Consulting with Sinn - modified lefort 3

[micjawsurgery]

wanted to update with some info I didn't consider. the movement involves a cut along the zygomatic maxillary buttress to move the zygoma forward, so the frontal process of the maxilla (near the nose) is not moved at all. Dr. Sinn told me HA paste would be used here to reduce the stepoff but this has me questioning whether implants would be better for this area since I am concerned the stepoff could be an issue aesthetically.

[micjawsurgery]

The cut for the modified LF3 is closer to the nose in this article. I'm asking Sinn if this would be possible but I don't expect it...really need to rethink about implants for this issue I think

https://www.academia.edu/27145374/The_modified_Le_Fort_III_osteotomy_in_the_correction_of_mid-facial_deficiency._Case_reports

[Lazlo]

The cut for the modified LF3 is closer to the nose in this article. I'm asking Sinn if this would be possible but I don't expect it...really need to rethink about implants for this issue I think

https://www.academia.edu/27145374/The_modified_Le_Fort_III_osteotomy_in_the_correction_of_mid-facial_deficiency._Case_reports

I think you're right that movie the bone near the nose is important aesthetically. How much HA in mm can be applied really to make an impact I wonder.

[Lazlo]

The cut for the modified LF3 is closer to the nose in this article. I'm asking Sinn if this would be possible but I don't expect it...really need to rethink about implants for this issue I think

https://www.academia.edu/27145374/The_modified_Le_Fort_III_osteotomy_in_the_correction_of_mid-facial_deficiency._Case_reports

Man, even those modified lefort results look pretty crappy. They just created more bulk in that area to "normalize" the face but I wouldn't say there was a huge aesthetic improvement. The girl still lacks any undereye support and so does the guy. The negative vector right below the eyeball is not improved at all with this operation? Why? Could it just be this isn't the fix and the need for some kind of implant is still necessary directly under the eye? The guy doesn't have an ogee curve after the operation at all.