Back on topic, I found out something interesting while reading an article by Raffaini. He often does a modified le fort called a 'subspinal' osteotomy. It's a lower le fort (I think the cut dips below ANS) and the nose isn't supposed to be affected as much. The incisions are also less invasive (they tunnel through avoiding some of the muscles).
But he also does cosmetic rhinos so it's hard to know if his noses truly get affected or not.
A surgeon I saw last year was trying to explain the same thing to me about tunneling through and not needing to worry about the nose but I had no clue what she was talking about, so I kinda checked out. One of her patients did have a much wider nose afterwards so maybe it's not fool proof.
Looking at the two Alfaro 3d plans posted on this forum, he also cuts just below ANS.