Worst Lefort 3 result ever?

[someone]

Saw this on the interwebs and was kind of shocked, the guy had a modified lefort 3

BEFORE:



AFTER:

[Lestat]

No orbital rim advancement but still a good result. Who was his surgeon?

[ismic]

How is that a bad result? Poor guy looked like a cartoon character in the before...

[PloskoPlus]

How is that a bad result? Poor guy looked like a cartoon character in the before...

He needed jaw surgery, nothing more. He had no exophthalmos before, so he ended up with enophthalmos after. I'm surprised the doctor published this result. I suspect some younger surgeons just tick an lf3 off their bucket list and never do one again unless it's a full blown syndrome case. And this was a mere 4mm advancement of the infraorbital rims! Unless you have really buggy eyes, it shouldn't be done. Too imprecise - like an  aggressive rhino on a mostly non deformed nose.

[Bowie]

I suspect some younger surgeons just tick an lf3 off their bucket list and never do one again unless it's a full blown syndrome case.

Could well imagine that

[David_D]

He's left with a crossbite and I don't think his mandible was set back enough.  His mandibular incisors could have been tipped labially to help accommodate further setback of the mandible.  It looks to me like a multi-segment Lefort would have been appropriate to address the crossbite.

[PloskoPlus]

http://jawsurgeryforums.com/index.php?topic=6338.0

[PloskoPlus]

He's left with a crossbite and I don't think his mandible was set back enough.  His mandibular incisors could have been tipped labially to help accommodate further setback of the mandible.  It looks to me like a multi-segment Lefort would have been appropriate to address the crossbite.

Yes the bite is poor. I don't understand why this was even published. Makes the surgeon look bad.

[JawKid7]

they f**ked up his nose too

[XXRyanXXL]

I think he could use a genio reduction.
The soft tissue does tend to stretch when facial disproportions are exhibited.