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I've been doing just that these couple days. No luck. I only encounter doctors i've already contacted or ones with no way of reaching them. Obwegeser seems not contactable and all the others redirect. I wonder if there is nothing to be done to bring the infraortibal part forward. I'd post an image to have your opinion Kavan if that is okay? If Modified lefort 3 is impossible there I'm just looking for the next best solution that are not implants.

My opinion is not going to make modified L3 available. If implants are off the table for you, than my opinion would not make a better option available either. You can post photos if you like. But what's the point if the only option is implants that you don't want.

Hey Kavan, I was to ask you this because you seem very knowlegable:

Do you think genio plates can be removed years later reliably for revisions? It would be a nightmare to be opened up again only to find out that the revision can't take place due to the plates being stuck.

My understanding is there is a time frame for plate removal and have seen varying timescales suggested from 3-6 months to 1 year.

As mentioned by Kavan bony overgrowth can take place and if significant can make it very problematic to remove. I have had some European surgeons advise they dont do plate removal, however in Germany plate removal is now common place. Whether this was driven by patients wanting to avoid long term foreign body exposure or consensus amongst the medical community I dont know, but awareness of foreign body issues has grown signficantly in recent years for all kind of surgeries, involing metal or plastic.

You can also do a blood test to specifically see if you have any allergenic response to orthopaedic implant materials both for dental implants or plates. There are studies showing immune responses to titanium in some people so its an ongoing thing.

The Australian maxillofacial surgeon Dr. Paul Coceancig has been suspended from practicing medicine in Australia: https://www.reddit.com/r/jawsurgery/comments/1b539a4/dr_paul_coceancig_suspended/

This is almost certainly due to physical harm he posed to patients. A number of commenters on the reddit thread note they developed large infections. Coceancig has been known to dismiss and refuse to treat his patients who develop infections and pain. In at least one case, it has resulted in life long sinus damage due to the last minute approach another surgeon had to take.

I previously have consulted with Coceancig and thought he was a peculiar and narcissistic individual.

It is an extremely esoteric operation. The only suggestion I can offer is to look in the bibliography in articles of cases you've come across in hopes to find a name cited of a doctor possibility.

My face grew in a weird way where my eyes are literally almost floating since they have no support on the lower part. Almost none. My jaws aren't underedveloped. Just my zygomatic (cheekbones) are. And so my infraorbital space is non existant. I have a negative vector and eyes are just floating. What ways are there that have to do with bone without fillers or implants? I've been looking almost a year for different surgeons on this matter and have found little success. A modified lefort for someone with a bit of a long face and flat cheekbones seem to happen in the articles of the cases and they look just like me. What are the options for this? where?

I've been looking and calling different doctors and they either don't answer or redirect me with soomeone else.

I dont think I typed unecessarily long. Just explained how my jaws were and eyes. And sent pictures and apologized for taking some time to send the studies.