Will A Secondary LeFort I Osteotomy Improve My Deep Hollows and Flat Cheeks?

Q: Dr. Eppley, I would like to schedule a virtual consultation. I recently had a BSSO when I should’ve had double jaw surgery. I really do not like the deep hollows next to my nose and my recessed looking cheeks. I am wondering if a revision jaw surgery that includes the upper jaw would make sense, or if paranasal implants or fat grafting would produce the same effect.

A: What I can say in general is that the aesthetic effects of onlay augmentation to the central midface versus LeFort one advancement is not similar as it relates to the effect on the base of the nose in the upper lip. When it comes to deep in for orbital hollows and deficient cheeks a Lefort I osteotomy will make no improvement to those recessed area and will likely make them look worse. This is where implants can provide improvement that moving the bone can’t. Fat grafting is rarely a satisfactory treatment for a skeletal deficiency.

Dr. Barry Eppley

World-Renowned Plastic Surgeon