LeFort & Downgrafting + CW

dingopump

dingopump

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How does a LeFort downgrafting + CW rotation change the face?

Also, does downgrafting = less advancement necessary?

My surgeon said that he can advance the maxilla by 2-3mm (with downgrafting & CW rotation).

Seems a little underwhelming no?
 
It depends

CCW w/ anterior impaction = face shortens
CCW w/ posterior downgrafting = neutral
CW w/ anterior downgrafting = face lengthens
CW w/ posterior impaction = neutral

It will prob lengthen your face
 
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It depends

CCW w/ anterior impaction = face shortens
CCW w/ posterior downgrafting = neutral
CW w/ anterior downgrafting = face lengthens
CW w/ posterior impaction = neutral

It will prob lengthen your face
what's the difference between anterior and posterior downgrafting?
 
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Anterior: done at the front of the maxxila
Posterior: to the back of the maxilla
what would one do if he needed downgrafting with no rotation?
 

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