Dr Ramieri Second Online Consultation Debrief

[Firstname.Lastname]

The retards are arguing with a good user that has well proven extensive knowledge again.

thats how it should be when ur retarded

Did you look in a mirror when you said that? Shit for brains.

 

[Acquiescence]

i swear you will be unsatisfied without the bimax bro please get it

Here’s the best steelman I’ve ever received from a user here (courtesy @Foreverbrad) for getting bimax

“I've just measured your total facial convexity angle at 131 degrees.
The image below is a bit overdone with 10mm lefort/BSSO and 4mm genio on top but it brings you into the ideal range for facial convexity. I think 7-8 mm bimax and 4mm genio puts you bang on the ideal 141 degrees that all the celebs have.

I can't understand why Ramieri would have rejected you for bimax except possibly that you have no malocclusion. It's aesthetically very indicated”

Oh yea and @yussimania RIP x1:

“Very boxy MPA and flattish Occlusal plane

You could look into clockwise rotation (no overall downgraft probably posterior impaction) as in the photo provided you have a very round flat jaw at the front profile

clockwise rotation will give you that sort of V jaw if you have a flat jaw already

You should also pursue lip lift/corner lift surgeries - downturned lips are a huge failo; this is arguably more important than bimax

No one really ever does clockwise rotation unless it's a downgraft case and in this case you don't wanna downgraft otherwise you will get a gummy smile so the logical thing is to do posterior impaction

If you wanted to cope you could do vertical genio but it doesn't look as good as the mandible swinging down with clockwise

Implants won't be able to give you a V look like the thread I posted in the reply before it's not really possible

You can downgraft the chin and lengthen it but it's quite limited how far you can do it”

He wouldn’t get much advancement with bimax anyway

hes not a downgraft candidate

He doesn't have SFS. Are you retarded?

View attachment 5202406

Genio will actually have some ROI for his side

He'll just turn into a gummy smile brachy if he gets a downgraft

The steelman for NOT getting bimax is what I said in the op as backed by Ramieri. There is also the assessment from the late and great @lurking truecel RIP x2 ,(in)famous for railing against overprescribed bimax:

And how could we forget the wise sage (also late and great RIP x3)@kingofkings :

Btw I think you would’ve loved this last guy’s Just Fucking DO IT vibe @snowslayer :

So the conclusion? I will cope. If I was 18 again with 200k in the bank I would think differently but that’s not reality

 

[Acquiescence]

The retards are arguing with a good user that has well proven extensive knowledge again.

Did you look in a mirror when you said that? Shit for brains.

You’re a big infras hater too right? You probably despise this surgical plan then

 

[Firstname.Lastname]

You’re a big infras hater too right? You probably despise this surgical plan then

Yeah, there are a few people that I think are good candite's for them. So they have a place they just are over jerked off to on org.

The issue is the tissues there are just to thin and delicate. They might look good at first. But It will end up leading to localized laxity a year+ later. You'll end up needing a face lift. So for guys who are primary 18-25 jerking off to them, who really don't need them it is just going to end up worse then not doing it.

Furthermore in this age range these no real good fix imo for that laxity once its created. I'm equally a mid-face lift hater, I think its full ass face lift or the results suck. But sub 30's don't have enough laxity for that, so even if they need the lift for their midface thanks to infras there's actual no good remedy for it once it's occurred.

If your 35+ then it's a lot easier to justify infras since you already need a facelift and can get one.

 

[Acquiescence]

Yeah, there are a few people that I think are good candite's for them. So they have a place they just are over jerked off to on org.

The issue is the tissues there are just to thin and delicate. They might look good at first. But It will end up leading to localized laxity a year+ later. You'll end up needing a face lift. So for guys who are primary 18-25 jerking off to them, who really don't need them it is just going to end up worse then not doing it.

Furthermore in this age range these no real good fix imo for that laxity once its created. I'm equally a mid-face lift hater, I think its full ass face lift or the results suck. But sub 30's don't have enough laxity for that, so even if they need the lift for their midface thanks to infras there's actual no good remedy for it once it's occurred.

If your 35+ then it's a lot easier to justify infras since you already need a facelift and can get one.

Brutal

So according you + the pro bimax guys, by getting this plan, I will end up with 1.) an inescapable for a decade, pre-maturely aged midface and 2) an out of place overly pointy chin

So be it

 

[Firstname.Lastname]

Brutal

So according you + the pro bimax guys, by getting this plan, I will end up with 1.) an inescapable for a decade, pre-maturely aged midface and 2) an out of place overly pointy chin

So be it

There are no guaranteed outcomes, just highly probable ones. Lurking argued with me on this topic for months though.

Only to later post about how his infras fucked up his mid face.

https://looksmax.org/threads/fuck-i-need-a-midfacelift-post-infras.1927997/

Good luck to you sir.

 

[Atra]

Face and CT scan:


Procedures:

- Malar implants: custom, saddled, PEEK, anterior projection focused, conservative sizing

- Indication: slight negative orbital vector


- Genioplasty: advancement, downgrafting, moderate movements

- Indication: slight recession / under representation in the lower third

- Widening: does NOT recommend a split widening cut due to observed frequent patient complications

- Instead, recommends either making the standard sliding genio osteotomy cut itself wider, and/or pairing the standard cut and movements with a custom PEEK chin implant to achieve the desired widening effect

- I personally elected to simply do the standard genio cut with advancement and downgrafting first, then reassess once fully recovered

- Why no bimax included?: class 1 bite already achieved with orthodontic work in early teen years, which corrected only a slight overbite. This, paired with only a mild lower third recession, does not make the ROI of a full trimax plan worth the additional time, cost, and risk


Cost: 16k euros for both procedures combined into one op


Recommended initial recovery time: 2 weeks in Rome


Next steps (for target surgery date of June 2027):
1. Reach out to his team in January 2027 for
- new full face 3D CT scan fax referral sent to local imaging clinic
- pay surgery downpayment
- scheduling of a specific June date

2. Obtain, submit, and confirm updated scan; book flights and hotel; request two weeks off work

3. I assume a month or two before the surgery date, final payment and more online meets to confirm specific implant design and osteotomy movements

3. Finally get to that operating table come next summer; post results here, let Ram’s team post to his socials, and inevitably get my LTN ass flayed alive by the community


And of course, all the meanwhile, tradeslave to pad savings and cope to not rope. Let’s ascend together lads
View attachment 5200510

 

[zemult]

Here’s the best steelman I’ve ever received from a user here (courtesy @Foreverbrad) for getting bimax

“I've just measured your total facial convexity angle at 131 degrees.
The image below is a bit overdone with 10mm lefort/BSSO and 4mm genio on top but it brings you into the ideal range for facial convexity. I think 7-8 mm bimax and 4mm genio puts you bang on the ideal 141 degrees that all the celebs have.

I can't understand why Ramieri would have rejected you for bimax except possibly that you have no malocclusion. It's aesthetically very indicated”

View attachment 5202588

Oh yea and @yussimania RIP x1:

“Very boxy MPA and flattish Occlusal plane

You could look into clockwise rotation (no overall downgraft probably posterior impaction) as in the photo provided you have a very round flat jaw at the front profile

clockwise rotation will give you that sort of V jaw if you have a flat jaw already

You should also pursue lip lift/corner lift surgeries - downturned lips are a huge failo; this is arguably more important than bimax

No one really ever does clockwise rotation unless it's a downgraft case and in this case you don't wanna downgraft otherwise you will get a gummy smile so the logical thing is to do posterior impaction

If you wanted to cope you could do vertical genio but it doesn't look as good as the mandible swinging down with clockwise

Implants won't be able to give you a V look like the thread I posted in the reply before it's not really possible

You can downgraft the chin and lengthen it but it's quite limited how far you can do it”





The steelman for NOT getting bimax is what I said in the op as backed by Ramieri. There is also the assessment from the late and great @lurking truecel RIP x2 ,(in)famous for railing against overprescribed bimax:
View attachment 5202631View attachment 5202632

And how could we forget the wise sage (also late and great RIP x3)@kingofkings :
View attachment 5202636

Btw I think you would’ve loved this last guy’s Just Fucking DO IT vibe @snowslayer :
View attachment 5202640



So the conclusion? I will cope. If I was 18 again with 200k in the bank I would think differently but that’s not reality

More convincing arguments for Bimax than muh forward head posture but still autistic babble for the most part

I doubt a Bimax is going to do much. How many people have ascended from your base with CW bimax realistically?