paranasal implants VS quadrangular lefort 1 for sunken midface?

[sandcelmuttcel]

the problem

will more invasive procedure such as quadrangular lefort 1 wield better results? what's the difference?

 

[Deleted member 7776]

Good question, @RealSurgerymax please answer

 

[ImpressionableYouth]

Absolutely great question because I am dealing with that issue myself, would love to know which is better

 

[Deleted member 5634]

Your smile is going to look retarded if the implant brings too much projection

 

[Taylorswift]

You are more likely to get implants than a doctor who is willing to perform such invasive osteotomy solely for comestic reasons.

 

[Deleted member 4430]

no one here had ever seen the result of that lefort

 

[sandcelmuttcel]

no one had ever seen the result of that lefort

theres plenty i think online

 

[Deleted member 4430]

theres plenty i think online

then show some

 

[MedMaxxing]

You are more likely to get implants than a doctor who is willing to perform such invasive osteotomy solely for comestic reasons.

If you are getting DJS and your Ceph shows sufficient midfacial hypoplasia, then getting a quad/high LF1 is not super invasive. It's just a modified cut of the LF1.

Also to the OP; definitely the LF1 variant. Implants can be uncanny in the midface, plus HLF1 has a lot of benefits like largely improved breathing besides the obvious looks benefits.

 

[MedMaxxing]

You are more likely to get implants than a doctor who is willing to perform such invasive osteotomy solely for comestic reasons.

delete

 

[Deleted member 4797]

Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.

 

[sandcelmuttcel]

then show some

QUADRANGULAR LEFORT 1 OSTEOTOMY? HIGH LEVEL LEFORTS?

QUADRANGULAR LEFORT 1 OSTEOTOMY? HIGH LEVEL LEFORTS?

jawsurgeryforums.com

 

[ImpressionableYouth]

Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.

We have our answer.

 

[sandcelmuttcel]

Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.

ok but my lower maxilla is decent not recessed and I think I'm getting the bone graft augmentation instead of silicon implants

 

[RealSurgerymax]

Good question, @RealSurgerymax please answer

You do not need this sort of LeFort I.

The diagram makes an unfair comparison because it is being compared to a subspinal LeFort I (below the Nasal spine) a typical intermediate height LeFort I with alar base engagement will help this problem.

 

[RealSurgerymax]

ok but my lower maxilla is decent not recessed and I think I'm getting the bone graft augmentation instead of silicon implants

Yes you can do this.

 

[sandcelmuttcel]

Yes you can do this.

will there be any difference? cosmetic or functional? (in comparison with lefort)

 

[MedMaxxing]

then show some

That blonde girl at that dude's signature who people said got a LF2 or LF3 was recently found to have only gotten a high LF1. Her orbitals and such weren't touched.

 

[RealSurgerymax]

will there be any difference? cosmetic or functional? (in comparison with lefort)

Yes, it won’t move your lips, mouth or teeth at all.

Some of the bone may resorb depending on the technique used

A titanium mesh bone regeneration guide I’ve cortical cancellous bone chips in PRF with cortical punctures would be a the best situation in my opinion.

This is if you truly have a deep canine Fossa like you say.

 

[Deleted member 4797]

ok but my lower maxilla is decent not recessed and I think I'm getting the bone graft augmentation instead of silicon implants

Would bone graft vs silicone make a difference? The issue is the position of the paranasal relative to the teeth, thats what made Facemaxxed look bad when talking or smiling. Anything that exposed his teeth were set further back than his paranasal area.

Before

After

 

[sandcelmuttcel]

Would bone graft vs silicone make a difference? The issue is the position of the paranasal relative to the teeth, thats what made Facemaxxed look bad when talking or smiling. Anything that exposed his teeth were set further back than his paranasal area.

Before
View attachment 814311

After
View attachment 814307
View attachment 814308
View attachment 814309

you mean to tell me he looks recessed when smiling?

 

[Deleted member 4797]

you mean to tell me he looks recessed when smiling?

yeah, he said it looks good when stoic but the minute he smiles or talks, it made his mouth appear recessed and cheeks overly chubby.

 

[sandcelmuttcel]

yeah, he said it looks good when stoic but the minute he smiles or talks, it made his mouth appear recessed and cheeks overly chubby.

Jesus I guess I have own it since it only looks bad when i'm making angry expressions (the nose sinks into my face) otherwise it's not noticeable.

 

[Deleted member 4797]

Jesus I guess I have own it since it only looks bad when i'm making angry expressions (the nose sinks into my face) otherwise it's not noticeable.

Well he did get 5mm projection there, maybe it would've looked ok with 2mm or something. But then again maybe it wouldn't be worth the risk for such little improvement.

 

[RealSurgerymax]

Would bone graft vs silicone make a difference? The issue is the position of the paranasal relative to the teeth, thats what made Facemaxxed look bad when talking or smiling. Anything that exposed his teeth were set further back than his paranasal area.

Before
View attachment 814311

After
View attachment 814307
View attachment 814308
View attachment 814309

Bone is better for deep Mentolabial folds and deep canine Fossa (really because of a protruding alveolar process because of a small/hypoplastic premaxillary arch)

The reason is because you should not place foreign materials too close to alveolar bone near or over the tooth roots.

You can use bone graft to fill concavities but not usually to augment convexities (like the Chin for example, that’s why you have to use implants or genioplasty.)

 

[Deleted member 5385]

then show some

Here you have one oldcel

God, you need proof to literally everything
More faith in people

 

[MedMaxxing]

Here you have one oldcel
View attachment 814349View attachment 814350
God, you need proof to literally everything
More faith in people

Not gunna lie, this type of Lefort looks to be hugely impactful on people who need it. Like a legitimate whole 1PSL increase. I know we all talk about overall aesthetics and meme about "Jaw is law" or "muh eye area" but realistically, unless your upper third is death tier, that midfacial area of the quad LF1 makes or breaks your face. Her face literally got more compact wtf.

 

[Deleted member 5385]

Bumi

 

[tyronelite]

My side profile looks like the skull except my teeth have normal malocclusion JFL

 

[OCDMaxxing]

the problem

will more invasive procedure such as quadrangular lefort 1 wield better results? what's the difference?

How do they add the nose volume? Augmentative rhinoplasty?

 

[sandcelmuttcel]

How do they add the nose volume? Augmentative rhinoplasty?

bone graft i think

 

[OCDMaxxing]

bone graft i think

Any idea which doc in world is best at this? Specifically and making male noses stronger.

 

[sandcelmuttcel]

Any idea which doc in world is best at this? Specifically and making male noses stronger.

VIP surgery Korea something like that

 

[OCDMaxxing]

VIP surgery Korea something like that

VIP surgery? What is that?

 

[sandcelmuttcel]

VIP surgery? What is that?

Harmony Rhinoplasty | VIP Plastic Surgery Korea

The traditional rhinoplasty was known as using foreign implants like silicone implants for the bridge and ear & septal cartilage for the nasal tip structure.Most of the patients and even the surgeons understand the general term rhinoplasty as inserting a foreign implant to the dorsal area of the...

www.vippskorea.com

 

[needsurgeryasap]

Any idea which doc in world is best at this? Specifically and making male noses stronger.

Harmony Rhinoplasty | VIP Plastic Surgery Korea

The traditional rhinoplasty was known as using foreign implants like silicone implants for the bridge and ear & septal cartilage for the nasal tip structure.Most of the patients and even the surgeons understand the general term rhinoplasty as inserting a foreign implant to the dorsal area of the...

www.vippskorea.com

 

[Deleted member 3679]

Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.

Osteotomies only for lower third! Of course you need implants for upper face area as the current osteotomies don't make much of a diff

 

[OCDMaxxing]

Harmony Rhinoplasty | VIP Plastic Surgery Korea

The traditional rhinoplasty was known as using foreign implants like silicone implants for the bridge and ear & septal cartilage for the nasal tip structure.Most of the patients and even the surgeons understand the general term rhinoplasty as inserting a foreign implant to the dorsal area of the...

www.vippskorea.com

>silicone implants for nose bridge
over, looks completely artificial, fake, problematic and will cause issues. Only bone grafts can work. And the proper ones, not the ones who warp like shit.

 

[Deleted member 7776]

>silicone implants for nose bridge
over, looks completely artificial, fake, problematic and will cause issues. Only bone grafts can work. And the proper ones, not the ones who warp like shit.

imagine getting punched in the nose with your silicone implant

 

[OCDMaxxing]

imagine getting punched in the nose with your silicone implant

exactly

 

[sandcelmuttcel]

>silicone implants for nose bridge
over, looks completely artificial, fake, problematic and will cause issues. Only bone grafts can work. And the proper ones, not the ones who warp like shit.

imagine getting punched in the nose with your silicone implant

pretty sure it's bone graft lmao

 

[OCDMaxxing]

pretty sure it's bone graft lmao

if its just bone graft it will lead to warping if not done right, nose augmentation is very, very tricky

 

[Sal123]

Here you have one oldcel
View attachment 814349View attachment 814350
God, you need proof to literally everything
More faith in people

What did she have done ?

 

[patricknotstar]

the problem

will more invasive procedure such as quadrangular lefort 1 wield better results? what's the difference?

Nobody knows because nobody has seen a quadrangular lefort 1 on a non deformed person

 

[Eduardo DOV]

Bone is better for deep Mentolabial folds and deep canine Fossa (really because of a protruding alveolar process because of a small/hypoplastic premaxillary arch)

The reason is because you should not place foreign materials too close to alveolar bone near or over the tooth roots.

You can use bone graft to fill concavities but not usually to augment convexities (like the Chin for example, that’s why you have to use implants or genioplasty.)

what about the screw used, isnt it dangerous also?