Gopnikcel's hardmaxx journey; Chin Wing osteotomy, Cheek Bone expansion, Orbital Asymmetry reduction, Genioplasty

[Xx_gloomy_bison_xX]

This dude is the true looksmaxxer unlike most of whiners and copers here! He still has a long way to go but his actions and knowledge are commendable!

I don't think anyone should go to "board certified" clowns in US who only go for fillers and scared to perform osteotomies

Doctor and surgery details are in the post

 

[dough]

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[LEFORT17]

from invisible to women to invisible to women

hes still fat.

 

[flatcheck213]

4 surgeries to end up gaining fat

 

[zaebalsya]

After all that shit his face is still round as fuck

The only change I see is genioplasty.

 

[Xx_gloomy_bison_xX]

After all that shit his face is still round as fuck

The only change I see is genioplasty.

his results are two weeks old on the pic so he has a lot of swelling

 

[kingofkings]

nigga low key looks like a potato version of Freddie Mercury in the after

 

[Snicket]

This dude is the true looksmaxxer unlike most of whiners and copers here! He still has a long way to go but his actions and knowledge are commendable!

I don't think anyone should go to "board certified" clowns in US who only go for fillers and scared to perform osteotomies

Doctor and surgery details are in the post

There’s no way he doesn’t have an account here.

 

[Snicket]

from invisible to women to invisible to women

Surgeries can improve your base but they can’t fundamentally change it. Something that most users here don’t seem to understand.

The cost vs reward simply isn’t worth it for most people unless they have a significant clinical problem.

 

[lurking truecel]

Surgeries can improve your base but they can’t fundamentally change it. Something that most users here don’t seem to understand.

Two weeks out from chin wing tho, it takes 6 months for the bones to heal back so swelling is 1 year atleast

 

[Snicket]

Two weeks out from chin wing tho, it takes 6 months for the bones to heal back so swelling is 1 year atleast

True, the swelling needs time to dissipate but the end result isn’t going to be that different from his pre-op situation.

 

[lurking truecel]

True, the swelling needs time to dissipate but the end result isn’t going to be that different from his pre-op situation.

Nah not that much

 

[LEFORT17]

Surgeries can improve your base but they can’t fundamentally change it. Something that most users here don’t seem to understand.

The cost vs reward simply isn’t worth it for most people unless they have a significant clinical problem.

bimax case for breathing problems?

 

[Snicket]

bimax case for breathing problems?

At least 5mm of maxillary and mandibular advancement. Although more LeFort 1 advancement does not always equal better since you’re leaving the rest of the maxilla behind.

Even then, most of these cases will mainly have an effect on the side profile vs frontal.

The absolute best bimax results I consistently see involve downgrafting of the maxilla and mandible to treat SFS.

 

[LEFORT17]

At least 5mm of maxillary and mandibular advancement. Although advancement LeFort 1 does not always equal better since you’re leaving the rest of the maxilla behind.

Even then, most of these cases will mainly have an effect on the side profile as opposed to frontal.

The absolute best bimax results I consistently see involve downgrafting of the maxilla and mandible to treat SFS.

100% short and very long faces have pretty good results with the right movement

 

[Snicket]

100% short and very long faces have pretty good results with the right movement

Short yes, long less so since a long maxilla usually extends beyond the upper jaw unfortunately - something that a simple bimax cannot correct.

 

[LEFORT17]

Short yes, long less so since a long maxilla usually extends beyond the upper jaw unfortunately - something that a simple bimax cannot correct.

you think implants are more needed for long faces than short ones?

 

[Snicket]

you think implants are more needed for long faces than short ones?

For long, generally yes since the entire maxilla tends to be downward grown and retruded.

For SFS, the maxilla is not always hypoplastic so it depends.

 

[tweaqo]

For long, generally yes since the entire maxilla tends to be downward grown and retruded.

For SFS, the maxilla is not always hypoplastic so it depends.

I have a mildly “short face” and it isn’t due to lacking maxillary vertical height. It’s mostly from lacking chin height and a lower gonial angle.

I think a big step off heightening and forward advancing genioplasty and gonion implants will suffice in my case, due to having a relatively good bite already.

I remember seeing some very good ascensions from large genioplasties alone, from what I’ve seen Pagnoni is quite good at these big genios.

Any thoughts?

 

[LEFORT17]

I have a mildly “short face” and it isn’t due to lacking maxillary vertical height. It’s mostly from lacking chin height and a lower gonial angle.

I think a big step off heightening and forward advancing genioplasty and gonion implants will suffice in my case, due to having a relatively good bite already.

I remember seeing some very good ascensions from large genioplasties alone, from what I’ve seen Pagnoni is quite good at these big genios.

Any thoughts?

does pagnoni go above 1cm genios?

 

[tweaqo]

does pagnoni go above 1cm genios?

Yes, but he told me it varies patient to patient, depending on how much bone contact can be maintained when advancing forward.

Bone grafts/bone substitutes may be used in larger advancements too, Pagnoni told me he would use bone substitutes if needed.

 

[Snicket]

I have a mildly “short face” and it isn’t due to lacking maxillary vertical height. It’s mostly from lacking chin height and a lower gonial angle.

SFS encompasses a vertically deficient maxilla (and mandible). A short chin does not mean you have SFS.

I think a big step off heightening and forward advancing genioplasty and gonion implants will suffice in my case, due to having a relatively good bite already.


I remember seeing some very good ascensions from large genioplasties alone, from what I’ve seen Pagnoni is quite good at these big genios.

Any thoughts?

A genio sounds like a good idea. Don’t restrict yourself to Pagnoni though; shop around locally first.

Doesn’t seem worth it to me to travel to a foreign country for a simple genio.

 

[sub5soover]

thats sad that even after all of that it's still over for him

 

[tweaqo]

SFS encompasses a vertically deficient maxilla (and mandible). A short chin does not mean you have SFS.

A genio sounds like a good idea. Don’t restrict yourself to Pagnoni though; shop around locally first.

Doesn’t seem worth it to me to travel to a foreign country for a simple genio.

Yes, I live in the UK and have had multiple consultations, some surgeons dont do 3D planning still, which I am not comfortable with. Also many are somehow more expensive than Pagnoni, despite only usually doing a sliding genioplasty, not other modified cuts.

Also my local surgeons I’ve consulted have been reluctant to advance more than around 8mm, I’m not sure why.

I decided to go with Pagnoni due to his ability to advance the chin a lot and in different ways, also he does peek custom jaw angle implants, rather than basic silicone implants.

@Snicket can i pm you

 

[jaymog]

True, the swelling needs time to dissipate but the end result isn’t going to be that different from his pre-op situation.

If the “after” is a genuine 2 week after this is so incredibly untrue.

Have you had Bimax or similar surgeries to him? If not, refrain from commenting about swelling changes you have not personally experienced.

The way I looked at 2 weeks post Bimax compared to 3 months now, let alone what I’ll look like at 6-12 months, is literally a different human being.

 

[Snicket]

Yes, I live in the UK and have had multiple consultations, some surgeons dont do 3D planning still, which I am not comfortable with. Also many are somehow more expensive than Pagnoni, despite only usually doing a sliding genioplasty, not other modified cuts.

Also my local surgeons I’ve consulted have been reluctant to advance more than around 8mm, I’m not sure why.

I decided to go with Pagnoni due to his ability to advance the chin a lot and in different ways, also he does peek custom jaw angle implants, rather than basic silicone implants.

@Snicket can i pm you

Sure pm.

 

[Snicket]

Have you had Bimax or similar surgeries to him? If not, refrain from commenting about swelling changes you have not personally experienced.

I’m not going to “refrain” from anything.

I don’t have to personally experience something to have an opinion on it.

We have a hundreds of results online with people documenting their post op progress, swelling and all.

The guy had multiple surgeries over several years so I don’t know what “2 weeks post op” actually refers to here.

I assume the chin wing osteotemy, which was his last surgery.

The result for this kind of procedure is generally a marginal improvement at best.
It’s not going to re-invent the wheel

My instinct is that the changes will be incremental and I’ll stick with that.

If there are new photos which contradict this, I’d be happy to admit I was wrong.

 

[xnj]

This dude is the true looksmaxxer unlike most of whiners and copers here! He still has a long way to go but his actions and knowledge are commendable!

I don't think anyone should go to "board certified" clowns in US who only go for fillers and scared to perform osteotomies

Doctor and surgery details are in the post

holy fucking shit

now all he needs to do is bimax involving lefort impaction & genio impaction paired with revised wraparounds, as well as hairline advancement & getting rid of the zygo implats (or reducing them) - and he can finally start softmaxing!

it may look weird at first, as you switch between the pics (his traps look weird and it looks like hes getting squished jfl), but just zoom in and take a look at the morph of those surgeries alone and you will realize just how much it mogs the original

morph couldve been done way better, but im lazy & he tilted his head in such a way that it was really hard to fix the asymmetry (let alone his lips and moustache fucking with it too)

that would fix his fwhr, tfhrw, bigonial (cant be fucked to measure unmorphed, but it looks off) midface ratio, thirds, esr & jfa (fyi these ratios are literally the most important ratios on your face JFL)

what the fuck man

 

[nigtard]

so much money spent and still subhuman. This shit is making me reconsider surgery

 

[LEFORT17]

so much money spent and still subhuman. This shit is making me reconsider surgery

Trimax with gonial implants would have been the best solution for him. Its not like surgeries wouldnt change much, its about what specific surgeries being performed on someone. Cheekbone expansion and orbital asymmetry reduction was a good choice, his big flaw now is his round undefined jaw which gives him this,,childish“ unmaskular look. Might also be swelling or he is just fat af

 

[FRAMEMAX CHAD]

he didnt become chad but he improved

but im confused on chin wing how do the masseters attach afterward?

 

[FRAMEMAX CHAD]

he went from very recessed to looking normie. next step should be bimax with an impaction

 

[Xx_gloomy_bison_xX]

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