Top Maxillofacial Surgeons

[Bressant]

I am in the second year of my Maxfac residency in Europe.

Recently my cousin, knowing my medical background, contacted me; he asked if I knew any top clinicians who perform high level LeFort osteotomies.

For context, my cousin has pan-midfacial hypoplasia and a near 1cm underbite, which I'd class as in the moderate to severe category.
He has always been self conscious about it and really wants to fix the problem.

I know that high level LeForts are generally performed in syndromic cases but I am also aware that it's not totally unprecedented in non syndromic patients as well.

Regardless of what I say, I know that my cousin is going to pursue this so i feel like I owe it to him to come up with a list of reputable maxfacs in Europe or even America who perform high level osteotomies.

I appreciate this is an unorthodox request but any help would be appreciated.
I don't want him going to some yes man in a developing country, who will tell him exactly what he wants to hear.

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[enucleator]

Has he considered traditional orthognathic surgery with malar implants / rhinoplasty? Is that not an option for him? There are many maxillofacial surgeons in the US able to perform these procedures.

 

[Bressant]

Has he considered traditional orthognathic surgery with malar implants / rhinoplasty? Is that not an option for him?

Yes. I have explained that orthognathic surgery is usually supplemented with implants for class 3s but he's fiercely opposed to the idea of using anything synthetic.

Although I disagree, I understand his objections.
I explained in simple, digestable terms that while a higher level LeFort would address the full extent of his maxillary recession, the risks inherent in such an operation would be greater.

Regardless, my cousin is deadset on at least engaging with surgeons that provide high level LFs.

 

[enucleator]

Cleft & Craniofacial Surgery Fellowship Programs

aacmfs.net

The directors of these fellowships would be a good place to start. They all look alright except the NJ one.