Fat grafts w/ Spadoni or infras w/ Ramieri? (PICS/SCANS)

[Vir]

Hi, been lurking for a while and I'm finally getting trimax with Ramieri in june after I finish decomp next month. Thing is on top of being recessed my undereye area is subhuman and I want to fix it at the same time since I can.

I'm considering either infras or fat grafts, since I can't get both at the same time for budget reasons. I also don't want to get any other surgeries after this one, the idea is to just get to mtn and live my life without rotting on here anymore.

I've consulted with Spadoni (Ramieri's bestie) for fat grafts, he said he can both overfill and/or do nano fat grafts to fix the negative vector, and although he recommends doing both, he reckons that fat graft would be enough if I'm lucky and the fat mostly stays. Cost is 2.5k euros on top of the custom trimax and hospital fees, so 20k total.

I haven't consulted with Ramieri for the implants yet (only trimax) but I'm planning on doing it post decomp as we finalize the surgical planning. He told me in dm that they would be custom made in peek, and the cost is 6k on top of the base trimax, so 24k total.

Not sure on which option to pick yet, any opinions? @lurking truecel @SteveRogers
dk who else to tag so if you know anyone knowledgeable tag them

 

[Acquiescence]

Negative vector would indicate there’s a bone problem, probably address that first then follow up w the grafts

 

[lurking truecel]

Do fat, or some pther eye surgery the bone isnt the problem even if your eye are a little bit bulge out. Also rams designer isnt the best

I mean you might need bleph, you def have a lack of fat but the circle arpund the eye also bulge out slightly idicaring the orbital septum collapses or gonna collapse even more with age. This you can fix with bleph. Then they can reposition the fat in the area which is even better. And add if its needed. Spadoni probably does it too. Do that first

 

[ascension to heaven]

Do fat, or some pther eye surgery the bone isnt the problem even if your eye are a little bit bulge out. Also rams designer isnt the best

I mean you might need bleph, you def have a lack of fat but the circle arpund the eye also bulge out slightly idicaring the orbital septum collapses or gonna collapse even more with age. This you can fix with bleph. Then they can reposition the fat in the area which is even better. And add if its needed. Spadoni probably does it too. Do that first

nah ram infras fire design straigjht from netherlands is the best, mogs everythign eppley the giant combined

 

[lurking truecel]

nah ram infras fire design straigjht from netherlands is the best, mogs everythign eppley the giant combined

right ofc

 

[Vir]

I mean you might need bleph, you def have a lack of fat but the circle arpund the eye also bulge out slightly idicaring the orbital septum collapses or gonna collapse even more with age. This you can fix with bleph.

Do you think I need bleph even rn or just the future? Also in how long, cuz if it's after 40 I might not even care anymore tbh

 

[lurking truecel]

Do you think I need bleph even rn or just the future? Also in how long, cuz if it's after 40 I might not even care anymore tbh

I mean a bleph can be done now, bleph is really just a procedure adjusting the septum and repositioning fat, it can also lift skin slightly

 

[kuromilover]

yeah you def need infras like me, paired with trimax would make a huge difference. Even then, getting both implants and grafting would be ideal

 

[Assymetry]

nah ram infras fire design straigjht from netherlands is the best, mogs everythign eppley the giant combined

What designer?

 

[ScientiaAeterna]

right ofc

who's the best for infras

 

[ScientiaAeterna]

any idea @lurking truecel ?

who's the best for infras

I did not see any resoults from Ramieri, only zygos implants.
My plan was to get trimax and infras, now im considering just getting trimax and get implabtes later both for budget reasons and ascend by steps to make better decisions.
I dont think I have to wait for the genio tho. Def I dont need big chin advancement, I think it will be good

 

[lurking truecel]

any idea @lurking truecel ?

Giant

 

[ScientiaAeterna]

Giant

i dont trust that guy
Y'all dont ever give some alternatives, we gotta do our own research to find professionals

 

[lurking truecel]

i dont trust that guy
Y'all dont ever give some alternatives, we gotta do our own research to find professionals

 

[kuromilover]

Giant

doesn't ramieri work with giant too?

 

[Vir]

@lurking truecel can you DM me?

 

[Vir]

Surgery is next week and i finally got the plan from Ramieri. 2 cm total advancement at the pogonion, maxilla is being advanced by 3 mm and downgrafted by 2, Mandible is being advanced by 13 mm. Genio is 7 mm. No widening genio as Ramieri is against it, i'm just gonna get a wider cut and see how much it actually does for the front. I'm also getting ramus flaring to increase bigonial width but i don't think it'll make any visible difference. I'm wondering whether i should ask for more cw rotation with the genio since i have a weird hyoid that sits lower than my chin, or just leave it as it is. Any thoughts? @Acquiescence @vernowwww

 

[Acquiescence]

View attachment 5223964View attachment 5223972View attachment 5223976View attachment 5223978View attachment 5223979View attachment 5223980
Surgery is next week and i finally got the plan from Ramieri. 2 cm total advancement at the pogonion, maxilla is being advanced by 3 mm and downgrafted by 2, Mandible is being advanced by 13 mm. Genio is 7 mm. No widening genio as Ramieri is against it, i'm just gonna get a wider cut and see how much it actually does for the front. Final 2 images are the condyles as i'm getting ramus flaring to increase bigonial width but i don't think it'll make any visible difference. I'm wondering whether i should ask for more clockwise rotation of the chin since i have a weird hyoid that sits lower than my chin, or just leave it as it is. Any thoughts? @Acquiescence @vernowwww

Couldn’t tell you on the additional CW but please let us know how the wider genio cut goes

 

[vernowwww]

L

View attachment 5224180View attachment 5224182
Surgery is next week and i finally got the plan from Ramieri. 2 cm total advancement at the pogonion, maxilla is being advanced by 3 mm and downgrafted by 2, Mandible is being advanced by 13 mm. Genio is 7 mm. No widening genio as Ramieri is against it, i'm just gonna get a wider cut and see how much it actually does for the front. I'm also getting ramus flaring to increase bigonial width but i don't think it'll make any visible difference. I'm wondering whether i should ask for more cw rotation with the genio since i have a weird hyoid that sits lower than my chin, or just leave it as it is. Any thoughts? @Acquiescence @vernowwww

Looks good my bro, I had 20mm pog as well and it looks very good so hope ur surgery goes well

 

[LTN]

Do the infras first

 

[Vir]

Do the infras first

I've done neither looks like I did both together though cuz I'm so swollen there's enough space for a second skull on top of my original one

 

[LTN]

I've done neither looks like I did both together though cuz I'm so swollen there's enough space for a second skull on top of my original one

My b big dog, I dnr, total audhd moment ... yeah general rule of thumb is that you should avoid fat graft on top of a negative orbital vector as it presents a sagging risk (no support present for the fat to rest on). Congrats on the surgery , movements look great btw

 

[Vir]

My b big dog, I dnr, total audhd moment ... yeah general rule of thumb is that you should avoid fat graft on top of a negative orbital vector as it presents a sagging risk (no support present for the fat to rest on). Congrats on the surgery , movements look great btw

Ty, I think I'll still take @lurking truecel suggestion and get bleph with fat grafts afterwards to camouflage. I'll try to get as overfilled as I can. It's prob not ideal but I don't have anymore time or resources for even more major procedures after trimax, I'll just get that and get on with my life and leave this place. If I rot on here one second longer than I need to I'll keep obsessing on small imperfections that don't matter as much and just go full autistic. I'll fix the fixable and leave the rest. At one point you just get diminishing returns anyway, and there's only so much of life you get to live

 

[LTN]

Ty, I think I'll still take @lurking truecel suggestion and get bleph with fat grafts afterwards to camouflage. I'll try to get as overfilled as I can. It's prob not ideal but I don't have anymore time or resources for even more major procedures after trimax, I'll just get that and get on with my life and leave this place. If I rot on here one second longer than I need to I'll keep obsessing on small imperfections that don't matter as much and just go full autistic. I'll fix the fixable and leave the rest. At one point you just get diminishing returns anyway, and there's only so much of life you get to live

Off-the-shelf implants (potentially with the bleph) might be a good cheaper intermediate fix until you get more capital for custom in the future (if you want). Who does bleph + fat grafting and wdym by time? Potential revisions are the biggest time and resource sink imo

 

[Vir]

Off-the-shelf implants (potentially with the bleph) might be a good cheaper intermediate fix until you get more capital for custom in the future (if you want). Who does bleph + fat grafting and wdym by time? Potential revisions are the biggest time and resource sink imo

yeah but no sense to do off the shelf then custom it's a for sure gonna need a revision anyway. Besides most off the shelf for infras are made of silicone. It's the worst out of all the materials and I'm not looking to get bone resorption in the future. I already got a quote on bleph + fat grafts to the undereyes with a decent no name local surgeon here, and it would be 2.6k. If I had to go with implants I wouldn't want them to not be custom, so 6k minimum + operating costs, and I'm not looking forward to having another recovery from surgery that feels anywhere this brutal. I'm in my mid 20s and I want to use my money to travel and do the stuff in my life I couldn't do before, I can't blow it all away on surgeries, cuz then I won't start living until 30 and time is so much more precious than anything else

 

[LTN]

yeah but no sense to do off the shelf then custom it's a for sure gonna need a revision anyway. Besides most off the shelf for infras are made of silicone. It's the worst out of all the materials and I'm not looking to get bone resorption in the future. I already got a quote on bleph + fat grafts to the undereyes with a decent no name local surgeon here, and it would be 2.6k. If I had to go with implants I wouldn't want them to not be custom, so 6k minimum + operating costs, and I'm not looking forward to having another recovery from surgery that feels anywhere this brutal. I'm in my mid 20s and I want to use my money to travel and do the stuff in my life I couldn't do before, I can't blow it all away on surgeries, cuz then I won't start living until 30 and time is so much more precious than anything else

Imo if you have appeal mid 20s, you'll still have appeal early mid 30s with good upkeep (strong orbital fat pads, hair maintenance, and collagen maintenance), so it's def not the wall you're implying. Travelling while being youthful is def legit, but I would put more effort into anti-age maintenance as opposed to mentally preparing to throw in the towel after a few years.

 

[Vir]

Imo if you have appeal mid 20s, you'll still have appeal early mid 30s with good upkeep (strong orbital fat pads, hair maintenance, and collagen maintenance), so it's def not the wall you're implying. Travelling while being youthful is def legit, but I would put more effort into anti-age maintenance as opposed to mentally preparing to throw in the towel after a few years.

Ye I will for sure still keep up a routine for anti aging but it'll just be entirely softmaxxing. My only hardmaxx after trimax will be undereye fat grafts, and then I'll just nichemaxx with tats clothes and restart the gym. I already have good frame good height and after this hopefully also decent face, overall if I maxxed everything out and got the fat grafts I could reach htn, and that would be enough for me. It's not realistic for me to get more, especially not invest so much more money when the benefit would be so little. It's not like one implant under the fat is gonna get me from htn to chadlite. Since I'll forever be capped there I may as well stop when I'm mostly satisfied and not lose any more time obsessing over what are after all minor problems that aren't most responsible for the treatment I got in my life until now. Otherwise I'm just gonna waste 4 more years in here doing nothing and hating my life

 

[LTN]

Kudos big dog, you actually took action, did the research, saved up the cash, and had the balls to fly out to Rome and get your jaw cut to improve your situation. No reason to hate your life when you saved yourself from the common pitfall of coping and rotting indefinitely. The future is bright