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Why are some surgeons saying that a Lefort 1 doesn't make mid-face look shorter?

HopefulHorseFeb 13, 2021
I am getting conflicting responses? I have seen before and afters of lefort 1 surgery and the person most definitely looks to have a shorter mid-face after when looking at them. However, I have seen surgeons claim that a lefort 1 may decease the facial length but it wouldn't be apparent on the outside, why is that? I have seen the results to say otherwise! If a Lefort 1 didn’t make their mid-face look shorter then what did?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on Feb 16, 2021
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Anthony Farole, DMD

Hello sir, if you are talking about England, a colleague from England could answer your question. If you are talking about the United States I am not sure what you mean by national health service. We currently do not have NHS in the US. From your photograph you definitely are a candidate for...

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Gerald Wittenberg, MSc, DMD (retired)

Your impression is correct. But the problem is due to the orthodontics tilting the lower teeth too far forward thereby reducing the 'overjet' and limiting the amount the lower jaw can move forward. Do not have the upper jaw advancement with your nose/lip angle or it will not look positive!....

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