fake maxilla / midface mask implant coming soon

[czechpsl]

Incidentally, I've seen people in person who have had the Quadrangular LeFort and the results are still very underwhelming

So have you seen someone with that LeFort like you said earlier in the thread? Like that LeFort II without the nasion? Was it really underwhelming? Where did he have that done?

 

[Gittes]

So have you seen someone with that LeFort like you said earlier in the thread? Like that LeFort II without the nasion?

Yes, known as Quadrangular LeFort 2, basically Quad 1, but it extends to the infraorbitals.

Was it really underwhelming? Where did he have that done?

I saw two patients who underwent it. In both cases the maxilla was still hypoplastic. The side profile of one looked uncanny - like his midface was flat but it wasn't, probably because the nasal cavity was left behind. The surgery was performed in Vienna.

 

[Gittes]

So have you seen someone with that LeFort like you said earlier in the thread? Like that LeFort II without the nasion? Was it really underwhelming? Where did he have that done?

Here's a result, you tell me if you think it's worth the invasiveness:

Pre-op: Post OP:

 

[czechpsl]

Here's a result, you tell me if you think it's worth the invasiveness:

Pre-op: Post OP:
View attachment 5533932View attachment 5533933

Are you from Austria, or did you travel there for a consultation?

 

[Gittes]

Are you from Austria, or did you travel there for a consultation?

Lived there for a bit. What do you think of the result?

 

[czechpsl]

Lived there for a bit. What do you think of the result?

Other guys from that paper got better results, I think. This one side improved so much and looks so good, but the other views look basically the same, and it looks kind of bad under the eyes. You can see where the cut was made and where the end of the cut is on the sides. So the front honestly descended. But If he does implants and fatgrafting it will look great

 

[Gittes]

Other guys from that paper got better results, I think.

There are no other results from that paper, frustratingly.

This one side improved so much and looks so good, but the other views look basically the same, and it looks kind of bad under the eyes. You can see where the cut was made and where the end of the cut is on the sides. So the front honestly descended.

The side profile is obviously an improvement but he would have achieved most of that just from advancing the LF1 area.
The frontal change is negligible, arguably worse, although I think the different lighting conditions pre and post op might be effecting that.

But If he does implants and fatgrafting it will look great

He'd have achieved similar results with LF1 + implants without the significantly increased invasiveness of cutting into the infraorbital foramen and orbits themselves.

 

[czechpsl]

The side profile is obviously an improvement but he would have achieved most of that just from advancing the LF1 area.
The frontal change is negligible, arguably worse, although I think the different lighting conditions pre and post op might be effecting that.

He'd have achieved similar results with LF1 + implants without the significantly increased invasiveness of cutting into the infraorbital foramen and orbits themselves.

Yeah, I agree. Which implant material are you considering for yourself?

There are no other results from that paper, frustratingly.

There's this one—you've probably seen it though—but I know I've seen more results in a paper by those guys from Austria, though I can't find it now.

 

[midfacedeficient]

Here's a result, you tell me if you think it's worth the invasiveness:

Pre-op: Post OP:
View attachment 5533932View attachment 5533933

definitely looks a lot better in the after. nothing crazy though, coulda done lf1 with some add ons

 

[Buterman]

I haven't seen any results of any of these eppley style facial implants posted anywhere. people always ask about them on here, but no one really ever sees how they turn out.
examples:
View attachment 5509965View attachment 5509966View attachment 5509967

heres my face rn, front and side.
View attachment 5510022View attachment 5510023

So my face is still kinda smushed in around the base of the nose. ive got the itachi lines and nasolabial folds. hopefully gunna take care of both of those. i want to augment the paranasals by about 4-6mm. i have 4.5mm inframalars rn, so id need to bump each of those up to around 10mm forward projection. also gunna try to make them a couple mm higher and outward. it will be paired with fat grafting and a mild face lift. so i think im gunna push for a shape like this, with red being 5mm and blue being 10.
View attachment 5510063


MY MAIN QUESTION is, should the submalar region be skipped? i could have a much hollower cheek appearance by skipping it. would the skin look ok like that? such a big change to the surrounding area makes it pretty hard for me to gauge how the soft tissue will lay out around there.

Been following your journey since the beggining gawd damn man, you look awesome!, I think the change with the new implants would be great speacially considering the smile lines, when the design is ready could you upload them too?

 

[Gittes]

Yeah, I agree. Which implant material are you considering for yourself?

Haven't decided yet, but leaning towards PEEK.

There's this one—you've probably seen it though—but I know I've seen more results in a paper by those guys from Austria, though I can't find it now.

Not sure, I've only found 2 documented cases online.

 

[Gittes]

definitely looks a lot better in the after. nothing crazy though, coulda done lf1 with some add ons

Side profile yes, frontally, I wouldn't even notice a difference as a casual observer.

 

[midfacedeficient]

Been following your journey since the beggining gawd damn man, you look awesome!, I think the change with the new implants would be great speacially considering the smile lines, when the design is ready could you upload them too?

absolutely. i'll be throwing them in this thread. im hoping for a draft by the end of the week

 

[czechpsl]

Haven't decided yet, but leaning towards PEEK

And just inframalars, or piriform too?

 

[Gittes]

And just inframalars, or piriform too?

Probably just inframalars. I had a higher cult LF1 which probably renders piriform implants redundant but will think about it carefully.

 

[Gittes]

definitely looks a lot better in the after. nothing crazy though, coulda done lf1 with some add ons

Here's a "true" LeFort 2 (pyramidal) non-syndromic case if you're interested:

 

[czechpsl]

Probably just inframalars. I had a higher cult LF1 which probably renders piriform implants redundant but will think about it carefully.

And what do think about saddle infras vs normal?

 

[czechpsl]

Here's a "true" LeFort 2 (pyramidal) non-syndromic case if you're interested:

View attachment 5534124

Yeah, hard tissue surgeries usually don't have that breathtaking effect. But it's critical to get the base right and then augment the soft tissue.

 

[Diyorldar]

I’m afraid he’s been duped into thinking that a brute force, functional mid-facial advancement surgery will make him good looking. Sadly, it doesn’t work that way.

I saw the result too. To be fair, there was still a lot of post op swelling but you’d wouldn’t even be able to tell that he’d undergone anything more than your typical bimax from the front without advance knowledge. Even the side profile change was marginal. Imagine, literally slicing your skull in half for a slightly more advanced nasion!

Inflated expectations meet cold hard reality.

A good projection rhino with paransal implants to augment would have vastly outperformed tylins result

 

[Gittes]

Yeah, hard tissue surgeries usually don't have that breathtaking effect. But it's critical to get the base right and then augment the soft tissue.

Depends on the cost benefit analysis. I don't personally think undergoing a high-level osteotomy with coronal incisions, which cuts into the orbital and medial floor, and the slew of risks associated with that is worth it in 99%+ of cases.

This woman was a genuine candidate for the surgery by the way and the frontal improvement still wasn't great. Form follows function at the end of the day; your typical bimax candidate is unlikely to get an appreciably better result.

If you have normal nasal projection, better to stick to midfacial implants + LF1 tbh.

 

[Gittes]

A good projection rhino with paransal implants to augment would have vastly outperformed tylins result

I haven't seen any new Tylin photos post op but I generally agree with you; implants + rhino could have probably achieved a cosmetically very similar result if not better without the insane invasiveness.

 

[midfacedeficient]

here u can see the current shape in motion so without frauding and all. lmk if u guys think the chin really needs addressing or not. it bothers me personally. obv shaved head nerf, growing it back out no worries

 

[Diyorldar]

I haven't seen any new Tylin photos post op but I generally agree with you; implants + rhino could have probably achieved a cosmetically very similar result if not better without the insane invasiveness.

I've become very pilled on projection rhinos recently.

In my case, I have a very robustly developed midface however my nose lacks development, my radix is recessed, nasion and bridge are weak etc. As a result my midface appears to be less developed.

Also I've seen some insane results from chinese surgeons that mog anything a LF2 could do.

 

[czechpsl]

I haven't seen any new Tylin photos post op but I generally agree with you; implants + rhino could have probably achieved a cosmetically very similar result if not better without the insane invasiveness.

He deleted it after the hate comments. Did you only see the pre-op, or did you see the first post-op one too?

 

[czechpsl]

Also I've seen some insane results from chinese surgeons that mog anything a LF2 could do.

Share

 

[midfacedeficient]

I've become very pilled on projection rhinos recently.

In my case, I have a very robustly developed midface however my nose lacks development, my radix is recessed, nasion and bridge are weak etc. As a result my midface appears to be less developed.

Also I've seen some insane results from chinese surgeons that mog anything a LF2 could do.

im kinda wanting a little augmentation to the radix too but itd probably come off as insulting to my surgeon since we havent even seen the full result yet

 

[Gittes]

He deleted it after the hate comments. Did you only see the pre-op, or did you see the first post-op one too?

First post-op. Bummed out he privated his account.

 

[Diyorldar]

Share

 

[Diyorldar]

im kinda wanting a little augmentation to the radix too but itd probably come off as insulting to my surgeon since we havent even seen the full result yet

I am not looking forward to the waiting game w my rhino.

 

[Gittes]

here u can see the current shape in motion so without frauding and all. lmk if u guys think the chin really needs addressing or not. it bothers me personally. obv shaved head nerf, growing it back out no worries

You unironically look very good from the front. I wouldn't even know you had maxillary hypoplasia; it's only the side profile where I can definitely see it.

 

[czechpsl]

First post-op. Bummed out he privated his account.

So I assume you haven't seen this X-ray. Looks like the plan was done correctly, but I wonder if it'll have the desired outcome.

 

[Diyorldar]

So I assume you haven't seen this X-ray. Looks like the plan was done correctly, but I wonder if it'll have the desired outcome.

I doubt the aesthetic result will be impressive, LF2 is not a cosmetic surgery.

 

[Gittes]

Looks like the plan was done correctly, but I wonder if it'll have the desired outcome.

Based on all the LF2 cases I've seen, I wouldn't bet on it. The implants are more likely to make a difference.

 

[Gittes]

View attachment 5534239
View attachment 5534244
View attachment 5534246

Imagine literally sawing your maxilla in half when you can just do this + implants. It's so crude.

 

[Diyorldar]

Imagine literally sawing your maxilla in half when you can just do this + implants. It's so crude.

Giant markets this crap and takes advantage of people.

 

[czechpsl]

Based on all the LF2 cases I've seen, I wouldn't bet on it. The implants are more likely to make a difference.

Yeah definitely. He said he would do rhino and implants, but that wouldn’t be enough, so he went with L2 to bring his nose forward and then he will do midfacial implants

 

[midfacedeficient]

You unironically look very good from the front. I wouldn't even know you had maxillary hypoplasia; it's only the side profile where I can definitely see it.

thanks. my surgeons done me wonders so far if u havent seen my befores i at least look like a normal person now; before the first thought everyone would have is "this guy is deformed"

 

[Gittes]

Giant markets this crap and takes advantage of people.

Yeah, a lot of users here basically romanticise forward growth to an absurd degree and conflate the level of invasiveness with high return.

 

[czechpsl]

Giant markets this crap and takes advantage of people.

 

[Gittes]

thanks. my surgeons done me wonders so far if u havent seen my befores i at least look like a normal person now; before the first thought everyone would have is "this guy is deformed"

Seen the pre-op photos. Not glazing, it's genuinely a very good result because you were a real candidate for bimax + implants. Something many users here don't seem to understand.

 

[Diyorldar]

Yeah, a lot of users here basically romanticise forward growth to an absurd degree and conflate the level of invasiveness with high return.

Most people just need some filler and a genio lol

 

[Diyorldar]

Seen the pre-op photos. Not glazing, it's genuinely a very good result because you were a real candidate for bimax + implants. Something many users here don't seem to understand.

Cope max is the most overdone surgery on org. Blows my mind how many people think they need a bimax when all they need is a genio.

 

[Gittes]

Most people just need some filler and a genio lol

Agreed, maybe jaw angle implants. Literally an angular jaw puts you ahead of the vast majority of men and you don't have to fuck around with the orbits or nasal cavity to to get a good result.

 

[czechpsl]

Cope max

Facemetrics fan?

 

[Diyorldar]

Facemetrics fan?

He's funny, he also looks retarded. he fucked the fat grafting around his eyes lol

 

[Diyorldar]

Agreed, maybe jaw angle implants. Literally an angular jaw puts you ahead of the vast majority of men and you don't have to fuck around with the orbits or nasal cavity to to get a good result.

I'm pretty pilled on jaw angles as a base for filler.

Get the width you need with the jaw angle and then get the angularity with filler.

 

[czechpsl]

Agreed, maybe jaw angle implants. Literally an angular jaw puts you ahead of the vast majority of men and you don't have to fuck around with the orbits or nasal cavity to to get a good result.

From what I've seen, most jaw implants look uncanny and underwhelming. Have you seen any good results?

 

[Diyorldar]

From what I've seen, most jaw implants look uncanny and underwhelming. Have you seen any good results?

The soft tissue predictability of jaw angles SUCKS

The masseter response is too unpredictable

 

[midfacedeficient]

From what I've seen, most jaw implants look uncanny and underwhelming. Have you seen any good results?

i havent really, aside from people that really needed height. when the implants go downward below where the gonions were they seem to be able to design as crisp of an edge as they want. saw some on eppleys like this

 

[Gittes]

From what I've seen, most jaw implants look uncanny and underwhelming. Have you seen any good results?

They're limited but still have a far better return than going through, decomp, bimax and for <5 mm of LF 1 and mandibular advancement (the average .org user on here).