If the surgeon can , he can operate anything, there are many plastic surgeons, but not many are able to do lefort it an extremely rare procedure and there are very few surgeons that have experience with it, if they can, they can do anything.

please explain what that means. layman terms would be awesome


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Le Fort 3 osteotomy let  the surgeon to change the orbit position and volume cheek projection, position of the nose root, nose profile, and position of the maxilla.

I will explain very simple, touch your face. and your teeth. Ask yourself
those question do you have an overbite or underbite?
are your cheeks low and your face is flat?
Do you know what makes a very perfect face
it is the maxilla
the surgery that brings forward the maxilla , the maxilla when it is backwards flat faces, low cheeks, droppy eyes, nose profile, lack in the orbit area.

Le fort surgery 3 is a vey complex surgery that the surgeon highers the maxilla and brings it forward then screw it in place., there is no need for cheek implants, orbit implants, eyelid reconstruction, nose, overbite.
if it is done correctly by a very high qualified surgeon you can save all the costs of those operations in one.

Many of ffs surgeons are normal plastic surgeons yes they do jaw contouring, cheek reduction, facial implants but that is normal plastic surgery and to lift and sew skin ofcourse.

Iam in contact now, with a very qualified surgeon who does lefort3 and le fort 2 and 1 as well. He is also can do all surgeries once a surgeon can do lefort3 , he can anything.

Are there any good websites who explain this procedure in english? I think there is a bit of a language barrier here...

from my understanding then the surgeon can do the normal stuff but not use the implants? a website if u can plz


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My english is not my first language.
just google le fort3.
plastic surgeons have limitations in what they can do, cut and sew skin, some bone modelling.
Now if they can remove the maxilla, positions it back to the face where it is perfect position, forward it in the face, then they can do anything.

Goggle maxilla too.
Sluthate is the perfect site where it speaks about le fort 3.

Do you think this lefrot procedures should be part of a FFS?

Or do you only want to say that a surgeon who can do this is more skilled than others? The same would be true for surgeons who can fix hands - hand surgery is very complex, nerves have to be connected if a finger was severed, blood vessels connected, there is lots of tendons and muscles that need to be fixed - if someone can do this, he has to be very skilled as well. I would say that any surgeon who can do more complex things than bone remodelling or soft tissue shaping is certainly having more skills than a "simple" plastic surgeon - but then again, those who are extremely skille din these other things will not likely sepcialize on something like FFS and I personally like it if a person spacialzes, it leads to having more experience in that surgery compared to doing many other surgeries all the time and only doing FFS once a month

I had a LeFort III surgery. LeFort refers to the fractures of the skull: III is the cheeks, which they saw and shift outward or forward. They can also make the upper jaw, or mid-face shorter with a LeFort I and II

Any maxillofacial surgeon can do it. Maxilla is their main area of expertise.

LeFort I (red), II (blue), and III (green) fractures

That sounds pretty drastic and highly invasive. Is there not a greater risk of this surgery compared to regular FFS? Also in respect to scarring or nerve damage? Why is this not considered in FFS procedures more often - I never heard of it so far.

Quote from: anjaq on January 05, 2017, 12:37:21 PM
That sounds pretty drastic and highly invasive. Is there not a greater risk of this surgery compared to regular FFS? Also in respect to scarring or nerve damage? Why is this not considered in FFS procedures more often - I never heard of it so far.

Not sure why it's not done often... maybe because it's too expensive in a private clinic, and possibly more risk of complications. I can imagine that implants are easier and cheaper. Also, it requires much longer anesthesia and this in itself requires hospitalization in some countries. I had 12 hours of anesthesia of which 9 hours of constant surgery.

I had zero complications with a LeFort III. You can Google on: Zygoma osteotomy, which is LeFort III too. LeFort simply refers to the (natural) fracture areas of the skull. Any work done in these areas is a LeFort surgery. (as I understand it). See more below.

Zygoma osteotomy (in LeFort III area/fracture):

They saw the zygoma, and put a wedge in between. This pushes out the cheeks. To do this, they cut the upper gum line so there are no scars.








LeFort system:

Le Fort fracture classification - Prof Frank Gaillard et al.

Le Fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base. In order to be separated from the skull base the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bone dorsally. The Le Fort classification system attempts to distinguish according to the plane of injury.

Classification

The commonly used classification is as follows:

Le Fort type 1
horizontal maxillary fracture, separating the teeth from the upper face
fracture line passes through the alveolar ridge, lateral nose and inferior wall of maxillary sinus
Le Fort type 2
pyramidal fracture, with the teeth at the pyramid base, and nasofrontal suture at its apex
fracture arch passes through posterior alveolar ridge, lateral walls of maxillary sinuses, inferior orbital rim and nasal bones
Le Fort type 3
craniofacial dysjunction
fracture line passes through nasofrontal suture, maxillo-frontal suture, orbital wall, and zygomatic arch / zygomaticofrontal suture
A memory aid is:

Le Fort 1 is a floating palate
Le Fort 2 is a floating maxilla
Le Fort 3 is a floating face

Any combination is possible. For example there may be type 2 on one side and type 3 on the other, or there may be type 1 and type 2 on the same side. Also Le Fort fractures can be associated with other facial fractures, neuromuscular injury and dental avulsions.

History and etymology

They are named after René Le Fort, French surgeon (1869-1951). Legend has it Le Fort did his work by dropping cannon balls on cadaver heads and then dissecting the results.

Ok, so I understand this sort of as an alternative to cheek implants, mainly? I do not like cheek implants so much, but this sounds like quite a drastic procedure to replace it...

In a way it makes the cheekbones larger by putting these wedges under them? It is curious because othes mentioned cheekbone reduction as part of their FFS - what really is it about cheekbones - is it a gendered facial marker, really - or is it more about beauty?

it changes the orbit area, cheeks and jaw.

Quote from: Abbiem on January 06, 2017, 05:29:45 AM
i want to know where you did lefort 3 with which surgeon

Ditto.

yes element of freedom, i have been asking her this question, who did lefort 3 for her?

This is Lefort osteotomy

Quote from: anjaq on January 05, 2017, 06:28:41 PM
Ok, so I understand this sort of as an alternative to cheek implants, mainly? I do not like cheek implants so much, but this sounds like quite a drastic procedure to replace it...

In a way it makes the cheekbones larger by putting these wedges under them? It is curious because othes mentioned cheekbone reduction as part of their FFS - what really is it about cheekbones - is it a gendered facial marker, really - or is it more about beauty?

It is not about cheekbones look at the photo i inserted it was a problem with her teeth bite, her face and eyes esp the orbit area, the cheeks, jaw in one operation, = lefort 3. Do you see the maxilla highered and brought forward, even the nose projection changed.

Quote from: anjaq on January 05, 2017, 06:28:41 PM
Ok, so I understand this sort of as an alternative to cheek implants, mainly? I do not like cheek implants so much, but this sounds like quite a drastic procedure to replace it...

In a way it makes the cheekbones larger by putting these wedges under them? It is curious because othes mentioned cheekbone reduction as part of their FFS - what really is it about cheekbones - is it a gendered facial marker, really - or is it more about beauty?

Yes, zygoma osteotomy is to create more cheek in those who have none (many males have underdeveloped zygoma.) which is done through a Le Fort III. Implants achieve the same result.

My surgeon is a local cranio-maxillofacial surgeon in a general hospital in my town. I don't think he does international patients, only local/national. He studies under Noorman van der Dussen, which is a kind of mentor for him. Noorman can do it too, he has the option listed on his website. In fact any maxillo facial surgeon could do it, but few are interested in feminizing faces. Maxillo facial surgeons usually only work on trauma victims, or physical deformities. Bart van der Ven is a maxillo facial surgeon too. He probably could do it if you asked for it.

When you take a look at the maxilla, it pretty much makes up your entire face.

It goes right up to the eye sockets and it even extends pretty deep into the face as well.

You can see that the size, shape & position of maxilla will touch everything from the nose, eyes, teeth alignment / palate, zygomatic / side cheekbones, and even the position of the lower jaw.

When you look at the significance of this 1 bone in its entirety, it begins to seem silly that people are only concerned with the teeth when things get crowded.


We can see with ample evidence that the maxilla has profound impact on appearance of eyes & nose.

If we had severe malocclusion, chances are one faces insecurities about eyes & nose because these are all at the effect of the maxilla shape & position.

& how the maxilla developed was at the effect of the tongue and jaw muscles.
http://claimingpower.com/maxilla-facial-beauty/

Quote from: 2cherry on January 06, 2017, 07:23:17 AM
Yes, zygoma osteotomy is to create more cheek in those who have none (many males have underdeveloped zygoma.) which is done through a Le Fort III. Implants achieve the same result.

My surgeon is a local cranio-maxillofacial surgeon in a general hospital in my town. I don't think he does international patients, only local/national. He studies under Noorman van der Dussen, which is a kind of mentor for him. Noorman can do it too, he has the option listed on his website. In fact any maxillo facial surgeon could do it, but few are interested in feminizing faces. Maxillo facial surgeons usually only work on trauma victims, or physical deformities. Bart van der Ven is a maxillo facial surgeon too. He probably could do it if you asked for it.

I dont think he does international patients huh? only local or nationalists, well i dont want to operate by a surgeon if he thinks this way.