Did you look in a mirror when you said that? Shit for brains.
Here’s the best steelman I’ve ever received from a user here (courtesy @Foreverbrad) for getting bimax
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:
RIP x3)@kingofkings :
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.
Brutal
There are no guaranteed outcomes, just highly probable ones. Lurking argued with me on this topic for months though.
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
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More convincing arguments for Bimax than muh forward head posture but still autistic babble for the most partHere’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”
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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
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And how could we forget the wise sage (also late and great
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Btw I think you would’ve loved this last guy’s Just Fucking DO IT vibe @snowslayer :
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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
Nah, full steam ahead with the current proposal. This oldcel’s tired of the endless debate
No need to glaze me this much i know my iq is very high
these niggers had absolutely 0 reason to seethe this much over their simple little disagreement bro i genuinely cant understand how some people be so faggy and childish with their behaviours
He's definitely less recessed than you are
To be fair, I got the sense that if I really really pushed him, he would ultimately be willing to do the full trimax. After decomp ortho of course. But it was not the primary / immediate recommendation on first or now second assessment, so take that for what you will
Before already posted above ^
