High cheekbones are less likely to appear prominent since they necessarily have less bone mass, all else held equal. Due to the volumetric factor, high-set + recessed will look aesthetically inferior to low-set + recessed; however, high-set and forward grown will look aesthetically superior to low-set + forward grown due to the superior contour produced, as well as the larger amount negative space beneath the zygoma for the soft tissue to drape and fall into. Low-set cheekbones are simply more 'forgiving' given less than ideal development.Prominence is the defining characteristic of an aesthetically appealing set of cheekbones; vertical projection makes little difference unless the lack of it is accompanied by recession. High cheekbones are always prominent to a degree, but only low cheekbones can be either prominent or recessed. Angelina Jolie, Johnny Depp, and many other aesthetically appealing celebrities have low-prominent cheekbones for example.
Pure orbital-zygomaticomaxillary osteotomies (a.k.a "modified Lefort III") exist. Had this with Sinn in 2020. looks fine and addresses the forward dimension very well, and the transverse dimension reasonably well. Can do MSE beforehand (which I also did, lol) for widening the complex.That being said, there are no modern procedures that can fix recessed cheekbones, except in certain cases. Conventional cosmetic surgeries that address the zygomas such as implants and filler are hindered by their inability to change the shape of the infraorbital rim and move the origins of the skeletal muscles, which the implants or filler instead surround or avoid altogether.
The osteotomies are capable of moving the origins of the skeletal muscles, but none of them are universal solutions: Lefort III can only be applied to patients with class III malocclusions, Zygomatic Sandwich osteotomies can only increase lateral projection, and Lateral Swing osteotomies can only increase forward projection.
Pure orbital-zygomaticomaxillary osteotomies (a.k.a "modified Lefort III") exist. Had this with Sinn in 2020. looks fine and addresses the forward dimension very well, and the transverse dimension reasonably well. Can do MSE beforehand (which I also did, lol) for widening the complex.This surgery is a good solution for patients with class III malocclusions, but not for patients with other types of bites. It's not a universal solution if I'm correct. Hopefully I'm wrong and there's a way to work around this.
This surgery is a good solution for patients with class III malocclusions, but not for patients with other types of bites. It's not a universal solution if I'm correct. Hopefully I'm wrong and there's a way to work around this.It has nothing to do with occlusion. I’m a mild class II
Pure orbital-zygomaticomaxillary osteotomies (a.k.a "modified Lefort III") exist. Had this with Sinn in 2020. looks fine and addresses the forward dimension very well, and the transverse dimension reasonably well. Can do MSE beforehand (which I also did, lol) for widening the complex.
It has nothing to do with occlusion. I’m a mild class IIIf you had a Class II bite with a vertical maxillary deficiency, wouldn't advancing the lower half of the maxilla sagittally exaggerate the overbite? Or is there a way to keep the lower maxilla in the same sagittal position? I wonder if the Modified Oblique Lefort III can be paired with vertical maxillary advancement and BSSO for cases like that. Sorry for the late reply too.
Are my cheekbones high or low?You have high cheekbones I think.
https://imgur.com/a/un94GGc
I would just wait for custom bones implants once these procedures go a bit more mainstream.Good point. I wonder how it'll interact with the soft tissue of the face and the muscle origins.
This is an updated article from 2022 and I'd just use filler for now and once they're available in Europe have them done by someone whoo is just very good with implants.
It does concern me that a few cases ended in infection at operation site, but it sounds like the best material to essentially simulate and act like real bone and hopefully feel and look ultimately more natural. I wonder if nerve cells and such will also grow into the porosoity of the material. Kavan is the expert on such things:
https://3dprint.com/220737/3d-printed-ct-bone-grafts/