MSE might not be a good idea if your maxilla is recessed

[6ft4]

I hear of people who get MSE looking for 12mm of expansion
I got a few MM of expansion with SARPE.
The lower maxilla is now wider which is a halo because it's created a wider smile and wider resting philtrum and nose base (my nostrils were the size of a 10 year old's beforehand)
The mid maxilla appears wider but this is not necessarily a halo because this area is so flat, the extra width doesn't provide any halo it is just giving you more surface area to bring attention to a failoed region

If you could bring this region forward with lefort II then the extra width would be a halo but when it is stuck in a recessed position the extra width is not a halo
If I had gotten a large expansion with MSE that directly impacts the mid maxilla moreso than SARPE I would be very wary of the potential for it to create an additional failo

 

[SoonToAscend]

The lower maxilla

lower maxilla... do you mean mandible or the back part of maxilla?

 

[alriodai]

I hear of people who get MSE looking for 12mm of expansion
I got a few MM of expansion with SARPE.
The lower maxilla is now wider which is a halo because it's created a wider smile and wider resting philtrum and nose base (my nostrils were the size of a 10 year old's beforehand)
The mid maxilla appears wider but this is not necessarily a halo because this area is so flat, the extra width doesn't provide any halo it is just giving you more surface area to bring attention to a failoed region

If you could bring this region forward with lefort II then the extra width would be a halo but when it is stuck in a recessed position the extra width is not a halo
If I had gotten a large expansion with MSE that directly impacts the mid maxilla moreso than SARPE I would be very wary of the potential for it to create an additional failo

A wider mouth is always a halo tho, is it better to have a narrow smile/mouth with recessed maxilla or wide smile/mouth with a recessed maxilla?

 

[alriodai]

lower maxilla... do you mean mandible or the back part of maxilla?

I think he meant the mandible, like from the chin to the philtrum

 

[ChristianChad]

I think he meant the mandible, like from the chin to the philtrum

I think he meant lower maxilla, exactly as that sounds

 

[ChristianChad]

I'm surprised your mid maxilla got wider, don't the SARPE cuts not allow any expansion beyond where those cuts are done because the maxilla is detached?

Lefort II has a much higher mortality then both Leforts I and III, and it's done more rarely then Lefort I, though I still know some cases where it was done. I think you just have to get by without midface coming forward surgically.
Why not get fillers for your midface?

 

[SoonToAscend]

A wider mouth is always a halo tho, is it better to have a narrow smile/mouth with recessed maxilla or wide smile/mouth with a recessed maxilla?

I think ofc wide is better even if ur recessed.

 

[SoonToAscend]

I think he meant lower maxilla, exactly as that sounds

Where tf is lower maxilla
It doesn't go top to bottom but front and back and sides

 

[6ft4]

lower maxilla... do you mean mandible or the back part of maxilla?

Lower maxilla = beneath the red line
Mid maxilla = between the red and yellow line

 

[ChristianChad]

Where tf is lower maxilla
It doesn't go top to bottom but front and back and sides

Think Lefort I VS Lefort II


Lefort II is "mid"

 

[SoonToAscend]

View attachment 1808661
Lower maxilla = beneath the red line
Mid maxilla = between the red and yellow line

I get it now

 

[SoonToAscend]

I hear of people who get MSE looking for 12mm of expansion
I got a few MM of expansion with SARPE.
The lower maxilla is now wider which is a halo because it's created a wider smile and wider resting philtrum and nose base (my nostrils were the size of a 10 year old's beforehand)
The mid maxilla appears wider but this is not necessarily a halo because this area is so flat, the extra width doesn't provide any halo it is just giving you more surface area to bring attention to a failoed region

If you could bring this region forward with lefort II then the extra width would be a halo but when it is stuck in a recessed position the extra width is not a halo
If I had gotten a large expansion with MSE that directly impacts the mid maxilla moreso than SARPE I would be very wary of the potential for it to create an additional failo

U got any pics that show the widening?

 

[6ft4]

I'm surprised your mid maxilla got wider, don't the SARPE cuts not allow any expansion beyond where those cuts are done because the maxilla is detached?

Lefort II has a much higher mortality then both Leforts I and III, and it's done more rarely then Lefort I, though I still know some cases where it was done. I think you just have to get by without midface coming forward surgically.
Why not get fillers for your midface?

It is possible that the mid maxilla didn't get wider if the cuts don't allow for it but it definitely appears wider
Maybe the reason for this is how the soft tissue interaction has changed since the lower maxilla became wider
Either way, seeing what looks to be a wider mid maxilla with no additional projection is in my opinion a neutral outcome as opposed to lower maxilla widening which is unquestionably a positive outcome

This thread is speculating that excessive increase in width to the mid maxilla while it remains recessed could be a failo because you are just adding more recessed bone to your face in an area that is resting/cannot be brought forward

 

[6ft4]

A wider mouth is always a halo tho, is it better to have a narrow smile/mouth with recessed maxilla or wide smile/mouth with a recessed maxilla?

I said in the original post that the widening of the lower maxilla/smile is a halo regardless
I am debating the potential halo/failo of widening the mid maxilla when it is recessed

 

[6ft4]

U got any pics that show the widening?

The difference isn't as noticable in pics as it is when I check the mirror in daylighting but I will do what I can to take pics that show the difference

 

[Tallooksmaxxer]

So its okay to get mse if I will get lefort 1 too?