Had Bimax CCW Genio with Dr Ramieri, AMA

[entropy137]

Quite a bit it looks like, but im still swollen. I feel my chin was made too big from the front, but that has to be taken with a grain of salt because there is still a lot swelling that can reduce.

My biggest flaw was my birdcel side profile, and now my side profile looks proportionate and above average (although not like a hyper anteface Chad)

Id say my side profile went from truecel to high tier normie/chadlite level.

The nose from front got slightly wider, chin looks too tall for face (at current swelling), but still the front improved a lot.

Overall id say 2psl point increase, so far.

That's what I want to hear. I'm getting bimax in march. How do you rate the pain post-op? Was there a lot of bleeding?

 

[Deleted member 4797]

That's what I want to hear. I'm getting bimax in march. How do you rate the pain post-op? Was there a lot of bleeding?

First week is Hell on Earth (no exaggeration), in particular first 4 days. Brace for impact.

 

[Benjibanks]

IMPORTANT TO ADD;

Bimax with Ramieri means you will have 2 small external scars on both lower cheeks, just before the ramus above the jaw bone. He does it mostly internally, but there will be 2 small scars on your cheeks from this procedure, he uses it to get access to the jaw from the outside.

He didn't mention this would happen, but maybe thats my fault for not asking, because I simply presumed bimax was performed entirely through the mouth giving only internal scars.

Are the scars noticeable?

 

[Deleted member 4797]

Are the scars noticeable?

Idk yet, havent shaved my stubble since surgery

 

[Gaia262]

Idk yet, havent shaved my stubble since surgery

Didn't Dr Ramieri do a expected surgical outcome as below?

 

[Deleted member 4797]

Didn't Dr Ramieri do a expected surgical outcome as below?

Yeah he did, based on surgical plan agreed numbers.

He then did less jaw advancement and compensated with more genioplasty.

This wasnt a good decision imo because attractive faces have forward mouths and normal chins, not big chins and mouths set back

 

[Gaia262]

Yeah he did, based on surgical plan agreed numbers.

He then did less jaw advancement and compensated with more genioplasty.

This wasnt a good decision imo because attractive faces have forward mouths and normal chins, not big chins and mouths set back

Can you pm me before and afters? I want to see what his aesthetic intentions where.

 

[Deleted member 4797]

Can you pm me before and afters? I want to see what his aesthetic intentions where.

Im afraid not sorry. PM MedMaxxing he can tell you how it looks the before/after, so can MakinItHappen. These guys I trusted since before surgery, thats why they have my pics

 

[Deleted member 4797]

5 week post op update:

Yesterday I shaved for the first time since surgery, and my fear that he had made the chin too tall is relived.

The chin right now is perfect, the height has matured my face whilst maintaining harmony, before surgery my short chin gave me a boyish look which has disappeared. The chin is also NOT pointy like I thought it would be, the swelling went down enough so that the width-height of the chin is balanced.

Overall he did a phenomenal job on the chin, I can say Ramieri has a great eye for aesthetics, though still on the moderate side. Anybody who isn't gigarecessed (and needs a more daring surgeon), will have a great result with him.

@Phoenix997 Can confirm how the chin has changed from the front, since I sent him my front before/after pics yesterday.

 

[oatmeal]

5 week post op update:

Yesterday I shaved for the first time since surgery, and my fear that he had made the chin too tall is relived.

The chin right now is perfect, the height has matured my face whilst maintaining harmony, before surgery my short chin gave me a boyish look which has disappeared. The chin is also NOT pointy like I thought it would be, the swelling went down enough so that the width-height of the chin is balanced.

Overall he did a phenomenal job on the chin, I can say Ramieri has a great eye for aesthetics, though still on the moderate side. Anybody who isn't gigarecessed (and needs a more daring surgeon), will have a great result with him.

@Phoenix997 Can confirm how the chin has changed from the front, since I sent him my front before/after pics yesterday.

so it was just swelling, lmao I knew it

good luck in your life man.

 

[khvirgin]

IMPORTANT TO ADD;

Bimax with Ramieri means you will have 2 small external scars on both lower cheeks, just before the ramus above the jaw bone. He does it mostly internally, but there will be 2 small scars on your cheeks from this procedure, he uses it to get access to the jaw from the outside.

He didn't mention this would happen, but maybe thats my fault for not asking, because I simply presumed bimax was performed entirely through the mouth giving only internal scars.

I talked to him about this, saying that I wouldn't want any scar because there's a high risk a scar on my body could become a keloid and he told me that he would do the thing completaly internally then
He just recommended a BSSO with genio to me btw

 

[bysontallou]

Did he ever tell you why he changed the proposed movements when he did the actual operation?

 

[Deleted member 4797]

Did he ever tell you why he changed the proposed movements when he did the actual operation?

Nope, he's still been delaying to give me the surgical report for quite a while now..

 

[bimaximum]

Do most people notice the changes ?

 

[Deleted member 4797]

Do most people notice the changes ?

Haven't seen people except family but yes its a noticeable difference. When I say Ramieri is moderate its because he didn't do one of those full side profile ascension results that I felt was possible with my base.

It wasn't a big ascension like this:

The improvement was more on this level, maybe a little bit more because my base was more recessed:

 

[TheOutkastt]

I see now

Tbh you aren't getting the local discount. Foreigners get charged almost 5K more. Local's pay around 10k-11.5k.

I wonder if there’s a way to fraud as a local tbh... it’s not like they’ll know until you get to the surgeons office tbh, by then it’ll be too late

 

[lasthope]

I wonder if there’s a way to fraud as a local tbh... it’s not like they’ll know until you get to the surgeons office tbh, by then it’ll be too late

Yeah it sucks to pay like 5k more just as a non Italian

 

[Boldandbeautiful]

Haven't seen people except family but yes its a noticeable difference. When I say Ramieri is moderate its because he didn't do one of those full side profile ascension results that I felt was possible with my base.

It wasn't a big ascension like this:

The improvement was more on this level, maybe a little bit more because my base was more recessed:

That's still a really good result. Congratulations man. Amazing how foreward growth can completely change how somebody is percieved, seems like a natural leader in the after while looking like an insecure DOTA playing kid before surgery.

About your healing, can you feel any bone irregularities along the mandible and can you pls share a description of what happened with the philtrum, Did it shorten or lenthen with the CCW? Become more concave?

 

[Deleted member 4797]

That's still a really good result. Congratulations man. Amazing how foreward growth can completely change how somebody is percieved, seems like a natural leader in the after while looking like an insecure DOTA playing kid before surgery.

About your healing, can you feel any bone irregularities along the mandible and can you pls share a description of what happened with the philtrum, Did it shorten or lenthen with the CCW? Become more concave?

Yes, bimax truly changes your image.

The philtrum is same length, it has become more convex which is worse, but I have 2 screws above my upper teeth, so I believe thats the reason for the convex shape, the screws are pushing the middle of my philtrum out. When they are removed I will update how it looks.

There is a bump in this part like this:

On both sides, but its much less pronounced and obvious as this one. In fact you cant see a bump, but it can be felt when I put my finger over it. It just looks really weak though where my ramus is, definitely need implants to fill that area if I want a handsome jaw.

 

[MD_Hopeful69]

Yes, bimax truly changes your image.

The philtrum is same length, it has become more convex which is worse, but I have 2 screws above my upper teeth, so I believe thats the reason for the convex shape, the screws are pushing the middle of my philtrum out. When they are removed I will update how it looks.

There is a bump in this part like this:

On both sides, but its much less pronounced and obvious as this one. In fact you cant see a bump, but it can be felt when I put my finger over it. It just looks really weak though where my ramus is, definitely need implants to fill that area if I want a handsome jaw.

when are you getting them removed? isnt convex philtrum a good thing

 

[Deleted member 4797]

when are you getting them removed? isnt convex philtrum a good thing

No this is convex

This is concave

Concave looks better in both men and women.

 

[MD_Hopeful69]

No this is convex

This is concave

Concave looks better in both men and women.

told you @PapiMew , i was right

 

[Boldandbeautiful]

Yes, bimax truly changes your image.

The philtrum is same length, it has become more convex which is worse, but I have 2 screws above my upper teeth, so I believe thats the reason for the convex shape, the screws are pushing the middle of my philtrum out. When they are removed I will update how it looks.

There is a bump in this part like this:

On both sides, but its much less pronounced and obvious as this one. In fact you cant see a bump, but it can be felt when I put my finger over it. It just looks really weak though where my ramus is, definitely need implants to fill that area if I want a handsome jaw.

Shame about the philtrum so far, hopefully improves. Goes to show that my jew surgeon lied about it 'definitely' not worsening (already flat) and actually claimed it'll improve with CCW regardless of maxilla advancement. Surgeon is very daringly aiming for 3cm at POG so maxilla is coming forward quite abit, mms to be determined after decompensation.

Have you weighed a chin wing against the implants? Apparently they can achieve 1cm dropdown and 1.5cm widening with the midline split modification and then maybe bone paste to blend the angle change in the mandible from the bsso. Now, if only all that can be done in one go...

 

[Boldandbeautiful]

No this is convex

This is concave

Concave looks better in both men and women.

I got the pheno of the first guy jfl

 

[Deleted member 4797]

Shame about the philtrum so far, hopefully improves. Goes to show that my jew surgeon lied about it 'definitely' not worsening (already flat) and actually claimed it'll improve with CCW regardless of maxilla advancement. Surgeon is very daringly aiming for 3cm at POG so maxilla is coming forward quite abit, mms to be determined after decompensation.

Have you weighed a chin wing against the implants? Apparently they can achieve 1cm dropdown and 1.5cm widening with the midline split modification and then maybe bone paste to blend the angle change in the mandible from the bsso. Now, if only all that can be done in one go...

No I don't want chin wing since I love the front of my jaw now, I dont want to fuck with that, just drop down the ramus on both sides.

IMO genioplasty is superior to mini chin wing, so even though I didn't get what I asked for, it was luckily for the better.

My philtrum might improve, I have 2 screws making it convex, there is very high chance that my philtrum will look good when they've been removed.

 

[Boldandbeautiful]

No I don't want chin wing since I love the front of my jaw now, I dont want to fuck with that, just drop down the ramus on both sides.

IMO genioplasty is superior to mini chin wing, so even though I didn't get what I asked for, it was luckily for the better.

My philtrum might improve, I have 2 screws making it convex, there is very high chance that my philtrum will look good when they've been removed.

Agree on the miniwing, not even sure what cases it would be useful in tbh, genio mogs every surgery under the sun.

Do you have any results of implants that you aim to achieve. Apart from that one terrino case. I can't seem to find any results where the cost is worth it, even with peek implants.

Chin wing: Dr Zarrinbal

Peek implants: Dr. Defrancq
-First one might just have been widening, second one was dropdown of back angle I think.

 

[Deleted member 4797]

Agree on the miniwing, not even sure what cases it would be useful in tbh, genio mogs every surgery under the sun.

Do you have any results of implants that you aim to achieve. Apart from that one terrino case. I can't seem to find any results where the cost is worth it, even with peek implants.

Chin wing: Dr Zarrinbal
View attachment 955511View attachment 955516

Peek implants: Dr. Defrancq
-First one might just have been widening, second one was dropdown of back angle I think.

View attachment 955517View attachment 955521

Defranq I dont trust at all, TERRIBLE eye for aesthetics and he jews people badly to get their business, there was a famous case on this website like a year ago.

It will be Ramieri or Pagnoni depending on prices and portfolio they show me.

 

[Boldandbeautiful]

Defranq I dont trust at all, TERRIBLE eye for aesthetics and he jews people badly to get their business, there was a famous case on this website like a year ago.

It will be Ramieri or Pagnoni depending on prices and portfolio they show me.

Clever decision to avoid the butcher in Belgium, about the bad result are you referring to Sal?

This is the best result I've seen personally

@Won'tStopNoodling @ImmortalRizing

 

[Deleted member 4797]

Clever decision to avoid the butcher in Belgium, about the bad result are you referring to Sal?
View attachment 955536

This is the best result I've seen personally
View attachment 955555
@Won'tStopNoodling @ImmortalRizing

View attachment 955563

No I've just seen plenty of shit results on his site, but yeah Sal is the one he really jew'd quite badly.

 

[Boldandbeautiful]

I think sal lacked the forwards growth required to bring the gonial angle down without looking unnatural

 

[Deleted member 4797]

Clever decision to avoid the butcher in Belgium, about the bad result are you referring to Sal?
View attachment 955536

This is the best result I've seen personally
View attachment 955555
@Won'tStopNoodling @ImmortalRizing

View attachment 955563

this is morphed

 

[Deleted member 4797]

I think sal lacked the forwards growth required to bring the gonial angle down without looking unnatural

The implant is too thick, his jaw looks lumpy instead of sharp. Thats another reason I would never get wrap around jaw implant, only ramus area which can naturally be thicker anyway.

 

[Boldandbeautiful]

this is morphed

Nice catch. Exposed eppley, and now exposed this nigga. Over for photoshop-reliant validationcels.

 

[spark]

Haven't seen people except family but yes its a noticeable difference. When I say Ramieri is moderate its because he didn't do one of those full side profile ascension results that I felt was possible with my base.

It wasn't a big ascension like this:

The improvement was more on this level, maybe a little bit more because my base was more recessed:

how many mm advancement do you think the guys above had?

 

[Boldandbeautiful]

how many mm advancement do you think the guys above had?

Not enough to give me a chin

 

[Deleted member 4797]

how many mm advancement do you think the guys above had?

Second guy had 3mm upper jaw verified by Ramieri, so probably 6 degrees ccw, 6-8mm lower jaw and 5-6mm genioplasty

 

[spark]

Second guy had 3mm upper jaw verified by Ramieri, so probably 6 degrees ccw, 6-8mm lower jaw and 5-6mm genioplasty

that 3mm went a long way wow

kinda surprised he had a genio, is it needed with almost every mandibular surgery? I kinda hope I can just get an IMDO and it's going to be enough but maybe I'll need a genio too.

 

[OOGABOOGA]

Congrats dude. I’m hoping to get a similar conservative ccw bimax for my looks and sleep apnea once I come up with the money. Worst feature about my side profile is probably my hyoid tho. I’ve heard bimax and genio can cause the hyoid to rise and tighten. Did yours improve?

 

[Dutcher]

Congrats dude. I’m hoping to get a similar conservative ccw bimax for my looks and sleep apnea once I come up with the money. Worst feature about my side profile is probably my hyoid tho. I’ve heard bimax and genio can cause the hyoid to rise and tighten. Did yours improve?

Avi before I kill myself

 

[OOGABOOGA]

Avi before I kill myself

Kys bc no rep

 

[Deleted member 439]

Congrats dude. I’m hoping to get a similar conservative ccw bimax for my looks and sleep apnea once I come up with the money. Worst feature about my side profile is probably my hyoid tho. I’ve heard bimax and genio can cause the hyoid to rise and tighten. Did yours improve?

exact same situation for me
can u pm pics?

 

[Gaia262]

IMO genioplasty is superior to mini chin wing, so even though I didn't get what I asked for, it was luckily for the better.

Why do you say genio mogs the mini chin wing?

 

[Deleted member 4797]

that 3mm went a long way wow

kinda surprised he had a genio, is it needed with almost every mandibular surgery? I kinda hope I can just get an IMDO and it's going to be enough but maybe I'll need a genio too.

Genio just always improves guys it seems. Your chin can still be behind the lower lip a lot even after jaw advancement so it is necessary usually (aesthetically)

 

[Deleted member 4797]

Congrats dude. I’m hoping to get a similar conservative ccw bimax for my looks and sleep apnea once I come up with the money. Worst feature about my side profile is probably my hyoid tho. I’ve heard bimax and genio can cause the hyoid to rise and tighten. Did yours improve?

I havent noticed a difference yet in hyoid

 

[Deleted member 4797]

Why do you say genio mogs the mini chin wing?

Because you can achieve a taller chin which is distinct from the mid mandible.



When you get mini chin wing, the whole front of tue jaw will look more like 1 big lump. This may look ok in side profile, but from the front a chin drop is essential. Id say its more important than extra forward growth of the jaw from side profile.

This is achievable for me now because I had genioplasty which dropped down slightly. My jaw looks like his shape except the ramus is narror and high, very weak.



When I get ramus drop down implants, my lower third will have a similar contour to Meeks from front, which would be impossible if I had mini chin wing.





This is the type of jaw shape mini chin wing gives you from front:

Much uglier especially if your not ogremaxxed.

 

[Gaia262]

Because you can achieve a taller chin which is distinct from the mid mandible.



When you get mini chin wing, the whole front of tue jaw will look more like 1 big lump. This may look ok in side profile, but from the front a chin drop is essential. Id say its more important than extra forward growth of the jaw from side profile.

View attachment 956048





This is achievable for me now because I had genioplasty which dropped down slightly. My jaw looks like his shape except the ramus is narror and high, very weak.



When I get ramus drop down implants, my lower third will have a similar contour to Meeks from front, which would be impossible if I had mini chin wing.





This is the type of jaw shape mini chin wing gives you from front:

View attachment 956049



Much uglier especially if your not ogremaxxed.

I actually agree with you, I have always questioned the semi chin wing. I guess Dr Ramieri but have seen too many cases where the results were subpar and just stopped doing them.

 

[Deleted member 4797]

I actually agree with you, I have always questioned the semi chin wing. I guess Dr Ramieri but have seen too many cases where the results were subpar and just stopped doing them.

Yh they are deceptive results because we only see side prfofiles

 

[Deleted member 4797]

Ramieri gave the surgical report!

Looks like it was 4mm upper jaw afterall

 

[Deleted member 4797]

Admins can you edit that image onto my original post?

 

[MD_Hopeful69]

Admins can you edit that image onto my original post?

@DatGuyYouLike

i don’t need any vertical height for the chin right ?