Can A LeFort Osteotomy Impaction Actually Shorten The External Midface Appearance?
Q: Dr. Eppley, I hope this email finds you well. I am writing to inquire about the possibility of midface shortening surgery using the lefort principle, followed by a subnasal lip lift. I am aware that midface shortening surgery is a complex and unconventional procedure, and I understand the risks it carries.
I have been contemplating midface shortening surgery for roughly 5 years. While I understand that this procedure is not as common as some others, I am genuinely interested in exploring the possibilities it may offer in achieving a more balanced facial appearance, although I don’t bring the needed characteristics like a gummy smile etc. I am simply displeased with the aesthetic of my midface.
I am committed to making an informed decision about the surgery and would greatly appreciate the opportunity to schedule an online consultation with you. I want to emphasize that I am approaching this decision with realistic expectations and a strong commitment to my well-being. My primary objective is to be satisfied with the appearance of my face. If you would be open to discussing the possibility of midface shortening surgery with me, I would be grateful for the opportunity to meet online with you at your earliest convenience.
Thank you for taking the time to consider my inquiry.
A: Doing a LeFort I impaction is NOT going to shorten the external midface. That is a procedure that works only to decrease excessive tooth and gum show. And in the patient who has a normal tooth to lip relationship it will bury the upper front teeth under the upper lip creating an aged appearance.The only procedure that has any effect on vertical midface shortening is the subansal lip lift whose effect is limited to altering the distance between base of the nose and the upper lip.
Dr. Barry Eppley
World-Renowned Plastic Surgeon