Ape101
Iron
- Joined
- Mar 25, 2022
- Posts
- 218
- Reputation
- 1,294
TL;DR: Worth the painstakingly long wait. OBO + periorbital implants healed into an ideal ICD and near-ideal IPD; bimax overdelivered. Two minor issues; mild strabismus, and one jaw angle implant a few % off. Both scheduled for one revision surgery in summer 2027. Full breakdown, scans, remaining surgery roadmap and warnings regarding the process below.
Link to Original Post>>
Hello again, it's been a minute. Two years, actually. You've been asking for an update the whole time, half of you assuming I got botched. The truth is less dramatic: I was waiting. I didn't switch surgeons just to get the design sooner, and I ignored an immense amount of ragebait fishing for my results. Now I've finally been redeemed, and as hard as it is to admit after what those two years cost me: it was worth the wait.
Everyone asks about the surgery. Only few ask about the two years before it, which were genuinely the hardest part. My life was completely on hold, because the surgery always felt two weeks away. When you think you're flying out "soon,"™ ™ you commit to nothing: no plans, no trips, no career moves, nothing that can't be dropped on short notice. I lived in that limbo month after month, and I won't lie, it made me genuinely depressed. The waiting hurt a lot more than the actual surgery.
So, a warning for anyone with an important schedule (studies, career, etc):
(Slide 6)
Nobody warns you about this part either, so here it is. The pain is somewhat intense, but not in the way typical trauma hurts, at least in my experience. The best description I have is painfully uncomfortable. You can't sleep without choking, you have a tube up your nose, you can't close your mouth, and you feel completely dehydrated the entire time.
And the nurses make it worse. I was choking on my own blood at night trying to sleep, and they would either straight up ignore me or mumble swear words in Turkish while doing the bare minimum. They barely feed you unless you spam the call button. The painkillers gave me a fever-like sensation through my whole body, it genuinely felt like being boiled alive, and they wouldn't let me take the blanket or pants off because they were too uncomfortable seeing a patient "naked" (religious modesty, supposedly, filthy towelheads). Some nights they left the lights on on purpose just to fuck with me.
If you can arrange a private caretaker, do it. It will make your life a lot easier. The surgery is one day; the nights after it are where you actually suffer, and nobody in that building is coming to save you.
I think the results speak for themselves. The lower third was always going to be the heavy hitter in my case, and it exceeded my expectations. The hard tissue work is essentialy done, what's left now is polish. Once the soft tissue is refined, I think that this will be undeniably one of the best surgical transformations of all time.
The jaw angle implants ended up close to the planned position, but not exact: one sits slightly too high, the other slightly too low. Giant's read on the post-op CT: either error on its own would be imperceptible, a ~5% placement error is expected, that's real-world surgery. But because the two errors go in opposite directions, they stack and read as a ~10% asymmetry when you directly compare my side profiles. IRL the difference is small, and the front profile is essentially perfect.
So per Giant, I'm letting everything settle, and I'll fold the revision into my next surgery, scheduled for summer 2027.
I know this sounds like a lot, but most of it groups into a few long surgeries. Drafted plan (very likely to change based on surgeon estimates):
Surgery 1: craniofacial + ophthalmic specialists, ideally combined (split into two if too long):
Surgery 2: rhinoplasty specialist:
Surgery 3: Dick specialist:
Surgery 4: maybe, and if so, my last:
Misc: eye depigmentation starts in September, should be at goal by next summer. Invisalign for the tooth gap runs in parallel.
View attachment 5383187
Thanks for reading
Link to Original Post>>
Hello again, it's been a minute. Two years, actually. You've been asking for an update the whole time, half of you assuming I got botched. The truth is less dramatic: I was waiting. I didn't switch surgeons just to get the design sooner, and I ignored an immense amount of ragebait fishing for my results. Now I've finally been redeemed, and as hard as it is to admit after what those two years cost me: it was worth the wait.
The Waiting Period: Read This If You Are Not A NEET
Everyone asks about the surgery. Only few ask about the two years before it, which were genuinely the hardest part. My life was completely on hold, because the surgery always felt two weeks away. When you think you're flying out "soon,"™ ™ you commit to nothing: no plans, no trips, no career moves, nothing that can't be dropped on short notice. I lived in that limbo month after month, and I won't lie, it made me genuinely depressed. The waiting hurt a lot more than the actual surgery.
So, a warning for anyone with an important schedule (studies, career, etc):
- Do not put your life on hold around an estimated date. Live completely normally until the design is finished and the surgery is actually booked. Treat every date as tentative until you're holding flight tickets.
- To be fair: I believe Liam has overcome his phase in Thailand. From everything I can see he's healthy and very productive now, and he has an assistant helping him increase throughput and grow the business. I genuinely hope it stays that way, but you should still plan cautiously.
- Even in the best case, the line is long. Countless people want these surgeries and there is exactly one designer.
OBO Recovery: Honest Breakdown
- Yes, I got a bit of strabismus. When I turn my eyes as far right as they can go, they lose alignment. In daily life it almost never gets triggered, it's only annoying when I check my blind spot driving, or when I'm seated far to the right of a board.
- Yes, I'll address the strabismus with surgery regardless.
- Overall I'm happy with the result: ICD is now ideal, IPD almost ideal (it gets fine-tuned in my next surgery).
- The periorbital implants came out ideal. I wouldn't change a thing.
- Understand: I was a borderline case. OBO was never supposed to be the highest-ROI surgery in my plan. Its job was to create the right foundation so my face could be expanded laterally in the following surgeries without restriction.
- Many people fall for the fallacy that more invasive = bigger increase in attractiveness. Not true, that's cognitive dissonance trying to justify the trauma.
- OBO/LF2 are not for the faint of heart. Genuinely make sure you're prepared. Giant is good at vetting patients usually, so you'll likely get accepted only if you have the right profile to withstand it.
(Slide 6)
The Hospital Stay: Get a Private Caretaker
Nobody warns you about this part either, so here it is. The pain is somewhat intense, but not in the way typical trauma hurts, at least in my experience. The best description I have is painfully uncomfortable. You can't sleep without choking, you have a tube up your nose, you can't close your mouth, and you feel completely dehydrated the entire time.
And the nurses make it worse. I was choking on my own blood at night trying to sleep, and they would either straight up ignore me or mumble swear words in Turkish while doing the bare minimum. They barely feed you unless you spam the call button. The painkillers gave me a fever-like sensation through my whole body, it genuinely felt like being boiled alive, and they wouldn't let me take the blanket or pants off because they were too uncomfortable seeing a patient "naked" (religious modesty, supposedly, filthy towelheads). Some nights they left the lights on on purpose just to fuck with me.
If you can arrange a private caretaker, do it. It will make your life a lot easier. The surgery is one day; the nights after it are where you actually suffer, and nobody in that building is coming to save you.
Bimax Update
I think the results speak for themselves. The lower third was always going to be the heavy hitter in my case, and it exceeded my expectations. The hard tissue work is essentialy done, what's left now is polish. Once the soft tissue is refined, I think that this will be undeniably one of the best surgical transformations of all time.
The One Complication
The jaw angle implants ended up close to the planned position, but not exact: one sits slightly too high, the other slightly too low. Giant's read on the post-op CT: either error on its own would be imperceptible, a ~5% placement error is expected, that's real-world surgery. But because the two errors go in opposite directions, they stack and read as a ~10% asymmetry when you directly compare my side profiles. IRL the difference is small, and the front profile is essentially perfect.
Giant Implants said:Fortunately it's a much lower error than I was anticipating so I think after swelling goes down it will still look nice. Unfortunately this low of an error can't be reliably repositioned and optimized until bone healing... to get from 5% to 1-2% error needs a new implant over the healed bone surface to definitively lock in the right place. The bimax and everything else looks good.
So per Giant, I'm letting everything settle, and I'll fold the revision into my next surgery, scheduled for summer 2027.
Surgeries Left
Face: correcting minor complications
- Medial orbital wall bone graft to push the eyeballs outward (shifting my Monroe classification ( the eyeball's position within the orbit)).
- Strabismus correction (possibly resolved just by releasing the eye from the current medial orbital implant).
- Lateral orbital decompression to compensate for the reduced orbital volume (make space for the eyeball laterally).
- Jaw angle implant revision. The left side, which sat a bit lower, actually looks great, once everything is healed and stable, I'll likely just request a design and print a new implant to match it precisely on the right.
Face: mostly unrelated improvements
- Lateral (and maybe medial) canthopexies. My canthal tilt is slightly negative and my medial canthi slightly rounded. Medial canthal work is complex and rare, but I think I'll have the right plan by summer.
- Fat grafting over the implants (and temples, the coronal incision released the muscles in a way that hollowed them). This is a common follow-up: implants displace and resorb the fat pads, leading to an over-skeletonized look. The fat smooths the contours and makes the result read as natural.
- Possibly a small upper blepharoplasty (there's a bit of excess skin).
- Rhinoplasty: refine the tip and raise my droopy columella. Width and projection are fine as-is.
- Maybe shaving down the mandibular midline for a more curved front-profile appearance.
- Earlobe reduction: not strictly necessary, but I noticed it improves the perceived height of the ramus.
- Laser eye depigmentation.
Body
- Gyno removal: not that obvious, but why not; one less thing to think about when pinning.
- PMMA girth injections.
- Pubic fat pad removal.
- Possibly circumcision to join clavicular's cabal (jk no jew is touching my tip, thanks)
- Possibly LL. If I go through with it, it's definitely quadrilateral, landing at 6'3"–6'5".
The Grouping Plan
I know this sounds like a lot, but most of it groups into a few long surgeries. Drafted plan (very likely to change based on surgeon estimates):
Surgery 1: craniofacial + ophthalmic specialists, ideally combined (split into two if too long):
- Eyes: orbital work, strabismus, canthopexies, possibly upper bleph
- Jaw: jaw angle implant revision, possibly the mandible midline shave
- Misc: possibly the fat graft
- (I'll try to bring in an oculoplastic specialist for the canthal work, craniofacial and general plastic surgeons in Turkey don't reliably produce good soft-tissue results.)
Surgery 2: rhinoplasty specialist:
- Rhinoplasty. It's a delicate, relatively long soft-tissue procedure, so I'd rather isolate it and I don't want to be bleeding from my mouth and nose at the same time.
- Gyno removal (easy add-on).
- Earlobe reduction.
Surgery 3: Dick specialist:
- PMMA + fat pad removal.
Surgery 4: maybe, and if so, my last:
- Quadrilateral LL.
Misc: eye depigmentation starts in September, should be at goal by next summer. Invisalign for the tooth gap runs in parallel.
View attachment 5383187
Verdict
- Ascension beyond a normie's perception is possible. But it's an exchange of equal value: you pay in years, pain, and money, and you get exactly what you paid for. Most people would rather cope by talking shit than put in the work. So the question isn't whether it's possible anymore, it's whether you can handle it.
- Liam is the undisputed goat, even if you dislike him the reality is that there is no competition that comes even close.
- I might go a lot more in depth on this whole journey: the planning, the waiting, the recoveries in an interview with a popular creator soon. Nothing confirmed yet, but if you want the full story, stay in touch.
- Thanks for the support and to everyone who wished me well. The most invasive part is over, now I can rest and polish everything.
Thanks for reading
Attachments
Last edited: