Bimax before/after 6-months post-op, and plan for rhinoplasty

[newlurker69]

I’m looking for advice on my next (and last) surgery:
- Rhinoplasty to bring up the nose tip (possibly with paranasal implant)
- Infraorbital-molar implants to fix my comparatively-recessed mid face
- Correction of the front-view asymmetry, possibly by shaving down the right side of the jawline or adding mass to the left side

In early May 2022, I had double jaw surgery (bimax) for sleep apnea, covered by insurance. Because there are huge aesthetic implications, I’m posting about myself here in case it’s useful, and I’m looking for advice on my upcoming surgery. I don’t condone most of the other content on this website because it’s very toxic.

I understand I don’t look perfect yet, and I’m fixing the major things in the next surgery. I’m not aiming to look perfect, just decent. I’m still slightly swollen in the maxilla area.

I had a very large advancement and CCW rotation, roughly equivalent to what Dr. Alfaro would have done (I forgot the exact measurements). This was a slightly bigger movement than my surgeon initially recommended, but I opted for it in order to maximize my airway and compensate for potential relapse. At first after the surgery, I thought I was advanced too far, but now that the swelling has gone down, I think I look pretty good.



Things that didn’t go well:
* My nose tip dropped a little bit, which is the opposite of what usually happens (I had a septum perforation plus my nose had issues beforehand). I’m probably going to get a rhinoplasty to fix this, simply bringing up the tip to a normal level; it will also improve my breathing. Looking at these photos makes me realize this is pretty necessary.
* My midline is a couple mm off to the right side, and my jaws are slightly shifted to the right. This can happen with these surgeries because they can make existing asymmetries more apparent. It really bothered me when I first noticed, but now I realize it’s not a big deal. No one has proactively noticed it, and even when I point it out, some can still barely see it.


Other things I could do in the future:

Lose~10 lbs of fat. This, along with the swelling continuing to reduce, will slim down my face.

Minox on eyebrows

Better skincare routine

If my hairline continues to recede, I could do a hair transplant someday. So far minox is helping a bit.

 

[Foreverbrad]

Based Greycel of actually getting surgery!

Big improvement, rhino plan is good, maybe also consider jaw angle implants.

 

[LowTrust]

from incel to incel

 

[Giorgio]

If my hairline continues to recede, I could do a hair transplant someday. So far minox is helping a bit.

I sure do hope you're using some anti-androgen tho
minox only is a trap, it does not do anything but temporary gains

 

[ascension!]

Mirin you surgerymaxing journey, wish you the best!

 

[tooLOW]

Great results, next step should be your hair I think

 

[Deleted member 21044]

Shit results. Fucked up your symmetry and fwhr.

 

[Deleted member 21340]

somewhat decent improvement op

But is bimax a meme if you dont already have decent jaw length/lengthy ramus
I mean it doesn't touch the ramus so if you have a high gonial angle/short ramus it'll just make the jawline look long and nearly uncanny

 

[newlurker69]

Shit results. Fucked up your symmetry and fwhr.

Fwhr would inevitably be messed up in increasing my airway size, there isn’t much to avoid that.

Agreed on asymmetry, not thrilled about that. There are ways to fix it without re-doing bimax.

 

[Deleted member 19798]

Mew and do chin tucks ur hyoid is really bad. Since u already started surgerymaxxing u might as well get neck lift as well. U prob have a decent jawline now but it’s burried deep in ur skin

 

[DoctorLooksmax]

IMO you really should get some malar/midface implants

if you dont get them then the potential SMV increase from your bimax is kinda wasted because your upper midface looks so reccessed compared to your LF1 area now so you need implants to balance off this discrepancy.

not something the surgeon did wrong or anything just an unavoidable consequence of bimax on someone whose upper midfcae was also reccessed

 

[reptiles]

IMO you really should get some malar/midface implants

if you dont get them then the potential SMV increase from your bimax is kinda wasted because your upper midface looks so reccessed compared to your LF1 area now so you need implants to balance off this discrepancy.

not something the surgeon did wrong or anything just an unavoidable consequence of bimax on someone whose upper midfcae was also reccessed

I don't understand the point of a lefort 1 it only moves the bones up to your alar forward by 7 to 8 mm why not just skip to lefort 2 or 3 and do the whole midface if that was the original issue to start with why cope with lefort 1 it's so retarded

 

[reptiles]

I’m looking for advice on my next (and last) surgery:
- Rhinoplasty to bring up the nose tip (possibly with paranasal implant)
- Infraorbital-molar implants to fix my comparatively-recessed mid face
- Correction of the front-view asymmetry, possibly by shaving down the right side of the jawline or adding mass to the left side

In early May 2022, I had double jaw surgery (bimax) for sleep apnea, covered by insurance. Because there are huge aesthetic implications, I’m posting about myself here in case it’s useful, and I’m looking for advice on my upcoming surgery. I don’t condone most of the other content on this website because it’s very toxic.

I understand I don’t look perfect yet, and I’m fixing the major things in the next surgery. I’m not aiming to look perfect, just decent. I’m still slightly swollen in the maxilla area.

View attachment 1970758

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View attachment 1970769



I had a very large advancement and CCW rotation, roughly equivalent to what Dr. Alfaro would have done (I forgot the exact measurements). This was a slightly bigger movement than my surgeon initially recommended, but I opted for it in order to maximize my airway and compensate for potential relapse. At first after the surgery, I thought I was advanced too far, but now that the swelling has gone down, I think I look pretty good.



Things that didn’t go well:
* My nose tip dropped a little bit, which is the opposite of what usually happens (I had a septum perforation plus my nose had issues beforehand). I’m probably going to get a rhinoplasty to fix this, simply bringing up the tip to a normal level; it will also improve my breathing. Looking at these photos makes me realize this is pretty necessary.
* My midline is a couple mm off to the right side, and my jaws are slightly shifted to the right. This can happen with these surgeries because they can make existing asymmetries more apparent. It really bothered me when I first noticed, but now I realize it’s not a big deal. No one has proactively noticed it, and even when I point it out, some can still barely see it.


Other things I could do in the future:

Lose~10 lbs of fat. This, along with the swelling continuing to reduce, will slim down my face.

Minox on eyebrows

Better skincare routine

If my hairline continues to recede, I could do a hair transplant someday. So far minox is helping a bit.

7


I can tell your fat just by looking at these pics the hyoid to neck section should not be this invisible infact it's insanely invisible currently that is due to fat and not recession as your chin and jaw lines up with your nose and your entire region is fat as fuck the 2nd thing is to fix your infra orbitals ideally

 

[Deleted member 17920]

needed lefort 3 ur nose has 0 projection

how many mms did u move ur maxilla forward

 

[newlurker69]

I don't understand the point of a lefort 1 it only moves the bones up to your alar forward by 7 to 8 mm why not just skip to lefort 2 or 3 and do the whole midface if that was the original issue to start with why cope with lefort 1 it's so retarded

Lefort 2 and 3 are riskier. I don’t want to risk major complications. Also, Lefort 1 solve sleep apnea, which was my original problem.

 

[newlurker69]

7


I can tell your fat just by looking at these pics the hyoid to neck section should not be this invisible infact it's insanely invisible currently that is due to fat and not recession as your chin and jaw lines up with your nose and your entire region is fat as fuck the 2nd thing is to fix your infra orbitals ideally

View attachment 1970805

I could lose 10-15 pounds (and I plan on doing so), but I’m not fully fat. Some on the cheeks is swelling.

 

[reptiles]

Lefort 2 and 3 are riskier. I don’t want to risk major complications. Also, Lefort 1 solve sleep apnea, which was my original problem.

I'm not targeting you specifically most surgeons go to using lefort 1 rather than lefort 2 or 3 when your midface is recessed I've seen it multiple times

 

[DoctorLooksmax]

I don't understand the point of a lefort 1 it only moves the bones up to your alar forward by 7 to 8 mm why not just skip to lefort 2 or 3 and do the whole midface if that was the original issue to start with why cope with lefort 1 it's so retarded

lefort 2 and 3 are much riskier and most surgeons wont pefrom them

for someone like OP- he got the bimax, now he needs implants to add balance to your his midface- if you dont get thme OP then your original bimax was kinda pointless from a looks standpoint.

You already got the main big expensive long recovery surgery- implants is a walk in the park in comparison

 

[Deleted member 22126]

You need to risk lefort 2/3 if you want to be normie

 

[newlurker69]

I'm not targeting you specifically most surgeons go to using lefort 1 rather than lefort 2 or 3 when your midface is recessed I've seen it multiple times

Yeah no worries, I don’t feel targeted. Maybe those surgeries will become more common in the future.

 

[Deleted member 17920]

I'm not targeting you specifically most surgeons go to using lefort 1 rather than lefort 2 or 3 when your midface is recessed I've seen it multiple times

too big lefort 1 movements look utter dogshit tbh

 

[reptiles]

lefort 2 and 3 are much riskier and most surgeons wont pefrom them

for someone like OP- he got the bimax, now he needs implants to add balance to your his midface- if you dont get thme OP then your original bimax was kinda pointless from a looks standpoint.

You already got the main big expensive long recovery surgery- implants is a walk in the park in comparison

Implants can't give a natural look as lefort 2 or 3 what implants will do if you get it after lefort 1 is that it will fill in the gaps that you were missing originally due to recession making your profile seem normal max.

If you got implants ontop of a lefort 3 you get natural contours that fit your face. Implants on a recessed face will make your face look uncanny but on a face that is naturally forward it will look natural.

It would be a 5 6 getting LL turning 5 11 and wondering why your frame is shit and doesn't match it because the rest of your body didn't develop around it

 

[DoctorLooksmax]

Implants can't give a natural look as lefort 2 or 3 what implants will do if you get it after lefort 1 is that it will fill in the gaps that you were missing originally due to recession making your profile seem normal max.

If you got implants ontop of a lefort 3 you get natural contours that fit your face. Implants on a recessed face will make your face look uncanny but on a face that is naturally forward it will look natural.

It would be a 5 6 getting LL turning 5 11 and wondering why your frame is shit and doesn't match it because the rest of your body didn't develop around it

No one on this site is getting LF3- bimax + implants is good enough for a solid ascenion

It’s still more tan 99% of people here will ever do

 

[reptiles]

No one on this site is getting LF3- bimax + implants is good enough for a solid ascenion

It’s still more tan 99% of people here will ever do

I mean people say they have never seen any incel to chad transformations you wanna why ? chad is more forward grown in every dimension ontop of that he has more angularity if you get lefort and implants you will have an alien look because your midface is still recessed as the rest of your face hasn't evolved around the lefort 1 you got however if your lefort 3 to match your lefort 1 area and then got custom implants you have a perfectly forward ontop of that you have good contour.

 

[zeek]

Your priorities:
1) rhinoplasty - you need to find a specialist who can really build a nose for this, you need support in the paranasal area.
2) under eyes - need skeletal support, best to do is custom for the amount of volume you need
do the rhino *before* the implants

3) your jaw asymmetry - since you don't want to revise bimax for this - you can do an implant on one or both sides, widen the narrower side and add width and length to both mandibular angles. shaving is an option too.

Unfortunately none of these are cheap, but I would say they're all necessary, starting with the nose since it is collapsed and drooping.

 

[newlurker69]

Your priorities:
1) rhinoplasty - you need to find a specialist who can really build a nose for this, you need support in the paranasal area.
2) under eyes - need skeletal support, best to do is custom for the amount of volume you need
do the rhino *before* the implants

3) your jaw asymmetry - since you don't want to revise bimax for this - you can do an implant on one or both sides, widen the narrower side and add width and length to both mandibular angles. shaving is an option too.

Unfortunately none of these are cheap, but I would say they're all necessary, starting with the nose since it is collapsed and drooping.

Why the rhino before implants? Could I do them all in the same surgery?

 

[Reckless Turtle]

My midline is a couple mm off to the right side, and my jaws are slightly shifted to the right. This can happen with these surgeries because they can make existing asymmetries more apparent. It really bothered me when I first noticed, but now I realize it’s not a big deal. No one has proactively noticed it, and even when I point it out, some can still barely see it.

It's very noticeable, but maybe you're still swollen.

 

[ItsOver999]

Get jaw angle implants & rhino, and then if youre still not hot its most likely your eye area.

But also youre still somewhat recessed
... i think though that your nose is mainly a nose issue, not even that u didnt get ur upper jaw / ans moved forward enough.

 

[zeek]

Why the rhino before implants? Could I do them all in the same surgery?

better to do anything that affects your skeleton first,

but hypothetically yeah you could do them all at once, but with the difficulty of your case, you want to seek out specialists so maybe not practical.

be discerning with your clinician choice

 

[chadtindermoney]

Fuck, I was botched just like you but I found a surgeon what was able to fix me and do implants at the same time

 

[Yuno_howitez]

Rhinoplasty is always good

 

[depressionmaxxing]

im sorry but you got botched and i hope my surgeon wont fuck me like that