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Author Topic: What questions would you ask Dr Sinn re Mod. Le Fort III?  (Read 9322 times)

Optimistic

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What questions would you ask Dr Sinn re Mod. Le Fort III?
« on: May 15, 2015, 08:06:15 PM »
I will have a phone consult soon, and I know a lot of people (myself included) are wanting to get some answers on what can and can't be achieved with a modified le fort III. So what questions would you ask Dr Sinn?

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Lazlo

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #1 on: May 15, 2015, 08:26:01 PM »
Honestly, he can do the procedure quite easily. It's a big deal, but he knows what he's doing. If you know you need it, I'd almost recommend skipping the phone consult and just visiting him straight-off, or even a week before you reserve a surgery time.

The rest is just so pointless.
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Optimistic

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #2 on: May 16, 2015, 01:21:19 AM »
Quote from: Lazlo on May 15, 2015, 08:26:01 PM
Honestly, he can do the procedure quite easily. It's a big deal, but he knows what he's doing. If you know you need it, I'd almost recommend skipping the phone consult and just visiting him straight-off, or even a week before you reserve a surgery time.

The rest is just so pointless.

That's reassuring to hear since you just consulted with him. I personally would like to know if a coronal incision would allow him to do more than he otherwise could. In particular, if it would allow him to osteotomise the zygomatic arch and widen that too, similar to the ZSSO of Pelo.
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Lazlo

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #3 on: May 16, 2015, 07:01:20 AM »
No he doesn't need to do a coronal incision. He can do all these things quite easily, it basically is a malar/zygo osteotomy.


He said the whole calling it a modified lefort 3 is a bit of a misnomer. It's just a malar osteotomy like dr. Z but including the orbital floor.
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Mark505

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #4 on: May 16, 2015, 07:35:42 AM »
coronial incision? Oh dear, I'm surprised that some ppl can be serious about this thing.
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PloskoPlus

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #5 on: May 16, 2015, 09:55:08 PM »
Quote from: Mark505 on May 16, 2015, 07:35:42 AM
coronial incision? Oh dear, I'm surprised that some ppl can be serious about this thing.

If you have a lot of hair, why not?  Pretty sure the Obwegesser girl did.  You can see a screw in her glabella (nasion?) in the X-ray.

Also I don't know how predictable eyelid scars are and men don't have the option of makeup. 
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PloskoPlus

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #6 on: May 16, 2015, 10:09:36 PM »
Quote from: Optimistic on May 15, 2015, 08:06:15 PM
I will have a phone consult soon, and I know a lot of people (myself included) are wanting to get some answers on what can and can't be achieved with a modified le fort III. So what questions would you ask Dr Sinn?

With a coronal incision, can he augment the forehead at the same time?
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Optimistic

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #7 on: May 16, 2015, 11:03:11 PM »
Quote from: PloskoPlus on May 16, 2015, 10:09:36 PM
With a coronal incision, can he augment the forehead at the same time?

That's what I wanted to ask, as a lot have indicated supraorbital augmentation is necessary with infraorbital advancement.

As for a coronal being stupid.. why? It's that or have scars near my eyes, apparently. Even if for whatever reason I lost my hair I wouldn't care because I would be older. I'd rather enjoy a scar-free youth. Furthermore, I believe just getting hair transplanted into the scar would be a viable option to conceal it.
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Optimistic

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #8 on: May 30, 2015, 07:12:55 PM »
Bump. Last chance.
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earl25

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #9 on: May 30, 2015, 07:40:42 PM »
im curious what he says if he can do the supraorbital
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Rico

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #10 on: May 30, 2015, 08:18:15 PM »
how he knows how much the bone must be moved ? how is he sure, that the outcome will match the planning - GENERALLY WHOLE PLANNING / MEASUREMENTS ISSUE - how does he do that / which methods
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Bazarov

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #11 on: May 30, 2015, 10:07:53 PM »
I've likely missed the boat, but ... does it add facial width, and can it help rounded lower eyelids?
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Mark505

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #12 on: May 31, 2015, 01:33:24 AM »
Quote from: Optimistic on May 30, 2015, 07:12:55 PM
Bump. Last chance.

in case boat didn't leave yet:

effect of advancement on
a) eyes (lower eye lid, negative canthal vector, overall shape)
b) nose shape (more upturned after advancement? more nostril flare?)
c) philtrum length and shape (what happens after advancement)
d) can be movement done just in anterior direction, or there are possibilities and thus benefits of rotation and dorsal direction as well?

A lot of stuff, but question a) is really improtant. The eyes.
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PloskoPlus

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #13 on: May 31, 2015, 01:45:28 AM »
Quote from: Mark505 on May 31, 2015, 01:33:24 AM
in case boat didn't leave yet:

effect of advancement on
a) eyes (lower eye lid, negative canthal vector, overall shape)
b) nose shape (more upturned after advancement? more nostril flare?)
c) philtrum length and shape (what happens after advancement)
d) can be movement done just in anterior direction, or there are possibilities and thus benefits of rotation and dorsal direction as well?

A lot of stuff, but question a) is really improtant. The eyes.

If it's what earl got, then there is no effect on the nose or upper lip.  The jaw is not involved.

My surgeon said an LFIII would make my eyes "too squinty".
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terry947

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Re: What questions would you ask Dr Sinn re Mod. Le Fort III?
« Reply #14 on: May 31, 2015, 01:55:02 AM »
Squinty eyes are the best eyes lol

Probably too late but is the advancement only horizontal or can he rotate the orbital rim closer to the eye for more support. If that makes sense.
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