Anybody on here know a lot about leforts? (1 Viewer)

[oldfag]

Looks like an old man could use some advice from one of you younger rug rats.
I have decided to hardmaxx and go under the knife.

I can't tell if I need a quadrangular lefort or if I'm just fucked since LF 2 probably won't be an option. Reaaaaaaaaally don't wanna get classic LF 1 + zygo implants.
Thank you

 

[oldfag]

Where's that one guy that knew everything about everything. The god of crime compared to me, the petty subhuman

 

[FoidSlayer]

There's a facial surgery guide in botb

 

[Synapse]

too little info, can you provide more details?

 

[Synapse]

tho i assume if u are considering modified lf1 u have some significant midface deficiencies, am i right?

 

[oldfag]

Godveil Heir Circadex birthdefect

tho i assume if u are considering modified lf1 u have some significant midface deficiencies, am i right?

Yep.
Sleep apnea pretty bad too. Here:

Top row is me.
I have a very, very unique morphology. Recently discovered a LF1 patient with "cheek concavity" from 2007 who looks identical to me from profile and 3/4ths view.
My sleep apnea is soooo fucking bad I think it might actually kill me. It's more likely than not that I have brain damage.
I'll post more info in a sec.

 

[oldfag]

To be honest I wasn't expecting to get any responses - especially this quick. Thanks guys. I would've provided more info to begin with had I expected that.

 

[Synapse]

Godveil Heir Circadex birthdefect

Yep.
Sleep apnea pretty bad too. Here:
View attachment 44060
Top row is me.
I have a very, very unique morphology. Recently discovered a LF1 patient with "cheek concavity" from 2007 who looks identical to me from profile and 3/4ths view.
My sleep apnea is soooo fucking bad I think it might actually kill me. It's more likely than not that I have brain damage.
I'll post more info in a sec.

Well, to be a candidate to begin with ur case would need to present an underbite due to some maxillary hypoplasia that extends laterally to the zygomatic region and the infraorbital region too, so basically, flat cheeks, poor midface projection, and a concave profile, but with the exception that the central nasoethmoidal area (which is just the upper nose between the eyes) is relatively normal. In my opinion u migth be a borderline candidate, tho i think this is something to def plan and discuss with your surgeon, have you talked to him about this already?.

 

[oldfag]

So this patient:

comes from a 2007 publication on bimax. Received classic (assumed) LF1, preemptive MSE, and distraction for lower jaw.
As you can tell, his side profile improved significantly, but his infraorbitals are recessed, and from other angles he looks botched.
I reached out to the Dr. who performed this surgery and have not received a response. It's not known if he was swollen in this image or if he was botched, but that being said...
For some reason they gave him fucking clockwise rotation.
I'm starting to move forward in the process for bimax and I'm pretty sure I can get insurance to cover 100% of it.
That said, a lot of people with way more knowledge than I discussing his "cheek concavity" say he looks botched because his infra/zygo area was not addressed.
My mid/lower face is narrower than my orbital area. I don't think I'll need MSE. Patient had crowding issues whereas mine were addressed simply with braces.

Yes I should speak to an OMFS, I am going to. I don't want to go to an OMFS that says "you need classic lefort" and tell him absolutely fucking not, because zygo/infra implants are going to be both retarded expensive and look like shit.

 

[oldfag]

Well, to be a candidate to begin with ur case would need to present an underbite due to some maxillary hypoplasia that extends laterally to the zygomatic region and the infraorbital region too, so basically, flat cheeks, poor midface projection, and a concave profile, but with the exception that the central nasoethmoidal area (which is just the upper nose between the eyes) is relatively normal. In my opinion u might be a borderline candidate, tho i think this is something to def plan and discuss with your surgeon, have you talked to him about this already?.

The issue with this is the patient posted actually has a class III. It was apparent once they gave him distraction.

"Mandibularanterior alveolar distraction using a hinge-joint bone plate to allow rotation. Simultaneous correction of the transverse maxillary deficiency by way of surgically assisted rapid palatal expansion. (C ) Once the dentition is fully decompensated, the class III skeletal profile becomes more evident"

I literally might have a class III that is not visible. Look at how fucking similar my side profile is to this guy. It's a very unique look, too, say what you want.

 

[Synapse]

The issue with this is the patient posted actually has a class III. It was apparent once they gave him distraction.
View attachment 44066

"Mandibularanterior alveolar distraction using a hinge-joint bone plate to allow rotation. Simultaneous correction of the transverse maxillary deficiency by way of surgically assisted rapid palatal expansion. (C ) Once the dentition is fully decompensated, the class III skeletal profile becomes more evident"

I literally might have a class III that is not visible. Look at how fucking similar my side profile is to this guy. It's a very unique look, too, say what you want.

yup i see what you are talking about, imo i think u might be a solid candidate for modified LF1, tho why are u so hesitant about implants? Bimax + midface implants that cover the full undereye area and also the zygos might be enough to give you the frontal projection u are looking for and fix the midface discrepancy, anyways i would still sugesst you get done a CBCT 3D scan and to check the A-point, SNA angle, facial convexity, just to be sure, that will tell us for sure.

 

[oldfag]

yup i see what you are talking about, imo i think u might be a solid candidate for modified LF1, tho why are u so hesitant about implants? Bimax + midface implants that cover the full undereye area and also the zygos might be enough to give you the frontal projection u are looking for and fix the midface discrepancy, anyways i would still sugesst you get done a CBCT 3D scan and to check the A-point, SNA angle, facial convexity, just to be sure, that will tell us for sure.

One sec eating will write full response in few

 

[birthdefect]

Godveil Heir Circadex birthdefect

Yep.
Sleep apnea pretty bad too. Here:
View attachment 44060
Top row is me.
I have a very, very unique morphology. Recently discovered a LF1 patient with "cheek concavity" from 2007 who looks identical to me from profile and 3/4ths view.
My sleep apnea is soooo fucking bad I think it might actually kill me. It's more likely than not that I have brain damage.
I'll post more info in a sec.

yooo nigga i responded to you on org about this i had no idea that was you
https://************/threads/high-e...y-analysis-hypoplasia-retromaxillism.2007098/
thats your thread right?

 

[birthdefect]

yooo nigga i responded to you on org about this i had no idea that was you
https://************/threads/high-e...y-analysis-hypoplasia-retromaxillism.2007098/
thats your thread right?

you have a very teutonic profile

flat and very squarish
anyways idk much about surgery tho

 

[oldfag]

you have a very teutonic profile
View attachment 44087
flat and very squarish
anyways idk much about surgery tho

Dude it's so funny you post that because I have this exact picture saved to my phone as this guy looks so much like me.
Obviously this proves nothing, as I could just google lens it, but I can give circumstantial "proof" I know - the image to the right IIRC says something along the lines of "negroid"

 

[birthdefect]

Dude it's so funny you post that because I have this exact picture saved to my phone as this guy looks so much like me.
Obviously this proves nothing, as I could just google lens it, but I can give circumstantial "proof" I know - the image to the right IIRC says something along the lines of "negroid"

dw bro i believe you
i think it says negroid to the left and the one i sent is anglo teutonic

 

[oldfag]

yup i see what you are talking about, imo i think u might be a solid candidate for modified LF1, tho why are u so hesitant about implants? Bimax + midface implants that cover the full undereye area and also the zygos might be enough to give you the frontal projection u are looking for and fix the midface discrepancy, anyways i would still sugesst you get done a CBCT 3D scan and to check the A-point, SNA angle, facial convexity, just to be sure, that will tell us for sure.

Sorry, Wednesday is a big school day for me.
That's what I'm thinking regarding modified LF1 but this is a sort of topic where you're either a trained professional or know basically nothing since so few legitimate data reviews exist. Especially considering my providers won't give me any motherfucking scans.
I'm hesitant about infra/zygo implants for a few reasons.

1. Truthfully, they are expensive and insurance wouldn't cover it, whereas I know my provider will cover bimax since my sleep apnea is that bad.
2. My family is surprisingly open to me getting DJS because of the health concerns, despite it being a look altering procedure. That being said, I wouldn't want to get bimax, recover, then get another cosmetic procedure and have my family look at me like a schizo. I was initially hoping for FMA/facemask to be an option. Not gonna be the case if I need over a fuckin centimeter jfl.
3. I've generally seen negative reviews of them on org, and only selective instances where they'd help. I don't know much and won't claim to be a professional, but I think with existing recession, advancement of lower midface causing further infra recession, I'm going to be gigarecessed and implants thus especially would not work. This may not be the case. This is entirely based on a hunch from what sounds logical in my brain and could be totally wrong.

I 100% intend to get a CBCT and Finally Fucking Get My X Rays If They Would Ever Give Me My GODDAMN X RAYS IT IS NOT THAT FUCKING COMPLICATED TO EMAIL THEM TO ME!!!!!!!!!!!!!

I'll note the specifics you've detailed re CBCT stuff.

 

[goyboy.hero]

To be honest I wasn't expecting to get any responses - especially this quick. Thanks guys. I would've provided more info to begin with had I expected that.

I didn't contribute anything but you're welcome

 

[Circadex]

Godveil Heir Circadex birthdefect

Yep.
Sleep apnea pretty bad too. Here:
View attachment 44060
Top row is me.
I have a very, very unique morphology. Recently discovered a LF1 patient with "cheek concavity" from 2007 who looks identical to me from profile and 3/4ths view.
My sleep apnea is soooo fucking bad I think it might actually kill me. It's more likely than not that I have brain damage.
I'll post more info in a sec.

Not something I'm versed in. Godveil also left the forum, idk who's expertisé is on this, though looks like birthdefect sorted you out

 

[oldfag]

Not something I'm versed in. Godveil also left the forum, idk who's expertisé is on this, though looks like birthdefect sorted you out

Yeah, I think this is the best I'm gonna get without the help of an OMFS. I'm just like, I dunno man. Fuck me fuck me fuck me dude. I can't sleep.
I don't want to go to an OMFS and have them like, you know, "no i promise you will be fine with this" and permanently look mentally retarded.

 

[Circadex]

Yeah, I think this is the best I'm gonna get without the help of an OMFS. I'm just like, I dunno man. Fuck me fuck me fuck me dude. I can't sleep.
I don't want to go to an OMFS and have them like, you know, "no i promise you will be fine with this" and permanently look mentally retarded.

Honestly searching through forums to look for experts is probably your best course of action when it's strictly aesthetic related, shit luck you hop on now just after veil left since this is something he's pretty educated on. Good luck nonetheless though

 

[oldfag]

Honestly searching through forums to look for experts is probably your best course of action when it's strictly aesthetic related, shit luck you hop on now just after veil left since this is something he's pretty educated on. Good luck nonetheless though

Shit luck on every front like I'm wiping in reverse.
Yeah, I've been digging through posts online related to that case and there seems to be a consensus that he needed a higher cut but I can't get many details on eligibility or whether US surgeons would even do that.
I Just want to breathe. And be sexy. And have a ridiculous amount of money, fame, what else... intelligence... there's gotta be something else I am not thinking of. Maybe power and control? That's a good one. My adderall is definitely no longer working