Any thoughts on the designs for my custom cheek/infraorbital and wrap-around jaw implants?

[OA1125]

I'm getting custom implants at the end of August with Dr. Phillip Miller in NYC. I just got the implant designs today, and I took they did a really good job at addressing the assymetries in my face, but I wanted to get any opinions or suggestions on any edits that should be made. I attached photoshopped pictures of how I would want my results to look like. I am trying to avoid a fake or uncanny valley look.

@RealSurgerymax

 

[RealSurgerymax]

I'm getting custom implants at the end of August with Dr. Phillip Miller in NYC. I just got the implant designs today, and I took they did a really good job at addressing the assymetries in my face, but I wanted to get any opinions or suggestions on any edits that should be made. I attached photoshopped pictures of how I would want my results to look like. I am trying to avoid a fake or uncanny valley look.

@RealSurgerymax

I don’t help at all if not coming to me

 

[OA1125]

I don’t help at all if not coming to me

Oh okay. I was not sure who you were exactly. I've just seen you tagged a lot. Are you a surgeon yourself or a designer? How much do you charge for advice?

 

[longjohnmong]

surgeon?

 

[aestheticsrespecter]

I don’t help at all if not coming to me

How benevolent which part of the hippocratic oath is that?

 

[OA1125]

surgeon?

Dr. Phillip Miller in NYC

 

[LongForgotten]

I don’t help at all if not coming to me

But you don't respond to people who want to come to you either! I sent you the mail.

 

[kingofkings]

Your soft tissue distribution will likely mean you just end up with a more bloated rounded looking face from the frontal view. It's rare to see a face like yours get good frontal results. Side profile will improve though for sure.

 

[YoungWerther]

But you don't respond to people who want to come to you either! I sent you the mail.

It’s all so tiresome…

 

[Foreverbrad]

Can't you tell by yourself from the side profile morph that you actually need double jaw surgery?

The infras seem reasonable though.

 

[rgl666]

yea you need bimax retard, when are you gonna stop coping with these implants?

 

[Deleted member 19957]

I don’t help at all if not coming to me

You don't even bother answering anymore jfl

 

[OA1125]

Your soft tissue distribution will likely mean you just end up with a more bloated rounded looking face from the frontal view. It's rare to see a face like yours get good frontal results. Side profile will improve though for sure.

Is that why the measurements are so conservative? Would it be stupid to ask to make the jaw wider or more angular?

 

[bugbug]

I agree with what others said, you should get bimax + genio to fix your lower third. You could combine it with jaw angle implants for a better result than with implants alone. Infras are fine.

Your nose is somewhat assymetrical from the front, have you considered getting a rhinoplasty? You could get it done at the same time as bimax.

Also, you need to lose some weight.

 

[OA1125]

I agree with what others said, you should get bimax + genio to fix your lower third. You could combine it with jaw angle implants for a better result than with implants alone. Infras are fine.

Your nose is somewhat assymetrical from the front, have you considered getting a rhinoplasty? You could get it done at the same time as bimax.

Also, you need to lose some weight.

I already consulted for bimax, and every surgeon I saw said it would be a stupid idea since my airways are fine, my bite is fine, and it would all be out of pocket (I'm in NY, so the cost estimates were $65k-$80k). Plus, I wouldn't be able to take the time off for the long-ass recovery. I'm just trying to what I can to improve

 

[bugbug]

I already consulted for bimax, and every surgeon I saw said it would be a stupid idea since my airways are fine, my bite is fine, and it would all be out of pocket (I'm in NY, so the cost estimates were $65k-$80k). Plus, I wouldn't be able to take the time off for the long-ass recovery. I'm just trying to what I can to improve

You can get trimax from top European surgeons for 30k, and recovery is not that long, after a month you should be able to work just fine, even if there's still swelling. You're a student so you should have long holidays, no?

In my opinion, getting jaw implants at this stage is a very suboptimal decision in your case.

 

[OA1125]

You can get trimax from top European surgeons for 30k, and recovery is not that long, after a month you should be able to work just fine, even if there's still swelling. You're a student so you should have long holidays, no?

I'm a medical student, so I wouldn't be able to take off that long to travel to Europe

 

[longjohnmong]

Dr. Phillip Miller in NYC

what's he charging for this and does he work with PEEK?

 

[OA1125]

what's he charging for this and does he work with PEEK?

$34k all included, and I don't know

 

[longjohnmong]

$34k all included, and I don't know

What are the implants made of?

 

[crystalcastles555]

I’ve consulted with Miller before, as I’m a New York guy too, and I didn’t come away with a good impression that he knows what he is doing when it comes to implants. He comes across as cocky, dismissive of various concerns, and honestly, doesn’t have a lot of experience at doing them. He’s mainly good at the nose. I think the computer imaging his assistant, not him, does is quite exaggerated. Your facial already has good width, but I think those measurements will surely make it wider but not necessarily more angular from the front. The jaw implant should definitely improve the side and 45 degree profiles, but may come at the expense a more bloated front. This is how a lot of implants tend to look unfortunately. Also, I know he uses silicone. This is an example of his actual work. Notice how while the side looks better, he made the guy’s face bloated, and considerably worse from the front. Continue with him if you want, but just be cognizant of the risks.

 

[crystalcastles555]

 

[OA1125]

I’ve consulted with Miller before, as I’m a New York guy too, and I didn’t come away with a good impression that he knows what he is doing when it comes to implants. He comes across as cocky, dismissive of various concerns, and honestly, doesn’t have a lot of experience at doing them. He’s mainly good at the nose. I think the computer imaging his assistant, not him, does is quite exaggerated. Your facial already has good width, but I think those measurements will surely make it wider but not necessarily more angular from the front. The jaw implant should definitely improve the side and 45 degree profiles, but may come at the expense a more bloated front. This is how a lot of implants tend to look unfortunately. Also, I know he uses silicone. This is an example of his actual work. Notice how while the side looks better, he made the guy’s face bloated, and considerably worse from the front. Continue with him if you want, but just be cognizant of the risks.

I appreciate the feedback. I agree that he may not be as experienced as someone like Eppley, but I consulted with Eppley too, and I think his mock-ups were uncanny and made me look fake. The pictur s that I showed of the expected before and afters were made by me, not his assistant. His assistant made a much more conservative prediction which I modified later on. I definitely do not want to look more bloated as I want to make my face more angular. Are their any suggestions on how I could make the implants more angular and prevent them from making my face look bloated?

 

[Rea]

update me after surgery please

 

[OA1125]

update me after surgery please

I definitely will make a post after it's done! I just need suggestions since I don't know too much about how to make the implants make my jaw more angular

 

[OA1125]

@EliteMewing

 

[Deleted member 39145]

I don’t help at all if not coming to me

based

 

[OA1125]

The implants correct for assymmetries, but I'm scared af that they won't add any definition and will just make my face look bloated since I have thick soft tissue. Eppley states that he exaggerates his implant designs to compensate for thicker soft tissue. I also have a short chin, and I feel like only making it 3mm taller is not enough. Should I ask him to increase it to 5mm? I also feel like the 5mm of projection in the cheeks is not enough. Should I ask him to increase it to 6.5? Any suggestions on what design changes I should make?

 

[normie_joe]

I don’t help at all if not coming to me

You don't seem to help the ones that do come to you either @optimisticzoomer

 

[PrinceofDarkness]

Oh okay. I was not sure who you were exactly. I've just seen you tagged a lot. Are you a surgeon yourself or a designer? How much do you charge for advice?

he's a cad designer not a medical doctor or clinician in any form.
Are you a med student in the usa? I'm gonna be applying too, studying for the mcats rn

 

[Realism]

I already consulted for bimax, and every surgeon I saw said it would be a stupid idea since my airways are fine, my bite is fine, and it would all be out of pocket (I'm in NY, so the cost estimates were $65k-$80k). Plus, I wouldn't be able to take the time off for the long-ass recovery. I'm just trying to what I can to improve

You can go elsewhere than NY you know.

I had my jaw wraparound removed because it just made me more bloated, it was a small implant like yours. It was also done by Eppley and the end result was not anywhere close to the estimation pics he made.

 

[OA1125]

You can go elsewhere than NY you know.

I had my jaw wraparound removed because it just made me more bloated, it was a small implant like yours. It was also done by Eppley and the end result was not anywhere close to the estimation pics he made.

I don't have the time for the recovery proccess atm. Interesting. How long ago did you get the implant with Eppley? Did he exaggerate the angles like he usually does? Do you have before and afters just so I can see?

 

[OA1125]

he's a cad designer not a medical doctor or clinician in any form.
Are you a med student in the usa? I'm gonna be applying too, studying for the mcats rn

Yes in NY

 

[Realism]

I don't have the time for the recovery proccess atm. Interesting. How long ago did you get the implant with Eppley? Did he exaggerate the angles like he usually does? Do you have before and afters just so I can see?

You should seriously consider doing this when you got time to go through that recovery process then. Opting for a suboptimal solution by getting an implant slapped on is poor decision making, you'll probably end up hating it and get it removed anyways, take it for someone who went through that exact same process.

No, the implant was very small, he even shaved a little bit off during the procedure, which in itself is a problem if he has to do, because you cannot get the same angularity if the surgeon has to shave it off, it basically completely destroys the angles if he has to do that.

I have thick skin in the jaw region as well, essentially it just made me a more bloated version of myself. I also had body dysmorphia and I didn't really need an implant at all. I just wanted to "enhance" jaw because of skewed body image.

 

[kingofkings]

Is that why the measurements are so conservative? Would it be stupid to ask to make the jaw wider or more angular?

In a nutshell I doubt any jaw implant will give you the angular look you're seeking.

I've never seen a good jaw implant result on a face like yours.

Btw you've also picked a trash surgeon. I just took a look at his before/afters and can see one half decent result and the rest look not even worth it (frontal view).

 

[OA1125]

In a nutshell I doubt any jaw implant will give you the angular look you're seeking.

I've never seen a good jaw implant result on a face like yours.

Btw you've also picked a trash surgeon. I just took a look at his before/afters and can see one half decent result and the rest look not even worth it (frontal view).

Damn, so I guess there's no way to get an angular jaw... Should I at least go with it to fix the assymetry? I understand he's not known for implants, but that's is why I am taking it upon myself to alter the design as his only real job is to put them in my face. Do you mind sending me pictures just so I can see?

 

[OA1125]

I really like this guy's results and I feel we have a similar starting point. Is this achievable for me?

 

[kingofkings]

Respectfully, your eye for aesthetics is poor.

His starting point isn't anything like yours. Frontally he has a whole different face shape with a narrow jaw.

And it doesn't make sense you want to achieve the same after result. Look how high up his jaw is at the back? It's already higher up than yours is now. There's no way an implant on top of your existing jaw will make your jaw look like that; it would either lower the jaw or keep it roughly where it is.

 

[OA1125]

Respectfully, your eye for aesthetics is poor.

His starting point isn't anything like yours. Frontally he has a whole different face shape with a narrow jaw.

And it doesn't make sense you want to achieve the same after result. Look how high up his jaw is at the back? It's already higher up than yours is now. There's no way an implant on top of your existing jaw will make your jaw look like that; it would either lower the jaw or keep it roughly where it is.

I don't want the same exact after result. I'm referring to the front to be more specific. He has a small chin like mine which is made taller. The implant corrects for his assymetries, and it makes his jaw wider, andgular, and more aesthetically pleasing. I understand that my jaw is naturally wider than his, but we both have thick soft tissue

 

[OA1125]

This is what I look like right now. As long as I look better and not worse, I'll be happy. Also, the implant design pic with the measurements is off centered from my teeth. Are my teeth just crooked, or did they do a bad job designing the implant?

 

[PrinceofDarkness]

if ur a us med student this'll be the first I've seen a dude on here talk about it.

Dude gotta be lebanese

 

[OA1125]

if ur a us med student this'll be the first I've seen a dude on here talk about it.

Dude gotta be lebanese

I am an MD student going into my first year in August. I'm Jordanian/Palestinian

 

[PrinceofDarkness]

I am an MD student going into my first year in August. I'm Jordanian/Palestinian

an MD program in nyc or jersey?

$25k Plastic Surgery Budget in NY. How can I maximize my face?

So, I've been saving up money for the longest time, and now I've given myself a $25k budget to spend on plastic surgery in NY. I'm really not looking to go to another country as it's not practical for me with my job at the moment. I know my hairline is fucked, but I am taking finasteride and...

looksmax.org

Is this the same surgeon you've been talking to?

 

[OA1125]

I'd rather not say where for privacy reasons. I do live in NY tho

 

[SubhumanityForce]

I'm getting custom implants at the end of August with Dr. Phillip Miller in NYC. I just got the implant designs today, and I took they did a really good job at addressing the assymetries in my face, but I wanted to get any opinions or suggestions on any edits that should be made. I attached photoshopped pictures of how I would want my results to look like. I am trying to avoid a fake or uncanny valley look.

@RealSurgerymax

Very, very good forward projection on your upper face, nasion, browridge etc. Relative to THAT, your lower third is behind obviously. With your design, your chin comes forward but your mouth stays the same. See the vertical line from nasion towards the floor in both pictures, then see the e line, from nose tip to your chin. If anything, if you advance the chin only, the distance of your lips to the e-line increase even more. Discuss a carefully planned bimax with just a minor genio, no need for more, and you will be more than fine.

Pic with purple and orange line is you tight now, yellow and green is your morph with the implants you want.

 

[SubhumanityForce]

OK I might take it back. Your other pictures look good. I don't know wtf

 

[OA1125]

OK I might take it back. Your other pictures look good. I don't know wtf

The first pics are with my "natural bite", but I've been permajutting since I was little, and that's the way I rest my teeth. I had to use my natural bite for the surgeon's photos and CT scan, but I normally jutt my jaw out as that is what feels comfortable. I know a bimax would bring my natural bite in line with my permajutt, but I'm honestly not concerned with that. If you look at the oblique angles, my midface is the most recessed portion of my face, and the permajutt makes it worse. My chin is also short, and my jaw is slightly assymetrical. That is why I am opting for implants.

 

[SubhumanityForce]

The first pics are with my "natural bite", but I've been permajutting since I was little, and that's the way I rest my teeth. I had to use my natural bite for the surgeon's photos and CT scan, but I normally jutt my jaw out as that is what feels comfortable. I know a bimax would bring my natural bite in line with my permajutt, but I'm honestly not concerned with that. If you look at the oblique angles, my midface is the most recessed portion of my face, and the permajutt makes it worse. My chin is also short, and my jaw is slightly assymetrical. That is why I am opting for implants.

Do you have any dimensions with the ct scans by the way? Bizygomatic distance, bigonial etc. Do you have the scans yourself to open them with a viewer, etc?

 

[Deleted member 3463]

Don't get these implants You will get fucked up

 

[OA1125]

Do you have any dimensions with the ct scans by the way? Bizygomatic distance, bigonial etc. Do you have the scans yourself to open them with a viewer, etc?

I just have the dimensions with the implants. I have a 3d PDF of the scan that I can view