Sergio, the surgeon who often writes on jaw surgery forums and lookism and looksmax said that he uses bollard plates with MSE instead of the facemask and it also causes some CCW. The thing is that I have never heard of anyone else using them in adults. It makes sense though since these are used commonly in class III children. He even said it would be possible to combine it with the facemask though he commented that in his opinion lefort I is still the best for forward movement.
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