Another interesting bimax result

[Xx_gloomy_bison_xX]

Surgeon: Dr. Tina Meisami

Surgery Reasoning: Sleep Apnea

Surgery Type: BSSO + LeFort 1 + Genio with Chin Implant Removal

Measurements: 8mm upper jaw, 10mm lower jaw, and 6mm genio (16mm total)

 

[lurking truecel]

How is it interesting

 

[Xx_gloomy_bison_xX]

How is it interesting

It is interesting for people who wants to observe different surgeries. I like to get ideas from different results. I try to make this community adhere to its purpose but it is unfortunately already invaded by 13 years old spastics asking what bimax is instead of googling it...

 

[lurking truecel]

It is interesting for people who wants to observe different surgeries. I like to get ideas from different results. I try to make this community adhere to its purpose but it is unfortunately already invaded by 13 years old spastics asking what bimax is instead of googling it...

Its good for seeing swelling going down

 

[Xx_gloomy_bison_xX]

Its good for seeing swelling going down

I am just trying to understand how movements effect the face you know? It also help me adjust my expectations

 

[lurking truecel]

I am just trying to understand how movements effect the face you know? It also help me adjust my expectations

It depends only on your own bones

 

[jaymog]

It depends only on your own bones

And soft tissue. Which is nearly impossible to get right with current modeling systems as it’s vastly different patient to patient.

 

[Foreverbrad]

Good improvement but still looks like shit, no bimax for your recessed everything (sphenoid).

 

[ltn_looksminner]

16 whole millimeters and only that aesthetic improvement ? Bruuh

 

[jaymog]

I’ve seen a lot of 6mm genio. That doesn’t look like a true 6mm. I wouldn’t be shocked if you measured the movements on a post op CBCT and they were far less than stated.

Lip position still ass. Needed way more mandible movement.

 

[jaymog]

16 whole millimeters and only that aesthetic improvement ? Bruuh

This is why you can’t judge numbers in a vacuum.

16mm on major recession = avg looking after.

16mm on minor recession = ascension

16mm on normal guy = dogmaxxed

When your chin is THAT far behind subnasal like his, you need a massive pogonion of at least 20-22+ to look better than an average guy as a final result.

He looks average now, which to most jaw surgeons (JFL, unfortunately) is successful.

 

[Xx_gloomy_bison_xX]

This is why you can’t judge numbers in a vacuum.

16mm on major recession = avg looking after.

16mm on minor recession = ascension

16mm on normal guy = dogmaxxed

When your chin is THAT far behind subnasal like his, you need a massive pogonion of at least 20-22+ to look better than an average guy as a final result.

He looks average now, which to most jaw surgeons (JFL, unfortunately) is successful.

Most surgeons dont fucking care about aesthetics they are scared to death that if something goes wrong you will sue their botcher asses so they prefer functionality over looks, leaving no room for innovation unfortunately...
Honestly now doctor quality is at its lowest point in human history. In ancient Egypt or Rome people would experiment and try novel solutions to advance medicine. Now we have board certified professionals(!) who are terrified to perform surgeries.
That is why I like giants actually he tries something different, bold and innovative! sure there might be few casualties on the way but that is the price for ascension

 

[jaymog]

Most surgeons dont fucking care about aesthetics they are scared to death that if something goes wrong you will sue their botcher asses so they prefer functionality over looks, leaving no room for innovation unfortunately...
Honestly now doctor quality is at its lowest point in human history. In ancient Egypt or Rome people would experiment and try novel solutions to advance medicine. Now we have board certified professionals(!) who are terrified to perform surgeries.
That is why I like giants actually he tries something different, bold and innovative! sure there might be few casualties on the way but that is the price for ascension

I don’t disagree. But we have to also remember that 99% of people are not like us on this forum and given an explanation of the added risk of more advancement would piss their pants and call off the surgery . They don’t care about aesthetics enough to risk quite literally anything in the majority of cases, thus no real push for innovation and further forward movements than doctors really need for a functional result.

 

[Xx_gloomy_bison_xX]

I don’t disagree. But we have to also remember that 99% of people are not like us on this forum and given an explanation of the added risk of more advancement would piss their pants and call off the surgery . They don’t care about aesthetics enough to risk quite literally anything in the majority of cases, thus no real push for innovation and further forward movements than doctors really need for a functional result.

I truly dont understand the concept of "risk" as people describe...Sure surgeries do have risk as they inflict wounds on human body, making it susceptible to infections. But people talk like as if any invasive surgery have %80 death ratio.

Honestly the riskiest surgeries like pancreas removal or heart transplant in the world hold about 5% death ratio and these are far severe than any osteotomy. Bimax is one of the very much established and well performed surgeries out there. Unless your doctor is Jason Voorhes and he is operating you with an industrial chainsaw, this fear of hardmax is truly nonsensical

 

[jaymog]

I truly dont understand the concept of "risk" as people describe...Sure surgeries do have risk as they inflict wounds on human body, making it susceptible to infections. But people talk like as if any invasive surgery have %80 death ratio.

Honestly the riskiest surgeries like pancreas removal or heart transplant in the world hold about 5% death ratio and these are far severe than any osteotomy. Bimax is one of the very much established and well performed surgeries out there. So this fear of hardmax is truly nonsensical

It’s mostly just fear and lack of logical reasoning. Odds of something terrible happening are more likely on your drive over to the hospital that morning than the actual surgery.

 

[LEFORT17]

This is why you can’t judge numbers in a vacuum.

16mm on major recession = avg looking after.

16mm on minor recession = ascension

16mm on normal guy = dogmaxxed

When your chin is THAT far behind subnasal like his, you need a massive pogonion of at least 20-22+ to look better than an average guy as a final result.

He looks average now, which to most jaw surgeons (JFL, unfortunately) is successful.

in this case he had a chin implant which was removed and ,,replaced'' with a genioplasty so from before/after he only had 10mm ,,visible'' movement on the lower jaw