Dr Ramieri Still Performs Chin Wing

tweaqo

tweaqo

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Dr Ramieri confirms he can still perform the chin wing osteotomy


IMG 0295



Does anyone know why it’s not as popular as it once was?


@FrenchareMedCucks I know u wanted to know if Ramieri still performs this surgery so I tagged u
 
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idk i got chinwing im fine it looks good
 
Dr Ramieri confirms he can still perform the chin wing osteotomy


View attachment 3603144


Does anyone know why it’s not as popular as it once was?


@FrenchareMedCucks I know u wanted to know if Ramieri still performs this surgery so I tagged u
Damn great news I will ask him next month on 2nd consultation my whole lower third is narrow and recessed compared to my neurocranium, would benefit a lot of chin wing
 
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Damn great news I will ask him next month on 2nd consultation my whole lower third is narrow and recessed compared to my neurocranium, would benefit a lot of chin wing
Nice man, I’m also having a consultation with Ramieri in the summer, I will be asking him lots of questions about the chin wing.

I’m having a consultation with Pagnoni in early April about possible BSSO, chin wing or genioplasty. Also may get implants with Liam at the same time.
 
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Dr Ramieri confirms he can still perform the chin wing osteotomy


View attachment 3603144


Does anyone know why it’s not as popular as it once was?


@FrenchareMedCucks I know u wanted to know if Ramieri still performs this surgery so I tagged u
Yes he does it but basically he doesn't like to work with it from what i have heard since it creates a "step off" in terms of transition.
 
I need chin wing the most

Wondering if it can be performed whith BSSO and ramus widening on condyle axis
 
I wish I understood what these things meant tbh
Chin wing is more invasive genio when they also cut part of mandible close to chin and advance it with screws alone regular genio

BSSO is the regular mandible advancement performed during bimax

Ramus widening on condyle axis is osteotomy of the upper part of ramus giving you wider gonions
 
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Can chin wing be performed with reducing lower facial height?
 
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The chin wing isnt done that often because its outdated, any combination of BSSO, implants, genio will be better
 
Can chin wing be performed with reducing lower facial height?
I guess so with CCW rotation of maxilla during bimax
 
I ne
Chin wing is more invasive genio when they also cut part of mandible close to chin and advance it with screws alone regular genio

BSSO is the regular mandible advancement performed during bimax

Ramus widening on condyle axis is osteotomy of the upper part of ramus giving you wider gonions
I need this
 
The chin wing isnt done that often because its outdated, any combination of BSSO, implants, genio will be better
how surgery could be "outdated" lol? bsso and le fort techniques are 200 years old, are they "outdated" too? implants cause bone resorption and maintenance problems in future
 
Because custom implants can do everything chin wing can, and more, with better results and less risk. That is if they are designed well, which most are not, especially in italy.
 
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it really be niggas like this clogging up ramieri’s inbox
 
What's the benefits of a chin wing osteotomy compared to a regular sliding genio ?
 
Because custom implants can do everything chin wing can, and more, with better results and less risk. That is if they are designed well, which most are not, especially in italy.
Even ram and pag without your guidance ?
 
Because custom implants can do everything chin wing can, and more, with better results and less risk. That is if they are designed well, which most are not, especially in italy.
You will look like Grishka Bogdanoff, it'll look unnatural, there is no way to prognose soft tissue movement a priori. Always risk of bone resorption with any material. The most fun will happen in your late life when bone in fact will get less dense and one morning you'll see your chin implant hanging from your left cheek. Also you'll never forget that you have some garbage under your skin, especially at the airport metal detectors. Ramieri and co. do it because its fast, easy and prominent result which he can post onto Instagram. Surgeons in Germany, Russia, Switzerland, Mexico, France performing chin wing, they are all wrong except Ramieri? "step off" is mitigated with bone grafts. CW solves problems of almost all 6-6.5 comrades (70% of the forum): increases ramus, narrows gonial angles, moves mandible forward.
 
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You will look like Grishka Bogdanoff, it'll look unnatural,

High risk of shit implant results if you go to just anyone.
Wrong if you come to giant. None of my 100+ jaw angles have been oversized except in 2 unnatural plastic surgery ken dolls who already came with oversized implants from somewhere else and wants to adjust them. So that effectively counts as none.

there is no way to prognose soft tissue movement a priori.
1. Same with osteotomies - this isn't unique to implants
2. A small handful of people in the world, me being one, have enough experience to have an enhanced idea of what the result will look like (still not sure or guaranteed but definitely higher than local surgeons or other forum users.) I have a PRETTY good idea MOST of the time now. Every year I can see the result before it's done, better and better. I'm in my 5th year designing implants and planning orthognathic surgeries now.

Always risk of bone resorption with any material. The most fun will happen in your late life when bone in fact will get less dense and one morning you'll see your chin implant hanging from your left cheek.
Not possible, and not a realistic concern for anyones entire lifetime. At this point I'im not even sure if youre being serious.
Also you'll never forget that you have some garbage under your skin,
Ok so you just have mental hangups. I get it now.
especially at the airport metal detectors.
1. PEEK and most titanium implants dont set off metal detectors. Only extremely large volumes, around 2% of cases, (full skull implants, double total hip prosthesis, etc.) set them off & it's not abnormal or suspicious. Plenty of people have metal in their bodies from orthopedic and maxillofacial accidents. If someone asks just say you got jaw surgery because your orthodontist recommended it. But I can tell from your mental hangups you probably think youre too good for that too. News flash: You're not a natural born chad, and that means you have to accept some tradeoffs.
2. You will have titanium plates and screws in your face from chin wing. Further surgery to remove them will scar your tissues and release even more tension in your face (sagging from muscle disinsertion, twice) and make you even further from a natural chad than leaving the plates in.
Ramieri and co. do it because it's fast, easy and prominent result which he can post onto Instagram.
Youre one of those know it alls that really dont know that much.....
Surgeons in Germany, Russia, Switzerland, Mexico, France performing chin wing, they are all wrong except Ramieri?
It's because they dont have the resources or training to offer custom implants. The legacy of Germany being a high-tech country is outdated.
"step off" is mitigated with bone grafts.
Once again you are imagining evertything being so simple. Be my guest, get chin wing. Someone like you is the exact type to complain and point out every bump and step-off they feel in followup. Every angle where it looks "off" and the light doesn't hit it right. Or imagine how you'll react to relapse or hardware failure. Lol.
CW solves problems of almost all 6-6.5 comrades (70% of the forum): increases ramus, narrows gonial angles, moves mandible forward.
Lmao. Chin wing results are 99% underwhelming. Once again everything youre saying is all in theory, not real life.

And no, Im not being biased because I make implants, I've been wanting to do a custom segmented chin wing for a while. I just know it's not the best solution compared to implants in 99% of cases. The results are less controllable & the surgery has way more risks, and it's not easy to revise when the patient (probably) realizes they made the wrong choice and wants revision/implants instead.

Image 7 19 25 at 239 PM
 
High risk of shit implant results if you go to just anyone.
Wrong if you come to giant. None of my 100+ jaw angles have been oversized except in 2 unnatural plastic surgery ken dolls who already came with oversized implants from somewhere else and wants to adjust them. So that effectively counts as none.


1. Same with osteotomies - this isn't unique to implants
2. A small handful of people in the world, me being one, have enough experience to have an enhanced idea of what the result will look like (still not sure or guaranteed but definitely higher than local surgeons or other forum users.) I have a PRETTY good idea MOST of the time now. Every year I can see the result before it's done, better and better. I'm in my 5th year designing implants and planning orthognathic surgeries now.


Not possible, and not a realistic concern for anyones entire lifetime. At this point I'im not even sure if youre being serious.

Ok so you just have mental hangups. I get it now.

1. PEEK and most titanium implants dont set off metal detectors. Only extremely large volumes, around 2% of cases, (full skull implants, double total hip prosthesis, etc.) set them off & it's not abnormal or suspicious. Plenty of people have metal in their bodies from orthopedic and maxillofacial accidents. If someone asks just say you got jaw surgery because your orthodontist recommended it. But I can tell from your mental hangups you probably think youre too good for that too. News flash: You're not a natural born chad, and that means you have to accept some tradeoffs.
2. You will have titanium plates and screws in your face from chin wing. Further surgery to remove them will scar your tissues and release even more tension in your face (sagging from muscle disinsertion, twice) and make you even further from a natural chad than leaving the plates in.

Youre one of those know it alls that really dont know that much.....

It's because they dont have the resources or training to offer custom implants. The legacy of Germany being a high-tech country is outdated.

Once again you are imagining evertything being so simple. Be my guest, get chin wing. Someone like you is the exact type to complain and point out every bump and step-off they feel in followup. Every angle where it looks "off" and the light doesn't hit it right. Or imagine how you'll react to relapse or hardware failure. Lol.

Lmao. Chin wing results are 99% underwhelming. Once again everything youre saying is all in theory, not real life.

And no, Im not being biased because I make implants, I've been wanting to do a custom segmented chin wing for a while. I just know it's not the best solution compared to implants in 99% of cases. The results are less controllable & the surgery has way more risks, and it's not easy to revise when the patient (probably) realizes they made the wrong choice and wants revision/implants instead.

View attachment 3933973
Wow you're smart, you should be a surgeon
 
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