Here is the original message, where the screenshot was taken in the first post: https://www.instagram.com/p/BilsAINhv78/
@kavan: In this post the surgeon says, he did the follow things:
- shortening and advancement of upper jaw
- advancement of lower jaw
- shortening and advancement of chin
- widening of skull (whatever this means, here he does not say, that a ZSO was performed)
By the way, her nose looks almost like the same before. She had already before a flat nose bridge and the nose is really slightly upturned now, should be easy fixable, if she wants it. The surgeon seems to be aware of the negative nose changes, but many patient just does not want to change it.
Firstly, NOW that we have the LINK where all this came from, with a little bit of brain power, we can cross reference what he did.
Я не понимаю почему, 'ОП' изначально держал ссылку в секрете.
To the best of my knowledge the info conveys surgeon did 4 things:
A Lefort 1, impaction (shortening) and advancement of the maxilla
A BSSO, forward advancement of mandible
A sliding genio (forward advancement along a diagonal cut; horizontal advancement with vertical shortening)
'expansion of the cheek bones'.
Now the first 3 things constituted the BIMAX surgery, which to me, were very visually clear she had those things for the more noticible facial changes.
Although he did not use terms such as 'Lefort 1', impaction, advancement, BSSO, sliding genioplasty...a literal translation of the words he used as to how he moved things would resolve to those procedures. However, he did list; 'expansion of cheek bones' for some kind of zyg osteo.
As to your statement of: 'By the way, her nose looks almost like the same as before.' I think you need to SHARPEN your observational powers because the surgery has clearly EXAGGERATED the problems with her nose as to turn a bad nose much WORSE. The BASE of nose with it's bulbous tip has come more forward in frontal view as seen via the Nostril widening. Profile view shows a very exaggerated SCOOP as in making the scoop she started with all the more WORSE.
Of course, the surgeon is aware of the very negative outcome to the nose. (Who wouldn't be by looking at it?) What we don't know is whether or not the surgeon informed her initially that her nose would become WORSE from the surgery. You can say; 'Many patients would not want to change something like that'. But I say; Many doctors would not want to PRE-INFORM the patient of negative changes like that. Such a negative change would be PREDICTABLE given the initial shape of her nose and how it would change with the displacements she got. (Usually not to the patients. But the doctor would be able to anticipate that in advance.)
