This osteotomy seems easy, midface/philtrum reducer

D

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Kraken
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Maxillary impaction maxillaire chirurgie orthodontie
 
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Le Fort I. Mostly reduces the gummy smile and philtrum, won't do shit for long nose.
 
Needs to be combined with a lip lift to adjust the soft tissues or your philtrum will pretty much remain the same.
 

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