rottingricecel
Iron
- Joined
- Mar 8, 2021
- Posts
- 56
- Reputation
- 124
Made up of the nasal and infraorbital region of the face, the upper maxilla (lefort 2 area) is the main factor of an aesthetic side profile.
Another key variable here is zygonasal distance. A relatively high zygonasal distance corresponds to greater midface projection, while a low one creates the image of a retruded radix.
A low zygonasal distance is extremely prevalent in especially east asians, creating that flat look from the side (usually combined with a recessed infraorbital area)
Compared to a general caucasian one
So how can this actually be addressed? A common answer is bimax/double jaw surgery, but this is a misconception. Bimax only targets the lf1 region and will just end up giving you the chimp look without addressing the midface if expanded on.
Now, no surgeon out there is going to perform a lf2 or a quadrangular lf1 so out of the possible solutions, there are:
- Paranasal Implants
- Augmentation Rhinoplasty
- Infraorbital implants
- Custom malar implants
- Malar fat grafting
That said, I recently spoke with Pagnoni, who strongly advises against paranasal implants and doesn't do them anymore due to how poorly they age and change over time (pencil in face look). Not sure if anyone else can testify on this.
All things considered, I still haven't been able to find a concrete answer to a recessed upper maxilla (which makes sense considering how complicated this region is and that it delves into phenotype reconstruction).
Any thoughts?
Another key variable here is zygonasal distance. A relatively high zygonasal distance corresponds to greater midface projection, while a low one creates the image of a retruded radix.
A low zygonasal distance is extremely prevalent in especially east asians, creating that flat look from the side (usually combined with a recessed infraorbital area)
Compared to a general caucasian one
So how can this actually be addressed? A common answer is bimax/double jaw surgery, but this is a misconception. Bimax only targets the lf1 region and will just end up giving you the chimp look without addressing the midface if expanded on.
Now, no surgeon out there is going to perform a lf2 or a quadrangular lf1 so out of the possible solutions, there are:
- Paranasal Implants
- Augmentation Rhinoplasty
- Infraorbital implants
- Custom malar implants
- Malar fat grafting
That said, I recently spoke with Pagnoni, who strongly advises against paranasal implants and doesn't do them anymore due to how poorly they age and change over time (pencil in face look). Not sure if anyone else can testify on this.
All things considered, I still haven't been able to find a concrete answer to a recessed upper maxilla (which makes sense considering how complicated this region is and that it delves into phenotype reconstruction).
Any thoughts?
Attachments
Last edited:
