1st OBO + Tripod (No Strabismus!)

[william.]

1. Didn't you consider that your future children might not look like you?

why does it matter

2. All these procedures will take time, so I hope you won't end up 30 before you heal (If you are not already over 30).

3. What about your psychology? Let's say you finally found your soulmate HTB (which is highly unlikely). Do you think your self-image wouldn't affect you? It's not something you're ever going to forget. You will certainly need lifetime consultation with a psychologist.

What do you mean by finding your soulmate?lol, Love is about people finding each other physically attractive, along with some other factors.Your self image comes from external validation, a few years being social and good looking will heal your pshyce.

4. I feel sorry for you if you're still proud simply for being white. If we calculate your percentage of the white population, you are 0.00001%. You're nothing; your skin color won't get you anywhere.

Whites are rated as the most attractive race by far. 0.0000001%? no whites are about 8-14% of the population.

5. Regarding the pain you denied, even a small skin itch is painful, as is having a tooth removed. And you think surgery on the orbital bone and maxilla won't be painful? What about the asymmetries and nerve damage you might encounter?

imagine the daily pain of a subhuman. As someone who has done many non-cosmetic surgeries because of injuries, Its really not that bad.

I'm just sad about the money you've wasted and are going to waste.
You listened to the retards here who told you to change your appearance. Why? So women would find you attractive? Haha!

Yes

 

[avenox]

Mirin

 

[VampyrMaxx]

why does it matter

You wouldn't care if your child had bad features?

Bringing someone into life even though you know that they may be FUCKED, bcz of your decision?

 

[Whirr22222]

You wouldn't care if your child had bad features?

Bringing someone into life even though you know that they may be FUCKED, bcz of your decision?

Genetics are a lottery, and besides that, most craniofacial recessions are epigenetic anyway

 

[VampyrMaxx]

Genetics are a lottery, and besides that, most craniofacial recessions are epigenetic anyway

exactly, a LOTTERY.

 

[Whirr22222]

exactly, a LOTTERY.

So ur original point makes no sense.

 

[william.]

You wouldn't care if your child had bad features?

Bringing someone into life even though you know that they may be FUCKED, bcz of your decision?

I hardmaxx, marry a gl girl, feed them good and make sure they have good habits, they will be GL.

 

[william.]

@NuclearGeo20 why did u jfl react u fucking moron

 

[Deleted member 165250]

@RealSurgerymax how many mm's can you shift ipd? I've heard the limit for an OBO is 8 mm. is it possible to shift it more? I have a 70mm ipd and would like to make it 60mm if possible.

 

[VampyrMaxx]

@RealSurgerymax how many mm's can you shift ipd? I've heard the limit for an OBO is 8 mm. is it possible to shift it more? I have a 70mm ipd and would like to make it 60mm if possible.

65mm IPD is ideal w/ 33mm ICD

 

[Deleted member 165250]

65mm IPD is ideal w/ 33mm ICD

not for my face. I have super narrow jaw + 0.58 esr. to look normal I need a slightly narrow ipd

 

[VampyrMaxx]

@NuclearGeo20 why did u jfl react u fucking moron

Ur the fucking moron

 

[powerliftercoco]

Holy fuck bro thank god I don’t need any surgeries

This shit is insane 🫩

Hope everything improves for that dude’s life.

 

[william.]

Ur the fucking moronView attachment 4164104

what does this prove?

tell me rn, what the fuck does that prove?

fucking retarded shitskin. I know that your brown just based off how stupid u are.

 

[VampyrMaxx]

what does this prove?

tell me rn, what the fuck does that prove?

Genetics are more complex than you make it seem.

A mtn mating with a gigastacy doesnt mean kids are going to look good, as shown in the Hernan Drago example.

fucking retarded shitskin. I know that your brown just based off how stupid u are.

thats funny, because Im whiter than your entire bloodline. Not saying white mogs ethnic btw

 

[william.]

Genetics are more complex than you make it seem.

No

A mtn mating with a gigastacy doesnt mean kids are going to look good, as shown in the Hernan Drago example.

No, and thats why nutrtion and habits are so important

thats funny, because Im whiter than your entire bloodline. Not saying white mogs ethnic btw

no your not, im blonde

 

[RealSurgerymax]

@RealSurgerymax how many mm's can you shift ipd? I've heard the limit for an OBO is 8 mm. is it possible to shift it more? I have a 70mm ipd and would like to make it 60mm if possible.

60 would not look good, and I do not need to see pictures to be SURE about that.
5-6mm is more than enough for any non syndrome case.
Most non syndromes OBOs from me are 4mm. (2mm per orbit)

 

[VampyrMaxx]

.

 

[Deleted member 165250]

60 would not look good, and I do not need to see pictures to be SURE about that.
5-6mm is more than enough for any non syndrome case.
Most non syndromes OBOs from me are 4mm. (2mm per orbit)

maybe 60mm is extreme but i am near syndromic, i have 0.58 esr with 71mm ipd

 

[RealSurgerymax]

maybe 60mm is extreme but i am near syndromic, i have 0.58 esr with 71mm ipd

If you are ready for a $35K Surgery within the next 3-4 months in istanbul you can DM pics.

 

[heightmaxxer1133]

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

Come in insta

 

[Acquiescence]

I miss the old Giant

Straight from ‘Stanbul Giant

 

[slavicwannabeslayer]

Is it possible to increase ipd by only 2-3mm without obo using only medial orbital wall implants?

 

[Ascension75]

If you are ready for a $35K Surgery within the next 3-4 months in istanbul you can DM pics.

If you are ready to get soon pilled for 1-2 years after paying the consultation fee and deposit, you can DM pics

 

[IzDrizSub5]

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

incredible process