Thoughts on this Quadrangular LeFort 2 Result

[Snicket]

Before:

After:

Would this result have been any better than a conventional LF1 + infraorbital rim implants?
Where could this man stand to improve going forwards?

QLF2 Cut:

Note: all photos were publicly accessible on Google Images, so I am not violating this person's privacy.

 

[AforB]

Implants are for niggers

 

[Snicket]

Implants are for niggers

Not really. Less invasive and can get similar, if not better projection.
It also means rotation of the jaws is easier since you're mobilising less of the midface.
My main concern with implants is extrusion from long-term ageing.
The result was very underwhelming, considering the invasiveness of the operation. I'd argue his side profile actually looks worse.

Note: click on images to see them properly.

 

[AforB]

Not really. Less invasive and can get similar, if not better projection.
It also means rotation of the jaws is easier since you're mobilising less of the midface.
My main concern with implants is extrusion from long-term ageing.

What are the chances of an implant looking good on the first try without needing revisions? I'd say pretty low. Implants are great if you have small bones. Otherwise just take the risk. What you said about long term aging is one of the big reasons why i'd consider implants as a last resort

 

[Snicket]

What are the chances of an implant looking good on the first try without needing revisions? I'd say pretty low. Implants are great if you have small bones. Otherwise just take the risk.

It depends on the level of recession. I'd say if you're significantly recessed, then just getting some projection really makes all the difference with implants:

But if the maxillary recession is mild then revisions probably become more likely as it requires some fine-tuning:

 

[Acne Victim]

What does this even do exactly if its not moving the nose forward? Just getting better infras?

 

[Snicket]

What does this even do exactly if its not moving the nose forward? Just getting better infras?

It also advances the paranasal area as well, I think.

 

[Acne Victim]

It also advances the paranasal area as well, I think.

I thought a high lf1 could already do that

 

[lurking truecel]

I thought a high lf1 could already do that

Depends on the cut, high or low, not all lf1 are the same

 

[Acne Victim]

Depends on the cut, high or low, not all lf1 are the same

My nigga are you blind?

 

[lurking truecel]

My nigga are you blind?

You thought that the paranasal area was moved with lefort 1 which is not true in all cases, depending on the cut ? Are you retarded or sum ?

 

[geenk worg]

wow! dude jumped from sub 5 to sub 5

 

[Lefor3Laser]

Before:View attachment 3472081After:View attachment 3472082


Would this result have been any better than a conventional LF1 + infraorbital rim implants?
Where could this man stand to improve going forwards?

QLF2 Cut:
View attachment 3472101


Note: all photos were publicly accessible on Google Images, so I am not violating this person's privacy.

Worthless ngl, you'll benefit more from implants and a normal bimax rather than this higher cut le fort 2.

And it's probably riskier if you take into consideration the nerves ans muscles in that region.

 

[Lefor3Laser]

You thought that the paranasal area was moved with lefort 1 which is not true in all cases, depending on the cut ? Are you retarded or sum ?

Literally a useless cut tbh, it has almost no difference from the le fort 1,and plus you can get paranasal implants (also orbital ones) and it would still be cheaper than this quadrangular le fort 2

 

[Haseeb]

0 bitches to 0 bitches

 

[Snicket]

I thought a high lf1 could already do that

QLF2 is high LF1 but it extends up to the infraorbitals.

 

[ascending birdcel]

Not really. Less invasive and can get similar, if not better projection.
It also means rotation of the jaws is easier since you're mobilising less of the midface.
My main concern with implants is extrusion from long-term ageing.
The result was very underwhelming, considering the invasiveness of the operation. I'd argue his side profile actually looks worse.

Note: click on images to see them properly.

only way to get better flat midface is implants but as you said full of complications , short and long term

 

[Snicket]

Worthless ngl, you'll benefit more from implants and a normal bimax rather than this higher cut le fort 2.

And it's probably riskier if you take into consideration the nerves ans muscles in that region.

Was interested in a discussion really. I wouldn't opt for this myself.

I've met people who've had this cut. It's very underwhelming.

I just thought this was an especially bad result, considering the invasiveness. All of that for pretty much negligible gain.

 

[Lefor3Laser]

Was interested in a discussion really. I wouldn't opt for this myself.

I've met people who've had this cut. It's very underwhelming.

I just thought this was an especially bad result, considering the invasiveness. All of that for pretty much negligible gain.

I wasn’t implying that you were considering the procedure, I was just pointing out how invasive it is and how underwhelming the results tend to be.

It’s not worth getting because the outcome is often less impressive than a standard bimax with implants. Not to mention, the cost of such a procedure is significantly higher without delivering proportional benefits.

 

[Lefor3Laser]

only way to get better flat midface is implants but as you said full of complications , short and long term

You can do facelift after and/or fat grafts if the implants tend to show once you age.

 

[Snicket]

I wasn’t implying that you were considering the procedure, I was just pointing out how invasive it is and how underwhelming the results tend to be.

It’s not worth getting because the outcome is often less impressive than a standard bimax with implants. Not to mention, the cost of such a procedure is significantly higher without delivering proportional benefits.

Yeah, it seems pointless. It's also not an option for people who need downgrafts of the maxilla as in QLF 2, it would also mean downgrafting the infraorbital rims as well.

I spoke to Keller a while back, one of the few max facs in the US who did quadrangular LFs for decades (retired now).

He had this pretty impressive result (have to click on it):

He told me that bone grafts of the infraorbital-malar region were crucial for an aesthetic result.

In other words, the surgery by itself doesn't give satisfactory projection of the maxilla.

 

[ascending birdcel]

You can do facelift after and/or fat grafts if the implants tend to show once you age.

ye sure , there are surely ways to fix but implants are not a single procedure you should count for future surgeries and fat graft to harmonize them , if you get the design right at first chance ofc

 

[Lefor3Laser]

ye sure , there are surely ways to fix but implants are not a single procedure you should count for future surgeries and fat graft to harmonize them , if you get the design right at first chance ofc

Indeed, alot of the results tend to show the implant (the person also needed fat grafta inb4) to hide it.

You can get a good design if you also go conservative and get someone who actually know how to design it (i am not implementing that it will always go right, it's based on the soft tissue).

But yeah implants aren't a 1 surgery and you are done thing.

 

[Snicket]

Indeed, alot of the results tend to show the implant (the person also needed fat grafta inb4) to hide it.

You can get a good design if you also go conservative and get someone who actually know how to design it (i am not implementing that it will always go right, it's based on the soft tissue).

But yeah implants aren't a 1 surgery and you are done thing.

Yep. There's no silver bullet when the entire central region of your face didn't grow properly.
Good bone structure + Fat pad genetics are crucial for graceful ageing.

The best mirror treatment for this is probably some combination of (conservative) implants and fat grafts.

 

[Lefor3Laser]

Yeah, it seems pointless. It's also not an option for people who need downgrafts of the maxilla as in QLF 2, it would also mean downgrafting the infraorbital rims as well.

I spoke to Keller a while back, one of the few max facs in the US who did quadrangular LFs for decades (retired now).

He had this pretty impressive result (have to click on it):
View attachment 3474569

He told me that bone grafts of the infraorbital-malar region were crucial for an aesthetic result.

In other words, the surgery by itself doesn't give satisfactory projection of the maxilla.

Yeah, exactly. A lot of the time, even bimax alone doesn’t make a dramatic difference. I’ve seen results comparing bimax only to trimax, and honestly, the genioplasty is what really brings everything together.

What I’m getting at is exactly what you said, this surgery didn’t look good until he added the bone graft. Same goes for this one.

 

[Lefor3Laser]

Yep. There's no silver bullet when the entire central region of your face doesn't grow properly.
Good bone structure + Fat pad genetics are crucial for graceful ageing.

The best mirror treatment for this is probably some combination of (conservative) implants and fat grafts.

Yeah, exactly. It’s all about finding the right balance. The smaller the implant, the more conservative, bigger the implant, more uncanny it can look.

 

[Snicket]

Yeah, exactly. A lot of the time, even bimax alone doesn’t make a dramatic difference. I’ve seen results comparing bimax only to trimax, and honestly, the genioplasty is what really brings everything together.

What I’m getting at is exactly what you said, this surgery didn’t look good until he added the bone graft. Same goes for this one.

Based on all the results I've seen, Implants will make more of a difference than bimax to the frontal view - unless you have SFS.

The few absolutely transformative bimax results involve downgrafting the maxilla and mandible.

It's life-changing in these rare cases where there is already decent maxillary projection but just not enough downward growth.

 

[FrenchareMedCucks]

What are the chances of an implant looking good on the first try without needing revisions? I'd say pretty low. Implants are great if you have small bones. Otherwise just take the risk. What you said about long term aging is one of the big reasons why i'd consider implants as a last resort

If you're MTN or below big implants are worth the risk in my opinion, looking a bit uncanny but forward grown and high bone mass is 100x better than being an average recessed boneless Normie.


Uncannyness is overrated IRL it's harder to point out especially If you're aren't a blackpilled autistic incel

 

[Lefor3Laser]

If you're MTN or below big implants are worth the risk in my opinion, looking a bit uncanny but forward grown and high bone mass is 100x better than being an average recessed boneless Normie.


Uncannyness is overrated IRL it's harder to point out especially If you're aren't a blackpilled autistic incel

Yeah but you can try and balance things out, i realized that for orbitals and malar area, balancing out between soft tissue and the implants would be more ideal imo, but for jaw you can go with bigger implants without risking looking uncanny.

 

[Acne Victim]

You thought that the paranasal area was moved with lefort 1 which is not true in all cases, depending on the cut ? Are you retarded or sum ?

I literally said high lefort 1 you retarded shitskin

Mandatory IQ tests for every pajeet posting should be necessary

 

[lurking truecel]

I literally said high lefort 1 you retarded shitskin

Mandatory IQ tests for every pajeet posting should be necessary

Cuck lord, didnt see. Go and eat shit man

 

[chrishell]

In order to have a good ogee curve you want to maintain a certain relationship between zygo and infra projection and this operation will make your zygos look weaker

 

[Snicket]

In order to have a good ogee curve you want to maintain a certain relationship between zygo and infra projection and this operation will make your zygos look weaker

This could be addressed with malar implants or ZSO.
The guy also suffers from other structural issues:
His eyes lack hooding, which pretty much all good-looking guys have.

 

[chrishell]

This could be addressed with malar implants or ZSO.
The guy also suffers from other structural issues:
His eyes lack hooding, which pretty much all good-looking guys have.

Yes but if you're going to get malar implants anyway you might as well forget doing the infra region with the osteotomy and get an infra-zygo implant.

 

[Snicket]

Yes but if you're going to get malar implants anyway you might as well forget doing the infra region with the osteotomy and get an infra-zygo implant.

I agree with you. I'm just saying that's where he could go from here.