Dr Ramieri Still Performs Chin Wing

[tweaqo]

Dr Ramieri confirms he can still perform the chin wing osteotomy

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

 

[crabhi]

idk i got chinwing im fine it looks good

 

[FrenchareMedCucks]

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

 

[tweaqo]

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.

 

[Lefor3Laser]

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.

 

[FrenchareMedCucks]

I need chin wing the most

Wondering if it can be performed whith BSSO and ramus widening on condyle axis

 

[Jason Voorhees]

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

 

[FrenchareMedCucks]

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

 

[moze]

Can chin wing be performed with reducing lower facial height?

 

[Whirr22222]

The chin wing isnt done that often because its outdated, any combination of BSSO, implants, genio will be better

 

[FrenchareMedCucks]

Can chin wing be performed with reducing lower facial height?

I guess so with CCW rotation of maxilla during bimax

 

[iblamemygenes]

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

 

[amaranthnanon]

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

 

[RealSurgerymax]

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.

 

[mirrormogger]

it really be niggas like this clogging up ramieri’s inbox

 

[recessedtexan]

What's the benefits of a chin wing osteotomy compared to a regular sliding genio ?

 

[tweaqo]

it really be niggas like this clogging up ramieri’s inbox

I don’t want Chin Wing. I’ve literally never seen u post on cosmetic surgery sub.

I was asking for another user.

 

[lurking truecel]

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 ?

 

[amaranthnanon]

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.

 

[RealSurgerymax]

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.

 

[genetically fucked]

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

 

[amaranthnanon]

Thank you for your reply! Despite discrepancy in opinion, its pleasing to see a professional here and not just looks-jerking kids. That said, I'm NOT a professional, just DYOR. There was bit of goofing around on my part.

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

Yeah can call this a mental hangup, but you never know how you'll perceive it afterwards.

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

With implants you'll have them forever, with CW - 1-3 years max. Muscle is a tissue designed for being damaged, isn't it? As it sagged a little from cuts, it will recover back. Could you please explain in more detail why you think this is non-negligible issue? Still statistically you'll more likely to scar tissue replacing unsatisfying implants than CW / genio, e.g. see Gopnikcel thread, 3 surgeries with implants to just fallback for the CW

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

Thats my guess, I may be wrong. What do you think might be the reason some surgeons prefer osteotomy over implants EXCEPT "not enough training"?

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.

There is an opinion that cosmetic surgeons are mostly taught implants while maxillofacial surgeons taught osteotomy, hence the differences in approach. Nevertheless, all these surgeons I've mentioned have implants option and perform it on practice, but still they advice osteotomy.

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.

I saw chin wing ops and papers, thats how they do it. For example 25:00, you can just google CW before / after, most of them don't have step-offs. I didn't get the rest of your phrase, what relapse and hardware failure are you talking about?

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

I've checked dozens of before / afters photos, this is not theory. @kingofkings did it, he is very happy with the result. Could you please provide the real arguments against it from the professional point of view? Preferably your own and collegaues first person experience.

P.S. 3D model attached is the operation you performed? Looks like more than just CW but result should be amazing, do you have details on this op?

 

[kingofkings]

Thats my guess, I may be wrong. What do you think might be the reason some surgeons prefer osteotomy over implants EXCEPT "not enough training"?

As of the information I was given a few years ago, which may now be outdated - the chin wing surgeons I consulted with told me they don't do implants anymore because of bone erosion they witnessed. This is just me repeating what they told me, as I'm aware this is a sometimes controversial topic. My limited understanding of implants is, bone erosion is rare in cheekbone implants, but more common with chin implants due to the amount of movement in the area. However I would defer to @RealSurgerymax on this as he has extensive real world experience.

I've checked dozens of before / afters photos, this is not theory. @kingofkings did it, he is very happy with the result. Could you please provide the real arguments against it from the professional point of view? Preferably your own and collegaues first person experience.

In a nutshell, implants give more precise control about the shape and mass of the outcome. With a chin wing or other osteos you're limited by your existing bonemass and to some degree your existing shapes. Random example, you can do a chin widening osteo to try and get a more squared off chin, but in most cases it won't give you anywhere near the kind of squared off chin an implant will.

However, the big advantage of osteos which are unbeatable imo is how natural they look. You see a lot of implants and it just looks fake. Osteos look way more natural in comparison, if done well they're usually undetectable.