Genioplasty or Bimax? Need a brutal assessment (Please Help)

[intothenight]

I’m trying to figure out whether my situation fits better with sliding genioplasty or full double jaw surgery. I don’t want to jump into anything without getting opinions from people who understand facial structure.

Based on my side profile (photo included), I feel like my chin might be slightly recessed, but I’m not sure how much of my issue is lower third vs actual maxilla/mandible position. I don’t know if my bite or jaw alignment is severe enough to justify bimaxillary surgery, or if a genioplasty alone would fix the aesthetic part.

I’m not looking for reassurance — I want honest feedback.

Do you guys think this looks like a case for genioplasty, double jaw surgery, or neither?

Any input or breakdown would help a lot.

 

[vermicel]

4th pic is the most reliable to assess your side profile, and based on that, I think you are not recessed and therefore you don't need any jaw surgery. Sure, you could project the chin a bit further forward, but the overall improvement would be minimal, and you already have a good chin from the front profile. So my advice would be to leave it as it is.

That said, the absolute priority for you right now should be your hair. You are a Norwood 3 at 19 yo, with a visibly thinning forelock, which exposes you soon to a Norwood 4 ... at that point, you might as well say it's over (hair-wise).

As your hair loss must be pretty fresh, you are likely to stop it and revert it (part of it, if not all) with the following tried and tested treatments : finasteride, minoxidil, and microneedling. Some will tell you to jump on dutasteride, which is more potent on paper, but reality is not as simple. I would keep duta for a later point, if you don't respond to finasteride.
You have basically three therapeutic approaches : either both oral fina & minox ; or both topical fina & minox ; or oral fina & topical minox. Regardless of your pick, add weekly microneedling (dermastamp 0.75mm) to your routine. If you have dermatitis or an oily scalp, you can also add Nizoral (ketoconazole shampoo) to the mix.

Don't waste time, hop on a treatment asap.
According to conservative medicine, 19yo may be a tad early for a DHT-inhibitor (fina/duta), but you seem to have developed your adult features already (full beard, chest hair, mature features). You can go first for a topical fina+minox lotion, as topical fina has a much lower impact on DHT serum, while staying almost on par with oral fina when it comes to reducing DHT in the scalp.

Alright. NEXT THING TO ADDRESS : your hollow temples. Most likely with fat grafting.

 

[intothenight]

A few questions

1. Is hallow temples a bad thing? And what is fat grafting?

2. I have minoxidil how much do I apply? Do I leave it on over night and how often do I apply (assuming everyday) and where do I apply? Meaning do I apply to the places my hair is receding (just over my temple where the W shape is) or only the places I do have hair (my scalp) also is the one in the picture shown good enough?

3. Do I only use microneedling one per week and where are the areas I should apply

4. What brand do you suggest for finasteride I would like to take pills but I’m open to any

I will add some more picture of my scalp to help you determine the answers

 

[vermicel]

1. make a research here and on Google

2. a small amount twice a day on a clean and dry scalp ; apply it where there is thinning hair and also on recent bald spots (i.e. hairline and temple peaks) ; leave it in, don't wash your scalp for hours after application (be it in the morning or at night)

3. yes, once per week, e.g. on Sunday mornings. Do not apply minoxidil on the same spots for the next 12-24 hours (to let the skin heal). Dermastamp the same spots as with minoxidil (thinning & bald).

4. you can go with Propecia, Proscar (5mg tablets to cut into 5 parts), or any generic you want. If you want to source it from a local pharmacy, you'll need a medical prescription (through your MD or a dermatologist). But you can probably source a safe generic from Indiamart without any administrative constraint.


Based on your latest pics, the forelock is in better condition than I initially thought. But you gotta be proactive and at the very least preserve what you are currently left with. If you respond well to the treatments, you will redensify your hairline and temple peaks, and maybe fill in your temples down to the blue line below ( = +/- Norwood 2).

 

[Resistance.]

you just need a BSSO

 

[liunars]

4th pic is the most reliable to assess your side profile, and based on that, I think you are not recessed and therefore you don't need any jaw surgery. Sure, you could project the chin a bit further forward, but the overall improvement would be minimal, and you already have a good chin from the front profile. So my advice would be to leave it as it is.

That said, the absolute priority for you right now should be your hair. You are a Norwood 3 at 19 yo, with a visibly thinning forelock, which exposes you soon to a Norwood 4 ... at that point, you might as well say it's over (hair-wise).

As your hair loss must be pretty fresh, you are likely to stop it and revert it (part of it, if not all) with the following tried and tested treatments : finasteride, minoxidil, and microneedling. Some will tell you to jump on dutasteride, which is more potent on paper, but reality is not as simple. I would keep duta for a later point, if you don't respond to finasteride.
You have basically three therapeutic approaches : either both oral fina & minox ; or both topical fina & minox ; or oral fina & topical minox. Regardless of your pick, add weekly microneedling (dermastamp 0.75mm) to your routine. If you have dermatitis or an oily scalp, you can also add Nizoral (ketoconazole shampoo) to the mix.

Don't waste time, hop on a treatment asap.
According to conservative medicine, 19yo may be a tad early for a DHT-inhibitor (fina/duta), but you seem to have developed your adult features already (full beard, chest hair, mature features). You can go first for a topical fina+minox lotion, as topical fina has a much lower impact on DHT serum, while staying almost on par with oral fina when it comes to reducing DHT in the scalp.

Alright. NEXT THING TO ADDRESS : your hollow temples. Most likely with fat grafting.

High iq post listen to him

 

[intothenight]

High iq post listen to him

Th

1. make a research here and on Google

2. a small amount twice a day on a clean and dry scalp ; apply it where there is thinning hair and also on recent bald spots (i.e. hairline and temple peaks) ; leave it in, don't wash your scalp for hours after application (be it in the morning or at night)

3. yes, once per week, e.g. on Sunday mornings. Do not apply minoxidil on the same spots for the next 12-24 hours (to let the skin heal). Dermastamp the same spots as with minoxidil (thinning & bald).

4. you can go with Propecia, Proscar (5mg tablets to cut into 5 parts), or any generic you want. If you want to source it from a local pharmacy, you'll need a medical prescription (through your MD or a dermatologist). But you can probably source a safe generic from Indiamart without any administrative constraint.


Based on your latest pics, the forelock is in better condition than I initially thought. But you gotta be proactive and at the very least preserve what you are currently left with. If you respond well to the treatments, you will redensify your hairline and temple peaks, and maybe fill in your temples down to the blue line below ( = +/- Norwood 2).

 

[intothenight]

1. make a research here and on Google

2. a small amount twice a day on a clean and dry scalp ; apply it where there is thinning hair and also on recent bald spots (i.e. hairline and temple peaks) ; leave it in, don't wash your scalp for hours after application (be it in the morning or at night)

3. yes, once per week, e.g. on Sunday mornings. Do not apply minoxidil on the same spots for the next 12-24 hours (to let the skin heal). Dermastamp the same spots as with minoxidil (thinning & bald).

4. you can go with Propecia, Proscar (5mg tablets to cut into 5 parts), or any generic you want. If you want to source it from a local pharmacy, you'll need a medical prescription (through your MD or a dermatologist). But you can probably source a safe generic from Indiamart without any administrative constraint.


Based on your latest pics, the forelock is in better condition than I initially thought. But you gotta be proactive and at the very least preserve what you are currently left with. If you respond well to the treatments, you will redensify your hairline and temple peaks, and maybe fill in your temples down to the blue line below ( = +/- Norwood 2).

View attachment 4361580

Thank you man you genuinely saved me

 

[vermicel]

@intothenight a few additional points regarding hair loss treatments :

first and foremost, give them enough time to produce results. Stick to them for at least 12 months. Be consistent, do not skip days.
The first few months are likely to be unrewarding, due to the follicles' resting & regrowth cycles (anagen/growth -> catagen -> telogen/rest -> anagen again) which spans over 3-4 months on average. Do not give up at that stage, PUSH THROUGH. When follicles get into anagenic phase again, it will then take another 2-3 months before the new hair gets long enough to make a cosmetic difference. As follicles on your head are asynchronous (they don't all rest & grow at the same time), improvements will appear gradually. Hence the ~12 month duration required to reliably assess whether a treatment works for you or not. This point is crucial, so I repeat : do not give up before the 12 month mark !

Then, keep in mind that each individual responds differently to the aforementioned treatments.
For example, some people's scalp lacks the active enzyme (sulfotransferase) to process minoxidil. In that case, a definite solution consists in switching from topical minoxidil to oral minoxidil, as the molecule will be processed by the liver instead.
Another example is a small minority of patients noticing undesirable side effects from finasteride/dutasteride (brain fog, erectile dysfunction, etc.). An adjustment often solves the problem : instead of 1mg/day, lower the dose to 0.5mg/day or even to 0.5mg every other day. Despite the lower dose, hair-related benefits will be very similar.
If you are in the majority group of patients, then you won't have to worry about such adjustments. I'm just telling you this so you know there is often a solution to a subpar response, so don't turn hopeless if you belong to that small subset of patients. These hair loss treatments have been on the market for a long time (~25 years for finasteride, ~35 years for minoxidil), so there's a lot of data out there that addresses every potential issue involved with them.

Lastly, regarding safety : if you have pets at home, make sure to thoroughly wash your hands after applying minoxidil on your scalp, because that shit is fatal to them (cats in particular). Do not let them lick your scalp. And store your minoxidil in a place that will stay out of their reach.
Also, if you meet a foid and want to get her pregnant, you will have to stop finasteride months before serious impregnating attempts. Otherwise, your sperm will be of poor quality due to DHT being inhibited by the treatment, and the foetus could develop poorly. You don't want to breed into this world a retarded dicklet manlet sub5 incel, so please remember this point and act responsibly.


Alright, now you have a 12 month plan. What else can you do ?

In the meantime, you should clear up your skin. Read up on accutane ; there are many threads here on this particular topic.

If you haven't already, get in touch with an orthodontist to see if your teeth can be improved. If yes, then start the appropriate orthodontic treatment ; braces rarely take less than 10-12 months to achieve good results, so that would set you in the same time frame as the hair loss treatments.
An orthodontist will also be able to assess your jaw and to refer you to an orthognathic surgeon if need be. Depending on where you live, this is the typical process to get surgeries sponsored by the State and covered by health insurance.

Getting back to the hair : as a softmax, I would suggest to keep your hair shorter on the back of the head, as it is quite dense and poofy there, and, as such, it emphasizes the deficient density on the forepart of your head. Shorter on the back, and stick to a parted style to cover up the receded hairline & temples ; alternatively, you can also try a cut with the hair brushed forward. Regardless of the style chosen, it will certainly look better once the hair loss treatments start to kick in.


If we sum things up : fix your hair by 2027 ; potentially fix your teeth by the same date ; softmax in the meantime (skin, hair style) ; and only then (2027, 20-21 yo), re-assess whatever hardmax may complete your looksmaxxing effort. I think that's the most reasonable and sensible approach in your particular case.

 

[jester triad]

I’m trying to figure out whether my situation fits better with sliding genioplasty or full double jaw surgery. I don’t want to jump into anything without getting opinions from people who understand facial structure.

Based on my side profile (photo included), I feel like my chin might be slightly recessed, but I’m not sure how much of my issue is lower third vs actual maxilla/mandible position. I don’t know if my bite or jaw alignment is severe enough to justify bimaxillary surgery, or if a genioplasty alone would fix the aesthetic part.

I’m not looking for reassurance — I want honest feedback.

Do you guys think this looks like a case for genioplasty, double jaw surgery, or neither?

Any input or breakdown would help a lot.

neither, maybe a very minimal chin implant
definitely consider a hairline lowering tho

 

[zaebalsya]

Temples are narrow as hell
I got same problem