Should I address my face through modified lefort 3 with lefort 1, or go with implants to mimic the results? (photo)

Question

Background: recommended jaw expansion but only had braces. Lower 1/3 of face: obtuse gonial angle, long chin bone, projection overwhelms my mid face despite normal bite. Mid face: long flat mid face w/o infraorbital and zygomatic projection anteriorly and laterally. Eyes: zero to negative orbital vector/canthal tilt in both eyes with left eye orbit even more laterally protruded causing the bone and soft tissue of my left facial side to look less defined, heavy, along with a darker under eye.

Anthony Farole, DMD · Answer

Without seeing radiogrsphic images, ceph, pan, or CBCT and with only the lateral photo you submitted it is difficult to give you a good recommendation. You said your bite/occlusion was good. If that’s the case submalar or zygomatoc implants would be a good choice. If you feel your nose would not project enough you could get a dorsal nasal implant.

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