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Author Topic: If one can't get a mod-lefort III, would other options be better than nothing?  (Read 11530 times)

terry947

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If one can't get a mod-lefort III, would other options be better than nothing?
« on: February 06, 2015, 11:44:10 PM »
I just like to get peoples opinions on this.

Say if I can't get a lefort III, would It better to keep my retrognathic profile (class II) or get a lefort I/BSSO to have a normal profile but risk having a flatter looking mid-face?
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mynameis

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #1 on: February 07, 2015, 01:48:10 PM »
Hard to answer without pictures really. I'd say everybodies an individual case. There's the standardised ideal of whats good looking, you know like models or brad pitt.

But there's people with flat midfaces who can be good looking, and people with imperfect profiles that are still good looking.

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PloskoPlus

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #2 on: February 07, 2015, 04:44:31 PM »
Quote from: terry947 on February 06, 2015, 11:44:10 PM
I just like to get peoples opinions on this.

Say if I can't get a lefort III, would It better to keep my retrognathic profile (class II) or get a lefort I/BSSO to have a normal profile but risk having a flatter looking mid-face?

Well strictly speaking you would need a Le Fort I regardless, since your bite is messed up.  While it is possible to correct the bite with an LFIII, it has a very limited range of movements.  So it would have to be a combined: modified LFIII + LFI.  The main problem with LFI is not that the mid face ends up being flat, but the opposite - a protrusive lower part of the mid face giving a chimp look if the upper part is still recessed.

I don't think you have very recessed orbits.  LFI can still improve the way your under eye area looks.  It does not touch the orbital area obviously, only tents up the the muscles somewhat.  But it helps in the same way chin augmentation is like a free nose job in profile, if that makes sense.
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terry947

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #3 on: February 07, 2015, 10:14:44 PM »
thanks plosko for the input!

@ mynameis - heres a dropbox link of my face. https://www.dropbox.com/sh/kfmezx6sre5pfpe/AAChETm8p18dLyP6WCKukWZ3a?dl=0
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PloskoPlus

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #4 on: February 08, 2015, 10:11:57 PM »
Quote from: 27F on February 08, 2015, 07:50:07 PM
^ I think fat grafting would be a viable option (if you have no other issues).  It seems more of a soft tissue issue anyhow.  I would def. give fat grafting a try before committing to actual surgery though (obviously).

Fat cells tend to get bigger with age.  Fat grafts in general a unpredictable.
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geijutsu

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #5 on: February 09, 2015, 04:14:46 PM »
It's crazy how casually the word lefort III has been dropping here lately. I'm willing to bet that 90% of the people that post about it don't even need it the way syndrome cases do. Fix your occlusion first, then work your way around the rest with less risky, more controllable modalities.
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PloskoPlus

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #6 on: February 09, 2015, 04:29:45 PM »
Quote from: geijutsu on February 09, 2015, 04:14:46 PM
It's crazy how casually the word lefort III has been dropping here lately. I'm willing to bet that 90% of the people that post about it don't even need it the way syndrome cases do. Fix your occlusion first, then work your way around the rest with less risky, more controllable modalities.

My occlusion has been fixed, but my upper mid face is still recessed. What other modalities?
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terry947

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #7 on: February 09, 2015, 09:40:15 PM »
I heard fat graphs are garbage since they look really bad when you start aging. Real bone movements are greater than anything else.

Also heres the thread of the girl I was talking about:  http://jawsurgeryforums.com/index.php?topic=787.15



"the above is a lefort 2 quadrangular. incision is made at the lower orbital rim, but the nose remains untouched. midface is brought forward."


If this is a legit LF II, then these results are AMAZING!
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Rico

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #8 on: February 10, 2015, 03:06:56 AM »
Who operated that girl from photos above ? nice result
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geijutsu

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #9 on: February 10, 2015, 03:30:11 AM »
Quote from: PloskoPlus on February 09, 2015, 04:29:45 PM
My occlusion has been fixed, but my upper mid face is still recessed. What other modalities?

If you're looking into augmenting your cheekbones then customized implants would be a far more predictable, and less invasive route than having a lefort/modified lefort III.

What are exactly your main problem areas?
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Rico

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #10 on: February 10, 2015, 03:59:33 AM »
again I see everyone overlooked my post about ZSSO (not sandwich one)
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geijutsu

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #11 on: February 10, 2015, 04:05:35 AM »
Quote from: Rico :) on February 10, 2015, 03:59:33 AM
again I see everyone overlooked my post about ZSSO (not sandwich one)

Dr. Eugene E Keller
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Rico

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #12 on: February 10, 2015, 06:17:08 AM »
but what ;) ?
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geijutsu

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #13 on: February 10, 2015, 06:53:05 AM »
 quadrangular Le Fort II osteotomy
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Rico

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Re: If one can't get a mod-lefort III, would other options be better than nothing?
« Reply #14 on: February 10, 2015, 07:55:31 AM »
but i'm writing about ZSSO
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