Craniofacial Correction of Acromegaly

[444C]

Hi, I’m new here. It looks like a lot of you guys talk about acromegaly in the context of abusing HGH or other steroids. I actually had it. Would not recommend. Tumor was removed 1.5 years ago, have been in biochemical remission since.

Now correcting for facial deformities, taking a relatively conservative approach and prioritizing discretion. Looking for feedback, and I find myself on this corner of the internet. Anonymized reference image attached.

Currently in orthodontics. Treatment plan is as follows:

• November 2025 - Brow bone reduction of ~4mm, coronal incision. Fat grafting to temples, which have become hollow after post-treatment weight loss. Goal is to minimize any hairline/brow lifting and preserve the nasofrontal angle to keep a masculine look.
  
  
• Early 2026 - Double jaw surgery for functional and aesthetic correction. Maxilla: ~10mm expansion, ~2.5 mm forward, 3.0 mm anterior impaction. Mandible: ~5 mm advancement with ~6–8 mm superior autorotation of the chin/jaw. Chin (genio): ~3.2 mm setback, ~0.5 mm up.

Surgeons are best in class. I’m otherwise new to this, so looking for feedback on:

1. How to think about “ideal” proportions and any suggestions going into surgery
2. Extent of movements and any other treatment options I could/should be thinking about at this point in time
3. Sequencing of treatment and any other logistical considerations

Cheers

 

[xela2008]

Did you abuse hgh?

 

[aids]

Did you abuse hgh?

Read:

I actually had it. Would not recommend. Tumor was removed 1.5 years ago, have been in biochemical remission since.