Acquiescence
MSTOWmaxxed
- Joined
- Sep 12, 2024
- Posts
- 4,322
- Reputation
- 6,843
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
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
Last edited:
