1st OBO + Tripod (No Strabismus!)

[lestoa]

holy shit

 

[lestoa]

Thread needs way more fucking attention why havent mods pinned this

By Gods Will Ill be next hopefully before 2030

mods rather pin skincare guides instead of this

 

[RealSurgerymax]

Also does the top of the head get disconnected?

No. The top of the skull detachment in the render is just for 3D printing purposes.

There is no craniotomy or brain exposed in my version of the orbital box osteotomy.

 

[billymidnight]

imagine taking years off your life bc of damage,wage slave for years before hand too all to get pussy hahaha that’s actually soo pathetic,especially the fact that he is most likely still ltn after all this,would have 50 times more sex if he spend that money on escorts

Improving looks doesn’t just effect sexual relation but everything else in life

 

[HerpDerpson]

No. The top of the skull detachment in the render is just for 3D printing purposes.

There is no craniotomy or brain exposed in my version of the orbital box osteotomy.

View attachment 3170409

I see, thank you.

 

[Giorgio]

in the future will you be taking on more straightforward cases (just implants for example) or do you plan to move into the direction of taking complicated/major cases like this one mostly?

 

[Debetro]

Are the chances of fucking up and killing one of your clients high?

 

[Dele Alli Regen]

in the future will you be taking on more straightforward cases (just implants for example) or do you plan to move into the direction of taking complicated/major cases like this one mostly?

i think he said it’s a bit of both. not 100% sure though.

 

[RealSurgerymax]

in the future will you be taking on more straightforward cases (just implants for example) or do you plan to move into the direction of taking complicated/major cases like this one mostly?

Normal cases like LF1-lvel bimax and implants are 80% of what I do

i think he said it’s a bit of both. not 100% sure though.

Are the chances of fucking up and killing one of your clients high?

no

 

[Deleted member 77545]

imagine taking years off your life bc of damage,wage slave for years before hand too all to get pussy hahaha that’s actually soo pathetic,especially the fact that he is most likely still ltn after all this,would have 50 times more sex if he spend that money on escorts

Lmaoooo just get an arranged marraige at that point. Imagine thinking that this is less cucked than that, when you are literally fucking ripping your skull open for someone to (maybe) love you. JFL at people who do this to themselves. It truly never began

 

[Outerz14]

On September 3, 2024 we performed the first subcranial Orbital Box Osteotomy with Tripod Osteotomies, and the 2nd Custom Subcranial Orbital Box Osteotomy.

(The first ever was collaborated with Dr Ercin, designed & assisted by me in Dec 2023. I collaborate with 3 independant surgeons for this procedure but we were the first.)
View attachment 3164165

This thread will focus on the most recent OBO/Tripod Case.

The patient originally approached this service requesting a cosmetic facial bipartition. It was explained this isn't possible as facial bipartitions don't uniformly widen the face but rotate it (widen palate and narrow the orbits.) The patient also had a proposed plan in the USA with another surgeon. The USA OBO price quoted in cosmic's thread is long outdated and included no special modifications, custom guide or fixation system, or custom facial implants. Quote for the plan below, proposed by USA OBO surgeons using a custom system was well over $100,000.00 USD.
View attachment 3164198

I came up with something else which we did for less than half the above cost.
View attachment 3164207View attachment 3164208

Surgeon: Celal Candirli, Istanbul
View attachment 3164155

Designer, Inventor, and Assistant: Liam/Giant (Me)
View attachment 3164178

We planned two combined unicorn surgeries: Cosmetic OBO, and Tripod Osteotomies. Multiple facial implants including Infraorbital-Malar-Zygomatic, Supraorbital-Glabella-Nasion, and Parietal/Temporal Implants were combined for a total aesthetic facial recontouting & head widening effect.
This approach, including the guides necessary to execute it subcranially, was invented by myself with a patent-pending.

The movements were +2mm Lateralization of MOW (Medial Orbital Wall) and +4mm Lateralization of the LOR (Lateral Orbital Wall) per orbit, with Medial Orbital Wall Bone Grafts.

The goal for this segmental OBO plan was to increase the ICD (Intercanthal Distance) by approximately 4mm, IPD (Interpupillary Distance) by 6mm, PFL (Palpebral Fissure Length) by 1-2mm, and bizygomatic width by 12mm (8mm without zygomatic augmentation implants.) The way soft tissue, including the eye movement (IPD change) is a rough expectation since it doesn't follow skeletal movement exactly 1:1.

Orthognathic surgery is a long established field and soft tissue predictions are still not 100% accurate. Cosmetic Orbital Reconstruction is a no man's land so we are still honing in on all that. However I don't believe anyone living today has a better idea than this service given the special interest and exclusive availability of the applied Giant innovations.

This surgery required no oral incisions, simplifying the surgery with only coronal and eyelid incisions.

Patient was discharged to hotel on day 3. No ICU or blood transfusions were necessary. Double vision is expected in the immediate post op period as the brain adjusts to the new pupillary distance and is already nearly self resolved (Post Op Day 8). As of now there is no strabismus. Patient has been able to go outside and walk around since discharge.

So far, enopthalmos is not present. The Orbital Volume gained by the 2mm expansion (tripod osteotomies) was "refilled" with bone grafts in order to lateralize the globe within the orbit to create a greater IPD change than ICD change (Which hopefully stays like that.)

Simply, all the criticisms (including self criticisms) and things I/everyone was afraid could happen - didn't. This is to demonstrate proof of success, not to insinuate we have found a way to forever avoid this complication moving forward. If we do 10 OBOs, a couple of those will probably have minor strabismus in need of correction. Let me be clear. If one absolutely cannot do (take time off, pay for, and recover from) a minor corrective surgery after OBO, then they absolutely cannot get an OBO. Period.

I realize this surgery is not for everyone even if you're objectively a candidate for a little more/ little less IPD/ICD. If hearing about & seeing the reality of this operation helps you decide you don't want it - that's great. I want to be as transparent as possible about the risks, recovery and realistic things the procedure can achieve.

For those who really "need" to alter the IPD/ICD to achieve a better base for facial harmony, and can accept a second stage of more minor and inexpensive surgery can be needed: here is a much safer OBO that exponentially reduces the risk of death by keeping it subcranial (no craniotomy, no brain exposed) and is aesthetically optimized as an aesthetic OBO can be (Glabella contour preserved, 360-degrees, some other minor things I'll keep to myself for now.)

- Do not ask for public Before/Afters. Have some situational awareness.
- I'll be happy to post YOUR OBO/LF2/LF3 before and afters on the forum.
- Most of you trying to bully & manipulate your way into getting public b/a's ("it must be botched then") would have a meltdown if your pics got leaked on the forum.
- You can see before and afters privately if you are a serious candidate for that surgery. Before and Afters are viewable on zoom by vetted candidates only. For example if you are a candidate for bimax but not OBO, we can't show you OBO B/A's on zoom just because you're curious. This is out of respect for patient privacy.
- For me to agree to work on any case surgical/heavy blurred/non-identifying footage/photo release, anonymized skull/scan/design release, non-identifying case details release, and private/vetted b/a display (not circulation), is mandatory. Public B/A release is not mandatory and not surprisingly, 99% of people don't want to. One great b/a I had publicly posted asked to be taken down recently because of how some of you act.

Anonymized Strabismus Demo:



View attachment 3164220View attachment 3164221View attachment 3164222View attachment 3164223View attachment 3164227View attachment 3164230View attachment 3164232View attachment 3164239View attachment 3164216View attachment 3164217

It just begun

 

[Lookologist003]

simplifying the surgery with only coronal and eyelid incisions

I'm sorry EYELID incisions? Hold my maxilla, I think I'm going to feint. And I thought things couldn't get worse when I learned about coronal incisions.

You gotta be a man with huge ass balls and pockets to agree to something like this. Nerve damage around the eye area is just, I mean pssssh. I value my sight too much to risk it. Men who have problems with their lower jaw are the most fortunate of ugly men.

 

[RealSurgerymax]

I'm sorry EYELID incisions? Hold my maxilla, I think I'm going to feint. And I thought things couldn't get worse when I learned about coronal incisions.

You gotta be a man with huge ass balls and pockets to agree to something like this. Nerve damage around the eye area is just, I mean pssssh. I value my sight too much to risk it. Men who have problems with their lower jaw are the most fortunate of ugly men.

eyelid incisions have basically 0 risk for vision loss.

 

[Lookologist003]

@RealSurgerymax How much do these minor revisions cost if they are required?

 

[RealSurgerymax]

@RealSurgerymax How much do these minor revisions cost if they are required?

$2-$8k So have a little extra saved.

 

[abcd]

This is fucking crazy god damn. But respect if you're willing to have your skull fucking disassembled and reassembled to ascend, I could never. Hopefully the results are worth it

 

[Octavian_Augustus]

On September 3, 2024 we performed the first subcranial Orbital Box Osteotomy with Tripod Osteotomies, and the 2nd Custom Subcranial Orbital Box Osteotomy.

(The first ever was collaborated with Dr Ercin, designed & assisted by me in Dec 2023. I collaborate with 3 independant surgeons for this procedure but we were the first.)
View attachment 3164165

This thread will focus on the most recent OBO/Tripod Case.

The patient originally approached this service requesting a cosmetic facial bipartition. It was explained this isn't possible as facial bipartitions don't uniformly widen the face but rotate it (widen palate and narrow the orbits.) The patient also had a proposed plan in the USA with another surgeon. The USA OBO price quoted in cosmic's thread is long outdated and included no special modifications, custom guide or fixation system, or custom facial implants. Quote for the plan below, proposed by USA OBO surgeons using a custom system was well over $100,000.00 USD.
View attachment 3164198

I came up with something else which we did for less than half the above cost.
View attachment 3164207View attachment 3164208

Surgeon: Celal Candirli, Istanbul
View attachment 3164155

Designer, Inventor, and Assistant: Liam/Giant (Me)
View attachment 3164178

We planned two combined unicorn surgeries: Cosmetic OBO, and Tripod Osteotomies. Multiple facial implants including Infraorbital-Malar-Zygomatic, Supraorbital-Glabella-Nasion, and Parietal/Temporal Implants were combined for a total aesthetic facial recontouting & head widening effect.
This approach, including the guides necessary to execute it subcranially, was invented by myself with a patent-pending.

The movements were +2mm Lateralization of MOW (Medial Orbital Wall) and +4mm Lateralization of the LOR (Lateral Orbital Wall) per orbit, with Medial Orbital Wall Bone Grafts.

The goal for this segmental OBO plan was to increase the ICD (Intercanthal Distance) by approximately 4mm, IPD (Interpupillary Distance) by 6mm, PFL (Palpebral Fissure Length) by 1-2mm, and bizygomatic width by 12mm (8mm without zygomatic augmentation implants.) The way soft tissue, including the eye movement (IPD change) is a rough expectation since it doesn't follow skeletal movement exactly 1:1.

Orthognathic surgery is a long established field and soft tissue predictions are still not 100% accurate. Cosmetic Orbital Reconstruction is a no man's land so we are still honing in on all that. However I don't believe anyone living today has a better idea than this service given the special interest and exclusive availability of the applied Giant innovations.

This surgery required no oral incisions, simplifying the surgery with only coronal and eyelid incisions.

Patient was discharged to hotel on day 3. No ICU or blood transfusions were necessary. Double vision is expected in the immediate post op period as the brain adjusts to the new pupillary distance and is already nearly self resolved (Post Op Day 8). As of now there is no strabismus. Patient has been able to go outside and walk around since discharge.

So far, enopthalmos is not present. The Orbital Volume gained by the 2mm expansion (tripod osteotomies) was "refilled" with bone grafts in order to lateralize the globe within the orbit to create a greater IPD change than ICD change (Which hopefully stays like that.)

Simply, all the criticisms (including self criticisms) and things I/everyone was afraid could happen - didn't. This is to demonstrate proof of success, not to insinuate we have found a way to forever avoid this complication moving forward. If we do 10 OBOs, a couple of those will probably have minor strabismus in need of correction. Let me be clear. If one absolutely cannot do (take time off, pay for, and recover from) a minor corrective surgery after OBO, then they absolutely cannot get an OBO. Period.

I realize this surgery is not for everyone even if you're objectively a candidate for a little more/ little less IPD/ICD. If hearing about & seeing the reality of this operation helps you decide you don't want it - that's great. I want to be as transparent as possible about the risks, recovery and realistic things the procedure can achieve.

For those who really "need" to alter the IPD/ICD to achieve a better base for facial harmony, and can accept a second stage of more minor and inexpensive surgery can be needed: here is a much safer OBO that exponentially reduces the risk of death by keeping it subcranial (no craniotomy, no brain exposed) and is aesthetically optimized as an aesthetic OBO can be (Glabella contour preserved, 360-degrees, some other minor things I'll keep to myself for now.)

- Do not ask for public Before/Afters. Have some situational awareness.
- I'll be happy to post YOUR OBO/LF2/LF3 before and afters on the forum.
- Most of you trying to bully & manipulate your way into getting public b/a's ("it must be botched then") would have a meltdown if your pics got leaked on the forum.
- You can see before and afters privately if you are a serious candidate for that surgery. Before and Afters are viewable on zoom by vetted candidates only. For example if you are a candidate for bimax but not OBO, we can't show you OBO B/A's on zoom just because you're curious. This is out of respect for patient privacy.
- For me to agree to work on any case surgical/heavy blurred/non-identifying footage/photo release, anonymized skull/scan/design release, non-identifying case details release, and private/vetted b/a display (not circulation), is mandatory. Public B/A release is not mandatory and not surprisingly, 99% of people don't want to. One great b/a I had publicly posted asked to be taken down recently because of how some of you act.

Anonymized Strabismus Demo:



View attachment 3164220View attachment 3164221View attachment 3164222View attachment 3164223View attachment 3164227View attachment 3164230View attachment 3164232View attachment 3164239View attachment 3164216View attachment 3164217

This minor corrective surgery you are referring to is mainly strabismus correction surgery?

 

[RealSurgerymax]

This minor corrective surgery you are referring to is mainly strabismus correction surgery?

Yes exactly

 

[lestoa]

mfs split their skulls to get female attention

 

[SteveRogers]

We need IQ restrictions for the cosmetic surgery section @TechnoBoss

They’re not wrong though.

 

[jflkiefmaxxing]

fell asleep first at the sleepover

Lmaooo

 

[NZb6Air]

They’re not wrong though.

They are lol, nigga said take a few years off ur life, literally takes a few weeks especially with the stack and bro is not staying LTN after changing most of his skull

 

[The Dark Phoenix]

- I'll be happy to post YOUR OBO/LF2/LF3 before and afters on the forum.

Nigga found a scientific way to call me a subhuman

 

[SteveRogers]

They are lol, nigga said take a few years off ur life, literally takes a few weeks especially with the stack and bro is not staying LTN after changing most of his skull

I hope not for his case but the reality is; you spend 50k on your face to maybe get an LTR or like 15 LTB slays or you spend that on like 600 stacylite hookers over 30 years.

LTR mogs of course btw

 

[fah]

Holy shit

 

[mtblover101]

View attachment 3164220View attachment 3164221View attachment 3164222View attachment 3164223View attachment 3164227View attachment 3164230View attachment 3164232View attachment 3164239View attachment 3164216View attachment 3164217

All this to get pussy....

 

[CopeTilliRope]

Yes exactly

man sorry to bother but is there a decent way to reduce philtrum lenght that doesnt look gay af i would kill and i'm willing to take any risk for shorter philtum ( and overallmidface)

 

[ihatewhiterose]

man sorry to bother but is there a decent way to reduce philtrum lenght that doesnt look gay af i would kill and i'm willing to take any risk for shorter philtum ( and overallmidface)

ccw bimax with maxilary impaction and a lip lift

 

[PrimalPlasty]

wow

 

[CopeTilliRope]

ccw bimax with maxilary impaction and a lip lift

i asked 5 top surgeon and no bimax even with ccw doesn't reduce philtrum lenght that cope as to stop and it would even elongate it a tiny bit . lip lift looks gay af and i can't get a maxillary impaction with no gummy smile due to my subhuman genes

 

[ihatewhiterose]

i asked 5 top surgeon and no bimax even with ccw doesn't reduce philtrum lenght that cope as to stop and it would even elongate it a tiny bit . lip lift looks gay af and i can't get a maxillary impaction with no gummy smile due to my subhuman genes

what ? you cant just choose one of these procedures and judge off that, to effectively reduce philtrum length you need to get all 3 of them

 

[Nihonz9]

On September 3, 2024 we performed the first subcranial Orbital Box Osteotomy with Tripod Osteotomies, and the 2nd Custom Subcranial Orbital Box Osteotomy.

(The first ever was collaborated with Dr Ercin, designed & assisted by me in Dec 2023. I collaborate with 3 independant surgeons for this procedure but we were the first.)
View attachment 3164165

This thread will focus on the most recent OBO/Tripod Case.

The patient originally approached this service requesting a cosmetic facial bipartition. It was explained this isn't possible as facial bipartitions don't uniformly widen the face but rotate it (widen palate and narrow the orbits.) The patient also had a proposed plan in the USA with another surgeon. The USA OBO price quoted in cosmic's thread is long outdated and included no special modifications, custom guide or fixation system, or custom facial implants. Quote for the plan below, proposed by USA OBO surgeons using a custom system was well over $100,000.00 USD.
View attachment 3164198

I came up with something else which we did for less than half the above cost.
View attachment 3164207View attachment 3164208

Surgeon: Celal Candirli, Istanbul
View attachment 3164155

Designer, Inventor, and Assistant: Liam/Giant (Me)
View attachment 3164178

We planned two combined unicorn surgeries: Cosmetic OBO, and Tripod Osteotomies. Multiple facial implants including Infraorbital-Malar-Zygomatic, Supraorbital-Glabella-Nasion, and Parietal/Temporal Implants were combined for a total aesthetic facial recontouting & head widening effect.
This approach, including the guides necessary to execute it subcranially, was invented by myself with a patent-pending.

The movements were +2mm Lateralization of MOW (Medial Orbital Wall) and +4mm Lateralization of the LOR (Lateral Orbital Wall) per orbit, with Medial Orbital Wall Bone Grafts.

The goal for this segmental OBO plan was to increase the ICD (Intercanthal Distance) by approximately 4mm, IPD (Interpupillary Distance) by 6mm, PFL (Palpebral Fissure Length) by 1-2mm, and bizygomatic width by 12mm (8mm without zygomatic augmentation implants.) The way soft tissue, including the eye movement (IPD change) is a rough expectation since it doesn't follow skeletal movement exactly 1:1.

Orthognathic surgery is a long established field and soft tissue predictions are still not 100% accurate. Cosmetic Orbital Reconstruction is a no man's land so we are still honing in on all that. However I don't believe anyone living today has a better idea than this service given the special interest and exclusive availability of the applied Giant innovations.

This surgery required no oral incisions, simplifying the surgery with only coronal and eyelid incisions.

Patient was discharged to hotel on day 3. No ICU or blood transfusions were necessary. Double vision is expected in the immediate post op period as the brain adjusts to the new pupillary distance and is already nearly self resolved (Post Op Day 8). As of now there is no strabismus. Patient has been able to go outside and walk around since discharge.

So far, enopthalmos is not present. The Orbital Volume gained by the 2mm expansion (tripod osteotomies) was "refilled" with bone grafts in order to lateralize the globe within the orbit to create a greater IPD change than ICD change (Which hopefully stays like that.)

Simply, all the criticisms (including self criticisms) and things I/everyone was afraid could happen - didn't. This is to demonstrate proof of success, not to insinuate we have found a way to forever avoid this complication moving forward. If we do 10 OBOs, a couple of those will probably have minor strabismus in need of correction. Let me be clear. If one absolutely cannot do (take time off, pay for, and recover from) a minor corrective surgery after OBO, then they absolutely cannot get an OBO. Period.

I realize this surgery is not for everyone even if you're objectively a candidate for a little more/ little less IPD/ICD. If hearing about & seeing the reality of this operation helps you decide you don't want it - that's great. I want to be as transparent as possible about the risks, recovery and realistic things the procedure can achieve.

For those who really "need" to alter the IPD/ICD to achieve a better base for facial harmony, and can accept a second stage of more minor and inexpensive surgery can be needed: here is a much safer OBO that exponentially reduces the risk of death by keeping it subcranial (no craniotomy, no brain exposed) and is aesthetically optimized as an aesthetic OBO can be (Glabella contour preserved, 360-degrees, some other minor things I'll keep to myself for now.)

- Do not ask for public Before/Afters. Have some situational awareness.
- I'll be happy to post YOUR OBO/LF2/LF3 before and afters on the forum.
- Most of you trying to bully & manipulate your way into getting public b/a's ("it must be botched then") would have a meltdown if your pics got leaked on the forum.
- You can see before and afters privately if you are a serious candidate for that surgery. Before and Afters are viewable on zoom by vetted candidates only. For example if you are a candidate for bimax but not OBO, we can't show you OBO B/A's on zoom just because you're curious. This is out of respect for patient privacy.
- For me to agree to work on any case surgical/heavy blurred/non-identifying footage/photo release, anonymized skull/scan/design release, non-identifying case details release, and private/vetted b/a display (not circulation), is mandatory. Public B/A release is not mandatory and not surprisingly, 99% of people don't want to. One great b/a I had publicly posted asked to be taken down recently because of how some of you act.

Anonymized Strabismus Demo:



View attachment 3164220View attachment 3164221View attachment 3164222View attachment 3164223View attachment 3164227View attachment 3164230View attachment 3164232View attachment 3164239View attachment 3164216View attachment 3164217

wow

 

[Curryfinder]

On September 3, 2024 we performed the first subcranial Orbital Box Osteotomy with Tripod Osteotomies, and the 2nd Custom Subcranial Orbital Box Osteotomy.

(The first ever was collaborated with Dr Ercin, designed & assisted by me in Dec 2023. I collaborate with 3 independant surgeons for this procedure but we were the first.)
View attachment 3164165

This thread will focus on the most recent OBO/Tripod Case.

The patient originally approached this service requesting a cosmetic facial bipartition. It was explained this isn't possible as facial bipartitions don't uniformly widen the face but rotate it (widen palate and narrow the orbits.) The patient also had a proposed plan in the USA with another surgeon. The USA OBO price quoted in cosmic's thread is long outdated and included no special modifications, custom guide or fixation system, or custom facial implants. Quote for the plan below, proposed by USA OBO surgeons using a custom system was well over $100,000.00 USD.
View attachment 3164198

I came up with something else which we did for less than half the above cost.
View attachment 3164207View attachment 3164208

Surgeon: Celal Candirli, Istanbul
View attachment 3164155

Designer, Inventor, and Assistant: Liam/Giant (Me)
View attachment 3164178

We planned two combined unicorn surgeries: Cosmetic OBO, and Tripod Osteotomies. Multiple facial implants including Infraorbital-Malar-Zygomatic, Supraorbital-Glabella-Nasion, and Parietal/Temporal Implants were combined for a total aesthetic facial recontouting & head widening effect.
This approach, including the guides necessary to execute it subcranially, was invented by myself with a patent-pending.

The movements were +2mm Lateralization of MOW (Medial Orbital Wall) and +4mm Lateralization of the LOR (Lateral Orbital Wall) per orbit, with Medial Orbital Wall Bone Grafts.

The goal for this segmental OBO plan was to increase the ICD (Intercanthal Distance) by approximately 4mm, IPD (Interpupillary Distance) by 6mm, PFL (Palpebral Fissure Length) by 1-2mm, and bizygomatic width by 12mm (8mm without zygomatic augmentation implants.) The way soft tissue, including the eye movement (IPD change) is a rough expectation since it doesn't follow skeletal movement exactly 1:1.

Orthognathic surgery is a long established field and soft tissue predictions are still not 100% accurate. Cosmetic Orbital Reconstruction is a no man's land so we are still honing in on all that. However I don't believe anyone living today has a better idea than this service given the special interest and exclusive availability of the applied Giant innovations.

This surgery required no oral incisions, simplifying the surgery with only coronal and eyelid incisions.

Patient was discharged to hotel on day 3. No ICU or blood transfusions were necessary. Double vision is expected in the immediate post op period as the brain adjusts to the new pupillary distance and is already nearly self resolved (Post Op Day 8). As of now there is no strabismus. Patient has been able to go outside and walk around since discharge.

So far, enopthalmos is not present. The Orbital Volume gained by the 2mm expansion (tripod osteotomies) was "refilled" with bone grafts in order to lateralize the globe within the orbit to create a greater IPD change than ICD change (Which hopefully stays like that.)

Simply, all the criticisms (including self criticisms) and things I/everyone was afraid could happen - didn't. This is to demonstrate proof of success, not to insinuate we have found a way to forever avoid this complication moving forward. If we do 10 OBOs, a couple of those will probably have minor strabismus in need of correction. Let me be clear. If one absolutely cannot do (take time off, pay for, and recover from) a minor corrective surgery after OBO, then they absolutely cannot get an OBO. Period.

I realize this surgery is not for everyone even if you're objectively a candidate for a little more/ little less IPD/ICD. If hearing about & seeing the reality of this operation helps you decide you don't want it - that's great. I want to be as transparent as possible about the risks, recovery and realistic things the procedure can achieve.

For those who really "need" to alter the IPD/ICD to achieve a better base for facial harmony, and can accept a second stage of more minor and inexpensive surgery can be needed: here is a much safer OBO that exponentially reduces the risk of death by keeping it subcranial (no craniotomy, no brain exposed) and is aesthetically optimized as an aesthetic OBO can be (Glabella contour preserved, 360-degrees, some other minor things I'll keep to myself for now.)

- Do not ask for public Before/Afters. Have some situational awareness.
- I'll be happy to post YOUR OBO/LF2/LF3 before and afters on the forum.
- Most of you trying to bully & manipulate your way into getting public b/a's ("it must be botched then") would have a meltdown if your pics got leaked on the forum.
- You can see before and afters privately if you are a serious candidate for that surgery. Before and Afters are viewable on zoom by vetted candidates only. For example if you are a candidate for bimax but not OBO, we can't show you OBO B/A's on zoom just because you're curious. This is out of respect for patient privacy.
- For me to agree to work on any case surgical/heavy blurred/non-identifying footage/photo release, anonymized skull/scan/design release, non-identifying case details release, and private/vetted b/a display (not circulation), is mandatory. Public B/A release is not mandatory and not surprisingly, 99% of people don't want to. One great b/a I had publicly posted asked to be taken down recently because of how some of you act.

Anonymized Strabismus Demo:



View attachment 3164220View attachment 3164221View attachment 3164222View attachment 3164223View attachment 3164227View attachment 3164230View attachment 3164232View attachment 3164239View attachment 3164216View attachment 3164217

A true artist!
In cases like david laid or erfron. Where their ICD looks normal but ipd is small because other short oribital width , the distance between outer cantus. (OCD). You can usally this because the inner canthus is very short and not much sclera is shown between both canthuses.
Both laid,efron have the same around the same esr 0.425 their ICD seems kind of normal but their eyeball width. I guess its the oribial wall expansion? Would be some surgery that could be less hardcore if u just want to fix this?
According to my eye doctor my ipd is 61 my icd is 32.5mm,small pfl laid and esr is 0.43 and midface is 63-64mm. Dont really need to do obo as i got lucky to have short midface ,just intrested because its seems to be a trend with kind of normal icd but short ocd and thus short IPD

 

[IbIamesean]

ppl see this n talk act how they're gonna get left 3

 

[AustrianMogger]

No. The top of the skull detachment in the render is just for 3D printing purposes.

There is no craniotomy or brain exposed in my version of the orbital box osteotomy.

View attachment 3170409

how much are the risks of obo?
What is chance of blindness?

 

[iseeblue9]

how much are the risks of obo?
What is chance of blindness?

very low with gaint

 

[AustrianMogger]

very low with gaint

in %

 

[iseeblue9]

in %

cant tell u in % but according to giant with his technique blindness is near to zero but as a complication it exists just like with filler