jawsurgeryforums.com
General Category => Aesthetics => Topic started by: Lestat on November 16, 2016, 09:49:04 PM
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Is he the only surgeon worldwide who does a Modified Lefort III/True Zygomatic Osteotomy on not deformed/average looking person?
Does anyone knows some other surgeons?
I think we are too dependent on Sinn and should immediately change it!
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Is he the onliest surgeon worldwide who does a Modified Lefort III/True Zygomatic Osteotomy on not deformed/average looking person?
Does anyone knows some other surgeons?
I think we are too dependent on Sinn and should immediately change it!
Onliest? ;D (same rule as in German)
I'm sure docs in 4th World countries with no juridical system would do that if the cash is right. Other than that, I don't think anybody would risk their job in doing that. There's too much that can go wrong. And saying you know the risks and so on isn't enough. Surgeons are only human, too and I don't think they'd take it easy if they knew they blinded one of their patients. This may not help you, but I guess that's how it is.
If you really want to know check on the internet which hospitals in Germany have a developed maxfac department and e-mail them. That's what I did (I specifically asked for "modified high-level leforts other than high LF1 on non-syndromic patients) and got responses, but I never followed through with making appointments since my focus changed and I realized that I don't need that s**t.
Edit: My post seems to be misleading. When I said responses I didn't necessarily mean positive ones in the sense that they said they do it. Most of the ones I read offered appointments, but as I said I stoped caring.
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Wolford does them too.
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Wolford does them too.
What are the scars with Wolford's version? And have you seen before and afters? Did they look good?
Does Wolford's leave external scars?
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What are the scars with Wolford's version? And have you seen before and afters? Did they look good?
Does Wolford's leave external scars?
Internal incisions only. I don't think it grabs as much of the midface as Sinn's version. Didn't see any before and afters (would've missed the plane). I wish I could have explored this more, but he insinuated that implants give you more freedom (shape), but it's a question of when you get them infected not if. He had patients coming back 15 years later with infection. So he no longer does implants.
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Did he suggest what movement size in mm he can do in different directions. Please share.
Don't know about Wolford. Sinn said 7-8 forward is max. Relapse is about 1 mm. Unlike lf1 almost all the advancement will show because the skin there is thin. Wolford said it will stretch the skin there (I guess this could be bad in some cases). Both said I need 5-6 at most. Wolford uses porous ha blocks, so there is no relapse. But they never get replaced with bone. I don't think Wolford's osteotomy captures the lateral portions of the orbital rims at all. Sinn said according to taste.
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Wolford uses porous ha blocks, so there is no relapse. But they never get replaced with bone.
I have heard that new bone grows through the ha block??! Am i wrong?
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Onliest? ;D (same rule as in German)
:-[
Thank you mate! I have corrected it!
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Sinn uses either cadaver bone (which is fine by me) and also bovine bone if wanted
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Sinn uses either cadaver bone (which is fine by me) and also bovine bone if wanted
Lazlo do we (by we I mean you) know whether the mod lf3 has any effect on the lateral canthus or positioning of the eyeball at all?
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I have heard that new bone grows through the ha block??! Am i wrong?
No, there is some ingrowth but bone will not replace it.
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Lazlo do we (by we I mean you) know whether the mod lf3 has any effect on the lateral canthus or positioning of the eyeball at all?
No effect.
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No effect.
100% sure?
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100% sure?
Th eyes may become squintier but only with a very big advancement.
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Th eyes may become squintier but only with a very big advancement.
How does that work?
I mean the positioning of the lateral canthus - do you know whether it comes forward with the lateral orbital rim ?
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How does that work?
I mean the positioning of the lateral canthus - do you know whether it comes forward with the lateral orbital rim ?
I've only ever seen eyes narrow in syndrome cases with bulgy eyes after presumedly massive advancement.
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I've only ever seen eyes narrow in syndrome cases with bulgy eyes after presumedly massive advancement.
Ok. So lateral canthus 100% doesn't come forward right ?
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Sinn says it makes the eyes more narrow. He's confirmed it to me twice. I already have decent eyes with no bulge or scelara show so I'm hoping for dem hunter eyes.
There's also studies that back it up. IIRC the average change was 20% in distance from the lower lid to the centre of the pupil afterwards. Quoting from memory but something like that.
The procedure definitely makes a significant change in orbital volumes.
The one thing it doesn't do is change or add to your existing cheek bone shape. Luckily the shape of mine is high and somewhat visible. So after my LF III it should be a stellar result, in theory. I'll keep you guys updated.
What do you mean it makes a significant change in orbital volume? Also do you know how it affects any other soft tissue aside from the lower eyelid margin? So lateral canthus positioning , eyeball, and so on?
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Eyeball is virtually unmoved in most cases.
Lateral canthus is reset at the end.
What do you mean reset at the end? As far as I'm aware the lateral canthus is anchored inside the lateral orbital rim rather than on top of it, or at least this is what I was told by Dr Eppley.
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Sinn says it makes the eyes more narrow. He's confirmed it to me twice. I already have decent eyes with no bulge or scelara show so I'm hoping for dem hunter eyes.
There's also studies that back it up. IIRC the average change was 20% in distance from the lower lid to the centre of the pupil afterwards. Quoting from memory but something like that.
The procedure definitely makes a significant change in orbital volumes.
The one thing it doesn't do is change or add to your existing cheek bone shape. Luckily the shape of mine is high and somewhat visible. So after my LF III it should be a stellar result, in theory. I'll keep you guys updated.
Yet he told me the opposite. I don't have bulgy eyes. My eyes are quite small. I do have minimal scleral show (more in one eye). He said it might help. I'm afraid of ending up with tiny eyes and this surgery seems irreversible. Gunson told me my infraorbital deficiency is mostly lateral. That's the big problem with osteotomies - they are not very flexible. Sinn said he can vary the osteotomy depending on the case (eg. How far up the orbital rim the cut guess laterally), but I wonder how much is really possible.
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dr anthony wolf in florida also does them
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dr anthony wolf in florida also does them
He also does what?
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He also does what?
[/quote
lf3]
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lf3
Also on average / good looking people for pure aesthetic reasons?
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Also on average / good looking people for pure aesthetic reasons?
Seemed like he would do it for cosmetic reasons. Email him via his wensite google amthony wolf miami
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Seemed like he would do it for cosmetic reasons. Email him via his wensite google amthony wolf miami
can you tell us a bit more such as where are the incisions? does he move the whole orbital ridge? etc. thanks.
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can you tell us a bit more such as where are the incisions? does he move the whole orbital ridge? etc. thanks.
no idea . i didnt go into detail with him. hes a very nice guy email him your questions