Bimax + inframalar implants design

[tony10]

Trimax with around 7mm forward movement and 4mm downgraft.
10.5mm pogonion increase.

Needed a lot of projection on the malar part of the implant, since the patient has a fairly flat midface, which would have been exacerbated by the bimax.

Few key notes and thoughts on the implant design:
-6mm malar projection.
-3mm saddle on the infras.
-Minimal projection on medial part of infra region. This helped keep the taper minimal and avoids too much of the infamous infra implant shelfing/step-off.
-Though we initially tried to do a smaller implant, it became clear that it was necessary to increase its size, so that we could ensure better transitions to the submalar region, zygo arch and lateral orbital rim.

The implants are already sent to production, but curious on your thoughts anyway.
And also feel free to ask if you're curious about the thoughts behind other details on the implant

 

[yussimania]

@RealSurgerymax

you have a competitor on the forum

 

[yussimania]

plan looks solid

which doctor is working on this case?

 

[RealSurgerymax]

@RealSurgerymax

you have a competitor on the forum

No such thing.

0 vs 6 years experience
Can vs can't assist surgery
Patented features

Someone can try to copy Giant but can never come close in capabilities.

 

[AustrianMogger]

No such thing.

0 vs 6 years experience
Can vs can't assist surgery
Patented features

Someone can try to copy Giant but can never come close in capabilities.

I wish you were more active

 

[monecel]

I feel like on the 3/4 profile the cheekbone height should be taller and slightly flatter

 

[monecel]

No such thing.

0 vs 6 years experience
Can vs can't assist surgery
Patented features

Someone can try to copy Giant but can never come close in capabilities.

Can pag place your designs?

 

[tony10]

I feel like on the 3/4 profile the cheekbone height should be taller and slightly flatter

Could have done that, but have to remember soft tissue is gonna blunt everything.
Making the implant too flat from 3/4 could leave you without that beautiful peak

 

[tony10]

@RealSurgerymax

you have a competitor on the forum

Haha, realistically we are not competing.

These days he provides a lot of exotic package solutions that include not only implant, but osteotomies and sometimes softtissue work, in collaboration with especially the Turkish surgeons. It’s good he can assist in guiding those surgeons to fulfill his visions on the cases.

As for me, I’m not doing anything too complex like his lf2, OBOs and so on.
I just collaborate with the patient and their doctor, doing iterations of the implant until we come up with a design we all like.
The one I posted was our 4th and final version.

These type of implants (inframalar, supras, jaw) mainly just need an experienced surgeon who is good at implant placement.
In the end, surgery is unpredictable and whether you have 1, 2 or 10 sets of eyes watching the procedure, misplacements can still happen

 

[LackEmpathyTherefor]

Haha, realistically we are not competing.

These days he provides a lot of exotic package solutions that include not only implant, but osteotomies and sometimes softtissue work, in collaboration with especially the Turkish surgeons. It’s good he can assist in guiding those surgeons to fulfill his visions on the cases.

As for me, I’m not doing anything too complex like his lf2, OBOs and so on.
I just collaborate with the patient and their doctor, doing iterations of the implant until we come up with a design we all like.
The one I posted was our 4th and final version.

These type of implants (inframalar, supras, jaw) mainly just need an experienced surgeon who is good at implant placement.
In the end, surgery is unpredictable and whether you have 1, 2 or 10 sets of eyes watching the procedure, misplacements can still happen

Is how giant would talk if he wasn’t a gay sex addict maniac

 

[lurking truecel]

Looks good, will you share the actual result when its placed ?

 

[nishka]

Trimax with around 7mm forward movement and 4mm downgraft.
10.5mm pogonion increase.

Needed a lot of projection on the malar part of the implant, since the patient has a fairly flat midface, which would have been exacerbated by the bimax.

Few key notes and thoughts on the implant design:
-6mm malar projection.
-3mm saddle on the infras.
-Minimal projection on medial part of infra region. This helped keep the taper minimal and avoids too much of the infamous infra implant shelfing/step-off.
-Though we initially tried to do a smaller implant, it became clear that it was necessary to increase its size, so that we could ensure better transitions to the submalar region, zygo arch and lateral orbital rim.

The implants are already sent to production, but curious on your thoughts anyway.
And also feel free to ask if you're curious about the thoughts behind other details on the implant

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looks good sir
what is the cost?
which surgeons do you work with?
will this cause the hollow cheek look?

 

[monecel]

Could have done that, but have to remember soft tissue is gonna blunt everything.
Making the implant too flat from 3/4 could leave you without that beautiful peak

I'd have to see the face from the same view to try and approximate that tbf

 

[tony10]

Looks good, will you share the actual result when its placed ?

I'd have to see the face from the same view to try and approximate that tbf

The patient doesn't want his face out here, understandably. Ofc if he changes his mind, I'll let him post in this thread by himself.
But he'll probably be fine with me posting the post-op CT scan once we get it

 

[tony10]

looks good sir
what is the cost?
which surgeons do you work with?
will this cause the hollow cheek look?

I can work with any surgeon who is experienced in placing facial implants.

RE: hollow cheeks, yes, the implant will give the patient a stronger base for getting that look. Afterwards bodyfat% is what will determine whether they look hollow or not.
I believe he is getting slight buccal fat removal during this procedure aswell

 

[monecel]

The patient doesn't want his face out here, understandably. Ofc if he changes his mind, I'll let him post in this thread by himself.
But he'll probably be fine with me posting the post-op CT scan once we get it

Are these fully your designs?

 

[tony10]

Are these fully your designs?

Yes sir

 

[Jgns]

Yes sir

If i can how did u get to this point like how did u become qualified

 

[monecel]

Yes sir

Mirin

 

[midfacedeficient]

very similar to my case i just had done. good idea on tapering off the infras; mine have sort of a ridge i can feel near the inner corner of my eyes as mine didnt taper off; my corner might stick out once im lean whereas this patient's probably wont

 

[tony10]

very similar to my case i just had done. good idea on tapering off the infras; mine have sort of a ridge i can feel near the inner corner of my eyes as mine didnt taper off; my corner might stick out once im lean whereas this patient's probably wont

Stick out as in your implant was slightly misplaced or just due to your implant design having projection on the medial infra part?

 

[brainregeneration]

Stick out as in your implant was slightly misplaced or just due to your implant design having projection on the medial infra part?

I’d assume projection on the medial infra part

 

[midfacemerchant]

very similar to my case i just had done. good idea on tapering off the infras; mine have sort of a ridge i can feel near the inner corner of my eyes as mine didnt taper off; my corner might stick out once im lean whereas this patient's probably wont

we have opposite names, but im basically completely retruded and need lf2 cus im SEA

 

[midfacedeficient]

we have opposite names, but im basically completely retruded and need lf2 cus im SEA

What's sea mean? I wanted lf2 at first too but everyone said its kinda pointless cuz u can just do lf1 and then fix the rest with implants. seems they were right

 

[midfacemerchant]

What's sea mean? I wanted lf2 at first too but everyone said its kinda pointless cuz u can just do lf1 and then fix the rest with implants. seems they were right

im south east asian, retruded midface, need lefort 2 to fix a FAILO