High "Quadrangular" Lefort 1 + IMM Implants = Lefort 3 MEGATHREAD

[PubertyMaxxer]

I have a couple questions for high IQ Users, please add knowledge ITT
@Pendejo @Golden Glass @Short Ugly and Brown @Lorsss @Slyfex8 @nelson @ht-normie-ascending @slime @Dude420

A high " quadrangular" lefort 1 is a variation of a lefort 1 where the cut is made a bit higher than lefort 1
This allows us to bring that part forward and bring the rest forward with an Infraorbital-Malar-Maxillary Implant

This is a reuslt of a quadrangular lefort 1 but i dont know whether IMM Implants were used in combination

Ideally it would be High CCW lefort 1 + bsso + long chin wing for me

Can a bsso and long chin wing be performed at the same time?

 

[Pendejo]

Can a bsso and long chin wing be performed at the same time?

I asked that question to @Dr Shekelberg a while back, this is what he told me:

both at the same time would be hard

because the normal BSSO is cut at the mandible and you would have 3 pieces of your chin wing if you would perform it after (but still in the same procedure (the 2 posterior cuts at the gonion and the rest of the jaw)

or do surgeon does the Chinwing before, lays the bone down somewhat and cuts the BSSO, and then reattach the chin wing cut and move it forward

but this is complicated and a hassle

 

[MandibularCel]

Which surgeons do this? Sinn?

 

[Chadelite]

What's the point of making this thread when we all know no one here will get this

 

[Pendejo]

Which surgeons do this? Sinn?

@Dr Shekelberg told me that Andreishchev does it.

 

[Almu]

 

[forwardgrowth]

Can a bsso and long chin wing be performed at the same time?

Fuark no

 

[Deleted member 2933]

What's the point of making this thread when we all know no one here will get this

/Thread

 

[forwardgrowth]

We need comparison of this to a Mod Lefort 3

 

[OOGABOOGA]

Hmmm I want this but can you get ccw when the cut is not a straight line?

 

[Luke LLL]

I would never cut my maxilla in half. MSE/FM for life

 

[PubertyMaxxer]

Hmmm I want this but can you get ccw when the cut is not a straight line?

@Pendejo @Golden Glass
Is this true?

 

[Golden Glass]

@Pendejo @Golden Glass
Is this true?

He’s asking a question

 

[curryslayerordeath]

Ask a surgeon tbh

 

[Deleted member 3990]

I would never cut my maxilla in half. MSE/FM for life

vertically break your maxilla and pull at it to achieve monkey face

If I phrase it like that, LeFort 1 sounds more domesticated

 

[zq336]

What's the benefit of moving the Lefort cut higher? You could just do a standard lefort 1 and have an implant above. Where the quadrangular cut is in your image is right through the infraorbital nerve.

Similar case to what you were describing:

Plastic Surgery Case Study - Custom Infraorbital-Maxillary-Malar Implant as Secondary Midface Augmentation After A LeFort I Osteotomy - Explore Plastic Surgery

A custom infrorbital-maxllary-malar implant completes the upper midface augmentation that complements a previoulsy performed LeFort I osteotomy.

exploreplasticsurgery.com

 

[Luke LLL]

vertically break your maxilla and pull at it to achieve monkey face

If I phrase it like that, LeFort 1 sounds more domesticated

The only lefort that makes sense is lefort 3. If you aren’t moving the whole thing forward there’s no point.

 

[slime]

I have a couple questions for high IQ Users, please add knowledge ITT
@Pendejo @Golden Glass @Short Ugly and Brown @Lorsss @Slyfex8 @nelson @ht-normie-ascending @slime @Dude420

A high " quadrangular" lefort 1 is a variation of a lefort 1 where the cut is made a bit higher than lefort 1
This allows us to bring that part forward and bring the rest forward with an Infraorbital-Malar-Maxillary Implant

View attachment 248099


This is a reuslt of a quadrangular lefort 1 but i dont know whether IMM Implants were used in combination

View attachment 248100


Ideally it would be High CCW lefort 1 + bsso + long chin wing for me

Can a bsso and long chin wing be performed at the same time?

It is possible but can be complicated and lead to unnecessary complications.

 

[PubertyMaxxer]

What's the benefit of moving the Lefort cut higher? You could just do a standard lefort 1 and have an implant above. Where the quadrangular cut is in your image is right through the infraorbital nerve.

Similar case to what you were describing:

Plastic Surgery Case Study - Custom Infraorbital-Maxillary-Malar Implant as Secondary Midface Augmentation After A LeFort I Osteotomy - Explore Plastic Surgery

A custom infrorbital-maxllary-malar implant completes the upper midface augmentation that complements a previoulsy performed LeFort I osteotomy.

exploreplasticsurgery.com

Nice case study

The benefit of lefort cut is less implant material to be used

 

[Deleted member 4887]

The only lefort that makes sense is lefort 3. If you aren’t moving the whole thing forward there’s no point.

I disagree with this, imo the main issue with standard lefort 1 is that it doesn’t move nose forward if you can do that with the quadrangular then what’s the big problem with undereye fat transfer/ orbital rim implant and then Possibly fillers for cheeks?