Lefort 3, the FULL L3 is Lefort 1 + Lefort 2...and YES, OF COURSE, they need a full coronal (ear to ear) incision to perform it which should be INTUITIVELY OBVIOUS if you've ever actually looked up full L3 to see the ENTIRE area it includes.
As to 'malar' and 'zygoma', the terms can be used interchangably.
Now, it's QUIZ TIME for you! Answer the following questions:
1: Looking at the photo of the FULL L3, WHERE would the modification CUT be if you DID NOT want one area included in the full L3 advanced forward? HINT: Think in terms of the area on YOU you don' want pushed forward. This is a simple question so answer in terms of the diagrams.
2: Does 'modified L3' refer to just ONE way to modify it or are there a number of ways the L3 can be modified? Simple question, multiple choice:
a: One way it can be modified and called 'modified L3'
b: More than one way it can be modified and called; 'modified L3'
3: What area under the eye can look RELATIVELY recessive when the 'cheek' area is brought forward whether it be done by a bone cut to advance forward the malar/zygomatic area or an implant aimed at advancing same area? (This question assumes some BASIC knowledge of the bone support under the eye and names of those bones even though only PART of them yield the support.)
NOTE 1: This quiz is not to advocate/encourage, one way or the other, the pursuit of L3 or any one doctor's use of term 'modified L3'. It's only to test some very basic information processing abilities about what you are consulting about. So, NO GO as far as further discussion from me about L3 if you don't pass this simple quiz.
NOTE 2: The 'history' of the L3 as it applies to this board, came into being because a patient/member tooK YEARS researching it and what CUTS would specifically apply to HIS situation. He was as sharp as a tack ie. BRIGHT as to know exactly what he wanted and WHY and was able to cross reference the KNOWLEDGE he aquired ON HIS OWN (via reading tons of med articles) with the doctors he consulted with. EVER SINCE then, there has been quite a LARGE crop of mindless members wanting a L3 who aquired LITTLE to NO knowledge on their own other than they 'want a L3'. So, 'NO GO' as far as I'm concerned as to having to FILL IN the GAPS of knowledge people would need to have filled FOR THEM in any pursuit of any type of L3, modified or not. So, IMO, a LOT of KNOWLEDGE about the L3 is something someone should ALREADY have under their belt to even consult about it just like the person who had it aquired on his own. So, for people with GAPS of knowledge about the L3, my policy here is NOT to 'spoon feed' them what they need to know.