Thoughts on lamellar split osteotomy for anterior projection of zygos?

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Lamellar split osteotomy technique, when used in malar-zygomatic complex, presents a new and effective way of changing facial contour to obtain lateral or anterior projection and to improve facial aesthetics.
Screenshot 20190719 2117412

 
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is it the same as zso
 
is it the same as zso

nah
Lamellar split osteotomy technique, when used in malar-zygomatic complex, presents a new and effective way of changing facial contour to obtain lateral or anterior projection and to improve facial aesthetics.
View attachment 82858


lmao you can't get good anterior projection with any surgery, there is a reason why it is complex. you either born with it or you don't
 
lmao you can't get good anterior projection with any surgery, there is a reason why it is complex. you either born with it or you don't

what about (modfied) lefort3
 
is it the same as zso
No, z.s.o doesn't give you any anterior projection according to what iv seen, but then again, there are very few before after pics.
 
whats the difference between zso, modified lefort 3 and this procedure?
 
bump
did her canthal tilt change ?
 
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bump
did her canthal tilt change ?
I think it's mostly due to the fact that the pre op picture is taken from a lower angle, giving the impression of a more negative canthal tilt.
 
Weird, she actually looks better in C1 despite somehow developing worse upper eyelid exposure.


Also remember patient outcomes advertised in graphics like this are the top 1% of results a surgeon produces. Likely just as many end up looking worse
 
Good find OP.
Screenshot 2020 01 12 salyer1994 pdf1


whats the difference between zso, modified lefort 3 and this procedure?
I think this procedure is more effective in augmenting the upper part of the zygos than ZSO.

Also it looks like it can affect the zygomatic arch.
 
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risky cuts alone the infras

there are many different methods to augment cheekobnes, but no proper one

might check out ZSSO
Zygomatic Sagittal Split Osteotomy (ZSSO): in this technique the zygomatic arch is isolated from its temporal origin to its zygomatic insertion both on its lateral and medial surfaces a sagittal full thickness osteotomy of the zygomatic arch is performed. Later, 2 separate partial thickness osteotomies: one on the arch’s osteotomies are connected with the previously released sagittal osteotomy. After correction of the zygomatic arch according to presurgical programs. Stabilization is achieved using bicortical titanium screws.
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The major problem with all cheekbone osteotomies is, that they dont give enough projection

implants mog, but I will look into fat grafts for zygo
 
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