Lefort I impaction for long midface correction, combined with lip lift

Usurper

Usurper

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So I have subhuman FWHR and midface ratio. I am planning surgery to correct significant bimaxilary retrussion and I am now studying what I can do to help with long midface.

From a theoretical perspective I know that maxilla can be brought upwards, something commonly performed in gummy smile cases. That got me thinking, how about performing it on anyone, and then correcting teeth show via philtrum.

Did a search and found that this is rarely performed and sort of, frontier stuff. But it's possible and not absurd. I found this paper from SK surgeons reporting on the cases: https://pubmed.ncbi.nlm.nih.gov/28005730/

I will never be on ideal ratios but just 3mms which is average for that study, will help me a lot and I will be quite happy.

What do you guys think?
 
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Talk to surgeon
 
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So I have subhuman FWHR and midface ratio. I am planning surgery to correct significant bimaxilary retrussion and I am now studying what I can do to help with long midface.

From a theoretical perspective I know that maxilla can be brought upwards, something commonly performed in gummy smile cases. That got me thinking, how about performing it on anyone, and then correcting teeth show via philtrum.

Did a search and found that this is rarely performed and sort of, frontier stuff. But it's possible and not absurd. I found this paper from SK surgeons reporting on the cases: https://pubmed.ncbi.nlm.nih.gov/28005730/

I will never be on ideal ratios but just 3mms which is average for that study, will help me a lot and I will be quite happy.

What do you guys think?
3mm is massive W if it noticeably improves your midface imo
 
Talk to surgeon
I have appointments already with two, one of them Ramieri. I am essentially preparing the appointments. I have good understanding of goals for side profile, now I've moved on to the front.
 
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3mm is massive W if it noticeably improves your midface imo
With 3mm I will be in a very decent spot specially considering my other ratios which are pretty much ideal.
 
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With 3mm I will be in a very decent spot specially considering my other ratios which are pretty much ideal.
Nicee you’re gonna be good after the surgery
 

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