jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: CK on May 07, 2013, 06:52:56 PM
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i think the advancement is what can cause the midface to appear collapsed - compared to before at least.
so, the less advancement, the better off you'll be? in your case i wouldnt anticipate any extremes because you are so close to normal in that area.
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good!!! nice to here...my surgeon said my maxilla is close to ideal in terms of projection
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God if I had been able to have the lefort 2 quadrangular 10 years ago I would have basically had a different life.
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Aren't the risks of a lefort II a lot higher. I mean the movement makes sense, in my case a lefort II would probably give the best esthetic result, but I'm not really willing to risk blindness just to look better.
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Lazio are you suggesting I should get a lefort II?
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I'm still at mayo. I wouldn't necessarily suggest a lefort 2 quad but I would suggest the lefort 1 quad for just about anyone with mid face hypo plasma and weak orbits. It's very low risk. Keller does about 15 a year since 1990. That said the lefort 2 quad is the gold standard. He's never had blindness but there can be some small complications that resolve usually in a few months. Either way the benefit of these quad movements is they don't resorb like only grafts. And Keller gave me a bunch of papers depicting long ter 9 year follow ups.
Question what percentage of upper jaw surgeries lead to upper lip sensation change?
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The quad one can produce the same results as the quad two but the quad two produces the most dramatic aesthetics.
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what is the difference between a quadrangular lefort and a standard lefort? (speaking about 1)