Author Topic: High cheekbones  (Read 740 times)

Wheatsnax

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Re: High cheekbones
« Reply #30 on: September 12, 2017, 06:01:59 PM »
The diagrams and photos are an example of a person who legitimately needed the Lefort 3 with the modification of it shown in the diagram. That's demonstrated in the before/after photos and cephs.

The upper part is basically a 'classic' Lf3. The only modification of it is the separate cut used to perform the Lefort 1.

i might be mistakened then, thanks.

PloskoPlus

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Re: High cheekbones
« Reply #31 on: September 12, 2017, 06:06:22 PM »
The diagrams and photos are an example of a person who legitimately needed the Lefort 3 with the modification of it shown in the diagram. That's demonstrated in the before/after photos and cephs.

The upper part is basically a 'classic' Lf3. The only modification of it is the separate cut used to perform the Lefort 1.
If the LF3 is a block movement including the nose, it may make any asymmetry at the eye level worse.

PloskoPlus

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Re: High cheekbones
« Reply #32 on: September 12, 2017, 06:37:52 PM »
True, and also pre-existing asymmetry of the cheeks that may not be all that noticeable now, but may be when they are brought forward with the LFIII.

These things can be better anticipated with customized implants.
IMO, that's one of the reasons why LFIII (even the modified bilateral kind, where the two sides are moved independently) is not very popular.  It's a general problem with osteotomies - witness how many people complain about asymmetry after jaw surgery.  At least jaw surgery has the side benefit of providing a functional benefit (it's actually the main benefit, but people here tend to forget this).  Also the soft tissue around the jaws is significantly thicker than around the eyes, so any asymmetry, step-offs are less noticeable (unless it's something like a severe cant).  Asymmetry at the eye level is more obvious, because people look into each other's eyes in general.

kavan

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Re: High cheekbones
« Reply #33 on: September 12, 2017, 06:55:04 PM »
If the LF3 is a block movement including the nose, it may make any asymmetry at the eye level worse.

Doesn't preclude the person in the photo as being a legitimate candidate for what he got. 
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kavan

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Re: High cheekbones
« Reply #34 on: September 12, 2017, 07:05:34 PM »
IMO, that's one of the reasons why LFIII (even the modified bilateral kind, where the two sides are moved independently) is not very popular.  It's a general problem with osteotomies - witness how many people complain about asymmetry after jaw surgery.  At least jaw surgery has the side benefit of providing a functional benefit (it's actually the main benefit, but people here tend to forget this).  Also the soft tissue around the jaws is significantly thicker than around the eyes, so any asymmetry, step-offs are less noticeable (unless it's something like a severe cant).  Asymmetry at the eye level is more obvious, because people look into each other's eyes in general.

Nor should it be popular among the 'I want one to look more like a model' crowd. But for someone like the patient in that photo, who might not even have asymmetry, that type of person would be very happy with it. Even if they had some, they'd probably accept the trade-off if they had the start point of the patient in the photo.
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PloskoPlus

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Re: High cheekbones
« Reply #35 on: September 12, 2017, 08:38:43 PM »
Nor should it be popular among the 'I want one to look more like a model' crowd. But for someone like the patient in that photo, who might not even have asymmetry, that type of person would be very happy with it. Even if they had some, they'd probably accept the trade-off if they had the start point of the patient in the photo.
With any surgery - the worse the starting point, the happier the patient is likely to be. 

kavan

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Re: High cheekbones
« Reply #36 on: September 12, 2017, 09:12:22 PM »
With any surgery - the worse the starting point, the happier the patient is likely to be.

So, why were you going on about possible asymmetry re the patient with a really bad starting point. As I said, asymmetry with a L3 would be more of a concern with the 'I'm getting one to look like a model crowd' than people with a legitimate deformity.
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PloskoPlus

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Re: High cheekbones
« Reply #37 on: September 12, 2017, 09:24:10 PM »
So, why were you going on about possible asymmetry re the patient with a really bad starting point. As I said, asymmetry with a L3 would be more of a concern with the 'I'm getting one to look like a model crowd' than people with a legitimate deformity.
I was actually addressing the "I wanna look like a model" crowd.  But they need psychiatry, not surgery.  IMO (and only IMO, since IANAD), you basically have to have buggy eyes to justify this surgery.

kavan

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Re: High cheekbones
« Reply #38 on: September 12, 2017, 09:59:26 PM »
I was actually addressing the "I wanna look like a model" crowd.  But they need psychiatry, not surgery.  IMO (and only IMO, since IANAD), you basically have to have buggy eyes to justify this surgery.

Well, some modifications of the L3 can be for buggy eyes. But that L3 modification was for the dished in upper midface including the nose area. But yes, it's not a surgery for the wanna be model crowd.
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kavan

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Re: High cheekbones
« Reply #39 on: September 29, 2017, 05:08:23 PM »


I had a 3d x ray thing some time last year, not much had ossified, I will try to find it if you want.

http://jawsurgeryforums.com/index.php?topic=6873.msg60063#msg60063
post #97   is where his 3d x ray thing can be found.
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