8 weeks post op

[tyler1234]

pre op vs 12 weeks post. still slowly lookin better
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Does the right side of the malar implant stick out way more then the left side?

 

[cortisolman2]

was gunna post this on reddit but i got banned for making fun of mods

side profile from hell
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new side profile
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mirror selfie from hell
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improved mirror selfie
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you need to get some type of skin surgery to reverse aging your skin looks old and hard

 

[the exile v2]

bump

 

[cortisolman2]

bump

bumpty dumpty

 

[midfacedeficient]

Does the right side of the malar implant stick out way more then the left side?

slightly yes. i instantly noticed this. its because he designed the implants symmetrical instead of to my face shape, and my underlying bone structure stuck out more on that side. im hoping with palate expansion i can expand the left side a little more than the right, which should even them out

 

[midfacedeficient]

you need to get some type of skin surgery to reverse aging your skin looks old and hard

Did a co2 laser, starting accutane in a couple days. if that doesnt work ill do a facelift

 

[tyler1234]

slightly yes. i instantly noticed this. its because he designed the implants symmetrical instead of to my face shape, and my underlying bone structure stuck out more on that side. im hoping with palate expansion i can expand the left side a little more than the right, which should even them out

Won’t u have to remove the implants if u do expansion like marpe or fme

 

[midfacedeficient]

Won’t u have to remove the implants if u do expansion like marpe or fme

Nope When I had the revision, Dr Comert had 2 new titanium plate designs for the jaw surgery brackets. one of the designs had no middle piece bridging the two halves. I told him I'd prefer that one so i could get the palate expansion, so he used that one. so when we expand, the two halves will move independently, no need to remove anything

 

[Gilly998]

Nope When I had the revision, Dr Comert had 2 new titanium plate designs for the jaw surgery brackets. one of the designs had no middle piece bridging the two halves. I told him I'd prefer that one so i could get the palate expansion, so he used that one. so when we expand, the two halves will move independently, no need to remove anything

if you plan on getting a palate expansion just for your teeth/smile, I would reconsider, a palate expander is not much of a cosmetic procedure and will easily descend you, it will make your nasal cavity waaaay wider changing your nose and push your whole upper face out and make those already obvious gaps in your teeth even more obvious and spaced

a good set of veneers will be 10x the ROI and result than palate expansion, giving you a flawless set of a perfect white smile without any changes to your nose or face

even the best case scenario result of the palate expander on your teeth / smile is incomparable to a good set of veneers on them, night and day difference

 

[justine]

was gunna post this on reddit but i got banned for making fun of mods

side profile from hell
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new side profile
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mirror selfie from hell
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improved mirror selfie
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Mirin the results bro
If u ever wanted to get another surgery I feel like rhino would work a lot but it could be just From inflammation from the surgery idk

 

[Gilly998]

you should consider having your ears pinned back too, huge noticable improvement and difference with such a small change would be high ROI

 

[midfacedeficient]

if you plan on getting a palate expansion just for your teeth/smile, I would reconsider, a palate expander is not much of a cosmetic procedure and will easily descend you, it will make your nasal cavity waaaay wider changing your nose and push your whole upper face out and make those already obvious gaps in your teeth even more obvious and spaced

I have seen someone else mention this before. I was hoping itd push my whole face around there out; my pyriform area is really weak; i was going to augment this area. do you have any examples where the palate expansion made someones mid face look worse? id definitely want to see

a good set of veneers will be 10x the ROI and result than palate expansion, giving you a flawless set of a perfect white smile without any changes to your nose or face

would that allow me to have more than a 6 tooth smile?

 

[midfacedeficient]

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you should consider having your ears pinned back too, huge noticable improvement and difference with such a small change would be high ROI

hadnt ever thought of that before so im not too worried bout it. maybe in another round of surgeries if its cheap i can just throw it in but its not something id prioritize

 

[midfacedeficient]

Mirin the results bro
If u ever wanted to get another surgery I feel like rhino would work a lot but it could be just From inflammation from the surgery idk

I did get a rhino recently, definitely needed it. someone bumped an old thread

 

[Iblame2023]

mirin unccc

@LTB_slayr

 

[Realism]

Have you gotten your palate measured since you're so set on MARPE? Marpe also can often end up highly assymetrical and its usually recommended to do that before doing a double jaw surgery so assymetry can be corrected using a segmental lefort as far as im aware.

 

[midfacedeficient]

Have you gotten your palate measured since you're so set on MARPE? Marpe also can often end up highly assymetrical and its usually recommended to do that before doing a double jaw surgery so assymetry can be corrected using a segmental lefort as far as im aware.

Yeah i had mentioned wanting it before the djs but my surgeon said id be fine without it. but nah i still want it. upper palate has 38mm inter molar distance with hefty outward tipping. lower palate is 38mm as well but with slight inward tipping. makes me think i could upright the top teeth, expand them 1cm, then just outward tip the lower teeth a couple mm.
hoping for sarpe

 

[tyler1234]

Yeah i had mentioned wanting it before the djs but my surgeon said id be fine without it. but nah i still want it. upper palate has 38mm inter molar distance with hefty outward tipping. lower palate is 38mm as well but with slight inward tipping. makes me think i could upright the top teeth, expand them 1cm, then just outward tip the lower teeth a couple mm.
hoping for sarpe

Ideally shoulda done the rhino after expansion

 

[midfacedeficient]

Ideally shoulda done the rhino after expansion

yeah ideally sarpe woulda been the first thing i did. or talked him into a segmental leforte. i had alar base reduction on the rhino though and that makes it a lot less likely to widen from the expansion. with how they tie it up i guess

 

[Realism]

Yeah i had mentioned wanting it before the djs but my surgeon said id be fine without it. but nah i still want it. upper palate has 38mm inter molar distance with hefty outward tipping. lower palate is 38mm as well but with slight inward tipping. makes me think i could upright the top teeth, expand them 1cm, then just outward tip the lower teeth a couple mm.
hoping for sarpe

I believe 36-39mm is the norm, someone correct me if I'm wrong

 

[midfacedeficient]

I believe 36-39mm is the norm, someone correct me if I'm wrong

They said it's average but it's average cuz these mfers go and pull teeth and yank them back. used to be closer to 50. a good good smile is gunna be closer to 50 still. mine looks pathetic:

hella corridors.

 

[Realism]

They said it's average but it's average cuz these mfers go and pull teeth and yank them back. used to be closer to 50. a good good smile is gunna be closer to 50 still. mine looks pathetic:
View attachment 4944875
hella corridors.

Hmm yeah, not sure if thats fixable with only dental work. A surgeon I talked to said segmentals leforts are stable up to 5mm, the whole marpe process seems like a pain in the ass, and the risk of assymetry and looking uncanny. If 5mm is enough for you I would consider segmental lefort as its much more controlled.

 

[midfacedeficient]

Hmm yeah, not sure if thats fixable with only dental work. A surgeon I talked to said segmentals leforts are stable up to 5mm, the whole marpe process seems like a pain in the ass, and the risk of assymetry and looking uncanny. If 5mm is enough for you I would consider segmental lefort as its much more controlled.

i would love to look uncanny dude i just about wrapped up my chapter as an ugly mfer, i sure as hell wouldnt mind being good looking to the point its unnatural i really wonder if the asymmetry people get is due to stomach or side sleeping. i already got used to sleeping on my back cuz of the djs so i feel like that would mitigate a lot of the risk. definitely not in the mood for a second djs though

 

[Realism]

i would love to look uncanny dude i just about wrapped up my chapter as an ugly mfer, i sure as hell wouldnt mind being good looking to the point its unnatural i really wonder if the asymmetry people get is due to stomach or side sleeping. i already got used to sleeping on my back cuz of the djs so i feel like that would mitigate a lot of the risk. definitely not in the mood for a second djs though

Yeah I get that. You've definitely have had life changing results for the better. There's people here far more knowledgeable than me on this matter. Just make sure that you weigh up all the risks, as MARPE can't really be "undone" if you expand too much etc

 

[midfacedeficient]

Yeah I get that. You've definitely have had life changing results for the better. There's people here far more knowledgeable than me on this matter. Just make sure that you weigh up all the risks, as MARPE can't really be "undone" if you expand too much etc

yeah its definitely a touch decision. it would be far easier to just augment the hell out of my mid face and id likely get every aesthetic result i wouldve got from sarpe except the smile. but a crazy smile looks sick.

 

[william.]

rhino

 

[midfacedeficient]

rhino

already done (old thread of mine keeps getting bumped)

 

[Firstname.Lastname]

Hmm yeah, not sure if thats fixable with only dental work. A surgeon I talked to said segmentals leforts are stable up to 5mm, the whole marpe process seems like a pain in the ass, and the risk of assymetry and looking uncanny. If 5mm is enough for you I would consider segmental lefort as its much more controlled.

There's a lot of very strong fibrous tissue wrapped around the structures under the soft tissues before the pterygoid bone structures. Similar to the Dura. The bone has to be moved within that tissue so if its more then 5mm theirs risk it kind of snaps back from the constant tension. Other soft tissues obvi add to this too.

do that before doing a double jaw surgery so assymetry can be corrected using a segmental lefort as far as im aware.

While I agree doing it before jaw surgery is obviously more optimal, since you could fix any assymetry that occurs. All the cases i've heard about that created asymmetry started with asymmetrical midpalate statues or some other kind of skeletal asymmetry. Hopefully thats been corrected already or can otherwise be diagnosed before starting.

I have seen someone else mention this before. I was hoping itd push my whole face around there out; my pyriform area is really weak; i was going to augment this area. do you have any examples where the palate expansion made someones mid face look worse? id definitely want to see

would that allow me to have more than a 6 tooth smile?

Pallet expanders, such as non-fme marpe mostly produce dental expansion and to some degree dental tipping. It does create a minimal amount of skeletal expansion, you can see it sometimes on before and after CBCT scans. Its so minimal though you cannot really tell visually there's been any visual aesthetic change. 1-2mm lateral expansion at the pallet line is just not going to be effectively noticeable by the time you hit the zygos.

Anyways more to your point on question, you should just use FME to demonstrate viability since it primarily produces skeletal expansion which is defiantly noticeable. This typically looks most asthetic with you have a long face w/ compressed mid face, low tooth show, and a class 3 skull. You virtually can only get gains even if you used the B series expander to push out some insane amount 10-15mm laterally. Typically in most cases you end up with 1-2mm in both sagittal and downward expansion(due to how the plates line up with expansion)

Where as if you have a wide face, long midface, gummy smile and a class 2 skull you will hit the aesthetic limits with FME almost instantly.

 

[LackEmpathyTherefor]

They said it's average but it's average cuz these mfers go and pull teeth and yank them back. used to be closer to 50. a good good smile is gunna be closer to 50 still. mine looks pathetic:
View attachment 4944875
hella corridors.

Veneers can at least cover your buccal corridors, basically camouflaging with veneers. Make it look like your smile is slightly wider

Like dat

 

[lurking truecel]

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you should consider having your ears pinned back too, huge noticable improvement and difference with such a small change would be high ROI

Impeovement ? Where, stupid ass nitpicking

 

[Gilly998]

Impeovement ? Where, stupid ass nitpicking

It makes a noticable difference his ears are abnormal, everything matters, are you saying he doesnt look better in the after he obviously does, its a next to no risk surgery that cant get botched with good ROI he can throw into his next batch

dismissing fixing a abnormal ear falio as nitpicking when it makes him clearly better looking is the same as calling buccal fat removal and hair transplant, veneers etc stupid ass nitpicking

he is at the stage where hes doing the smaller surgeries like this

 

[lurking truecel]

It makes a noticable difference his ears are abnormal, everything matters, are you saying he doesnt look better in the after he obviously does, its a next to no risk surgery that cant get botched with good ROI he can throw into his next batch

dismissing fixing a abnormal ear falio as nitpicking when it makes him clearly better looking is the same as calling buccal fat removal and hair transplant, veneers etc stupid ass nitpicking

he is at the stage where hes doing the smaller surgeries like this

Its not noticeable

 

[Gilly998]

Its not noticeable

its night and day noticable with short hair, it may not be to you but it is clearly noticable especially in that photo and in motion and im sure you do agree the after looks better

if you showed a girl those two photos they would all say the second one looks better

it only becomes not noticable if he has long hair

hes doing these smaller surgeries in batches nothing wrong with suggesting a next to no risk cheap high ROI surgery for his next batch