Author Topic: Sliding Genioplasty lost projection after swelling was gone, using filler?  (Read 581 times)

Lazlo

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Re: Sliding Genioplasty lost projection after swelling was gone, using filler?
« Reply #30 on: November 13, 2017, 09:22:39 PM »
Curious if a lefort 2 that actually brings his center face backwards instead of forwards is really a smart move long term? Isn't he going to age better with this extra midface surface area? It doesn't look disfiguring at all as it is now either.  Not included in this decision making so far I think is the state of his airway, and how that can be impacted from any of these set backs we're talking about - lefort 1 or 2.


listen you guys are insane for even discussing having a lefort 2 setback in this case. do you think the face is like a lego sculpture that you can so easy move blocks around without significant risk to nerves, soft tissue and function. His profile and chin are "fine".  If he wants a bit more augmentation there get some filler, end of story. If his bite is fine a bsso advancement won't really help this case unless he got a very aggressive CCW which only a few guys know how to do well. Honestly, only one I really know of (Gunson). And do you really want to go through a 2 plus year fuck up of your face to achieve what will only be a minimal difference? Just get some filler.

kavan

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Re: Sliding Genioplasty lost projection after swelling was gone, using filler?
« Reply #31 on: November 13, 2017, 10:12:00 PM »
I'm just saying his protrusion is to the Lefort 2 area because that's where his protrusion is. Not really advocating he get that type of surgery. Just that he knows where the imbalance issue is so he doesn't expect chin implants and fillers to fix that.
He's on his own to research it further if he likes.
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tim06

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Re: Sliding Genioplasty lost projection after swelling was gone, using filler?
« Reply #32 on: November 14, 2017, 11:01:08 AM »

listen you guys are insane for even discussing having a lefort 2 setback in this case. do you think the face is like a lego sculpture that you can so easy move blocks around without significant risk to nerves, soft tissue and function. His profile and chin are "fine".  If he wants a bit more augmentation there get some filler, end of story. If his bite is fine a bsso advancement won't really help this case unless he got a very aggressive CCW which only a few guys know how to do well. Honestly, only one I really know of (Gunson). And do you really want to go through a 2 plus year fuck up of your face to achieve what will only be a minimal difference? Just get some filler.

While I value the opinion of the other users really much, I think that this is true. Even Dr. Brusco would most likely not offer a lefort 2 setback but I will ask him in the next weeks and can post his answer here.

kavan

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Re: Sliding Genioplasty lost projection after swelling was gone, using filler?
« Reply #33 on: November 14, 2017, 12:51:32 PM »
I've talked about it in a responsible way which was show and tell  where I isolated the profile imbalance and gave link to an academic paper. That's sufficient info to research this further.

This looks to be a highly ESOTERIC surgery. I don't  know all about details of it such as, medical minutia involved, risk profile, doctor referrals etc. just because I isolated where the profile imbalance was and cited a paper where the authors of it were listed.

Did it ever occur to you to consider consulting with the authors of the paper?
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tim06

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Re: Sliding Genioplasty lost projection after swelling was gone, using filler?
« Reply #34 on: November 17, 2017, 06:09:46 AM »
I've talked about it in a responsible way which was show and tell  where I isolated the profile imbalance and gave link to an academic paper. That's sufficient info to research this further.

This looks to be a highly ESOTERIC surgery. I don't  know all about details of it such as, medical minutia involved, risk profile, doctor referrals etc. just because I isolated where the profile imbalance was and cited a paper where the authors of it were listed.

Did it ever occur to you to consider consulting with the authors of the paper?

That my middle-face is protruding was also mentioned by my surgeon who did the sliding genioplasty. He said this is one of the reasons why a bsso wouldn't make sense in my case since the upper jaw would have to be moved forward even more.