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

[Hyperanteface]

 

[narcomogs]

View attachment 3174849

@RealSurgerymax Wow I know it’s blurred but it seems like you hit every aim of the patient.

Congratulations

 

[hekch]

is there a way to perform aso without having to transition to a caucasiod profile to keep the asian heritage?

 

[AnnatarGorthaur]

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

you are mentally retarded, the 10% is the lethality rate for lefort 2 FRACTURES, not osteotomies, fractures as in injuries that result in the skull cracking along lefort 2 lines, newniggers are retarded istg

 

[AnnatarGorthaur]

You don't control fractures. That's why it's called an accident ....

Bad BSSO splits happen all the time and it's fixable. It's just not favorable, but doesn't risk your life.

It'sa bigger problem when it's in the regions of a lefort II

That's why many surgeons won't perform these because they consider even putting a patient at that risk - which is largely outside their control - for a non syndrome patient to be grossly unethical

youre just about the most retarded subhuman shitskin nigger i have ever seen lol

 

[hekch]

@RealSurgerymax


How's the patient recovering now?

 

[count grishnackh]

Mirin'
we need to see before and after if possible
this is amazing

 

[RealSurgerymax]

@RealSurgerymax


How's the patient recovering now?

fine at two weeks PO

Mirin'
we need to see before and after if possible
this is amazing

View attachment 3174849

 

[esoterik]

fine at two weeks PO

can you look at my thread brah, am i missing pfl or is my lateral corners not like chico's?

why do people say i look like chico?

i dont like it nor do i think i look like chico its getting so bad EVEN REDDIT MFS ARE SAYING I DO smh anyway here i am

looksmax.org

 

[aboriginalmaxxing]

lefort works unreasonably well

 

[ABCDEFGHIJKLMNOP]

youre just about the most retarded subhuman shitskin nigger i have ever seen lol

Get a life and go touch grass

No amount of time spent on this forum or hard maxing will ever make you any less of a curry

 

[MA_ascender]

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

Saar I'll get lefort 3 and 4 inches advancement BSSO in turkey saar

 

[AnnatarGorthaur]

Get a life and go touch grass

No amount of time spent on this forum or hard maxing will ever make you any less of a curry

you will never be white shitskin, my blood is european and it always will be, youll always be a sand dwelling monkey shitskin nigger, hope some of your loved ones were affected by the israeli pager attack

 

[ABCDEFGHIJKLMNOP]

you will never be white shitskin, my blood is european and it always will be, youll always be a sand dwelling monkey shitskin nigger, hope some of your loved ones were affected by the israeli pager attack

Have you considered trying therapy? Ideally so a school near you doesn't end up featured at 6

FYI I'm white.

 

[abdullah23k]

anything to become human in the eyes of others

Looks are everything

 

[brutalpilled]

for normal lefort 2 do you guys have to do scalp incisions or do it inside the mouth like lefort 1?

 

[RealSurgerymax]

for normal lefort 2 do you guys have to do scalp incisions or do it inside the mouth like lefort 1?

Need coronal approach for LeFort 2

 

[Anchor_Ship]

@RealSurgerymax Wow I know it’s blurred but it seems like you hit every aim of the patient.

Congratulations

Giant will save you

 

[ArgentinianDreamer]

Do you know if Dr Kovalovsky from Argentina works with Giant implants?

Yup, he's known here.

 

[reptiles]

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

I pray you will still be in buissness when I have enough money @RealSurgerymax do you have any successors in case you want to retire early

 

[Zenis]

View attachment 3174849

What a improvement

 

[Zenis]

I pray you will still be in buissness when I have enough money @RealSurgerymax do you have any successors in case you want to retire early

@RealSurgerymax, did you move his forehead forward or add a implant to it to try and avoid the dog look?

 

[RealSurgerymax]

I pray you will still be in buissness when I have enough money @RealSurgerymax do you have any successors in case you want to retire early

No and I am not going anywhere.

@RealSurgerymax, did you move his forehead forward or add a implant to it to try and avoid the dog look?

Yes with implant

 

[Zenis]

No and I am not going anywhere.



Yes with implant

How large is the implant

 

[erkenboşalangarson]

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

Korktun mu

 

[reptiles]

No and I am not going anywhere.



Yes with implant

I thank fuck you exist man

 

[Dathomirian Zabrak]

i think LL is safe after sawing that

 

[smallgromp123]

Hey @RealSurgerymax , congrats

May I ask what prevented you from going wider on the LF2 cut? Why not include more of the midface in the osteotomy? Did client ask for a narrower cut because he was going for implants? Or?

Can implants be avoided completely during such osteotomies?

Not trying to nitpick, just genuinely interested.