Surgery

[Laverne]

Based off my pictures would an lefort 1 suffice or would I need an double jaw surgery?
I heard my mandible is okay or decent however my maxilla is pretty recessed.
What do you guys recommend?

 

[idont]

Based off my pictures would an lefort 1 suffice or would I need an double jaw surgery?
I heard my mandible is okay or decent however my maxilla is pretty recessed.
What do you guys recommend?

do you have CT scans
i dont think you need DJS but idk if l1 would suffice for the deficiency you have

 

[Laverne]

What else is deficient besides my maxilla because that’s obviously recessed

 

[idont]

lefort 2 most likely you have to remember occlusion has to be correct post op

 

[idont]

ngl you have a weird case it seems like you have a hyperdivergent profile with bimaxillary protrusion

you would probably need ASO with lefort 1/2 i have no idea prolly 2 with ccw

@Firstname.Lastname am i wrong or no

 

[idont]

ngl you have a weird case it seems like you have a hyperdivergent profile with bimaxillary protrusion

you would probably need ASO with lefort 1/2 i have no idea prolly 2 with ccw

@Firstname.Lastname am i wrong or no

@lurking truecel ?

 

[idont]

note for OP
aso is a specialised excess bone removal osteotomy for bimaxillary protrusion which i suspect you have

 

[Laverne]

Dam I didn’t think it would be this bad I thought an lefort 1 was All I needed

 

[idont]

sorry im wrong it is dentoalveolar protrusion not bimaxillary

 

[idont]

Dam I didn’t think it would be this bad I thought an lefort 1 was All I needed

it seems it just is ASO with lefort ccw but idk
you need to dm @yussimania and he will give the best advice

 

[idont]

do your upper teeth flare upwards?

 

[Laverne]

My upper teeth do have a slight flare and I have crowding on both arches. And you probably know but also an moderate underbite

 

[Laverne]

From what your describing I’m cooked

 

[Laverne]

it seems it just is ASO with lefort ccw but idk
you need to dm @yussimania and he will give the best advice

It seemed he logged out of his account and only uses discord, I sent him a friend request

 

[Laverne]

Its for sure class 3 skull though.

Lefort 2 isn't an option, probably Lefort 1 and 1-2 ccw.

If he's lucky maybe he could do something like FME + implants though. Depends a lot on things like how long his skull/midface ect are. You can pickup anything like 1-4mm forward advance and theirs down rotation as well with it. But obviously this may not work if say he already has very wide pallet, wide face, ect. As FME is mostly lateral expansion

My pallet isn't that wide its somewhat narrow

 

[idont]

Its for sure class 3 skull though.

Lefort 2 isn't an option, probably Lefort 1 and 1-2 ccw.

If he's lucky maybe he could do something like FME + implants though. Depends a lot on things like how long his skull/midface ect are. You can pickup anything like 1-4mm forward advance and theirs down rotation as well with it. But obviously this may not work if say he already has very wide pallet, wide face, ect. As FME is mostly lateral expansion

yes
lefort 1 with ccw and aso

if his palate is narrowish he can get away with implants and fme

 

[idont]

@zemult i was geeked when i said that that was retarded assf

 

[Laverne]

Then I'd explore FME as an option, its going to be that for lefort 1 with some rotation if you actually want it fixed.

Lefort 1 with rotation is a more standard/sure fire option. FME is like very case dependent and more experimental, so theres risk it doesn't provide full correction or otherwise has issues. It's mostly for widening at the midpalatal suture but like I said it does create some forward advancement and downward rotation. So if the rest of your face has the right setup its a good alternative.

Personally I'd avoid lefort 1 if it all possible. One it's a brutal surgery. Two the standard advancement is only going to be like 5mm, past that complication risk spike.

Hmmm alright. Well I'm currently 16, I still have around 4 more years to choose whether or not I'm going to get surgery. As if right now I'm think I'm going to stick with Lefort 1 with rotation. I still haven't done any scans so I still have to do that and consult with an ortho. For right now though I will look into doing fme, but I have an question would marpe suffice for fme, like are they similar?

 

[IDontBlameAnybody]

Hmmm alright. Well I'm currently 16, I still have around 4 more years to choose whether or not I'm going to get surgery. As if right now I'm think I'm going to stick with Lefort 1 with rotation. I still haven't done any scans so I still have to do that and consult with an ortho. For right now though I will look into doing fme, but I have an question would marpe suffice for fme, like are they similar?

By just looking at ur profile, lefort 1 would be an insane ROI for you. Get CT scans too. They might even want to setback your lower jaw a bit if the scans say it's too prognathic, but I think lefort 1 alone will suit you just fine. I'm getting it too.

Personally I'd avoid lefort 1 if it all possible. One it's a brutal surgery. Two the standard advancement is only going to be like 5mm, past that complication risk spike.

I don't think OP should avoid a surgery that would benefit him the most. And past 5mm the complication risks don't really spike. Sure, bigger movements increase the risks, but like 5-7mm, heck even 5-8mm forward movement with LF1 only is done very often.

You can check r/jawsurgery, you will see that most of the LF1's fall in the 5-8mm easily.

 

[IDontBlameAnybody]

Personally I'd avoid lefort 1 if it all possible. One it's a brutal surgery. Two the standard advancement is only going to be like 5mm, past that complication risk spike.

Just found this on reddit right after I wrote a reply to you. She got a fucking 10mm maxillary advancement LOL, 10mm!!

 

[Laverne]

View attachment 5065383
Just found this on reddit right after I wrote a reply to you. She got a fucking 10mm maxillary advancement LOL, 10mm!!

Yeah I'm for sure going to get lefort 1 no doubt about it

 

[Laverne]

View attachment 5065383
Just found this on reddit right after I wrote a reply to you. She got a fucking 10mm maxillary advancement LOL, 10mm!!

I'm going to get mine in turkey

 

[Laverne]

By just looking at ur profile, lefort 1 would be an insane ROI for you. Get CT scans too. They might even want to setback your lower jaw a bit if the scans say it's too prognathic, but I think lefort 1 alone will suit you just fine. I'm getting it too.


I don't think OP should avoid a surgery that would benefit him the most. And past 5mm the complication risks don't really spike. Sure, bigger movements increase the risks, but like 5-7mm, heck even 5-8mm forward movement with LF1 only is done very often.

You can check r/jawsurgery, you will see that most of the LF1's fall in the 5-8mm easily.

But do you think lefort 1 and maybe an set back via BSSO is all I need