This is a 16 year old female whose upper jaw was not properly developed giving rise to a concave face. Instead of the upper jaw growing out and downwards, there is a static phase of growth leading to a concave profile. Because of this, the patient looks prematurely aged.
The aim of the surgery is to create a pleasant smile and appearance by bringing the entire upper jaw outside and creating a harmonious facial profile. For this a modified Le Fort1 ostetomy was planned. The standard cuts are modified and hence a bur was used to make the cuts instead of the saw. After placing adequate cuts, the down fracture of Maxilla was done and separated from nasal septum. The entire maxilla is brought forward in such a way that there is a complete elevation of the alar base so as to give a proper nasolabial prominence. After achieving a perfect forward positioning of the upper jaw, temporary fixation with wires were carried out so as to produce stable results. After achieving proper occlusion and at final position, the maxilla was rigidly fixed using plates and screws. Before closing the incision, an alar sinching is done to prevent the appearance of a broad alar base. When perfectly performed, the nasal appearance will be preserved. After this the incisions were properly closed. The wires are removed at the end of the surgery and patient can have a comfortable life from then on. At the end of the surgery, patient will have a normal profile. Appropriate Antibiotics and pain killers will be provided to prevent the pain and swelling.
The aim of the surgery is to create a pleasant smile and appearance by bringing the entire upper jaw outside and creating a harmonious facial profile. For this a modified Le Fort1 ostetomy was planned. The standard cuts are modified and hence a bur was used to make the cuts instead of the saw. After placing adequate cuts, the down fracture of Maxilla was done and separated from nasal septum. The entire maxilla is brought forward in such a way that there is a complete elevation of the alar base so as to give a proper nasolabial prominence. After achieving a perfect forward positioning of the upper jaw, temporary fixation with wires were carried out so as to produce stable results. After achieving proper occlusion and at final position, the maxilla was rigidly fixed using plates and screws. Before closing the incision, an alar sinching is done to prevent the appearance of a broad alar base. When perfectly performed, the nasal appearance will be preserved. After this the incisions were properly closed. The wires are removed at the end of the surgery and patient can have a comfortable life from then on. At the end of the surgery, patient will have a normal profile. Appropriate Antibiotics and pain killers will be provided to prevent the pain and swelling.
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