Hi guys, I am getting a LeFort 1 with my double jaw surgery to fix an underbite. This is not for cosmetic reasons whatsoever, it's functional, but I'd still prefer the cosmetic side to not botch my nose and facial harmony. The maxillary advancement will probably be something like 8-10mm or more. It will be alot.
One of the biggest concerns I have is upturning. I understand that your nose does widen- and even an alar cinch can't mitigate it that much-
that's actually fine by me. The real concern is the upturning because it gives off a pignose effect- this is one of the most unattractive features for me that I would hate to get- once your nostrils show that much- it practically consumes everyones attention no matter how perfect your other features are- and more importantly it consumes my own attention, I don't want to look like that.
I'd take a wide nose anyday over an upturned one. Because it looks better, and also because an alar base reduction is infinitely easier to do than a rhino to lengthen my nose downwards. I have a wider asian nose for context.
So my question to knowledgeable members are- what's the best way to prevent or mitigate this pignose upturning effect from a big maxillary advancement?
From users like @kavan or @PloskoPlus I have seen very interesting threads.
Seems like anterior nasal spine reduction could work? My nose is not tethered like kavan's link, and I can feel my nasal spine definitely inside my nostrils and not in the columella at all whatsoever.
And would getting an alar stich be even worse due to it causing more upturn? Can alar stich be removed after 6 months or so as well if I don't like what it did to my nose and would be nose tissue return to normal?
Jesus Christ, I sound insufferable and like such a big whiner already. Sorry for all these questions- I am just compiling everything I intended on saying in 1 post after registering on this forum, hence it's long. Sorry!
https://jawsurgeryforums.com/index.php/topic,7579.msg67070.html#msg67070
https://jawsurgeryforums.com/index.php/topic,3801.msg25664.html#msg25664
tagging them here, apologies
Thank you two very much, I truly appreciate all you guys do. Really thank ya'll!
tldr; How to reduce upturning after maxilla advancement? ANS reduction? No alar cinch? Anything else? I don't mind widening of the nose- just mind the upturning.