Help me pick my surgeries cause im so fucking cooked rn its over

[Ripio]

Currently subh , what am i going to be if i get the following surgeries : Bimax +Rhino , Infras
And what other surgeries should i get to ascend to something socially acceptable like mtn ??
PS:If not obvious i have a severe underbite so maybe ill look better when i fix that

 

[ijazal]

if u get all those you’ll be mtn probably

 

[Ripio]

if u get all those you’ll be mtn probably

what more should i get to reach htn ? (money isnt a problem)

 

[BWC]

View attachment 3568741View attachment 3568743
Currently subh , what am i going to be if i get the following surgeries : Bimax +Rhino , Infras
And what other surgeries should i get to ascend to something socially acceptable like mtn ??
PS:If not obvious i have a severe underbite so maybe ill look better when i fix that

You need also a canthoplasty cuz you have negative canthal tilt+blepharoplasty for the UEE and oroplasty for your ears.good luck

 

[Ripio]

You need also a canthoplasty cuz you have negative canthal tilt+blepharoplasty for the UEE and oroplasty for your ears.good luck

thanks brother

 

[BWC]

thanks brother

Otoplasty* my bad.You're welcome bro

 

[superpsycho]

canthoplasty

 

[Deleted member 92616]

Th

View attachment 3568741View attachment 3568743
Currently subh , what am i going to be if i get the following surgeries : Bimax +Rhino , Infras
And what other surgeries should i get to ascend to something socially acceptable like mtn ??
PS:If not obvious i have a severe underbite so maybe ill look better when i fix that

Ideally you want lefort 2 (ccw rotation), and then jaw surgery with ccw but depends entirely on how they advance the maxilla+nasion. Then genio. And finally you go for rhino and and infras+ supras.

 

[moze]

Cooked.you should get lf2/3

 

[Snicket]

Currently subh , what am i going to be if i get the following surgeries : Bimax +Rhino , Infras

Your instincts are good. This is a comprehensive approach. Rhinoplasty after bimax because of nasal soft tissues changes.

PS:If not obvious i have a severe underbite so maybe ill look better when i fix that

How severe is your underbite in millimeters?

 

[Snicket]

Ideally you want lefort 2 (ccw rotation), and then jaw surgery with ccw but depends entirely on how they advance the maxilla+nasion.

Who’s going to perform this on him in a developed country?

 

[moze]

His case is pretty much very severe.there will doctors who would do lf2/3 on him

Who’s going to perform this on him in a developed country?

 

[Snicket]

His case is pretty much very severe.there will doctors who would do lf2/3 on him

High level LeForts are overwhelmingly performed on syndromic patients.

Medically speaking, he would not be considered severe enough by the vast majority of surgeons.

There are a few but OP would have to fork out maybe 100K in developed countries.

 

[Ripio]

Your instincts are good. This is a comprehensive approach. Rhinoplasty after bimax because of nasal soft tissues changes.

How severe is your underbite in millimeters?

if i remember correctly from my last visit to the ortho , it was around 5 mms

 

[Whirr22222]

I'd bet you likely qualify for a free LF2 if you look into it

 

[Snicket]

if i remember correctly from my last visit to the ortho , it was around 5 mms

That would be classed as moderate.
10 mm is considered severe.

 

[Ripio]

High level LeForts are overwhelmingly performed on syndromic patients.

Medically speaking, he would not be considered severe enough by the vast majority of surgeons.

There are a few but OP would have to fork out maybe 100K in developed countries.

100k just for lf 2 ??

 

[Snicket]

I'd bet you likely qualify for a free LF2 if you look into it

He wouldn’t. I have a 7mm underbite and every single surgeon I’ve seen so far has told me I’m not a candidate.

 

[Ripio]

I'd bet you likely qualify for a free LF2 if you look into it

yeah ill try to , the biggest problem is that the inssurance companies in my country are shit so itll be tough trying to get anything out of them

 

[Snicket]

100k just for lf 2 ??

Yes. It’s far more invasive than a standard bimax and surgeons demand far more. At least in a developed country.

 

[Snicket]

yeah ill try to , the biggest problem is that the inssurance companies in my country are shit so itll be tough trying to get anything out of them

You’ll never get LF2 with a 5mm underbite on insurance or even privately without fuck you money.

 

[Ripio]

He wouldn’t idiot. I have a 7mm underbite and been told to fuck odd by surgeons for even asking the question.

yeah thats what i was thinking too , underbites arent really covered

 

[Ripio]

Yes. It’s far more invasive than a standard bimax and surgeons demand far more. At least in a developed country.

DAMNN okay i bet a whole skull transplant would be better atp JFL

 

[Snicket]

yeah thats what i was thinking too , underbites arent really covered

I live in a country with a socialized healthcare system and they told me I wasn’t even a functional case with a 7mm underbite.

 

[Ripio]

You’ll never get it with a 5mm underbite on insurance or probably privately without fuck you money.

would you recommend i do it till i turn 20 tho ? cause ive been told the mandibles growth stops at around that age and i dont want to get an underbite again after i spend so much on the surgery

 

[Ripio]

I live in a country with a socialized healthcare system and they told me I wasn’t even a functional case with a 7mm underbite.

oh wow did you do the surgery anyway or did you just not do it ?

 

[Snicket]

would you recommend i do it till i turn 20 tho ? cause ive been told the mandibles growth stops at around that age and i dont want to get an underbite again after i spend so much on the surgery

Yes wait until your jaw growth finishes and get bimax + implants.

 

[Ripio]

Yes wait until your jaw growth finishes and get bimax + implants.

okay can i pm you btw bro?

 

[Snicket]

okay can i pm you btw bro?

Sure

 

[moze]

Yes wait until your jaw growth finishes and get bimax + implants.

Get lefort 2 and 1 combined.there is no single surgery to if maxilla is not grown properly it should be combined

 

[Ripio]

Get lefort 2 and 1 combined.there is no single surgery to if maxilla is not grown properly it should be combined

can you elaborate more on that ?

 

[Snicket]

Get lefort 2 and 1 combined.there is no single surgery to if maxilla is not grown properly it should be combined

I’m being realistic with OP.
He’s highly unlikely to find a surgeon who will perform LF2 on him.

Bimax + implants is the realistic solution.

 

[Snicket]

can you elaborate more on that ?

You can technically have bimax combined with a high level Lefort osteotemy.

I spoke to a surgeon who does this and he outright refused to perform it on me.

 

[moze]

I’m being realistic with OP.
He’s highly unlikely to find a surgeon who will perform LF2 on him.

Bimax + implants is the realistic solution.

Ok

 

[Ripio]

I’m being realistic with OP.
He’s highly unlikely to find a surgeon who will perform LF2 on him.

Bimax + implants is the realistic solution.

which implants are you reffering to ?

 

[moze]

can you elaborate more on that ?

When maxilla doesnt grow properly there can be defects in any part of the face for some it maybe orbitals for some it maybe midface for some it maybe just lower third and for some it maybe both in that case lefort1 and 2 should be combined

 

[moze]

When maxilla doesnt grow properly there can be defects in any part of the face for some it maybe orbitals for some it maybe midface for some it maybe just lower third and for some it maybe both in that case lefort1 and 2 should be combined

Its not possible to rotate much with lf2 alone as there are many nerves

 

[Ripio]

When maxilla doesnt grow properly there can be defects in any part of the face for some it maybe orbitals for some it maybe midface for some it maybe just lower third and for some it maybe both in that case lefort1 and 2 should be combined

yeah for me its defo both , but at the same time where would i find a good surgeon to operate on me ?

 

[Snicket]

Its not possible to rotate much with lf2 alone as there are many nerves

For this reason, surgeons who perform high level LeForts often combine it with orthognathic surgery to get the optimal occlusal plane and bite.

 

[Snicket]

yeah for me its defo both , but at the same time where would i find a good surgeon to operate on me ?

You’re highly unlikely to find any surgeon who will do LF2 with a 5 mm underbite. I’d forget it.

Implants are the realistic solution.

 

[Ripio]

You’re highly unlikely to find any surgeon who will do LF2 with a 5 mm underbite. I’d forget it.

Implants are the best you can realistically do.

yeah as i asked earlier which implants exactly ?

 

[Snicket]

yeah as i asked earlier which implants exactly ?

Infraorbital rim implants + paranasal

 

[Futura]

View attachment 3568741View attachment 3568743
Currently subh , what am i going to be if i get the following surgeries : Bimax +Rhino , Infras
And what other surgeries should i get to ascend to something socially acceptable like mtn ??
PS:If not obvious i have a severe underbite so maybe ill look better when i fix that

Lefort

 

[Ripio]

Infraorbital rim implants + paranasal

yep sounds good to me thanks for all the advice youve been a great help

 

[zemult]

I’m being realistic with OP.
He’s highly unlikely to find a surgeon who will perform LF2 on him.

Bimax + implants is the realistic solution.

He will need chin reduction most likely. I'm not sure if his chin is the problem though because his philtrum is extremely short.

 

[Snicket]

He will need chin reduction most likely. I'm not sure if his chin is the problem though because his philtrum is extremely short.

I meant trimax.
Genio is just the icing on the cake.
The maxilla is the main issue here.

 

[Evgeniy291]

View attachment 3568741View attachment 3568743
Currently subh , what am i going to be if i get the following surgeries : Bimax +Rhino , Infras
And what other surgeries should i get to ascend to something socially acceptable like mtn ??
PS:If not obvious i have a severe underbite so maybe ill look better when i fix that

Otoplasty

 

[Ripio]

He will need chin reduction most likely. I'm not sure if his chin is the problem though because his philtrum is extremely short.

Dont forget that my nose is also extremely bulbous and kind of crooked so it makes my philtrum look smaller , so ill go with the bimax and rhino first and if the chin still causes isssues ill go with genio

 

[Ripio]

Otoplasty

that will be probably the last surgery ill get . Gotta fix the face first

 

[nik.077]

Cooked.you should get lf2/3

lefort 3 bro are you serious… no doctor would ever agree on doing this on him ever u have no clue