Author Topic: Are we too dependent on Sinn?  (Read 7844 times)

Lestat

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Are we too dependent on Sinn?
« on: November 16, 2016, 09:49:04 PM »
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!
« Last Edit: November 18, 2016, 11:05:31 PM by Lestat »

triot

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Re: Are we too dependent on Sinn?
« Reply #1 on: November 17, 2016, 01:56:13 PM »
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.
« Last Edit: November 17, 2016, 03:20:06 PM by triot »

PloskoPlus

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Re: Are we too dependent on Sinn?
« Reply #2 on: November 17, 2016, 02:36:16 PM »
Wolford does them too.

Lazlo

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Re: Are we too dependent on Sinn?
« Reply #3 on: November 17, 2016, 04:36:23 PM »
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?

PloskoPlus

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Re: Are we too dependent on Sinn?
« Reply #4 on: November 17, 2016, 05:00:01 PM »
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.

PloskoPlus

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Re: Are we too dependent on Sinn?
« Reply #5 on: November 18, 2016, 05:23:15 PM »
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.

Lestat

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Re: Are we too dependent on Sinn?
« Reply #6 on: November 18, 2016, 11:00:06 PM »
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?

Lestat

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Re: Are we too dependent on Sinn?
« Reply #7 on: November 18, 2016, 11:08:28 PM »
Onliest?  ;D (same rule as in German)

 :-[
Thank you mate! I have corrected it!

Lazlo

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Re: Are we too dependent on Sinn?
« Reply #8 on: November 19, 2016, 12:15:52 AM »
Sinn uses either cadaver bone (which is fine by me) and also bovine bone if wanted

The Quest for Aesthetics

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Re: Are we too dependent on Sinn?
« Reply #9 on: November 19, 2016, 02:17:43 AM »
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?

PloskoPlus

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Re: Are we too dependent on Sinn?
« Reply #10 on: November 19, 2016, 02:24:28 AM »
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.

PloskoPlus

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Re: Are we too dependent on Sinn?
« Reply #11 on: November 19, 2016, 02:25:26 AM »
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.

The Quest for Aesthetics

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Re: Are we too dependent on Sinn?
« Reply #12 on: November 19, 2016, 03:46:32 AM »

PloskoPlus

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Re: Are we too dependent on Sinn?
« Reply #13 on: November 19, 2016, 04:11:03 AM »
100% sure?
Th eyes may become squintier but only with a very big advancement.

The Quest for Aesthetics

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Re: Are we too dependent on Sinn?
« Reply #14 on: November 19, 2016, 04:46:38 AM »
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 ?