Looksmax paranasal implants VS quadrangular lefort 1 for sunken midface?

ImpressionableYouth

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Absolutely great question because I am dealing with that issue myself, would love to know which is better
 
MedMaxxing

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You are more likely to get implants than a doctor who is willing to perform such invasive osteotomy solely for comestic reasons.
If you are getting DJS and your Ceph shows sufficient midfacial hypoplasia, then getting a quad/high LF1 is not super invasive. It's just a modified cut of the LF1.

Also to the OP; definitely the LF1 variant. Implants can be uncanny in the midface, plus HLF1 has a lot of benefits like largely improved breathing besides the obvious looks benefits.
 
DatGuyYouLike

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Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.
 
ImpressionableYouth

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Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.
We have our answer.
 
sandcelmuttcel

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Facemaxxed got paranasal implants, this is what he said:

"if I smile or talk the soft tissue in the cheek area bunches together and makes my face look bloated,mouth area recessed. if I keep my mouth shut or pouted it helps prevent this."

And because it looked unnatural to have projected paranasal area with a recessed mouth when talking or smiling, he decided to save up to get them removed and get a Lefort 1 instead.
ok but my lower maxilla is decent not recessed and I think I'm getting the bone graft augmentation instead of silicon implants
 
RealSurgerymax

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Good question, @RealSurgerymax please answer
You do not need this sort of LeFort I.

The diagram makes an unfair comparison because it is being compared to a subspinal LeFort I (below the Nasal spine) a typical intermediate height LeFort I with alar base engagement will help this problem.
 
RealSurgerymax

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will there be any difference? cosmetic or functional? (in comparison with lefort)
Yes, it won’t move your lips, mouth or teeth at all.

Some of the bone may resorb depending on the technique used

A titanium mesh bone regeneration guide I’ve cortical cancellous bone chips in PRF with cortical punctures would be a the best situation in my opinion.

This is if you truly have a deep canine Fossa like you say.
 
DatGuyYouLike

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ok but my lower maxilla is decent not recessed and I think I'm getting the bone graft augmentation instead of silicon implants
Would bone graft vs silicone make a difference? The issue is the position of the paranasal relative to the teeth, thats what made Facemaxxed look bad when talking or smiling. Anything that exposed his teeth were set further back than his paranasal area.

Before
before.png


After
23D2EC0D-21D7-4FD0-9F78-69BBF1386938.jpeg

1578088282846-1.png

4CC1B7C0-EEAB-40A3-B14E-EF3CE36DC833.jpeg
 
sandcelmuttcel

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sandcelmuttcel

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yeah, he said it looks good when stoic but the minute he smiles or talks, it made his mouth appear recessed and cheeks overly chubby.
Jesus I guess I have own it since it only looks bad when i'm making angry expressions (the nose sinks into my face) otherwise it's not noticeable.
 
DatGuyYouLike

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Jesus I guess I have own it since it only looks bad when i'm making angry expressions (the nose sinks into my face) otherwise it's not noticeable.
Well he did get 5mm projection there, maybe it would've looked ok with 2mm or something. But then again maybe it wouldn't be worth the risk for such little improvement.
 
RealSurgerymax

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Would bone graft vs silicone make a difference? The issue is the position of the paranasal relative to the teeth, thats what made Facemaxxed look bad when talking or smiling. Anything that exposed his teeth were set further back than his paranasal area.

Before
View attachment 814311

After
View attachment 814307
View attachment 814308
View attachment 814309
Bone is better for deep Mentolabial folds and deep canine Fossa (really because of a protruding alveolar process because of a small/hypoplastic premaxillary arch)

The reason is because you should not place foreign materials too close to alveolar bone near or over the tooth roots.

You can use bone graft to fill concavities but not usually to augment convexities (like the Chin for example, that’s why you have to use implants or genioplasty.)
 
MedMaxxing

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Here you have one oldcel
View attachment 814349View attachment 814350
God, you need proof to literally everything
More faith in people
Not gunna lie, this type of Lefort looks to be hugely impactful on people who need it. Like a legitimate whole 1PSL increase. I know we all talk about overall aesthetics and meme about "Jaw is law" or "muh eye area" but realistically, unless your upper third is death tier, that midfacial area of the quad LF1 makes or breaks your face. Her face literally got more compact wtf.
 
tyronelite

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My side profile looks like the skull except my teeth have normal malocclusion JFL
 
sandcelmuttcel

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sandcelmuttcel

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VIP surgery? What is that?
 

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