Nasal Septum Advancement in Bimax/LF1

[thecel]

Is it surgically possible to pull the nasal septum fowards during a LeFort 1 maxillary advancement?

The before/after bomax/LF1 results I saw seem to leave the nose in place as the bone around and below it are moved forward, leaving the nose flatter/snubbier after.

I don’t want to get that unaesthetic squished-flat nose outcome. Can surgeons advance the nose with the maxilla in one piece, or must the nasal septum be adjusted in a separate rhino procedure?

 

[thecel]

bump

 

[copemachine]

dm

 

[horsefacin]

dm

do you have an answer? please contact me if so tysm !

 

[Devon]

Is it surgically possible to pull the nasal septum fowards during a LeFort 1 maxillary advancement?

The before/after bomax/LF1 results I saw seem to leave the nose in place as the bone around and below it are moved forward, leaving the nose flatter/snubbier after.

View attachment 3929675View attachment 3929676View attachment 3929685View attachment 3929686

I don’t want to get that unaesthetic squished-flat nose outcome. Can surgeons advance the nose with the maxilla in one piece, or must the nasal septum be adjusted in a separate rhino procedure?

youve been on this site for literal years and have made threads yourself that have gotten botb on topics very similar to this one how tf do you not know, im convinced your just trolling for shits and giggles atp tbh

 

[thecel]

youve been on this site for literal years and have made threads yourself that have gotten botb on topics very similar to this one how tf do you not know, im convinced your just trolling for shits and giggles atp tbh

Knowing what looks good is aesthetic/artistic knowledge.

Knowing how surgery works, what can and can’t be done, safety risks, etc. is medical knowledge.

Having one doesn’t magically give you the other.

 

[Devon]

Knowing what looks good is aesthetic/artistic knowledge.

Knowing how surgery works, what can and can’t be done, safety risks, etc. is medical knowledge.

Having one doesn’t magically give you the other.

You have literally written an entire botb thread on why this happens you have to be trolling

 

[everyone]

paranasal if the nasal base isn't in anthropometric ideals after lf1 than radix implants

 

[thecel]

You have literally written an entire botb thread on why this happens you have to be trolling

you made me feel sad and stupid

 

[chadhamed]

you made me feel sad and stupid

I feel u

 

[geenk worg]

this is what modified lefort 2 is for

 

[HerpDerpson]

If you make a cut above the anterior nasal spine, the tip should move together with upper lip, no?

 

[lurking truecel]

If you make a cut above the anterior nasal spine, the tip should move together with upper lip, no?

And that would do what ?

 

[lurking truecel]

If you make a cut above the anterior nasal spine, the tip should move together with upper lip, no?

All this examples did that because in 80% of all bimax cases they do this, but the their is more too it

 

[Devon]

you made me feel sad and stupid

when surgery

 

[HerpDerpson]

in 80% of all bimax cases they do this

I didn't know that! I actually thought it's supposed to go below normally. I thought that's why the nose normally stays behind, but I guess not.

 

[don187]

Its called lf2 retard

 

[slaters]

@RealSurgerymax

 

[slaters]

@RealSurgerymax what u think

 

[lurking truecel]

I didn't know that! I actually thought it's supposed to go below normally. I thought that's why the nose normally stays behind, but I guess not.

I mean the nose bridge dont follow, not even in leforte 2 i think. And nasal tip might get more squished and upturned rather then actual projecting more. You would need rib cartiallge to build the nose up or use some kind of nose implant like gortex like they do in asia

 

[fika2]

this is what modified lefort 2 is for

ur not getting lefort 2 bro

 

[geenk worg]

ur not getting lefort 2 bro

correct i don't need it

 

[Lefor3Laser]

Is it surgically possible to pull the nasal septum fowards during a LeFort 1 maxillary advancement?

The before/after bomax/LF1 results I saw seem to leave the nose in place as the bone around and below it are moved forward, leaving the nose flatter/snubbier after.

View attachment 3929675View attachment 3929676View attachment 3929685View attachment 3929686

I don’t want to get that unaesthetic squished-flat nose outcome. Can surgeons advance the nose with the maxilla in one piece, or must the nasal septum be adjusted in a separate rhino procedure?

This is a le fort 2, or a modified le fort 1 wich trough the nasal spine and brings it forward, it depends from case to case if the nose changes dramatically (depending by the nose and how much mm's you did on the lefort, and you would still not know how it turns out because of the soft tissue and how it reacts).

Now on why this happen, the reason is that the nasal bridge (nasion) stays behind wich leads to this change.

Hopefully this explained it well, correct me if i'm wrong.

 

[RealSurgerymax]

Is it surgically possible to pull the nasal septum fowards during a LeFort 1 maxillary advancement?

The before/after bomax/LF1 results I saw seem to leave the nose in place as the bone around and below it are moved forward, leaving the nose flatter/snubbier after.

View attachment 3929675View attachment 3929676View attachment 3929685View attachment 3929686

I don’t want to get that unaesthetic squished-flat nose outcome. Can surgeons advance the nose with the maxilla in one piece, or must the nasal septum be adjusted in a separate rhino procedure?

Yes
With either LeFort II or LeFort I + Open Rhinoplasty.
Otherwise no.

 

[joseph]

Yes
With either LeFort II or LeFort I + Open Rhinoplasty.
Otherwise no.

Do you or does anyone you know offer either of these 2 procedures?

 

[RealSurgerymax]

Do you or does anyone you know offer either of these 2 procedures?

Yes my team in Istanbul does it. Giant x Ercin for example. But only if there is an indication (the patient will actually benefit from it)

Of course I dont recommend other services. Not that anyone else can do what we do anyway.

 

[joseph]

Yes my team in Istanbul does it. Giant x Ercin for example. But only if there is an indication (the patient will actually benefit from it)

Of course I dont recommend other services. Not that anyone else can do what we do anyway.

I believe I'm a potential candidate. My nasal bone, upper maxilla (midface), mouth area, and mandible are very recessed. I have very deep nasolabian folds too, and my nasal columella is very small too. How would the planning be done for this procedure? Sorry for the lack of knowledge, but who's Ercin?

Thank you

 

[joseph]

paranasal if the nasal base isn't in anthropometric ideals after lf1 than radix implants

What are good results before after pics and surgeons who are good at this?

 

[everyone]

What are good results before after pics and surgeons who are good at this?

for lf1 the cut just has to be at the nasal spine and it will change the nose.
for paranasal giant does them, and there pretty sure there popular in asia

 

[thecel]

What are good results before after pics and surgeons who are good at this?

 

[Lookologist003]

you made me feel sad and stupid

I think you would feel less so if he didn't have a Chad as his avatar. It's okay however because your point was valid and cogent.

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@thecel @everyone
Le fort I is a bluepilled procedure. While it may amend jaws, it knocks the midface out of proportion. Le fort I should only be considered in faces where the midface is overly projected.

 

[everyone]

Le fort I is a bluepilled procedure

obviously, Why recommend people lf2 when there never going to plan it.