Le Fort II Osteotomy

Le Fort II mobilises the nasomaxillary complex — the nasal bones and central maxilla move together. It is uncommon and typically reserved for craniofacial deformity, syndromic midface deficiency, or post-traumatic reconstruction rather than routine aesthetic planning.

• Nasal dorsum projection
• Central midface projection
• Infraorbital rim relationship

• General physical health suitable for the anaesthetic required
• Realistic, clearly articulated aesthetic or functional goals
• Stable anatomy appropriate for the technique proposed
• Non-smoking or willingness to stop for the surgeon's required window

1. 01Combined intraoral and periorbital access
2. 02Pyramidal osteotomy through the nasofrontal region and maxilla
3. 03Advancement, sometimes with distraction osteogenesis, and rigid fixation

1. Day 1

   Immediate post-operative period. Swelling begins, dressings or splints may be in place, supervised rest.

2. Week 1

   Peak swelling and bruising. Limited activity, soft diet where relevant, first follow-up visit.

3. Week 2

   Bruising fades. Many people feel socially presentable, light activity resumes.

4. Week 4

   Most acute swelling resolves. Gradual return to exercise as cleared by the surgeon.

5. Month 3

   Contours become clearer. Residual swelling continues to settle.

6. Month 6

   Result is largely representative of the final outcome.

7. Month 12+

   Final refinement, scar maturation, and revision assessment if needed.