I AM CONSIDERING A LEFORT 3

[SKV]

Hello I am a 19 yo living in the US and I am considering a modified Lefort 3 as well as BSSO and zygomatic implants. I will also require SARPE to make my teeth align.

Please tell me if this is the best option in my case

Money is no object as I have a 100k budget on these surgeries

I have consulted with some orthos and maxfacs (Sinn and Gunson) and they haven't opposed my plans

I have an Underbite and a very narrow palate

Shoot!

age 3 or 4:


As you can tell I had a rather bad puberty and am trying to make up for it with these surgeries.

[Lazlo]

Dude you'll be fine. You have a good base, good quality teeth overall. Sarpe, bi-max, lefort three sounds good.

Who proposed the zygomatic implants? Sinn? I've consulted with Sinn and the way I understood it, the modified lefort 3 would take care of that area? Am I wrong?

[SKV]

Dude you'll be fine. You have a good base, good quality teeth overall. Sarpe, bi-max, lefort three sounds good.

Who proposed the zygomatic implants? Sinn? I've consulted with Sinn and the way I understood it, the modified lefort 3 would take care of that area? Am I wrong?

No I think you are correct about the implants. That was something I thought of on my own but I will discard that idea.

Can you give some opinions on why you think I need such an invasive surgery as a Lefort 3?

[treevernal]

Why on earth are you considering a lefort 3?  You look so normal and handsome to me.  Getting the bite fixed with braces and perhaps conventional upper/lower jaw surgery should do the trick.

[SKV]

Why on earth are you considering a lefort 3?  You look so normal and handsome to me.  Getting the bite fixed with braces and perhaps conventional upper/lower jaw surgery should do the trick.

Maybe you're right...

[JawKid7]

lefort 3 is f**king crazy and u don't need it

[terry947]

Dude you do not need a lefort 3. Tbh it just looks like you need braces to align your teeth.

[Optimistic]

Dude you don't even have a negative orbital vector so idk who the hell would perform a le fort III....

[Rico]

too much risk in your case... you have no idea how tricky is to achieve good orbital volume

[Rico]

recovering very fast, almost no swelling.
about nerve do not know. slight occasionall tingling

about orbital volume First of all, IMO do not trust a surgoen who does not make orbital volume changing calculations

You can imagine orbit as a cube or cylinder. If you move one wall then volume is gonna change

so, too big orbital volume = too much space for an eye and it's gonna collapse

simple mechanism

A surgeon has to find optimum between good orbital volume and good bone profile. It's impossible without proper pre-surgery calculations.

[molestrip]

You are NOT mature enough to be considering these procedures. Do yourself a HUGE favor and wait until your late 20s. You could still get another growth spurt even! I got one around your age and then a small one a few years later. For now, I say have a orthodontist or surgeon do a CBCT and check the palatal suture for ossification. You could still be a good candidate. My only caution about orthodontics, don't let an orthodontist move those teeth without checking the CBCT first. You don't want camouflage orthodontics at such a young age.

[Rico]

hopefuly my orbital volume is OK. I was in panic due to some issues about  I used not to have idea.

I starts to think my surgery was quite OK and my surgeon is very good.

[PloskoPlus]

Also: Lefort I? What am I not seeing what you guys are seeing. Which surgeons perform a Lefort I on a guy looking like this? Thought most would want to see at least a bit of recession but I'm probably wrong if this guy can get a Lefort I.

Bite looks class III.