Dr Ramieri Second Online Consultation Debrief

[Acquiescence]

At least you can say you met the guy. That's bragging rights on this forum.

Might still be in person too. I just spent the last 2 hours scoping out every local maxfac facility I could find online and they all require gay functional referrals to consult. Not to mention, since this is cuckmerica they all probably charge exorbitantly high fees for out of pocket cosmetic bone work anyways. If I could even convince them to get that far. Now I remember why I went to the celebrity forum surgeon in the first place JFL

Fuck it. Hitting up the Whatsapp tomorrow. He mentioned September as a possibility last week, let’s go for that or close to it. No more waiting. I will blow all my accumulated sick leave on this and pray for no layoff

 

[zemult]

Shit anotha infra hater jfl

Hmm well if I stay local I might be able to get around the work schedule cuckery a bit by strategically using up sick days / long holiday weekends etc without having to worry about continent hopping on top of that. So an earlier first round surgery date than next June which would be nice

Finna hit up local maxfacs ig. Consult for genio. See what they can do. I already have the soft tissue clinic picked out

I might end up still going to Ram for that post genio PEEK chin widening implant, but we’ll see. He can enjoy his €300 for cumulatively less than 30 minutes of talking over 2 online consults in the meantime lol

Here’s to hoping my next major update thread is finally an “X scheduled for Y”

I do think you could use infras but if your goal is to reduce sclera show which imo is more brutal than your infra recession, I would do retraction before thinking about infras

 

[zemult]

But you might as well get infras with Ramieri instead of waiting a long time again @Acquiescence

 

[Acquiescence]

But you might as well get infras with Ramieri instead of waiting a long time again @Acquiescence

Fair point

But how much stock do you put into the infras high botch rate fear mongering?

I wouldn’t feel safe without at least another year’s worth of waging savings on top, as was the og plan in the op of this thread

So might as well get genio out of the way in a matter of months if combining will take a long time

 

[zemult]

Fair point

But how much stock do you put into the infras high botch rate fear mongering?

I wouldn’t feel safe without at least another year’s worth of waging savings on top, as was the og plan in the op of this thread

So might as well get genio out of the way in a matter of months if combining will take a long time

Overexaggerated

 

[Firstname.Lastname]

But how much stock do you put into the infras high botch rate fear mongering?

It obvi depends on the persons facial anatomy. Why don't you ask him relevant questions?

Like when he looks at implant only cases with silicon saddles, what frequency does he see increased rates of nasojugal groove post surgery after the 2 year mark?

Considering you can already see my nasojugal groove and i'm 25, is detaching and undermining all the tissue along the bottom of the orbital rim going to accelerate the tissue separation and decision that occurs in the natural aging process?
How are the tissues going to reattach to silicon? Is it going to be sufficient anchoring to replace what was already insufficient anchoring?
If we push out the orbital rim, won't it make the plane of tissue along medial part of the maxilla more flat with less overall support?
What is causing the actual decision and separation of the nasojugal at such a young age? Is it bone relate, if so is it specifically the orbital rim or is it the general angle of the maxilla? If it's only soft tissue then why is it occurring?

Like you have way more going on then bad under eyes/tear troughs. You already have the saggy midface of a 30-40 y/o and huge chunk of them don't even get clear separation. That's by far the biggest falio here, not tear troughs or zygos.

 

[Acquiescence]

It obvi depends on the persons facial anatomy. Why don't you ask him relevant questions?

Like when he looks at implant only cases with silicon saddles, what frequency does he see increased rates of nasojugal groove post surgery after the 2 year mark?

Considering you can already see my nasojugal groove and i'm 25, is detaching and undermining all the tissue along the bottom of the orbital rim going to accelerate the tissue separation and decision that occurs in the natural aging process?
How are the tissues going to reattach to silicon? Is it going to be sufficient anchoring to replace what was already insufficient anchoring?
If we push out the orbital rim, won't it make the plane of tissue along medial part of the maxilla more flat with less overall support?
What is causing the actual decision and separation of the nasojugal at such a young age? Is it bone relate, if so is it specifically the orbital rim or is it the general angle of the maxilla? If it's only soft tissue then why is it occurring?

Like you have way more going on then bad under eyes/tear troughs. You already have the saggy midface of a 30-40 y/o and huge chunk of them don't even get clear separation. That's by far the biggest falio here, not tear troughs or zygos.

Yeah it’s over no infras yet if ever, you’d need a fuck off huge budget just to correct the soft tissue after to be safe and I’m not there yet

Early Oct genio btw

 

[Firstname.Lastname]

Yeah it’s over no infras yet if ever, you’d need a fuck off huge budget just to correct the soft tissue after to be safe and I’m not there yet

Early Oct genio btw

Genio is solid procedure forsure.

For the infra, those kinds of questions I think are resolved with the inferior medial rim variation of the infra(rather then the standard everyone gets) specifically in a medpor variation. It would allow decent re-anchoring naturally, unlike silicon/peek. It also add's volume below the infra rim to prevent the plane from becoming to flat and ensuring the upper tissues have better support overall.

Normal infras cross the very top of the grove, where as this would lift like half of the grove, which if you stop from forming there likely won't. Also this would likely enhance things like low buccal fat by making the overall medial cheek more prominent. It would also not produce a feminized cheek since it doesn't extended the lateral cheek into the submalar area.

The other thing, is this area typically cannot be addressed with a facelift. While the area might have lots of dynamics to it, a face lift is not going to be able to address the medial cheek area specifically, it just does not move at all when tugging at typical face lift vectors. a Face lift can resolve the grove generally but it's done by lifting the lateral portion so it stays in place and then filling it with fat. So it seems to me like it's all upside when their a desire to supplement the infras, but there's already a grove present.

 

[Acquiescence]

It obvi depends on the persons facial anatomy. Why don't you ask him relevant questions?

Like when he looks at implant only cases with silicon saddles, what frequency does he see increased rates of nasojugal groove post surgery after the 2 year mark?

Considering you can already see my nasojugal groove and i'm 25, is detaching and undermining all the tissue along the bottom of the orbital rim going to accelerate the tissue separation and decision that occurs in the natural aging process?
How are the tissues going to reattach to silicon? Is it going to be sufficient anchoring to replace what was already insufficient anchoring?
If we push out the orbital rim, won't it make the plane of tissue along medial part of the maxilla more flat with less overall support?
What is causing the actual decision and separation of the nasojugal at such a young age? Is it bone relate, if so is it specifically the orbital rim or is it the general angle of the maxilla? If it's only soft tissue then why is it occurring?

Like you have way more going on then bad under eyes/tear troughs. You already have the saggy midface of a 30-40 y/o and huge chunk of them don't even get clear separation. That's by far the biggest falio here, not tear troughs or zygos.

Genio is solid procedure forsure.

For the infra, those kinds of questions I think are resolved with the inferior medial rim variation of the infra(rather then the standard everyone gets) specifically in a medpor variation. It would allow decent re-anchoring naturally, unlike silicon/peek. It also add's volume below the infra rim to prevent the plane from becoming to flat and ensuring the upper tissues have better support overall.

Normal infras cross the very top of the grove, where as this would lift like half of the grove, which if you stop from forming there likely won't. Also this would likely enhance things like low buccal fat by making the overall medial cheek more prominent. It would also not produce a feminized cheek since it doesn't extended the lateral cheek into the submalar area.

The other thing, is this area typically cannot be addressed with a facelift. While the area might have lots of dynamics to it, a face lift is not going to be able to address the medial cheek area specifically, it just does not move at all when tugging at typical face lift vectors. a Face lift can resolve the grove generally but it's done by lifting the lateral portion so it stays in place and then filling it with fat. So it seems to me like it's all upside when their a desire to supplement the infras, but there's already a grove present.

Good lord reading through this again there’s not a day that goes by where I don’t learn of some completely new and unique way in which it’s over

 

[Firstname.Lastname]

Shitty pics but if you look at the implant, it's easy to see how it masculinizes the cheek by adding to the medial volume, while ensuring proper support underneath the orbital rim, in the paranasal space. The central mid-face has a natural slope. If you have a very narrow deficit that is localized to just the orbital rim, then standard infra is fine. But if that's not the case, then your taking that natural slope that supports the tissue and flatting it. Which is obviously going to accelerate aging over long run.

So even if the undereye rim is supported, with the standard infraorbital implant. You are in essence, from a soft tissue prospect, flatting the area above the maxilla with the typical implant org jerks to. Again if you have hyper specific rim deficit that's okay selection, if you have a generalized mid-face issue it's not. As it more or less gives you a decent orbital rim with now what is an artificially under developed maxilla relative to the orbital rim.

Where as conversely with a medial variation, your brining the whole medial section of the mid face forward to retain the natural slope. Your masculinizing the cheek structurally. While also picking up the bulk of gains around the orbital rim a standard infra would prove.

The only issue left is anchoring which is why medpor for this very specific implant, I think its a much better option.

 

[Animepilled]

View attachment 5227867View attachment 5227879

Shitty pics but if you look at the implant, it's easy to see how it masculinizes the cheek by adding to the medial volume, while ensuring proper support underneath the orbital rim, in the paranasal space. The central mid-face has a natural slope. If you have a very narrow deficit that is localized to just the orbital rim, then standard infra is fine. But if that's not the case, then your taking that natural slope that supports the tissue and flatting it. Which is obviously going to accelerate aging over long run.

View attachment 5227915

So even if the undereye rim is supported, with the standard infraorbital implant. You are in essence, from a soft tissue prospect, flatting the area above the maxilla with the typical implant org jerks to. Again if you have hyper specific rim deficit that's okay selection, if you have a generalized mid-face issue it's not. As it more or less gives you a decent orbital rim with now what is an artificially under developed maxilla relative to the orbital rim.

Where as conversely with a medial variation, your brining the whole medial section of the mid face forward to retain the natural slope. Your masculinizing the cheek structurally. While also picking up the bulk of gains around the orbital rim a standard infra would prove.

The only issue left is anchoring which is why medpor for this very specific implant, I think its a much better option.

good lord not this anglefrauded picture with a retarded line. Like i understand normies falling for this. But come on man. Nobody has this fucking slope. Autists just saw some pictures of Jordan Barrett where he tilts his head to the moon, compared it to unfrauded doctor taken neutral angle pictures of some average people and made a conclusion that you need a "forward grown maxila" to be good looking.

These are unfrauded sides of famous actors and supermodels. If you fell for the maxila meme and went to install some implants in your face/do lefort1/2 to have a "jordan barrett forward growth" and then remained subhuman it never began for your iq.

 

[Firstname.Lastname]

Stupid ass drivel.

Let's just larp for a second that any of your absolute drivel is correct. All while ignoring basic medical and anatomical lititure, as well as the obvious different phenotypical morphologies, all of which disprove you.

It's totally irrelevant because regardless of the natural angle you start at(your probably so dumb you don't understand there are 360 degrees, so even a flat surface has a mathematically measurable angle)is;

YOU ARE STILL UNBALAICNING IT BY ONLY ADDING TO THE TOP COMPONENT YOUR MIDFACE SKELTA STRUCTURE. SO UNLESS YOU HAVE A SPECIFIC ORBITAL RIM DEFICET. WHICH WOULD SHOW UP SPECIFICLLY IN THE ORBITAL AREA, NOT EXTENDED PAST THAT YOU BEING RIGHT OR WRONG IS IRRELVANT. JESUS FUCKING CHRIST YOU ARE TRULY KING OF THE RETAREDS.

Please KYS faggot.

 

[Animepilled]

Let's just larp for a second that any of your absolute drivel is correct. All while ignoring basic medical and anatomical lititure, as well as the obvious different phenotypical morphologies, that disprove you. Guess what.


It's totally irrelevant because regardless of the natural angle you start at(your probably so dumb you don't understand there are 360 degrees, so even a flat surface has a mathematically measurable angle)is;

YOU ARE STILL UNBALAICNING IT BY ONLY ADDING TO THE TOP COMPONENT YOUR MIDFACE SKELTA STRUCTURE, UNLESS YOU HAVE A SPECIFIC ORBITAL RIM DEFICET. WHICH WOULD SHOW UP SPECIFICLLY IN THE ORBITAL AREA, NOT EXTENDED PAST THAT. JESUS FUCKING CHRIST YOU ARE TRULY KING OF THE RETAREDS.

Please KYS faggot.

troll account

 

[Firstname.Lastname]

troll account

Well that explains your absolutely retarded takes.

 

[moltisantichincel]

Are malar implants really needed?, feel like for you might be low roi, and risky, just my opinion tho, what did Ramieri tell you about them?

 

[Acquiescence]

Are malar implants really needed?, feel like for you might be low roi, and risky, just my opinion tho, what did Ramieri tell you about them?

I’ve been scared off infras atp

I honestly don’t know wtf to do for my eyes. Probably fat grafts and see what happens

Then genio and lip lift. Then boom I’m a polished LTN and can cope in peace

 

[Firstname.Lastname]

I’ve been scared off infras atp

I honestly don’t know wtf to do for my eyes. Probably fat grafts and see what happens

Then genio and lip lift. Then boom I’m a polished LTN and can cope in peace

Be my guinea pig and get the inferior medial rim implant instead.

 

[Lookologist003]

I’ve been scared off infras atp

I think it's good that you've decided to get genio this year instead of next. The genioplasty is concretely the way to improve your face by an amount. Your other features are confusing, but the genioplasty is certain. It will be the thing to bring some change into your life.

 

[async]

I was honestly highk terrified of coming across as an out of touch forum autist so I leaned heavily into being as NT and normie as possible ngl

maybe im retarded but i thought the surgeons would actually prefer the former.

 

[moltisantichincel]

I’ve been scared off infras atp

I honestly don’t know wtf to do for my eyes. Probably fat grafts and see what happens

Then genio and lip lift. Then boom I’m a polished LTN and can cope in peace

I feel like infras are very case dependent, before you go through just make sure, if facemetrics said yes then prolly yes, I know that only a saddled infra (not malar) usually doesn’t cause ptosis of the cheek. But remember the position of the medial cheek fat is more important of position of the orbital rim, soft tissue always comes first, you can have a nov and “bad infras” but good medial cheek fat, and you’re midface won’t seem flat or unaesthetic. Not saying you should but just be careful because it is a low roi imo, (but what do I know)

 

[moltisantichincel]

I’ve been scared off infras atp

I honestly don’t know wtf to do for my eyes. Probably fat grafts and see what happens

Then genio and lip lift. Then boom I’m a polished LTN and can cope in peace

Dude I was the same way, I used to mentally masturbate about my surgery, after I got approved for infras especially and I was like fuck yeah, infras, I’m gonna mogg, imma be the best but then it hit me like this is for real, this isn’t mear consumerism, and I started having panic attacks about what if infras aren’t even worth it. Just remember your goal is to live the life that you want to live, it’s not about the mog, it’s about doing what you love without fear. Don’t get too greedy

 

[async]

if facemetrics said yes then prolly yes

is this a joke ..?

 

[NarrowBoneMarrow]

I think it's good that you've decided to get genio this year instead of next. The genioplasty is concretely the way to improve your face by an amount. Your other features are confusing, but the genioplasty is certain. It will be the thing to bring some change into your life.

Genioplasty is life