Re: Freaking out: Am i opting for a "s**tty" plan?

[CK]

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.

[stupidjaws]

good!!! nice to here...my surgeon said my maxilla is close to ideal in terms of projection

[Lazlo]

God if I had been able to have the lefort 2 quadrangular 10 years ago I would have basically had a different life.

[Alue]

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. 

[stupidjaws]

Lazio are you suggesting I should get a lefort II?

[Lazlo]

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?

[Lazlo]

The quad one can produce the same results as the quad two but the quad two produces the most dramatic aesthetics.

[stupidjaws]

what is the difference between a quadrangular lefort and a standard lefort? (speaking about 1)