jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: Optimistic on May 15, 2015, 08:06:15 PM
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I will have a phone consult soon, and I know a lot of people (myself included) are wanting to get some answers on what can and can't be achieved with a modified le fort III. So what questions would you ask Dr Sinn?
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Honestly, he can do the procedure quite easily. It's a big deal, but he knows what he's doing. If you know you need it, I'd almost recommend skipping the phone consult and just visiting him straight-off, or even a week before you reserve a surgery time.
The rest is just so pointless.
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Honestly, he can do the procedure quite easily. It's a big deal, but he knows what he's doing. If you know you need it, I'd almost recommend skipping the phone consult and just visiting him straight-off, or even a week before you reserve a surgery time.
The rest is just so pointless.
That's reassuring to hear since you just consulted with him. I personally would like to know if a coronal incision would allow him to do more than he otherwise could. In particular, if it would allow him to osteotomise the zygomatic arch and widen that too, similar to the ZSSO of Pelo.
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No he doesn't need to do a coronal incision. He can do all these things quite easily, it basically is a malar/zygo osteotomy.
He said the whole calling it a modified lefort 3 is a bit of a misnomer. It's just a malar osteotomy like dr. Z but including the orbital floor.
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coronial incision? Oh dear, I'm surprised that some ppl can be serious about this thing.
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coronial incision? Oh dear, I'm surprised that some ppl can be serious about this thing.
If you have a lot of hair, why not? Pretty sure the Obwegesser girl did. You can see a screw in her glabella (nasion?) in the X-ray.
Also I don't know how predictable eyelid scars are and men don't have the option of makeup.
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I will have a phone consult soon, and I know a lot of people (myself included) are wanting to get some answers on what can and can't be achieved with a modified le fort III. So what questions would you ask Dr Sinn?
With a coronal incision, can he augment the forehead at the same time?
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With a coronal incision, can he augment the forehead at the same time?
That's what I wanted to ask, as a lot have indicated supraorbital augmentation is necessary with infraorbital advancement.
As for a coronal being stupid.. why? It's that or have scars near my eyes, apparently. Even if for whatever reason I lost my hair I wouldn't care because I would be older. I'd rather enjoy a scar-free youth. Furthermore, I believe just getting hair transplanted into the scar would be a viable option to conceal it.
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Bump. Last chance.
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im curious what he says if he can do the supraorbital
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how he knows how much the bone must be moved ? how is he sure, that the outcome will match the planning - GENERALLY WHOLE PLANNING / MEASUREMENTS ISSUE - how does he do that / which methods
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I've likely missed the boat, but ... does it add facial width, and can it help rounded lower eyelids?
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Bump. Last chance.
in case boat didn't leave yet:
effect of advancement on
a) eyes (lower eye lid, negative canthal vector, overall shape)
b) nose shape (more upturned after advancement? more nostril flare?)
c) philtrum length and shape (what happens after advancement)
d) can be movement done just in anterior direction, or there are possibilities and thus benefits of rotation and dorsal direction as well?
A lot of stuff, but question a) is really improtant. The eyes.
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in case boat didn't leave yet:
effect of advancement on
a) eyes (lower eye lid, negative canthal vector, overall shape)
b) nose shape (more upturned after advancement? more nostril flare?)
c) philtrum length and shape (what happens after advancement)
d) can be movement done just in anterior direction, or there are possibilities and thus benefits of rotation and dorsal direction as well?
A lot of stuff, but question a) is really improtant. The eyes.
If it's what earl got, then there is no effect on the nose or upper lip. The jaw is not involved.
My surgeon said an LFIII would make my eyes "too squinty".
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Squinty eyes are the best eyes lol
Probably too late but is the advancement only horizontal or can he rotate the orbital rim closer to the eye for more support. If that makes sense.
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Squinty eyes are the best eyes lol
Only if they are horizontally wide, not if they are small to begin with.
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If it's what earl got, then there is no effect on the nose or upper lip. The jaw is not involved.
My surgeon said an LFIII would make my eyes "too squinty".
in my case maxilla should be move as well, but probably not nasal section (i have flat mug and prominent nose)
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in my case maxilla should be move as well, but probably not nasal section (i have flat mug and prominent nose)
You have an overbite, don't your?
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You have an overbite, don't your?
yup. recessed mandibula relative to maxilla. I expect BSSO although there is some logic of mandibular repositioning which is a functional orthodontic tehnique and thus doesn't involve invasive approach.
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yup. recessed mandibula relative to maxilla. I expect BSSO although there is some logic of mandibular repositioning which is a functional orthodontic tehnique and thus doesn't involve invasive approach.
Quite often malocclusions require double jaw surgery to fix, so you may not be able to get away without a Le Fort I.
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ASK HIM IF HE CAN GIVE YOU MAILS TO HIS OTHER PATIENTS , WHO UNDERWENT LF3 AND SIMILAR ONES
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Quite often malocclusions require double jaw surgery to fix, so you may not be able to get away without a Le Fort I.
well, you are not first one who said me this and there is no surprise since my lower jaw is recessed, upper jaw is orthognatic and occlusion plane is curved. *sigh*
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ASK HIM IF HE CAN GIVE YOU MAILS FOR HIS OTHER PATIENTS , WHO UNDERWENT LF3 AND SIMILAR ONES
Interesting suggestion. Although most people don't want to be hassled by strangers.
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oops should be TO* instad of FOR ;) stupid typos
a surgeon can ask their patients to get permission. They know how it was searching a surgeon. Hence most probably would agree...the question is if a surgeon wants to help in that way
Generally, why Dr Sinn is so popular here ? bacuase Earl got LF3 with him ? only this ?
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oops should be TO* instad of FOR ;) stupid typos
a surgeon can ask their patients to get permission. They know how it was searching a surgeon. Hence most probably would agree...the question is if a surgeon wants to help in that way
Generally, why Dr Sinn is so popular here ? bacuase Earl got LF3 with him ? only this ?
because of mysterious "modded lefortiii" myth presented with Earl&Co.
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coronial incision? Oh dear, I'm surprised that some ppl can be serious about this thing.
O man, I didn't think about the coronial incision... Sucks for me and my high + receded hairline.
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because of mysterious "modded lefortiii" myth presented with Earl&Co.
As much as Earl is being a massive troll, the timeline is something more like:
- Earl presents us with potato cam pictures and story of first ever Mod. LFIII on JSF
- More people look into Dr Sinn, turns out he has a good international reputation
- Worked with my top surgeons, results seem good
- A few have since consulted and had positive things to say
- Earl claims results were good and no sensation lost
Maybe I'll get my operation with him and get f**ked up, but so far things look good. I'll know more after I speak with him.
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As much as Earl is being a massive troll, the timeline is something more like:
- Earl presents us with potato cam pictures and story of first ever Mod. LFIII on JSF
- More people look into Dr Sinn, turns out he has a good international reputation
- Worked with my top surgeons, results seem good
- A few have since consulted and had positive things to say
- Earl claims results were good and no sensation lost
Maybe I'll get my operation with him and get f**ked up, but so far things look good. I'll know more after I speak with him.
I hope Dr. Sinn won't be the next MM. ::)
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I hope Dr. Sinn won't be the next MM. ::)
AFAIK, MM butchers operates in a university hospital. That may explain a lot.
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many surgeons operate in university hospital. Is that bad ? You can always ask a surgeon to not let their assistants do anything on you.
For example in Germany generally almost all very good hospitals and max-fac departments are connected with universities.
What interesting is.. unlike to other countries, most surgeons who work in public do not work in private clinics.
Perhaps they have enough good salaries...
It seems Germany is specific at this point.
Also only in Germany I met with something like cash deposit (if you are not European, or European but local NHS does not want to pay you) if you want a consultation with a surgeon in hospital, then You have to pay 500 - 2000E of deposit dependly on which hospital and they will charge you for every necessary procedure, and if something is left then they return it.
UPDATE: http://hospitals.webometrics.info/en/Europe/Germany%20