Why does U-shaped subcranial box osteotomy not have the expected results?

[Deleted member 28768]

I understanding needing to extend PFL. However, suppose PFL is ideal. Then what stops a 2 mm u-shaped obo from being aesthetically successful? Lack of movement of upper orbit? If so, why does that matter?

 

[optimisticzoomer]

Who says it doesn't?
It's just no one has seen results. Also can't fix vertical dystopia if u have that

 

[Deleted member 26824]

what would be the goal of the surgery? in/decrease IPD?

In what sense is the surgery not aesthetically successful?

 

[Deleted member 18879]

what would be the goal of the surgery? in/decrease IPD?

In what sense is the surgery not aesthetically successful?

youre tapped if u want this

 

[Deleted member 26824]

youre tapped if u want this

no i want to know how it works because im generally interested in stuff like this

 

[Octavian_Augustus]

I agree there's no evidence it's not successful. It will neglect the upper orbit but IDK how impactful that is. And I also agree the IPD - PFL problem is over-blown. In many cases people need 2-4mms of widening and as long as their PFL isn't total dogshit that won't do much harm.

 

[Deleted member 28768]

I heard from @RealSurgerymax that the initial results were disappointing. Could be due to bad execution as well. Was curious if anyone had more information.

 

[Octavian_Augustus]

I heard from @RealSurgerymax that the initial results were disappointing. Could be due to bad execution as well. Was curious if anyone had more information.

what are you talking about exactly. Sub cranial or his modified OBOs he performing

 

[Deleted member 28768]

what are you talking about exactly. Sub cranial or his modified OBOs he performing

Sub cranial, I believe.