Can I Get Paranasal Implants After A LeFort 1 Osteotomy?

Q: Dr. Eppley, I had a bimaxillary osteotomy to fix my bite 2 years ago. My bite is now fixed and both jaws have been moved forward and up but I feel like my midface is still pretty flat. The screws in my upper jaw have been removed already. (photo is older) Is there a possibility to add volume only under my nose to lift the base of my nose and around it?

A: It is quite common to have some residual midface projection issues after an isolated LeFort I osteotomy or double jaw surgery advancement. In these instances nasal base augmentation by implants would be the method to do s o now that the bone position has been maximized.

The only debate is how much more nasal nose projection is needed and what is the best implant method to do so…standard or custom implant designs.

Dr. Barry Eppley

World Renowned Plastic Surgeon