QUADRANGULAR LEFORT 1 OSTEOTOMY? HIGH LEVEL LEFORTS?

[x]

It does seem to fill out the midface a bit: http://mcgannfacialdesign.com/before-after/

[Heavyweight]

A girl on JSB who had a high Lefort 1 is really unhappy with her results. I'd stay away with this procedure. IMO, it's much better to experiment with fillers before receiving any permanent implants (let alone an osteotomy!).

http://www.jawsurgeryblog.com/forums/viewtopic.php?f=5&t=11204

[dovidiostore]

I had a high lefort done only. 4 months post op right now

[Lazlo]

I'd really like to see before/afters of patients who have had this procedure:

http://gradworks.umi.com/14/93/1493972.html

[Lazlo]

Again, what's great about this procedure is that it mobilizes the orbital rim --I mean that's really what can make a world of difference on the aesthetics front. If any of you find pics of this procedure, would love to see them.

http://www.ncbi.nlm.nih.gov/pubmed/9289636

[Lazlo]

Dr. Hernández Alfaro performs cheekbones osteotomies according to his website

also it seems that getting a rhino along with orthognathic surgery isn't exactly an issue

regarding my own question on 3D planning (VSP Orthognathics + Dolphin 3d imaging)

any before/after pics of so called malarplasty? does it mobilize the orbital rim?

[Heavyweight]

any before/after pics of so called malarplasty? does it mobilize the orbital rim?

I think the malarplasty that Alfaro does may just refer to cheek implants.

If it's an osteotomy, it probably looks like this. It looks like a good option for adding width to the cheekbones, something that implants don't do very well.

[Lazlo]

I think the malarplasty that Alfaro does may just refer to cheek implants.

If it's an osteotomy, it probably looks like this. It looks like a good option for adding width to the cheekbones, something that implants don't do very well.

hmmm, yeah sounds like it. i don't want width, i want frontal projection, i already have width...

Heavyweight, have you seen any before after of quadrangular lefort?

[fedfan]

I think the malarplasty that Alfaro does may just refer to cheek implants.

If it's an osteotomy, it probably looks like this. It looks like a good option for adding width to the cheekbones, something that implants don't do very well.

How does this procedure adds width to the cheekbones? If it's done like in the pics you posted, then it actually reduces width and makes the cheekbones higher (ie closer the the eye sockets).

[pekay]

I think the malarplasty that Alfaro does may just refer to cheek implants.

If it's an osteotomy, it probably looks like this. It looks like a good option for adding width to the cheekbones, something that implants don't do very well.

have you seen or do you happen to have an actual before/after of said procedure?

[x]

How does this procedure adds width to the cheekbones? If it's done like in the pics you posted, then it actually reduces width and makes the cheekbones higher (ie closer the the eye sockets).

It projects them further from the face I think, adding contour to the face

[Lazlo]

Here's an example of a cone beam scan and the predicted "results" as they affect soft tissue.

http://www.dryaremchuk.com/english/bespoke-example.php

[x]

I'm just starting this, but you definitely want to check it out: http://www.quintpub.com/userhome/aoos/aoos_17_1_Rosenberg4.pdf

-decreased vermilion show
-increased tip projection of nose (cinch suture that prevented widening actually caused increased tip projection)
-upper lip moved upward (?) 30% of amount of advancement

they can use a v-y plasty and cinch suture depending on the pre-existing shape of your nasolabial angle apparently

unfortunately this is the regular lefort, no idea if the high lefort is different

pics of high lefort cases:

'

[Lazlo]

these are pretty depressing results (i.e. undereye hollowness and especially what happens to the upper lip becoming more convex). the nose is not soooo bad, especially if you have a good doc who knows how to manage this....

[x]

these are pretty depressing results (i.e. undereye hollowness and especially what happens to the upper lip becoming more convex). the nose is not soooo bad, especially if you have a good doc who knows how to manage this....

Yeah not the breakthrough I was hoping for, but high lefort patients have much worse starting points than you and I too

I'm going to look for some more, will post them if I find em