What surgeries do i need to fix my midface

[LEFORT17]

sometimes your face isnt cw enough for ccw to shorten that much. also you need to have a lot of impaction and maybe i didnt have enough or i couldnt get enough because i didnt get a gummy smile...

like i said before, bimax almost ALWAYS lengthens faces!!!

ccw, vertical shortening genio + gonial implants do the job

 

[DonaldJTrump]

ccw, vertical shortening genio + gonial implants do the job

Wb skull implants, lip lift, zygo implants?

 

[LEFORT17]

Wb skull implants, lip lift, zygo implants?

i just mentioned the most common procedure which you can do in 1 surgery

 

[DonaldJTrump]

i just mentioned the most common procedure which you can do in 1 surgery

Ur not answering my question

 

[LEFORT17]

Ur not answering my question

ofc you can do that gl founding a surgeon doing skull implants in europe

 

[enlightful]

Good choice to fold

Keep up the cope, youll be the one loosing money not me

 

[enlightful]

Well you'd think so, but this whole argument started from a disabled user, suggesting incisor chewing is going to give you the anything close to a CCW Bimax.

Mirin the temper tantrum

But I never said youd get bimax results

 

[greycel]

Probably not, i had one and my face looks quite a bit longer now which sucks but at least i look better overall.. i only had 4mm advancement of the upper jaw btw so mine wasnt even much but i still got my face lengthened noticeably

Both faces shortened vertically from frontal plane

 

[william.]

send pics or dnr

 

[DonaldJTrump]

View attachment 4111498
View attachment 4111500

Both faces shortened vertically from frontal plane

How

 

[greycel]

How

I asked GPT and it said this:

Short, straight answers first:

• Projecting the nose forward does not reduce its vertical height on the frontal view. Projection is an X-axis move; frontal “height” is Y-axis (nasion → subnasale). Moving the tip/base forward leaves their Y-coordinates unchanged, so the measured frontal nasal height doesn’t drop.
• You can shorten the face (frontal view) in long-face syndrome with a normal LF1 and keep chin height the same. You do that by raising the nasal base (impaction with CCW of the maxilla) to shorten the middle third, and then preserving or adding back any lower-third height lost from mandibular autorotation.

Why projection doesn’t “shrink” the nose on frontal view​

Define axes:

• Y (vertical): nasion and subnasale heights in the frontal plane.
• X (depth): nasal projection/tip support.

If you only increase projection (X), nasion and subnasale stay at the same Y. Frontal “nasal height” = nasion→subnasale (Y distance) stays the same. You may get nicer shadows/contours (an illusion of compactness), but no true vertical shortening.

What does shorten the middle third (frontal)​

A one-piece Le Fort I with CCW rotation of the maxilla (typically anterior impaction ± posterior down-graft) will:

• Raise subnasale/alar base ⇒ decrease nasion→subnasale (frontal nasal height) ⇒ the middle third looks and measures shorter.
• Often slightly up-rotate the nasal tip/base; true nose length (profile) changes little, but the frontal height drops because subnasale moved up.

Keeping the chin height unchanged​

Impaction/CCW makes the mandible auto-rotate CCW (chin up/forward), which wants to reduce the lower third. You have two clean ways to keep it the same:

1. Limit plane change
   Use modest CCW (enough for your bite/esthetics) so menton doesn’t rise much.
2. Add it back precisely at the chin
   After doing the CCW you need, perform a vertical sliding genioplasty to restore exactly the millimetres of lower-third height lost to autorotation. (Chin implants don’t reliably add vertical.)

Putting it together for your scenario​

• Goal: Shorter face in frontal view; same chin height.
• Plan sketch:
  • Maxilla: CCW via anterior impaction (e.g., 3–4 mm) ± tiny posterior lengthening to fine-tune OP angle and smile/incisor show.
  • Mandible (BSSO): advance to Class II correction; don’t chase vertical here.
  • Chin: if menton rises 2–3 mm from autorotation, do +2–3 mm vertical genioplasty → lower third returns to baseline.
  • Soft tissue: alar cinch + V-Y closure to prevent alar flare and upper-lip thinning.

Net effect:

• Middle third shorter (because subnasale is higher).
• Nose length (profile) ≈ similar; frontal nasal height smaller.
• Chin height unchanged (thanks to planning/genio).

That’s the yes you’re looking for: projection alone won’t shorten the frontal nose, but LF1 with CCW will—and you can keep the chin’s vertical height the same with smart planning.