Do I require a BSSO or genioplasty?

[Timmy the last]

 

[birthdefect]

View attachment 5026444

is this normal head posture?

 

[Timmy the last]

is this normal head posture?

Another angle

 

[Timmy the last]

View attachment 5026472
Another angle

Bunp

 

[birthdefect]

View attachment 5026472
Another angle

give with relaxed posture

 

[Timmy the last]

give with relaxed posture

 

[Timmy the last]

View attachment 5026484

Bump

 

[Timmy the last]

Bunp

Bump

 

[Timmy the last]

Bump

I hate this forum

 

[Lookologist003]

I think you need orbital decompression. Loose some weight bro.

 

[monk321]

None you're fat and have bulging eyes with pigmentation , also remove moles

 

[Animepilled]

neither. also stop tilting your head like a retard

 

[Weed]

BSSO if you have an overbite I guess but result would be very minimal. At this point you'd be doing it for functional reasons only.

 

[Timmy the last]

I think you need orbital decompression. Loose some weight bro.

None you're fat and have bulging eyes with pigmentation , also remove moles

Im 67 kg at 5’10 bruh… but thanks for the tips

 

[Timmy the last]

BSSO if you have an overbite I guess but result would be very minimal. At this point you'd be doing it for functional reasons only.

Yeah I dont have an overbite. Thank you for the tips. I appreciate it

 

[Timmy the last]

neither. also stop tilting your head like a retard

I think you need orbital decompression. Loose some weight bro.

None you're fat and have bulging eyes with pigmentation , also remove moles

I don’t think I’m fat broskis

 

[jackinthebox]

stop tilting your head

 

[Timmy the last]

stop tilting your head

I stopped. Now tell me

 

[copemaxingll]

View attachment 5026472
Another angle

u need everything

 

[Timmy the last]

u need everything

Like what?

 

[Timmy the last]

u need everything

Whats this thing thats still on .org? Aren’t we all here because we are/were incels and outcasys from society? Why do you contribute to the blackpill? The blackpill is not about hating bad looking people. But being aware others hate us. Why contribute to that very problem?

 

[copemaxingll]

Whats this thing thats still on .org? Aren’t we all here because we are/were incels and outcasys from society? Why do you contribute to the blackpill? The blackpill is not about hating bad looking people. But being aware others hate us. Why contribute to that very problem?

nigga stfu

 

[AustrianMogger]

View attachment 5026444

trimax

 

[Animepilled]

orbital decompression and ethnic rhino for starters

 

[Timmy the last]

Why

orbital decompression and ethnic rhino for starters

Why orbital decomp and not implants

 

[Lookologist003]

OP I didn't think you were very fat. I don't know why I suggested that. Sorry.

Why orbital decomp

Your eyes look like they're trying to escape their sockets. It's very obvious to me and other blackpillers. You've got a special need for it.

 

[Lookologist003]

Aren’t we all here because we are/were incels and outcasys from society?

There are plenty of different groups in this blackpill. For example, I noticed Chads aren't content with just their Tinder and their Instagram and their real life validation, so they try get it here too. For example, there are teenagers that use this place like its a Discord server and watch Master's IRL stream with giga normie Hexam.

 

[Legend08]

View attachment 5026472
Another angle

Focus on ur eye area instead this is one of the worst bug eye cases ive seen. U litterly maybe need a monobloc to fix ur sunken orbits and push them forward

 

[Timmy the last]

OP I didn't think you were very fat. I don't know why I suggested that. Sorry.


Your eyes look like they're trying to escape their sockets. It's very obvious to me and other blackpillers. You've got a special need for it.

Its aight, that pic made it seem like I was fat lmao. All good

So my issue is not bine but eyeball projection itself?

 

[Timmy the last]

Focus on ur eye area instead this is one of the worst bug eye cases ive seen. U litterly maybe need a monobloc to fix ur sunken orbits and push them forward

I see, would orbital decomp be enough? Id never do a monobloc bhai

 

[Timmy the last]

There are plenty of different groups in this blackpill. For example, I noticed Chads aren't content with just their Tinder and their Instagram and their real life validation, so they try get it here too. For example, there are teenagers that use this place like its a Discord server and watch Master's IRL stream with giga normie Hexam.

It’s brutal because the forum was a place where we initially came to help each other out. But people put each other down

 

[Legend08]

I see, would orbital decomp be enough? Id never do a monobloc bhai

Orbital decompression+ periorbital implants can almost replicate the results of a monobloc. But the monobloc is the superior choice for this case because ur orbitals are very recessed/sunken in so its like a bimax but for the orbitals instead

 

[jackinthebox]

View attachment 5026484

you are obviously still tilted up in this

 

[Lookologist003]

It’s brutal because the forum was a place where we initially came to help each other out

You don't know PSL history. Trolling is in the blood.

So my issue is not bine but eyeball projection itself?

I recognise the type of bulge in your eye area as abnormal. The eye lids look like they're bands of cloth trying to restrain bowling balls. Your eyes would be very attractive and have a very good personality if they did not bulge. The bulge is mild.

But orbital decompression is risky. Cosmetic orbital decompression was the war in the story of Tabanned where Frank Tufano got severely botched. If your ophthalmologist says that they will not operate on your orbits, then heed it.

So go to an opticians and say that you suspect that you have 'proptosis.' And listen to the specialists from that point.


If you want to hear some more about Tabanned, you can watch Rehab Room's YouTube video on it

 

[horsefacin]

Master's IRL stream with giga normie Hexam.

fuck hexumlite nigga is genuinely so fucking annoying and so are his lil fans on instagram. they genuinely think theyre these giga ND special snowflake outcasts when they don't even know a fraction of facial aesthetics or anything autistic.

muhhhh foid erome jokes are so autistic and quirky though look at muh marpe im randomly explaining to foids on the street tho so quirky

 

[horsefacin]

If you want to hear some more about Tabanned, you can watch Rehab Room's YouTube video on it

its important to note that he got 4 walls of decompression as a nonsyndrome + like 3 other procedures done in the same operation. actual thyroid eye disease patients don't even receive 4 walls lots of the time, so he was radical as fuck in this surgery. OD risks are definitely overblown on this forum and lookism spaces, especially in light of Frank's case with all the iqlets thinking any OD=instablind

 

[horsefacin]

.

 

[zemult]

Your jaw isn't the problem your eye area is

 

[Lookologist003]

its important to note that he got 4 walls of decompression as a nonsyndrome + like 3 other procedures done in the same operation. actual thyroid eye disease patients don't even receive 4 walls lots of the time, so he was radical as fuck in this surgery. OD risks are definitely overblown on this forum and lookism spaces, especially in light of Frank's case with all the iqlets thinking any OD=instablind

Brilliant comment. I take back what I said, I had been an iqlet. Although, I'm not so familiar with this surgery. One 2009 study says that the rate of complications is about 1 in 10 cases, which is fair. It may be better for some talented surgeons.

Orbital Decompression - EyeWiki

All content on Eyewiki is protected by copyright law and the Terms of Service. This content may not be reproduced, copied, or put into any artificial intelligence program, including large language and generative AI models, without permission from the Academy.

eyewiki.org

That said, I know of only Frank's cosmetic orbital decompression. Do you know of any? How does one go about getting a cosmetic orbital decompression if the Hersel measurement doesn't call it a functional reason? Go Taban yourself? You 100% want an experienced professional if they're going to be removing fat and bone just besides your visual link to planet earth. Did Taban have a seedy or complicit attitude to do orbital decompression against the normal and measured indication, like how Rehab thinks he did? Will other professionals be so keen to do cosmetic orbital decompression. I have to find some answers. At this moment, I think it's only Taban who will do it.

 

[horsefacin]

Brilliant comment. I take back what I said, I had been an iqlet. Although, I'm not so familiar with this surgery. One 2009 study says that the rate of complications is about 1 in 10 cases, which is fair. It may be better for some talented surgeons.

dont worry, im not so high iq either but ive been indicated for OD since I was diagnosed with thyroid eye disease. i've been coping with methimazole but it only stabilizes hyperthyroidism until OD is safe (it can't be done during the active inflammatory phase), rather than reversing or improving any of this shit, so its really just a brutal waiting game for the inflammation to burn out. Ppl going through decomp think they have it rough but try having ur vision fucked up, waiting for surgery to even be considered knowing nothing is being done and everything is getting worse lol. im not a fan of rehab's video since while he does make a good point that Taban lowkey did swindle Frank by convincing him to do all the surgeries at once, and OD did play a big part in botching him, it 1000% is not a "never" surgery like he suggests. Its definitely needed for Graves victims and those with exorbitism too great for implants to address, yet not at that LF3 indicated level. It's reputation as a dumbass surgery was gained a few years ago I believe when people were just throwing it around willy nilly for obvious prime infra patients or just anyone with even mild bug eyes.

That said, I know of only Frank's cosmetic orbital decompression. Do you know of any? How does one go about getting a cosmetic orbital decompression if the Hersel measurement doesn't call it a functional reason? Go Taban yourself? You 100% want an experienced professional if they're going to be removing fat and bone just besides your visual link to planet earth. Did Taban have a seedy or complicit attitude to do orbital decompression against the normal and measured indication, like how Rehab thinks he did? Will other professionals be so keen to do cosmetic orbital decompression. I have to find some answers. At this moment, I think it's only Taban who will do it.

The meme, "We have investigated ourselves and concluded that we are innocent," comes to mind, but Taban has a wealth of cosmetic cases that ended just fine functionally and aesthetically on his website. Cosmetic OD isn't nearly as risky or uncommon as you'd think. For one, brutally, the complication rate for actual TED victims aka those who need it to solve the debilitating functional consequences is much higher than those who get it cosmetically. I think your 1/10 complication risk figure is still relevant, albeit for TED victims. A study I read quoted an 11% risk for new double vision in actual TED patients but i dont think they specified whether or not it was permanent, just that the risk exists. Its considerably lower if you receive just lateral wall OD or fat removal OD. a bit of good news for me, ive always wanted to go down the lateral route since it has a lower chance of narrowing IPD and can sometimes widen it if minimally.
There's definitely a lot of surgeons who perform it cosmetically as well, but i've never looked into them in depth since I plan to go through my insurance once I can elect for it, as itll be covered and practically free. I'm not versed on the specifics of Franks case beyond the fact he had 4 walls decompressed cuz God knows im not sitting through his schizo ramblings, but I honestly don't believe Taban is so evil beyond swindling him to get it done all at once, but I could be wrong. Frank honestly strikes me as the kinda nigga to push for as much decompression as possible for muh hunter eyes jfl.

 

[Acquiescence]

Brilliant comment. I take back what I said, I had been an iqlet. Although, I'm not so familiar with this surgery. One 2009 study says that the rate of complications is about 1 in 10 cases, which is fair. It may be better for some talented surgeons.

Orbital Decompression - EyeWiki

All content on Eyewiki is protected by copyright law and the Terms of Service. This content may not be reproduced, copied, or put into any artificial intelligence program, including large language and generative AI models, without permission from the Academy.

eyewiki.org

That said, I know of only Frank's cosmetic orbital decompression. Do you know of any? How does one go about getting a cosmetic orbital decompression if the Hersel measurement doesn't call it a functional reason? Go Taban yourself? You 100% want an experienced professional if they're going to be removing fat and bone just besides your visual link to planet earth. Did Taban have a seedy or complicit attitude to do orbital decompression against the normal and measured indication, like how Rehab thinks he did? Will other professionals be so keen to do cosmetic orbital decompression. I have to find some answers. At this moment, I think it's only Taban who will do it.

dont worry, im not so high iq either but ive been indicated for OD since I was diagnosed with thyroid eye disease. i've been coping with methimazole but it only stabilizes hyperthyroidism until OD is safe (it can't be done during the active inflammatory phase), rather than reversing or improving any of this shit, so its really just a brutal waiting game for the inflammation to burn out. Ppl going through decomp think they have it rough but try having ur vision fucked up, waiting for surgery to even be considered knowing nothing is being done and everything is getting worse lol. im not a fan of rehab's video since while he does make a good point that Taban lowkey did swindle Frank by convincing him to do all the surgeries at once, and OD did play a big part in botching him, it 1000% is not a "never" surgery like he suggests. Its definitely needed for Graves victims and those with exorbitism too great for implants to address, yet not at that LF3 indicated level. It's reputation as a dumbass surgery was gained a few years ago I believe when people were just throwing it around willy nilly for obvious prime infra patients or just anyone with even mild bug eyes.


The meme, "We have investigated ourselves and concluded that we are innocent," comes to mind, but Taban has a wealth of cosmetic cases that ended just fine functionally and aesthetically on his website. Cosmetic OD isn't nearly as risky or uncommon as you'd think. For one, brutally, the complication rate for actual TED victims aka those who need it to solve the debilitating functional consequences is much higher than those who get it cosmetically. I think your 1/10 complication risk figure is still relevant, albeit for TED victims. A study I read quoted an 11% risk for new double vision in actual TED patients but i dont think they specified whether or not it was permanent, just that the risk exists. Its considerably lower if you receive just lateral wall OD or fat removal OD. a bit of good news for me, ive always wanted to go down the lateral route since it has a lower chance of narrowing IPD and can sometimes widen it if minimally.
There's definitely a lot of surgeons who perform it cosmetically as well, but i've never looked into them in depth since I plan to go through my insurance once I can elect for it, as itll be covered and practically free. I'm not versed on the specifics of Franks case beyond the fact he had 4 walls decompressed cuz God knows im not sitting through his schizo ramblings, but I honestly don't believe Taban is so evil beyond swindling him to get it done all at once, but I could be wrong. Frank honestly strikes me as the kinda nigga to push for as much decompression as possible for muh hunter eyes jfl.

 

[Timmy the last]

You don't know PSL history. Trolling is in the blood.


I recognise the type of bulge in your eye area as abnormal. The eye lids look like they're bands of cloth trying to restrain bowling balls. Your eyes would be very attractive and have a very good personality if they did not bulge. The bulge is mild.

But orbital decompression is risky. Cosmetic orbital decompression was the war in the story of Tabanned where Frank Tufano got severely botched. If your ophthalmologist says that they will not operate on your orbits, then heed it.

So go to an opticians and say that you suspect that you have 'proptosis.' And listen to the specialists from that point.


If you want to hear some more about Tabanned, you can watch Rehab Room's YouTube video on it

i appreciate it man

 

[Adee]

Sad to say but you need monobloc

 

[BronzeSpartan2]

I see, would orbital decomp be enough? Id never do a monobloc bhai

Orbital decompression would higher ROI than any jaw procedures in your case. A genio would be retarded and a BSSO would be even more retarded. You might be an SFScel though, send a photo of your smile, just a normal smile

 

[BronzeSpartan2]

its important to note that he got 4 walls of decompression as a nonsyndrome + like 3 other procedures done in the same operation. actual thyroid eye disease patients don't even receive 4 walls lots of the time, so he was radical as fuck in this surgery. OD risks are definitely overblown on this forum and lookism spaces, especially in light of Frank's case with all the iqlets thinking any OD=instablind

Frank got two walls decompressed (lateral and medial). Doing both lateral and medial is known as a balanced decompression, which was risky in Frank's case as his IPD was already low. Doing excessive medial decompression is what narrowed his IPD and led to his cross-eye look. He also got over-decompressed which is why his eyes look sunken in (enopthalmos). Literature does show that combining OD + other eyelid procedures is still safe, it was mainly the OD that led to his result, and also Taban's aggressive surgery technique that is hit or miss.

 

[BronzeSpartan2]

Brilliant comment. I take back what I said, I had been an iqlet. Although, I'm not so familiar with this surgery. One 2009 study says that the rate of complications is about 1 in 10 cases, which is fair. It may be better for some talented surgeons.

Orbital Decompression - EyeWiki

All content on Eyewiki is protected by copyright law and the Terms of Service. This content may not be reproduced, copied, or put into any artificial intelligence program, including large language and generative AI models, without permission from the Academy.

eyewiki.org

That said, I know of only Frank's cosmetic orbital decompression. Do you know of any? How does one go about getting a cosmetic orbital decompression if the Hersel measurement doesn't call it a functional reason? Go Taban yourself? You 100% want an experienced professional if they're going to be removing fat and bone just besides your visual link to planet earth. Did Taban have a seedy or complicit attitude to do orbital decompression against the normal and measured indication, like how Rehab thinks he did? Will other professionals be so keen to do cosmetic orbital decompression. I have to find some answers. At this moment, I think it's only Taban who will do it.

Hertel measurements aren't really a reliable way to determine if someone needs OD imo. People can have bug eyes and still have a relatively normal Hertel score, this doesn't mean they aren't a candidate for OD. OD can be done for all types of proptosis, from extreme to very mild. Bug eyes really comes from two factors:

- Congenital shallow orbit
- Recessed cheekbones

In many South Asian and Black people its both of these factors that causes the bug eyed appearance. The ideal solution for this is both OD + cheek implants to correct the NOV. You can also do very large orbital implants or a larger decompression than doing a combination of both, but keep in mind the only result of implants being able to correct bug eyes is that Giant result, whereas there's many results of conservative OD fixing bug eyes.

https://looksmax.org/threads/ptosis-repair-surgery-are-you-a-candidate.1956605/post-28317599

This post of mine explains why some surgeons like Taban offer two wall (including the medial wall, which significantly reduces IPD) decompressions for non-TED patients. It has it uses cases but very rarely (very large eyeballs due to myopia for example). My advice is to get multiple opinions from the best surgeons in the field (Vrcek, Douglas, Goncalves, Sales) before deciding on what to do. But for 99% of people a single wall decompression should be enough. I recommend all the surgeons I said above but I don't know too much about Goncalves. I am consulting with him in a few days to see what his opinion is though.

I personally think Frank was a candidate for orbital decompression but a two-wall decompression was overly aggressive for his case. Below is an example of someone who has very very mild proptosis but a conservative OD with other eyelid procedures was able to achieve a nice result.

 

[horsefacin]

Frank got two walls decompressed (lateral and medial). Doing both lateral and medial is known as a balanced decompression, which was risky in Frank's case as his IPD was already low. Doing excessive medial decompression is what narrowed his IPD and led to his cross-eye look. He also got over-decompressed which is why his eyes look sunken in (enopthalmos). Literature does show that combining OD + other eyelid procedures is still safe, it was mainly the OD that led to his result, and also Taban's aggressive surgery technique that is hit or miss.

I apologize for misspeaking. I read somewhere that he had a four wall job done on the forum a couple of times, i never bothered to watch videos from frank since honestly they’re quite incoherent and neurotic. I should’ve though, just his giga sunken look was enough for me to consider that legit without watching his documentary on it. This makes sense, about overdoing the medial wall leading to his uncanny cross eyed look. I wonder if he pushed for medial/lateral OD thinking more is better. Perhaps Taban as an originally TED treating doctor didn’t emphasize enough that he didn’t need 2 walls? I know for a fact Frank said that Taban never mentioned double vision as a risk, it was a mess on all fronts tbh.

Good read, your post on the thread you linked. Do you know if fat removal techniques are viable for cosmetic OD, since it’s a very different operation as you said? I’d assume not tbh, i’m more educated on the TED side of things which involves the direct inflammation and enlargement of the muscles and fat which is why you see it done in a lot of syndromic cases. That would take away a possible safer route for cosmetic patients if so. A study i read cited a 3% risk for double vision for fat removal compared to the 11% average across all strategies and combinations.

 

[BronzeSpartan2]

Good read, your post on the thread you linked. Do you know if fat removal techniques are viable for cosmetic OD, since it’s a very different operation as you said? I’d assume not tbh, i’m more educated on the TED side of things which involves the direct inflammation and enlargement of the muscles and fat which is why you see it done in a lot of syndromic cases. That would take away a possible safer route for cosmetic patients if so. A study i read cited a 3% risk for double vision for fat removal compared to the 11% average across all strategies and combinations.

There's one surgeon in Japan who uses a fat decompression approach, Dr Kashima, who was also the surgeon who fixed Frank in his second orbital reconstruction surgery. Be aware that this approach can reduce IPD (its an intended effect), so if you would like to avoid that then opt for a surgeon who prefers bone removal. I agree with you that the fat decompression approach can be limited in non-TED patients as you don't have that inflammation or excess retrobulbar fat that TED patients do.

The safest wall for orbital decompression as cited in the literature is the lateral wall, so based on that a deep lateral wall decompression (some surgeons only decompress the bone whereas others like Douglas will also prefer to decompress a bit of fat as well) is the safest and most effective if we go off just what the literature says.

Some surgeons like Vrcek prefer the deep floor approach, which has higher rates of double vision (again according the literature), but someone like him has specialised in this technique so complication rates are likely to be similarly low. Just be sure to ask if a single wall decompression is enough or if you require more walls (very rare in non-TED patients, Douglas told me you can get up to a 6mm reduction from lateral wall + fat. Another oculoplastic surgeon who I spoke to said he only does lateral and medial wall decompression 1/2 times a year out of 300 patients he does per year, which just shows how unlikely it is that you will need more than a single wall decompression). As I said above I'd always recommend consulting with multiple of the surgeons I suggested or all of them. Also get a CBCT scan prior to consulting with the surgeons so they can analyse how much decompression is possible based on your anatomical structure. According to other users I've spoken to, Sales and Goncalves seem to be more likely to carefully evaluate your scan and let you know what's possible in terms of decompression (although I'm not sure if I'd go to Goncalves for surgery, I don't know too much about him).

As general advice always make sure you go to a surgeon who you feel is trustworthy. Vrcek comes across as someone who I'd trust. Feel free to PM me if you want to know more though.

 

[horsefacin]

There's one surgeon in Japan who uses a fat decompression approach, Dr Kashima, who was also the surgeon who fixed Frank in his second orbital reconstruction surgery. Be aware that this approach can reduce IPD (its an intended effect), so if you would like to avoid that then opt for a surgeon who prefers bone removal. I agree with you that the fat decompression approach can be limited in non-TED patients as you don't have that inflammation or excess retrobulbar fat that TED patients do.

The safest wall for orbital decompression as cited in the literature is the lateral wall, so based on that a deep lateral wall decompression (some surgeons only decompress the bone whereas others like Douglas will also prefer to decompress a bit of fat as well) is the safest and most effective if we go off just what the literature says.

Some surgeons like Vrcek prefer the deep floor approach, which has higher rates of double vision (again according the literature), but someone like him has specialised in this technique so complication rates are likely to be similarly low. Just be sure to ask if a single wall decompression is enough or if you require more walls (very rare in non-TED patients, Douglas told me you can get up to a 6mm reduction from lateral wall + fat. Another oculoplastic surgeon who I spoke to said he only does lateral and medial wall decompression 1/2 times a year out of 300 patients he does per year, which just shows how unlikely it is that you will need more than a single wall decompression). As I said above I'd always recommend consulting with multiple of the surgeons I suggested or all of them. Also get a CBCT scan prior to consulting with the surgeons so they can analyse how much decompression is possible based on your anatomical structure. According to other users I've spoken to, Sales and Goncalves seem to be more likely to carefully evaluate your scan and let you know what's possible in terms of decompression (although I'm not sure if I'd go to Goncalves for surgery, I don't know too much about him).

As general advice always make sure you go to a surgeon who you feel is trustworthy. Vrcek comes across as someone who I'd trust. Feel free to PM me if you want to know more though.

Thank you for all the info. Iqmogger greys strike again . It’s like you’re a 2019 user coming from a time machine

 

[Lookologist003]

Doing excessive medial decompression is what narrowed his IPD and led to his cross-eye look.

I thought Frank had some damage to his sight. In the court filings the prosecution said "Frank became near-blind" (read text in the images attached to this thread). I think frank has got freakish not because of his Taban orbital decompression, but because of the surgeons who restored his sight, uh "Dr Kashima", like you said. Rehab said Frank was initially optimistic when he showed his vlog with bandages on his cheeks and stuff.

Guh, I'm so lost on the facts of the matter. I should shut up.

Hertel measurements aren't really a reliable way to determine if someone needs OD imo. People can have bug eyes and still have a relatively normal Hertel score, this doesn't mean they aren't a candidate for OD. OD can be done for all types of proptosis, from extreme to very mild.

Noted, thanks. I take it that far fewer surgeons will do it where it's not implicated, because surgeons are bluepilled.

Taban has a wealth of cosmetic cases that ended just fine functionally and aesthetically on his website.

Oh, wow he does. OP should take a look at these.

Orbital Decompression ( Bulging Eye ) Gallery Before and After Photos | Taban MD

tabanmd.com

I should remake my Instagram account so I can subscribe to these surgeons.