My difficult situation

Phoenix

Phoenix

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So I want to start mewing (is this cope or not @28yo?), but my nose is messed up and I breath poorly through it, hence why I mouth breath, which essententially led to my downward growth.

I figure I get a rhinoplasty would fix my nose breathing and would allow me to mew, but problem is, I assume my nose would look horrific after if I actually achieve mewing results

I also want to get lefort 1 to improve my breathing, get rid of nasal folds and widen my nose tip. Not sure if I should do high Lefort 1, or Lefort 1 w/ ccw rotation

Any suggestions?

Also, is it just me or is my breathing area constricted because of my jaw?

20210515 090444
 
I can tell by the x ray that you got a Jew nose, try fixing that with rhino.
 
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I'm not a big fan of this high cut lefort 1, I prefer modified lefort 2
 
I can tell by the x ray that you got a Jew nose, try fixing that with rhino.
The "jew nose" is due to a recessed maxilla. Getting a rhino with a bad maxilla doesnt look good
 
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What difference does that achieve? 🤔
High cut lefort 1 to the right
Gr1 428


Modified lefort 2 to the left

Composite picture of osteotomy designs for which the degloving approach was used A


MLF2 goes uptill the orbitals. Covers more area and the entire upper maxilla along with the infras.in most cases infras are recessed too
 
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High cut lefort 1 to the right
gr1-428-jpg.1136337
Wait, so high cut lefort 1 = quadrangular lefort 1?
Figure 1 illustrates and compares the vertical level of the QLF-I with the standard low-level Le Fort I osteotomy.
 
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Why not just go with a mlf3?
Sure I mean if you want to do it you can but mlf2 shd suffice imo unless ur an ipdcel or something
 
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Sure I mean if you want to do it you can but mlf2 shd suffice imo unless ur an ipdcel or something
Consult with a surgeon gave me this list

2 Stages --

Stage I
Lefort I advancement
Correct nasal tip, nose & improve breathing

Stage II
Excision of dermatochalasis with lift
Orbital repositioning, periorbital osteotomies bilateral w/ bone graft

I don't understand half of it tbh, but I think it's some form of a mlf3

I wouldn't want to get all this done if mewing would work tbh
 
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Consult with a surgeon gave me this list

2 Stages --

Stage I
Lefort I advancement
Correct nasal tip, nose & improve breathing

Stage II
Excision of dermatochalasis with lift
Orbital repositioning, periorbital osteotomies bilateral w/ bone graft

I don't understand half of it tbh, but I think it's some form of a mlf3

I wouldn't want to get all this done if mewing would work tbh
Excision=removal
Dermatochalasis =Baggy eyes
Orbital is repositioned when mlf 3 cut is made and periorbital is ur under eyes
 
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Excision=removal
Dermatochalasis =Baggy eyes
Orbital is repositioned when mlf 3 cut is made and periorbital is ur under eyes
Sounds brutal af ngl. He wants 50k
 

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