do remember this result, this is what also how. Much she changed in the after.
View attachment 3545534

She a bunch of other cosmetic surgeries after LF3. I'm 99% sure she also had a futher bimax and a rhinoplasty for example.

 

[Lefor3Laser]

She a bunch of other cosmetic surgeries after LF3. I'm 99% sure she also had a futher bimax and a rhinoplasty for example.

Yes she did have much more, here's the thread where i think he covers the most on what she had done

BIGGEST ASCENSION EVER [GTFIH]

1st and 2nd STEP Osteotomy type Le Fort III Orthodontic treatment Segmented Le Fort I type osteotomy STEP 3 Rhinoplasty genioplasty Bitemporal lipofilling STEP 4 otoplasty Bitemporal lipofilling Gingival flap FINAL RESULTS

looksmax.org

 

[Snicket]

Yes she did have much more, here's the thread where i think he covers the most on what she had done

BIGGEST ASCENSION EVER [GTFIH]

1st and 2nd STEP Osteotomy type Le Fort III Orthodontic treatment Segmented Le Fort I type osteotomy STEP 3 Rhinoplasty genioplasty Bitemporal lipofilling STEP 4 otoplasty Bitemporal lipofilling Gingival flap FINAL RESULTS

looksmax.org

Wow. It's basically a surgical makeover at that point.
Just demonstrates how many other problems a malformed maxilla can create.

 

[Lefor3Laser]

Wow. It's basically a surgical makeover at that point.
Just demonstrates how many other problems a malformed maxilla can create.

Yeah it is based on the level of how recessed your maxilla is, she was clearly a le fort 3 candidate from the begging, basically for her just to reach that level she needed dozens of surgeries, for a normal recessed person at max bimax (le fort 1) and implants if infraorbitals are recessed.

 

[Snicket]

In this case it's clear that the planning was bad, his profile still remained concave asf.

It worked as a normalization surgery though considering his main complaints were not wanting to go outside and being laughed at.

I agree though that the LF3 advancement was so conservative that it begs the question of why do it all.
His maxilla still looks retruded post surgery.
Maybe the surgeon was concerned that any more advancement came with significantly greater risks.

 

[Lefor3Laser]

It worked as a normalization surgery though considering his complaints were not wanting to go outside and being laughed at.

I agree though that the LF3 advancement was so conservative that it begs the question of why do it all.
His maxilla still looks retruded post surgery.
Maybe the surgeon was concerned that any more advancement came with significantly greater risks.

Yeah based on the end, he didn't seem to advance it because of the infraorbitals, probably the nerves in there that stopped him advancing it further.

 

[Snicket]

Yeah based on the end, he didn't seem to advance it because of the infraorbitals, probably the nerves in there that stopped him advancing it further.

Risk of nerve damage is probably the main thing and there are cosmetic trade-offs too.
His eyes are sunken in their sockets (enophthalmos) with just 5mm of advancement.
Anymore would would have exacerbated this as well.

 

[geenk worg]

It worked as a normalization surgery though considering his main complaints were not wanting to go outside and being laughed at.

I agree though that the LF3 advancement was so conservative that it begs the question of why do it all.
His maxilla still looks retruded post surgery.
Maybe the surgeon was concerned that any more advancement came with significantly greater risks.

Other than that he probably did not want to setback his lower jaw much and it explains why he retroclined his lower incisors. But in the end the aesthetic result is not great.

 

[Snicket]

Other than that he probably did not want to setback his lower jaw much and it explains why he retroclined his lower incisors.

In the paper on this, they reason that a large mandibular setback would damage the patient's airway.
Apparently, after the surgery, the guy was kept in the intensive care unit for 48 hours!

But in the end the aesthetic result is not great.

No, I agree. That's the main reason why I posted it here.
The guy had modified LF3 + LF1, so the nasal cavity was left behind.
I think that's a big part of the reason why the midface still looks hypoplastic post surgery - the nose is set back from the rest of the face.
The same outcome could have been achieved with bimax + implants at that point. Especially for a measly 5mm advancement.

The surgeons claimed that a conventional LF3 would make the nose too big but I don't see why a rhinoplasty couldn't solve this.
I mean you're already slicing the patient's skull open as it is. What's a post-op rhinoplasty in comparison?

 

[moze]

Before: View attachment 3543896 After:View attachment 3543878

LeFort 3 is presented as the holy grail of surgeries here but as you can see, it's no silver bullet.

Stats:

- 23 year old Male

- LeFort 3 osteotomy was performed in combination with LF1 + BSSO:

- 4-mm LF3 advancement

- 5-mm upper jaw advance and 7mm mandibular setback

Outcome:

- Mid face still looks sunken.
- Clearly exhibits sunken eyes (enophthalmos) in the after.
- Needs a septoplasty

Anyone else have thoughts on this case?

4mm advancement is not that small and it didnt change much.over for lf3 copers

 

[HorseMan7]

Before: View attachment 3543896 After:View attachment 3543878

LeFort 3 is presented as the holy grail of surgeries here but as you can see, it's no silver bullet.

Stats:

- 23 year old Male

- LeFort 3 osteotomy was performed in combination with LF1 + BSSO:

- 4-mm LF3 advancement

- 5-mm upper jaw advance and 7mm mandibular setback

Outcome:

- Mid face still looks sunken.
- Clearly exhibits sunken eyes (enophthalmos) in the after.
- Needs a septoplasty

Anyone else have thoughts on this case?

He might just have a weird brachiocephalic head shape. Sadly, I don't know if jaw surgery can really solve a case like this. Just look at the horizontal distance between his eyes and his ears in the profile shots. Sure, the surgery helped, but some of us need head transplants to truly look good.

 

[chrishell]

He needed a non-modified LF3 and the chin set back

 

[Snicket]

He needed a non-modified LF3 and the chin set back

I agree, leaving the nasal cavity behind was a mistake.
I belive his midface still looks quite hyoplastic post op for this reason.
The chin was in fact setback.

 

[Foreverbrad]

4mm advancement is not that small and it didnt change much.over for lf3 copers

Worth noting. I’m not aware of what the reasonable range is for Lefort 3 advancements.

To me the unique benefit of Lefort 3 is to move the nasal base forward. Everything else can be achieved with implants. This makes it comparable to Lefort 2 + malar implants but with less control over the outcome in the malar region.

The issue is then you start needing forehead implants to balance it and before you know it you’re more plastic than human.

 

[Snicket]

Worth noting. I’m not aware of what the reasonable range is for Lefort 3 advancements.

To me the unique benefit of Lefort 3 is to move the nasal base forward. Everything else can be achieved with implants. This makes it comparable to Lefort 2 + malar implants but with less control over the outcome in the malar region.

The issue is then you start needing forehead implants to balance it and before you know it you’re more plastic than human.

This was a modified LF3. The nasal cavity was left behind in this case.

 

[sham66]

This was a modified LF3. The nasal cavity was left behind in this case.

a proper lefort 3 wouldve yielded better results. unfortunately tho, the maxilla cant by corrected by 1 or 2 surgeries. he is going to need many more procedures

 

[Snicket]

a proper lefort 3 wouldve yielded better results. unfortunately tho, the maxilla cant by corrected by 1 or 2 surgeries. he is going to need many more procedures

It was never going to be perfect. The reality is that there is no silver bullet for a recessed maxilla.
Regardless, I agree that moving the nasal cavity would have yielded a more natural result.

 

[sham66]

The reality is that there is no silver bullet for a recessed maxilla.

prolly one of the top 3 worst falios (excluding hyper rare deformities)

 

[Snicket]

prolly one of the top 3 worst falios (excluding hyper rare deformities)

I have to agree unfortunately.

Someone with a significantly recessed maxilla likely needs to multiple surgeries to approach normalization.

If the maxilla doesn’t grow properly, it creates a lot of soft tissue problems as well.

A high level osteotemy just creates a reasonable foundation.

 

[sham66]

I have to agree unfortunately.

Someone with a significantly recessed maxilla likely needs to multiple surgeries to approach normalization.

If the maxilla doesn’t grow properly, it creates a lot of soft tissue problems as well.

A high level osteotemy just creates a reasonable foundation.

thankfully, if your rich then there are available procedures (with risk) that can help you. hopefully we get more reputable blackpilled surgeons and designers in the future. ill try my best to become one, but medical school is very hard to get into where im from