Midface recessed after lefort I (Need constructive advice)

[Taliablue]

Does anyone have any serious / constructive advice on achieving this midface augmentation?

My current face is the first and third photo, and I'd like to achieve the structure and soft tissue outcome of the middle photo. I had lefort I but that only moved my jaws and not my midface.

I want to particularly focus on the following areas:

Frontal malars:
My zygomatic width to bigonial width ratio is already near the upper limit, so I want to increase my anterior malar projection to equally match my lateral width. I currently have infraorbital implants but they are very subtle and do not extend to my malar region.

Paranasal region:
I have slight depression in my nasolabial area but most of this could be due to soft tissue / fat migrating down to the nasal region.
I'm considering paranasal implants or bone grafting, but I'm not certain on how exactly this would change my nasal midface region.
From my side profile, I feel like my nasal base (where my alars sit) is already projected to my ideal height. I do not want my nose to look suffocated by paranasal projection, but I want to achieve the flattened nasal appearance of the second photo, what should be my best approaches to achieve this?

Nasal columella:
My current nasal columella sits slightly behind my radix, I'd like to increase this by ~3mm to sit slightly in front of my radix. Wondering if this would be optimally beneficial for my anterior depth?

PLEASE NOTE: My lower face and nose is quite swollen in my pictures as I recently had a rhinoplasty, these will debloat significantly overtime.

I'm looking for neutral and constructive observations and feedback, I'm also asian so just looking to ascend within my phenotype.

 

[███]

recessed maxilla

 

[pznchiko]

Does anyone have any serious / constructive advice on achieving this midface augmentation?

My current face is the first and third photo, and I'd like to achieve the structure and soft tissue outcome of the middle photo. I had lefort I but that only moved my jaws and not my midface.

I want to particularly focus on the following areas:

Frontal malars:
My zygomatic width to bigonial width ratio is already near the upper limit, so I want to increase my anterior malar projection to equally match my lateral width. I currently have infraorbital implants but they are very subtle and do not extend to my malar region.

Paranasal region:
I have slight depression in my nasolabial area but most of this could be due to soft tissue / fat migrating down to the nasal region.
I'm considering paranasal implants or bone grafting, but I'm not certain on how exactly this would change my nasal midface region.
From my side profile, I feel like my nasal base (where my alars sit) is already projected to my ideal height. I do not want my nose to look suffocated by paranasal projection, but I want to achieve the flattened nasal appearance of the second photo, what should be my best approaches to achieve this?

Nasal columella:
My current nasal columella sits slightly behind my radix, I'd like to increase this by ~3mm to sit slightly in front of my radix. Wondering if this would be optimally beneficial for my anterior depth?

PLEASE NOTE: My lower face and nose is quite swollen in my pictures as I recently had a rhinoplasty, these will debloat significantly overtime.

I'm looking for neutral and constructive observations and feedback, I'm also asian so just looking to ascend within my phenotype.

View attachment 414218View attachment 414219View attachment 414220

recessed maxilla and downward growth at its finest

 

[Taliablue]

recessed maxilla and downward growth at its finest

yea.. but if my columella and cheekbones push out like the photo below it could make it less apparent

compared to my base I would say I was more recessed to start off with

 

[pznchiko]

yea.. but if my columella and cheekbones push out like the photo below it could make it less apparent

compared to my base I would say I was more recessed to start off with

View attachment 414226View attachment 414227

it’s the angle that counts too

 

[Taliablue]

it’s the angle that counts too

agreed, would this be a better outcome then?

 

[Luffy]

agreed, would this be a better outcome then?
View attachment 414231

Bottom lip filler

Also seems you a have an overbite no?

 

[Taliablue]

agreed, would this be a better outcome then?
View attachment 414231

@pznchiko is that reaction affirmative? lol

in that photo, do I still seem extremely recessed and down grown

 

[Taliablue]

Bottom lip filler

Also seems you a have an overbite no?

no overbite but in that morph my upper lip does seem more forward than my bottom.

Would that be the only weakness in that photo?