Recessed Maxilla and infraorbital rim - Solutions and surgeons

[CursedOne]

Since I have a deathtier maxilla and recessed infraorbital rims, I want either to undergo...

a high cut lefort 1 for midface advancement + infraorbital rim implant

or

a quadrangular lefort 1 or modified lefort 3.

Which surgeon is best suitied for either of these surgeries? My jaw itself isn recessed, its just my maxilla and my infraorbital rim area that is dogshit.

I think for a high cut lefort 1, the best options would be Pagoni, Ramieri, Defranc, Zarrinbal? Zarrinbal is conservative as fuck and doesnt do shit. Ramieri seems to be good surgeon, I dont know if he does a high cut lefort.

Modified lefort 3 is only done by Dr. sinn. Quadrangular lefort is only done by some doctors in Russia and some crazy curry doctors I guess.

 

[sorrowfulsad]

modified lf 3 or death tbh

 

[CursedOne]

modified lf 3 or death tbh

Yeah, who does it then? tell me?

@Lorsss Lend me your wisdom please

 

[homo_faber]

modified lefort 3 is offered by more docs then sinn, chevk out the thread on .net

 

[CursedOne]

modified lefort 3 is offered by more docs then sinn, chevk out the thread on .net

mind give me a link? I dont mind giving it to me pm?

 

[Deleted member 6403]

pm pics bro

 

[Deleted member 13367]

modified lefort 3 is offered by more docs then sinn, chevk out the thread on .net

How is modified lf3 different from normal one? I am also recessed and currently looking for surgery options.

 

[Lorsss]

Yeah, who does it then? tell me?

@Lorsss Lend me your wisdom please

I heard a certain Doctor Sinn does lefort 3

 

[Deleted member 4054]

Yeah definitely go to Sinn or Sailer and have an 80 year old give you a lefort 3. The more senile and decrepit the better. If they actually fall asleep or die during the procedure you know the results will be good.

 

[Deleted member 4466]

“high cut lefort” I love how people on this forum literally just invent terms and pretend it means something JFL

 

[Cain]

“high cut lefort” I love how people on this forum literally just invent terms and pretend it means something JFL

Legit, like what is even a "high cut Lefort 1"? I thought it was the same as a Quadrangular Lefort 1 jfl, but OP is making a distinction between these two.
@PrestonYnot

 

[Jason Voorhees]

Legit, like what is even a "high cut Lefort 1"? I thought it was the same as a Quadrangular Lefort 1 jfl, but OP is making a distinction between these two.
@PrestonYnot

Just different cuts. There are more than a dozen cuts of lefort 1 but these are the main ones

A) Conventional Le Fort I
B) Modified quadrangular Le Fort I
C) Quadrangular Le Fort I
D) Modified Le Fort I
E) Extended Le Fort I

Usually what users here refer to as high cut lefort 1 is C) but I'm not a fan of any of these lefort 1 variants tbh Modified lefort 2 and modified lefort 3 mogs all

 

[Cain]

Usually what users here refer to as high cut lefort 1 is C) but I'm not a fan of any of these surgeries tbh Modified lefort 2 and modified lefort 3 mogs all

Because they change the infraorbital rims too?

 

[Jason Voorhees]

Because they change the infraorbital rims too?

Precisely,less implant material and I read somewhere that MLF2 is easier to perform

 

[CursedOne]

I heard a certain Doctor Sinn does lefort 3

View attachment 1160721

you think pagono or ramieri will do high cut lefort 1 and low orbital rim implant?

 

[Lorsss]

you think pagono or ramieri will do high cut lefort 1 and low orbital rim implant?

both Pagnoni and Ramieri perform that

 

[varbrah]

MLF3 (orbital-zygomatic advancement osteotomy) followed by traditional Lefort I + BSSO + genioplasty to fix the jaws.

You will need two separate surgeries 6-9 months apart because each complex generally has to be mobilized in a different direction and any simultaneous fixation would be quite unstable.

 

[CursedOne]

both Pagnoni and Ramieri perform that

thank you broh. I hope next yeat I can fix my dogshit maxilla

 

[bossman]

both Pagnoni and Ramieri perform that

do you know if raffaini does?

 

[lasthope]

Just different cuts. There are more than a dozen cuts of lefort 1 but these are the main ones

View attachment 1161326

A) Conventional Le Fort I
B) Modified quadrangular Le Fort I
C) Quadrangular Le Fort I
D) Modified Le Fort I
E) Extended Le Fort I

Usually what users here refer to as high cut lefort 1 is C) but I'm not a fan of any of these lefort 1 variants tbh Modified lefort 2 and modified lefort 3 mogs all

why you are not a fan of a "high cut" lefort 1?

 

[Jason Voorhees]

why you are not a fan of a "high cut" lefort 1?

U will need midface implants after that which defeats the purpose of that surgery (other than reducing the implant material)

 

[lasthope]

U will need midface implants after that which defeats the purpose of that surgery (other than reducing the implant material)

why you would require midface implants after that?
i thought with higher lefort 1 cut you dont need implants

 

[Jason Voorhees]

why you would require midface implants after that?
i thought with higher lefort 1 cut you dont need implants

Nope mlf 2 mogs. People with recessed upper maxillas often have recessed Infras aswell

 

[lasthope]

Nope mlf 2 mogs. People with recessed upper maxillas often have recessed Infras aswell

how can i know if my infras are receded? i have 3d ceph of my skull
is there any way to measure?

 

[bossman]

Nope mlf 2 mogs. People with recessed upper maxillas often have recessed Infras aswell

a high cut lefort like this would fix recessed infraorbitals too though

in that case implants aren't a definite requirement.

 

[bossman]

how can i know if my infras are receded? i have 3d ceph of my skull
is there any way to measure?

check your orbital vector. look up how to find it

 

[Jason Voorhees]

a high cut lefort like this would fix recessed infraorbitals too though
View attachment 1288986
in that case implants aren't a definite requirement.

This is mlf2

FIGURE 1. Composite picture of osteotomy designs for which the...

Download scientific diagram | Composite picture of osteotomy designs for which the degloving approach was used. (A) Modification of the LeFort 2 osteotomy (Kufner modification). (B) Modification of the LeFort 3 osteotomy without the nasal component. from publication: Mid-Face Degloving: An...

www.researchgate.net

 

[Pumanator]

U will need midface implants after that which defeats the purpose of that surgery (other than reducing the implant material)

I had a consult and asked about the aesthetic results of high cuts lefort 1 or 2 for and got told the problem is that if you push the mid area forward it will make your midface looks puffy. Also nose gets bigger and wider.Got told you want mass at the cheekbones as a male not necessary at the midface. That's the risk you take with high cuts. Thats why implants or ZSO is needed/ necessary.

 

[lasthope]

I had a consult and asked about the aesthetic results of high cuts lefort 1 or 2 for and got told the problem is that if you push the mid area forward it will make your midface looks puffy. Also nose gets bigger and wider.Got told you want mass at the cheekbones as a male not necessary at the midface. That's the risk you take with high cuts. Thats why implants or ZSO is needed/ necessary.

thanks for high iq answer
but arent a high lefort1 needed for nasobial folds(if you have them)?

 

[damnit]

Just different cuts. There are more than a dozen cuts of lefort 1 but these are the main ones

View attachment 1161326

A) Conventional Le Fort I
B) Modified quadrangular Le Fort I
C) Quadrangular Le Fort I
D) Modified Le Fort I
E) Extended Le Fort I

Usually what users here refer to as high cut lefort 1 is C) but I'm not a fan of any of these lefort 1 variants tbh Modified lefort 2 and modified lefort 3 mogs all

where did you get those pics ? I have some maxfac books but they don't contain those variations.

 

[Lorsss]

do you know if raffaini does?

idk if Raffaini performs orbital implants. Certainly he performs high cut lefort 1

 

[bossman]

where did you get those pics ? I have some maxfac books but they don't contain those variations.

Soft tissue changes and skeletal stability after modified quadrangular Le Fort I osteotomy

Abstract The purpose of this study was to evaluate the soft tissue changes and skeletal stability of a modification of the Le Fort I osteotomy design – the modified quadrangular Le Fort I osteotomy…

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