What's the alternative to lefort 2

[idnap]

Thank fuck for lefort existing but its obviously an invasive surgery that is pretty serious cus its your fucking face youre dealing with
A lefort 2 sounds lovely on paper but with some chat gpt responses it looks like it's a no go for most surgeons
What's the lefort 2 alternative? Lefort 1 + zygo/cheekbone implants+ paranasal implants?



Here's a direct comparison of Le Fort I vs Le Fort II fractures focusing on:

1. Mortality rates
2. Complication (“botch”) rates — focusing on surgical complications, poor healing, infection, malocclusion, etc.

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Quick Background (for context)​

Feature	Le Fort I	Le Fort II
Fracture Type	Horizontal fracture of the maxilla	Pyramidal fracture involving maxilla, nasal bones, orbital floor
Trauma Severity	Often low to moderate	Moderate to high — usually higher-energy trauma
Surgical Complexity	Relatively straightforward	More complex due to orbit, nasal, and infraorbital involvement

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1. Mortality Rates​

Type	Isolated Fracture Mortality	With Polytrauma
Le Fort I	<1%	5–10% (rare cases)
Le Fort II	1–5%	10–30% or higher

Why Le Fort II has higher mortality:

• Associated with higher-energy trauma
• More likely to involve airway compromise, orbital injuries, and brain trauma
• Often part of polytrauma scenarios (e.g., MVCs, falls from height)

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2. Botch / Complication Rates (post-surgical or healing-related)​

Common complications across both:​

• Infection
• Nonunion or malunion
• Malocclusion
• Nerve damage (e.g., infraorbital nerve paresthesia)
• Cosmetic deformity

Type	Complication Rate	Notes
Le Fort I	~5–10%	Low risk with proper ORIF and sterile technique
Le Fort II	~10–25%	Higher due to orbit/nasal/nerve involvement, difficult reduction

Le Fort II is more prone to:

• Infraorbital nerve damage
• Nasal airway obstruction
• Orbital floor issues (enophthalmos, diplopia)
• Higher infection risk due to sinus/nasal involvement

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Literature Highlights​

• Le Fort I surgery (e.g., orthognathic procedures) has a high success rate with low morbidity, often done electively.
• Le Fort II injuries are almost always trauma-induced and carry higher perioperative risks, difficult reduction, and functional complications.

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Summary Table​

Feature	Le Fort I	Le Fort II
Mortality (isolated)	<1%	1–5%
Mortality (polytrauma)	5–10%	10–30%+
Surgical “botch” rate	5–10%	10–25%
Common complications	Malocclusion, infection	Nerve injury, nasal deformity, orbital issues
Cause	Often planned surgery	High-energy blunt trauma

 

[Foreverbrad]

You’ve compared Lefort-1 osteotomy with Lefort-2 trauma repair surgery, rookie mistake.

 

[lazza]

You’ve compared Lefort-1 osteotomy with Lefort-2 trauma repair surgery, rookie mistake.

Ok but nobody has ever done lefort 2 surgery solely for cosmetic reasons, it's so unrealistic to think that you will get a lefort 2 osteotomy to fix your receded maxilla

For now we have to look at the alternatives and realise that almost no surgeon is doing lefort 2 to ascend you

 

[waelwaywayola]

Ok but nobody has ever done lefort 2 surgery solely for cosmetic reasons, it's so unrealistic to think that you will get a lefort 2 osteotomy to fix your receded maxilla

For now we have to look at the alternatives and realise that almost no surgeon is doing lefort 2 to ascend you

Lefort 1 chin implants zygomaticum inplants under eye inplants and brow ridge inplants would be best tbh

 

[waelwaywayola]

Ok but nobody has ever done lefort 2 surgery solely for cosmetic reasons, it's so unrealistic to think that you will get a lefort 2 osteotomy to fix your receded maxilla

For now we have to look at the alternatives and realise that almost no surgeon is doing lefort 2 to ascend you

Giving just in general crazy forward growth

 

[lazza]

Lefort 1 chin implants zygomaticum inplants under eye inplants and brow ridge inplants would be best tbh

I agree, but there is still risk of getting botched cause there won't be enough under support if you plan on doing under eye implants.

So lefort 2 would still be better but it's impossible to get

I don't even know if it's people understanding potential outcomes of lefort 2 on theoretical level or somebody actually did manage to get lefort 2 for cosmetic only

Can someone confirm if there is at least one person on the forum who got this for cosmetics only

 

[waelwaywayola]

I agree, but there is still risk of getting botched cause there won't be enough under support if you plan on doing under eye implants.

So lefort 2 would still be better but it's impossible to get

I don't even know if it's people understanding potential outcomes of lefort 2 on theoretical level or somebody actually did manage to get lefort 2 for cosmetic only

Can someone confirm if there is at least one person on the forum who got this for cosmetics only

https://looksmax.org/threads/lefort-3-result.1353396/#post-19993158 This lefort 3 couldnt find a reputable source of lefort 2 only 1. clavicular is getting one soon. Ofc lefort 2 is better then what i said. Mine is less invasive but lefort 2 shits on what i said

 

[lazza]

https://looksmax.org/threads/lefort-3-result.1353396/#post-19993158 This lefort 3 couldnt find a reputable source of lefort 2 only 1. clavicular is getting one soon. Ofc lefort 2 is better then what i said. Mine is less invasive but lefort 2 shits on what i said

Clavicular is getting a double jaw surgery, but only lefort 1 osteotomy will be perfoemed

 

[waelwaywayola]

Clavicular is getting a double jaw surgery, but only lefort 1 osteotomy will be perfoemed

A bimax?

 

[lazza]

A bimax?

It's more than a bimax, he is also doing genio.

Lefort 2 is just the friend we made along the way on this forum

 

[waelwaywayola]

It's more than a bimax, he is also doing genio.

Lefort 2 is just the friend we made along the way on this forum

Bro thats crazy, hes prb gna get botched why do that? Cookie king is better off doing this

 

[lazza]

Bro thats crazy, hes prb gna get botched why do that? Cookie king is better off doing this

If he gets botched people will only do minor surgeries

But if he doesn't get botched everybody will want to get surgeries done and hardmaxing era will start