cosmetic surgery advice (16m)

xlefort

xlefort

Bronze
Joined
Sep 8, 2025
Posts
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all surgeries will be performed after i fully mature of course
tell me my biggest flaws and give hardmaxxing advice (softmaxxing too)
because of maxillary recession and poor nose shape, lefort i and rhinoplasty are non-negotiable
before/after morphs would be greatly appreciated

 
  • +1
Reactions: zemult
Alright, there's a lot of work to be done boyo. Wrote all this out for you in categories, try to get some money saved up.

Try to work with Giant Implants for this


Jaw & Lower Face
  • Bilateral Sagittal Split Osteotomy (BSSO)
  • Vertical Ramus Osteotomy (VRO)
  • Sliding Genioplasty
  • Chin Wing Osteotomy
  • Jaw Angle Implants
  • Mandibular Body Implants
  • Chin Implant (for width)
  • Masseter Reduction (Surgical)
  • SARPE (Surgically Assisted Rapid Palatal Expansion)
  • TMJ Arthroplasty

Midface & Maxilla
  • Le Fort II Osteotomy with Downgraft
  • Maxillary Impaction
  • Subnasal Maxillary Augmentation
  • Paranasal Implants
  • Pyriform Aperture Implants

Cheek & Orbital
  • Malar (Cheekbone) Implants
  • Medial Canthoplasty
  • Orbital Decompression
  • Lower Eyelid Retraction
  • Blepharoplasty
  • Submalar Implants
  • Inframalar Implants
  • Infraorbital Implants
  • Tear Trough Implants
  • Lateral Orbital Rim Implants
  • Zygomatic Osteotomy
  • Orbital Box Osteotomy
  • Tripod Osteotomy

Nose
  • Rhinoplasty
  • Septorhinoplasty
  • Alar Base Reduction
  • Dorsal Augmentation
  • Nasal Tip Refinement

Forehead & Upper Face
  • Brow Ridge Augmentation
  • Forehead Contouring
  • Frontal Sinus Setback
  • Hairline Lowering
  • Temporal Implants
  • Occipital Implants
  • Custom Cranial Implants (with Giant)
  • Cranial Vault Contouring

Neck & Misc
  • Adam’s Apple Reduction
  • Buccal Fat Excision
  • Facial Fat Grafting (for orbitals)
  • Deep Neck Lift

Body / Skeletal
  • Clavicle Lengthening
  • Limb Lengthening Surgery
  • Pectoral Implants
  • Calf Implants
  • Shoulder Width Augmentation

Mouth, Lips, Smile
  • Commissuroplasty
  • Lip Lift (Bullhorn / Subnasal)
  • Corner Lip Advancement
  • Vermilion Advancement
 
  • +1
  • JFL
Reactions: gloovark, bipolaric, copemachine and 2 others
Alright, there's a lot of work to be done boyo. Wrote all this out for you in categories, try to get some money saved up.

Try to work with Giant Implants for this


Jaw & Lower Face
  • Bilateral Sagittal Split Osteotomy (BSSO)
  • Vertical Ramus Osteotomy (VRO)
  • Sliding Genioplasty
  • Chin Wing Osteotomy
  • Jaw Angle Implants
  • Mandibular Body Implants
  • Chin Implant (for width)
  • Masseter Reduction (Surgical)
  • SARPE (Surgically Assisted Rapid Palatal Expansion)
  • TMJ Arthroplasty

Midface & Maxilla
  • Le Fort II Osteotomy with Downgraft
  • Maxillary Impaction
  • Subnasal Maxillary Augmentation
  • Paranasal Implants
  • Pyriform Aperture Implants

Cheek & Orbital
  • Malar (Cheekbone) Implants
  • Medial Canthoplasty
  • Orbital Decompression
  • Lower Eyelid Retraction
  • Blepharoplasty
  • Submalar Implants
  • Inframalar Implants
  • Infraorbital Implants
  • Tear Trough Implants
  • Lateral Orbital Rim Implants
  • Zygomatic Osteotomy
  • Orbital Box Osteotomy
  • Tripod Osteotomy

Nose
  • Rhinoplasty
  • Septorhinoplasty
  • Alar Base Reduction
  • Dorsal Augmentation
  • Nasal Tip Refinement

Forehead & Upper Face
  • Brow Ridge Augmentation
  • Forehead Contouring
  • Frontal Sinus Setback
  • Hairline Lowering
  • Temporal Implants
  • Occipital Implants
  • Custom Cranial Implants (with Giant)
  • Cranial Vault Contouring

Neck & Misc
  • Adam’s Apple Reduction
  • Buccal Fat Excision
  • Facial Fat Grafting (for orbitals)
  • Deep Neck Lift

Body / Skeletal
  • Clavicle Lengthening
  • Limb Lengthening Surgery
  • Pectoral Implants
  • Calf Implants
  • Shoulder Width Augmentation

Mouth, Lips, Smile
  • Commissuroplasty
  • Lip Lift (Bullhorn / Subnasal)
  • Corner Lip Advancement
  • Vermilion Advancemen
its over
 
Alright, there's a lot of work to be done boyo. Wrote all this out for you in categories, try to get some money saved up.

Try to work with Giant Implants for this


Jaw & Lower Face
  • Bilateral Sagittal Split Osteotomy (BSSO)
  • Vertical Ramus Osteotomy (VRO)
  • Sliding Genioplasty
  • Chin Wing Osteotomy
  • Jaw Angle Implants
  • Mandibular Body Implants
  • Chin Implant (for width)
  • Masseter Reduction (Surgical)
  • SARPE (Surgically Assisted Rapid Palatal Expansion)
  • TMJ Arthroplasty

Midface & Maxilla
  • Le Fort II Osteotomy with Downgraft
  • Maxillary Impaction
  • Subnasal Maxillary Augmentation
  • Paranasal Implants
  • Pyriform Aperture Implants

Cheek & Orbital
  • Malar (Cheekbone) Implants
  • Medial Canthoplasty
  • Orbital Decompression
  • Lower Eyelid Retraction
  • Blepharoplasty
  • Submalar Implants
  • Inframalar Implants
  • Infraorbital Implants
  • Tear Trough Implants
  • Lateral Orbital Rim Implants
  • Zygomatic Osteotomy
  • Orbital Box Osteotomy
  • Tripod Osteotomy

Nose
  • Rhinoplasty
  • Septorhinoplasty
  • Alar Base Reduction
  • Dorsal Augmentation
  • Nasal Tip Refinement

Forehead & Upper Face
  • Brow Ridge Augmentation
  • Forehead Contouring
  • Frontal Sinus Setback
  • Hairline Lowering
  • Temporal Implants
  • Occipital Implants
  • Custom Cranial Implants (with Giant)
  • Cranial Vault Contouring

Neck & Misc
  • Adam’s Apple Reduction
  • Buccal Fat Excision
  • Facial Fat Grafting (for orbitals)
  • Deep Neck Lift

Body / Skeletal
  • Clavicle Lengthening
  • Limb Lengthening Surgery
  • Pectoral Implants
  • Calf Implants
  • Shoulder Width Augmentation

Mouth, Lips, Smile
  • Commissuroplasty
  • Lip Lift (Bullhorn / Subnasal)
  • Corner Lip Advancement
  • Vermilion Advancement
you wrote this specifically for my case?
 
all surgeries will be performed after i fully mature of course
tell me my biggest flaws and give hardmaxxing advice (softmaxxing too)
because of maxillary recession and poor nose shape, lefort i and rhinoplasty are non-negotiable
before/after morphs would be greatly appreciated


You need an Orbital box osteotomy with bilateral tripod osteotomies to double your facial height to width ratio and increase your palpebral fissure lenght and a 12 mm quandrangular modified Lefort 3 as describet by Dr. Sinn with a 10 mm Lefort I with 5 degrees of countreclockwise rotation and a mandibular BSSO with 3 inches of advancemend and chin wing osteotomy to create a hyper ant face which was discovered by Dr. Sailer who you can not afford to go to. Throw in an Almond eye surgery Dr. Taban style, meaning with lateral canthoplexy, lower lid retraction surgery and orbital decompression. Make you an aggressive wraparound jaw implant with exactly these specifications: 15 mm of lateral jaw angle augmentation with 6 mm horizontal augmentation to your ramus. Use Peek not silicone and remember to use 2 titanium screws on each side for fixation. As for the chin, recontour it to a wide square style.
 
Alright, there's a lot of work to be done boyo. Wrote all this out for you in categories, try to get some money saved up.

Try to work with Giant Implants for this


Jaw & Lower Face
  • Bilateral Sagittal Split Osteotomy (BSSO)
  • Vertical Ramus Osteotomy (VRO)
  • Sliding Genioplasty
  • Chin Wing Osteotomy
  • Jaw Angle Implants
  • Mandibular Body Implants
  • Chin Implant (for width)
  • Masseter Reduction (Surgical)
  • SARPE (Surgically Assisted Rapid Palatal Expansion)
  • TMJ Arthroplasty

Midface & Maxilla
  • Le Fort II Osteotomy with Downgraft
  • Maxillary Impaction
  • Subnasal Maxillary Augmentation
  • Paranasal Implants
  • Pyriform Aperture Implants

Cheek & Orbital
  • Malar (Cheekbone) Implants
  • Medial Canthoplasty
  • Orbital Decompression
  • Lower Eyelid Retraction
  • Blepharoplasty
  • Submalar Implants
  • Inframalar Implants
  • Infraorbital Implants
  • Tear Trough Implants
  • Lateral Orbital Rim Implants
  • Zygomatic Osteotomy
  • Orbital Box Osteotomy
  • Tripod Osteotomy

Nose
  • Rhinoplasty
  • Septorhinoplasty
  • Alar Base Reduction
  • Dorsal Augmentation
  • Nasal Tip Refinement

Forehead & Upper Face
  • Brow Ridge Augmentation
  • Forehead Contouring
  • Frontal Sinus Setback
  • Hairline Lowering
  • Temporal Implants
  • Occipital Implants
  • Custom Cranial Implants (with Giant)
  • Cranial Vault Contouring

Neck & Misc
  • Adam’s Apple Reduction
  • Buccal Fat Excision
  • Facial Fat Grafting (for orbitals)
  • Deep Neck Lift

Body / Skeletal
  • Clavicle Lengthening
  • Limb Lengthening Surgery
  • Pectoral Implants
  • Calf Implants
  • Shoulder Width Augmentation

Mouth, Lips, Smile
  • Commissuroplasty
  • Lip Lift (Bullhorn / Subnasal)
  • Corner Lip Advancement
  • Vermilion Advancement
you lost the plot
 

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