Real Cosmetic LeFort II (LeFort 2) & First Custom Non-Syndrome LeFort II in the world

[RealSurgerymax]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.

2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

 

[HarrierDuBois]

Hymen broken. Sorry yakhis!

 

[Deleted member 91529]

Where are his eyeballs here?? Do u take them out??

 

[hybobu]

dnr

 

[Deleted member 65192]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

holy shit

 

[RealSurgerymax]

View attachment 3141128 Where are his eyeballs here?? Do u take them out??

They are in the normal position. Just under the forehead skin that's pulled down over them. Coronal incision looks more brutal than it is.

 

[Floou]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

If I become rich successful surgeon, I’ll give surgery to all me family, and all my family will be moggers

 

[BoredPrince]

View attachment 3141128 Where are his eyeballs here?? Do u take them out??

They skinned my boy alive, brutal

 

[BoredPrince]

They are in the normal position. Just under the forehead skin that's pulled down over them. Coronal incision looks more brutal than it is.

Do you also perform bimax?

 

[sportsmogger]

Ew what the fuck

 

[NZb6Air]

Congratulations @RealSurgerymax

 

[DR. NICKGA]

The result pictures? How do he look like now
before and after pictures?

 

[Deleted member 86159]

The result pictures? How do he look like now

Bump

 

[wastedspermcel]

Holy fuck mirin but I just realised how horrifying this shit is. Jfl at kids who even think of getting this fuckery

 

[LVZZO]

 

[Deleted member 86159]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

First world
Istanbul

 

[wastedspermcel]

Fucking hell niggas skull just sitting there

 

[WanderingBurro]

Mirin' all the way. Keep up the good work. Will we ever see before and after pictures though? It's cool to see implant designs and techniques but often I rarely see before and afters for the more insane plans.

 

[lestoa]

will read now

 

[DR. NICKGA]

View attachment 3141159

Nigga wearing his own merch while doing surgery

 

[wastedspermcel]

@MA_ascender jfl at me considering this shit before

 

[lestoa]

all looksmax incels should become plastic surgeons unironically

 

[elemanzelvadre]

I was think about lefort but started doin mewing again after that pic holy fuck

 

[RealSurgerymax]

I was think about lefort but started doin mewing again after that pic holy fuckView attachment 3141170

If it scares people from getting it, good. They weren't mentally ready for surgery.

 

[3arsa]

before/after pics of results possible?

why is giants even on this forum how'd he find it?

 

[ducksoover]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

holy shit what is that last pic?

 

[RealSurgerymax]

before/after pics of results possible?

why is giants even on this forum how'd he find it?

I don't think this patient is showing publicly. However I don't agree to do any cases if they cant agree that I will show privately on zoom. But there's a strict filter of who can see. You have to be a serious candidate and show proof funds. Not just bc someone is curious.

 

[ducksoover]

I don't think this patient is showing publicly. I don't agree to do any cases if they cant agree that I will show privately on zoom though. But there's a strict filter of who can see. You have to be a serious candidate and show proof funds. Not just bc someone is curious.

when are you going to reply to dms for consultations? there's MANY people waiting to pay you $200 for a zoom consultation. I personally want a saddled infraorbital malar implant + supraorbital implant design

WHEN will you reply?

 

[enriquecel]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

awaiting results liam.

 

[Lookologist003]

Coronal incision looks more brutal than it is.

Really? This looks like a video filmed by a Mexican cartel.

 

[verlooksen]

Mirin' all the way. Keep up the good work. Will we ever see before and after pictures though? It's cool to see implant designs and techniques but often I rarely see before and afters for the more insane plans.

they are probably shit thats why

 

[RealSurgerymax]

they are probably shit thats why

Go somewhere else.

 

[T_T]

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

Most anti bimax surgery is just the reverse of lefort, does the cw rotation here increase forward growth and is it only done during a lefort

 

[verlooksen]

Go somewhere else.

go where jfl

 

[narcomogs]

Go somewhere else.

You are a pioneer.

Do you need to see proof of full surgery funds or any other guidelines to show readiness and eligibility for a procedure. Professional pre-op shots, maybe 3D CT scans stuff like that?

 

[Zizou]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

What's the difference/purpose of performing the osteotomy inside of the orbit as shown below, instead of performing the osteotomy in front of the the medial canthus and over the nasion?

 

[AlbinoMaxxer]

Jfl blackie gets lefort in hopes of slaying aryan stacis but will still be stuck with ethnics from the hood. Still mirin, hopefully he does in fact get the aryan stacies (he wont)

 

[FutureSlayer]

Jfl blackie gets lefort in hopes of slaying aryan stacis but will still be stuck with ethnics from the hood. Still mirin, hopefully he does in fact get the aryan stacies (he wont)

Michael Jackson is miring hard from heaven

 

[FutureSlayer]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

cool. hope you’ll show bef/after this time

 

[alpslover]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

 

[spooky420]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
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On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

Procedures & Rationale:​

Classical LeFort II Osteotomy
Provide Facial Depth by mobilizing the entire central mid face.

Anterior Segmental Osteotomy (4 Maxillary Incisors - withOUT extractions)
Surgical Dental Decomposition of bimaxillary protrusion. Changes the asian or african profile into a more caucasoid profile (requested by the patient.) While the LeFort II segment moves counterclockwise the ASO segment with 4 maxillary incisors moves clockwise.

BSSO
Moves lower jaw forward to maintain the Class I bite relationship

GenioGiant
Modified Genioplasty, different from a T split or standard 2 piece genioplasty with its pivotal rotation to create a more bicycle seat jaw.

Jaw Angle Implants
Provide masculinization and attractive jaw line

Infraorbital-Malar-Zygomatic Implants
Augment & Recontour the Infras, malars, and zygos. Manage the step off in the infraorbital region from LeFort II Advancement.

Supraorbital-Glabella Implants
Drop the supraorbital rims, recontour and sharpen the glabella, manage step off from LeFort II Advancement at the nasion.

Temporal-Parietal-Frontal-Occipital-Mastoid Implants
Widen the forehead breadth, widen the temples and skull. Recontour the tall round skull to look more square and dom.

Drill Hole Canthopexies
Increase Canthal Tilt & reduce risk of ectropion after subcilliary incision through 3 lamina to bone.

Temporalis Muscle Resuspension
Prevent temporalis retraction & hollowing.

Why LeFort 2 was chosen over LeFort 3 in this case:
1. Provides better asymmetry correction in this asymmetric patient than a single piece LeFort III. A LeFort III + II is possible but not as stable.
View attachment 3141052
View attachment 3141125
2. Preserves orbital volume. This patient didn't have bug eyes.
3. More recontouring freedom

View attachment 3141081View attachment 3141082View attachment 3141083View attachment 3141084View attachment 3141085View attachment 3141086View attachment 3141088View attachment 3141090View attachment 3141092View attachment 3141095View attachment 3141097
View attachment 3141106View attachment 3141111

What will this patients breathing be like after?

 

[spooky420]

What is his breathing going to be like after?

 

[dookielooksmaxxer]

all of this just to get pussy.

absolute mirin.

 

[SubhumanCurrycel]

Not that I am ever going to get shit this extreme but with such a wide area being operated on whats the nerve damage risk like as an estimate?

 

[FutureSlayer]

View attachment 3141647

Not that I am ever going to get shit this extreme but with such a wide area being operated on whats the nerve damage risk like as an estimate?

it's not as brutal as it looks. he basically exposed all his scalp/forehead up to the start of the browridge/eyes. His whole face is still in position

 

[omnilegent]

Jfl blackie gets lefort in hopes of slaying aryan stacis but will still be stuck with ethnics from the hood. Still mirin, hopefully he does in fact get the aryan stacies (he wont)

Only after LL and some HT will he even be able to sit near girls

 

[AlbinoMaxxer]

Only after LL and some HT will he even be able to sit near girls

Hrtwhat a cope

 

[SubhumanCurrycel]

it's not as brutal as it looks. he basically exposed all his scalp/forehead up to the start of the browridge/eyes. His whole face is still in position

The lefort II fracture itself runs across many nerves on the face which is why I was asking.

I can tell whats happening in that picture his scalp is stretched so it might appar his entire face is being flayed when it is not.

 

[ABCDEFGHIJKLMNOP]

On August 30, we did possibly the first custom LeFort II in the world, but most definitely the first custom non syndrome LeFort II in the world.

Surgery was long but everything was done as planned. An anticipated unit of blood was transfused. Immediate anesthesia emergence/extubation was uneventful.
Patient is post Op Day 2 and so far, so good.

Surgeon Prof.Dr. Celal Candirli, Designed & Assisted by myself (Giant)
Location was Acibadem Hospital in Istanbul. Implants were in titanium.

My understanding, correct me if I'm wrong, of why Leforts II is not commonly done is that it has a 10% ish risk of a bad fracture and around those areas - where the fracture occurs - it can cause massive blood loss and result in death

Hence why it is not commonly done

So, given that what exactly is an istanbul hospitals plan for when your patient is potentially massively hemorrhaging on the table from a bad fracture

Or do you guys just pray to whatever deity you don't kill your patient every time you do this

And I still don't get why you use such big ass titianium implants for your surgeries like this. Do these not effectively mold into the bone over time? Good luck removing any of that shit if it ever gets infected. What a nightmare that would be.

@RealSurgerymax

 

[ABCDEFGHIJKLMNOP]

The lefort II fracture itself runs across many nerves on the face which is why I was asking.
View attachment 3141686

View attachment 3141685
I can tell whats happening in that picture his scalp is stretched so it might appar his entire face is being flayed when it is not.

Your correct the risk of a lefort II can risk your cervical spine / spinal column and give yourself a CSF leak amongst other problems like: being higher risk for permanent damage to the orbitals, massive hemorrhaging from fracture, etc, etc hence why there is a higher risk of death

Not that anyone on this autistic forum would ever tell you that or knows basic risk management