Le Fort III Osteotomy

Le Fort III separates the midface from the cranial base, advancing the orbits, zygomas, nose, and maxilla as a unit. It is a craniofacial procedure used for syndromic conditions such as Crouzon or Apert syndrome, frequently combined with distraction osteogenesis.

• Orbital volume and eye position
• Zygomatic projection
• Whole midface projection
• Airway dimensions

• 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. 01Coronal access with intraoral and periorbital osteotomies
2. 02Separation from the cranial base and controlled advancement
3. 03Distraction device or rigid fixation depending on the plan

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.