The sutures between the Maxilla and the Zygos stay open until the 70s allowing for forward growth at any age.

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The zygomaticomaxillary suture is the longest and thickest maxillary suture (ZM in Figure 1, Table 1) (51). It is completely patent on CT until age 10-15 and remains incompletely interdigitated through the 7th decade in cadavers (19,52,53)

IMG 6116

Picture 1. The Zygomaticomaxillary sutures

- "It is completely patent on CT until age 10-15":This means that the suture is fully open or clearly visible on a CT scan until the person reaches the age of 10 to 15 years. "Patent" here means open or unobstructed.

- "and remains incompletely interdigitated through the 7th decade in cadavers": After the age of 10-15, the suture does not fully close or fuse but instead stays partially interlocked or interdigitated (where the edges are interwoven but not fully fused) up until the person is in their 70s, as observed in cadavers.

And since movement is possible when the sutures aren’t fully closed, forward growth and enhancing the Lefort II region should be possible at any age.

Lifefuel for people lacking forward growth or facial depth
 
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it can only build your face sideways. not forward. fucking basic logic.
jensen-ackles-dean-winchester.gif
 
it can only build your face sideways. not forward. fucking basic logic.
jensen-ackles-dean-winchester.gif
What do you mean? The Lefort 2 cut is made in the same direction in which the suture are open, so if advancement is possible in Lefort 2, then advancement can also be made if those sutures are open.
 
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and the same studie that I linked found that people that have premature closure have maxillary retrusion, indicating that the sutures are responsible for forward movement and if they are closed to early, the maxilla can’t move forward
 
so what can we do with this information
 
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The zygomaticomaxillary suture is the longest and thickest maxillary suture (ZM in Figure 1, Table 1) (51). It is completely patent on CT until age 10-15 and remains incompletely interdigitated through the 7th decade in cadavers (19,52,53)

View attachment 3097315
Picture 1. The Zygomaticomaxillary sutures

- "It is completely patent on CT until age 10-15":This means that the suture is fully open or clearly visible on a CT scan until the person reaches the age of 10 to 15 years. "Patent" here means open or unobstructed.

- "and remains incompletely interdigitated through the 7th decade in cadavers": After the age of 10-15, the suture does not fully close or fuse but instead stays partially interlocked or interdigitated (where the edges are interwoven but not fully fused) up until the person is in their 70s, as observed in cadavers.

And since movement is possible when the sutures aren’t fully closed, forward growth and enhancing the Lefort II region should be possible at any age.

Lifefuel for people lacking forward growth or facial depth
Im 71 its fucking over for me bruh…
 
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and how are you gonna advance it
 
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Fuck you I was gonna make a thread on this.
I'll just add to this that the growth which occurs in adults is predominantly downwards. Meaning it increases the height of face, the lower third especially but not by much to create drastic changes. It's noticable nonetheless so life fuel for minor SFScels.

Also, as it's quite obvious the growth is much less significant and in individuals who have orthodontic treatment done, the growth pattern is different. For instance a retruded mandible may stay the same or even worsen.

There is some forward growth but if you're recessed to the point of doom, you're recessed pretty much.

Also by the time any significant growth has occured, you're probably too old to enjoy it. No jbs for you.


The zygomaticomaxillary suture is the longest and thickest maxillary suture (ZM in Figure 1, Table 1) (51). It is completely patent on CT until age 10-15 and remains incompletely interdigitated through the 7th decade in cadavers (19,52,53)

View attachment 3097315
Picture 1. The Zygomaticomaxillary sutures

- "It is completely patent on CT until age 10-15":This means that the suture is fully open or clearly visible on a CT scan until the person reaches the age of 10 to 15 years. "Patent" here means open or unobstructed.

- "and remains incompletely interdigitated through the 7th decade in cadavers": After the age of 10-15, the suture does not fully close or fuse but instead stays partially interlocked or interdigitated (where the edges are interwoven but not fully fused) up until the person is in their 70s, as observed in cadavers.

And since movement is possible when the sutures aren’t fully closed, forward growth and enhancing the Lefort II region should be possible at any age.

Lifefuel for people lacking forward growth or facial depth
 
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if you did advance the maxilla you're just gonna have an overjet so you'll need surgery either way
Appliance for the mandible
The mandible will follow the maxilla upwards. Clench lightly and you can feel that your maxilla is what stops your mandible from coming upwards. If the maxilla moves forward the mandible follows and if bite is initially correct, gonial angle lowers too and then it's just basic trigonometry that the mandible-maxilla discrepancy doesn't occur
 
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What do you mean? The Lefort 2 cut is made in the same direction in which the suture are open, so if advancement is possible in Lefort 2, then advancement can also be made if those sutures are open.
you're basically comparing an osteotomy (breaking the bones and repositioning) to natural accruing growth. 🤦🏻‍♂️ it's not the same
 
Appliance for the mandible
The mandible will follow the maxilla upwards. Clench lightly and you can feel that your maxilla is what stops your mandible from coming upwards. If the maxilla moves forward the mandible follows and if bite is initially correct, gonial angle lowers too and then it's just basic trigonometry that the mandible-maxilla discrepancy doesn't occur
1000210829
 
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