Background and objectives: Designing of osteotomies requires meticulous planning and execution including thorough knowledge of art, craft, mathematics and surgical skills to achieve the desired objectives. Pioneer and contemporary maxillo-facial surgeons have toiled hard to devise various surgical techniques to restructure the facial skeleton of which some have been shelved for reasons unknown? Herewith presenting few cases of the versatile Le Fort I step osteotomy which provided stable results in all three dimensions with betterment of function and aesthetics.
Methods: Two males under 25 yrs were operated for class III skeletal discrepancies by Le Fort I step osteotomy and BSSO. One young female was operated only for maxillary deformity by advancement and rotation.
Results: Antero-superior movement of zygomatico-maxillary component and occlusal refinement were the key factors. This versatile procedure can also be used to rotate and correct minimal dental midline discrepancies as well as can be combined with mandibular procedures for bijaw correction.
Conclusion: Step osteotomy can be used to advance, retrude or position the maxilla superiorly or inferiorly and hence it is resurrection needs to be considered strongly when malar prominence is addressed.
Key words : step osteotomy; malar fullness; versatility