Two mandible surgery results. One gets a wider mouth, the other's nostrils move up, reducing nose length. How.

[LebenistneHure]

Check these images out.

What did this guy have done? I know this is an unlikely result in most of us, because he looks like he can just barely close his lips, but check his nasal base in the after. I'm trying figure out what happened there, did his nose tip rotate down, or did his nasal base (nostrils) go up? His philtrum looks shorter, and his mouth and nasal base wider. But I can't imagine how his nasal base going up would be physically feasible.

Second should be a bit more straight forward. He's had chin wing done apparently, not sure what else. How did his mouth get so much wider though? I didn't think chin wing could do that? This is apparently by Andreischev.

 

[dakchuh]

his head was tilted up in the before picture, that's it. seems like he got a lefort 1 ccw and genio. that wider mouth is lifefuel though.

second picture his mouth got stretched out by the wider jaws. there's more ground to cover so to speak, so the skin gets stretched out.

 

[Deusmaximus]

second picture his mouth got stretched out by the wider jaws. there's more ground to cover so to speak, so the skin gets stretched out.

If you look close, you can see that he now has problems closing his mouth correctly.

 

[ChristianChad]

If you look close, you can see that he now has problems closing his mouth correctly.

Perfect for constant BJ availability

 

[LebenistneHure]

his head was tilted up in the before picture, that's it. seems like he got a lefort 1 ccw and genio. that wider mouth is lifefuel though.

second picture his mouth got stretched out by the wider jaws. there's more ground to cover so to speak, so the skin gets stretched out.

I don't think so, check out his scans, it seems to me his philtrum is longer in the before, and shorter in after. Check his tip/nasal base in the scans too, the angle has decreased, as well as philtrum length, and it seems the upper being advanced forward has provided lift. I could be wrong though.

Second one makes sense, yeah. I need that shit.

 

[LebenistneHure]

If you look close, you can see that he now has problems closing his mouth correctly.

Yeah that's bothering me as well, but how could chin wing cause his upper lip to act up, doesn't make sense. Also this is the first time I'm seeing this issue.

 

[dakchuh]

looks like they shortened the maxilla vertically by making a wedge shaped cut for a better occlusal plane. can they do that? i thought they usually turn the maxilla without reducing bone mass?

 

[dakchuh]

i dont think there was much maxilla advancement if at all. you can see in his before picture that he was already decently forward grown. his only issue was downward growth, which dragged his lower face soft tissue downward. the surgeon fixed it by vertically shortening his maxilla, but is this a regular procedure?

 

[LebenistneHure]

View attachment 1382962

looks like they shortened the maxilla vertically by making a wedge shaped cut for a better occlusal plane. can they do that? i thought they usually turn the maxilla without reducing bone mass?

i dont think there was much maxilla advancement if at all. you can see in his before picture that he was already decently forward grown. his only issue was downward growth, which dragged his lower face soft tissue downward. the surgeon fixed it by vertically shortening his maxilla, but is this a regular procedure?

That's a sick comparison technique. Not sure though, I don't know jack about surgeries. But my mouth and nose are looks exactly like this fella's and if I bring my upper lip up reducing the philtrum length and nostril exposure, I look human. I got this image off a french site, I'll try and find it again, and maybe someone can translate and figure out what he's had done.

 

[LebenistneHure]

i dont think there was much maxilla advancement if at all. you can see in his before picture that he was already decently forward grown. his only issue was downward growth, which dragged his lower face soft tissue downward. the surgeon fixed it by vertically shortening his maxilla, but is this a regular procedure?

Found it. I can't speak French though. Here's the link if someone wants to view the entire site.

 

[coolguy1]

Lefort 1 impaction shortening midface

looksmax.org

First guy got lf1 impaction

 

[dakchuh]

Lefort 1 impaction shortening midface

looksmax.org

First guy got lf1 impaction

i see, so this is what its called. seems like this is only good for fixing excess downward growth on a face with already good forward growth. i dont think this procedure is helpful for most recessed cels.

 

[LebenistneHure]

Lefort 1 impaction shortening midface

looksmax.org

First guy got lf1 impaction

i see, so this is what its called. seems like this is only good for fixing excess downward growth on a face with already good forward growth. i dont think this procedure is helpful for most recessed cels.

Okay, this raises a few questions then. First of, I thought that the patients who have LF impaction done are the ones with excessive tooth show, aka. a gummy smile. This guy didn't have a gummy smile, so how come he's had that done? Secondly, I read a post from Eppley where he said that if someone gets impaction done, aka their maxilla gets vertically shortened, the soft tissue doesn't follow, and they will have their teeth buried under their philtrum, and the soft tissue will remain the same length. That is to say, vertically shortening the bone doesn't translate to a shorter midface tissue-wise. So how come his face looks shorter, even in the cephs?

 

[Deleted member 10615]

fuck that is an insane ascension, saved it

 

[Deleted member 8758]

View attachment 1382962

looks like they shortened the maxilla vertically by making a wedge shaped cut for a better occlusal plane. can they do that? i thought they usually turn the maxilla without reducing bone mass?

Something Id like to have done. Looks like it benefits the height of the ala (of the nose.)

 

[LebenistneHure]

Something Id like to have done. Looks like it benefits the height of the ala (of the nose.)

I hope it does, because my nasal base looks stretched downwards just like in the before. Is this a lefort?

 

[Deleted member 8758]

I hope it does, because my nasal base looks stretched downwards just like in the before. Is this a lefort?

Looks like impaction with slight rotation causing the soft tissues to support the nose a bit better. Also got wisdom extraction.

 

[Edgar]

View attachment 1382962

looks like they shortened the maxilla vertically by making a wedge shaped cut for a better occlusal plane. can they do that? i thought they usually turn the maxilla without reducing bone mass?

Yes if you have a gummy smile, not possible If the issue is nose vertical length