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

[Snicket]

He had about the same amount of underbite. i would share with you all the other details in private.

Please DM me.

 

[Acne Victim]

Front morph:

Side morph:

I'm too much of a moron to morph anterior malar projection so I didn't even bother. But it would be a huge plus too

Also, you might have noticed the lips change a lot. I'm confident to say bimax could help a lot here. But a good maxfac should be able to evaluate your palate/lips situation quite well to see if you need additional work, not sure here. And soft tissue changes on the area are hard to predict - I myself ascended my lips with bimax, but I was class 2

These should be quite realistic and conservative

 

[Ripio]

My honest opinion

Starting from the bottom: from how I see it, a good lower third requires 4 main aspects -> occlusion/forward growth, chin + ramus dimensions, and mandibular concavity. I'll cover each of them on your case now

- Occlusion/forward growth: start with bimax, no questions asked here, your malocclusion destroys your facial harmony. You need a very good bimax. It's gonna be a good improvement on itself and will give you a better idea on how to proceed forward, as a lot of minor changes on your face could make something that wasn't necessary before necessary now, and vice-versa.
- Chin: it's way too disproportional for your face. No matter how much you bring the rest of your face forward, it still needs a lot of reshaping, with mainly height reduction, as your width seems good. A good metric is the jaw frontal angle - and yours is very low. A proportional lower third requires both ramus and chin to be harmonious in height/width.
- Ramus: adding on the last point, to make your lower third ideal, you need a better ramus, no questions asked. Bimax could likely worsen it btw. I would still say it's a must do if you're getting the rest.
- The BSSO might give you some "bone overgrowth" near the cut region - basically here:

View attachment 3571027

I think that you could benefit from some shaving there regardless of bimax, as it will increase your mandibular concavity (basically, you want the jaw to form a small curve inwards, with the chin and jaw angles being relatively wider).

Now that we have covered the jaw, let's get to the rest, which is arguably as important:

- Infras alone will do not do much for you. Definitely not a priority. What you really only need a BIG malar component, as you're very deficient there. So go moderate/conservative on the infra component, but heavy on malars
- Unlike most people here, you're a genuine canthoplasty candidate, with actual NCT. This is gonna be likely independent from all other surgeries (i.e. bimax changes the nose, no surgery besides cantho changes your canthal tilt, despite what anyone here might say)
- Your nose should change for the better with bimax. But it's still gonna be deficient. You will most likely need at least tip and alar base work. Projection I'm not so sure, I think you can get away without it, assuming it's proportional to the rest of your "new face".
- I'm not so sure about the entire maxillary projection part. I guess you could get paranasals + projection rhino, but as I said before, it might not be needed, as you have bigger priorities
- There is more that I didn't cover, either because I can't assess confidently from these pics, or because I don't know how it will be after you get all of the other surgeries first

A realistic plan could be:

- Surgery 1: Bimax
- Surgery 2: Implants
- Surgery 3: Lower third reshaping + rhino
- Surgery 4: Canthoplasty

Do you need all of this? It depends. If you truly wanna look better, you likely do. But that's your choice, surgery isn't perfect and neither a guarantee to make you good looking. Just to be clear, I'm not a doctor, so consult with many before taking a decision based on what a PSL autist told you to do

Hope this helps

Thank you , much appreciated!

 

[Ripio]

Front morph:

View attachment 3571106View attachment 3571108

Side morph:

View attachment 3571082View attachment 3571086

I'm too much of a moron to morph anterior malar projection so I didn't even bother. But it would be a huge plus too

Also, you might have noticed the lips change a lot. I'm confident to say bimax could help a lot here. But a good maxfac should be able to evaluate your palate/lips situation quite well to see if you need additional work, not sure here. And soft tissue changes on the area are hard to predict - I myself ascended my lips with bimax, but I was class 2

These should be quite realistic and conservative

Yeah the lips are definetly going to be much better after bimax , as for the morph in the lower third area , i think that makes my face look a bit too square , would there be any better way to reshape it ?

 

[Acne Victim]

Yeah the lips are definetly going to be much better after bimax , as for the morph in the lower third area , i think that makes my face look a bit too square , would there be any better way to reshape it ?

It won't look like that in practice. Don't worry lol. Morphs are not 3D

 

[Ripio]

It won't look like that in practice. Don't worry lol. Morphs are not 3D

Yeah i had in mind lol , ill start with bimax and implants and see where to go from there .Thanks bro

 

[zemult]

My honest opinion

Starting from the bottom: from how I see it, a good lower third requires 4 main aspects -> occlusion/forward growth, chin + ramus dimensions, and mandibular concavity. I'll cover each of them on your case now

- Occlusion/forward growth: start with bimax, no questions asked here, your malocclusion destroys your facial harmony. You need a very good bimax. It's gonna be a good improvement on itself and will give you a better idea on how to proceed forward, as a lot of minor changes on your face could make something that wasn't necessary before necessary now, and vice-versa.
- Chin: it's way too disproportional for your face. No matter how much you bring the rest of your face forward, it still needs a lot of reshaping, with mainly height reduction, as your width seems good. A good metric is the jaw frontal angle - and yours is very low. A proportional lower third requires both ramus and chin to be harmonious in height/width.
- Ramus: adding on the last point, to make your lower third ideal, you need a better ramus, no questions asked. Bimax could likely worsen it btw. I would still say it's a must do if you're getting the rest.
- The BSSO might give you some "bone overgrowth" near the cut region - basically here:

View attachment 3571027

I think that you could benefit from some shaving there regardless of bimax, as it will increase your mandibular concavity (basically, you want the jaw to form a small curve inwards, with the chin and jaw angles being relatively wider).

Now that we have covered the jaw, let's get to the rest, which is arguably as important:

- Infras alone will do not do much for you. Definitely not a priority. What you really only need a BIG malar component, as you're very deficient there. So go moderate/conservative on the infra component, but heavy on malars
- Unlike most people here, you're a genuine canthoplasty candidate, with actual NCT. This is gonna be likely independent from all other surgeries (i.e. bimax changes the nose, no surgery besides cantho changes your canthal tilt, despite what anyone here might say)
- Your nose should change for the better with bimax. But it's still gonna be deficient. You will most likely need at least tip and alar base work. Projection I'm not so sure, I think you can get away without it, assuming it's proportional to the rest of your "new face".
- I'm not so sure about the entire maxillary projection part. I guess you could get paranasals + projection rhino, but as I said before, it might not be needed, as you have bigger priorities
- There is more that I didn't cover, either because I can't assess confidently from these pics, or because I don't know how it will be after you get all of the other surgeries first

A realistic plan could be:

- Surgery 1: Bimax
- Surgery 2: Implants
- Surgery 3: Lower third reshaping + rhino
- Surgery 4: Canthoplasty

Do you need all of this? It depends. If you truly wanna look better, you likely do. But that's your choice, surgery isn't perfect and neither a guarantee to make you good looking. Just to be clear, I'm not a doctor, so consult with many before taking a decision based on what a PSL autist told you to do

Hope this helps

Would lower third reshaping be necessary if he gets jaw angle implants? Or are you specifically referring to chin height reduction when referring to lower third being reshaped?

 

[stefthetics]

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

fix under bite and get rhino

 

[Acne Victim]

Would lower third reshaping be necessary if he gets jaw angle implants? Or are you specifically referring to chin height reduction when referring to lower third being reshaped?

The main concern is the chin and parts near it/bsso cut area. The jaw angle wouldn’t be included, as there we want height and width (creating concavity)

A common thing I see among people who get implants is to overkill on jaw angles, get dehiscence, all in an attempt to match excessive chin height. It never works

 

[zemult]

The main concern is the chin and parts near it/bsso cut area. The jaw angle wouldn’t be included, as there we want height and width (creating concavity)

I see, what would be improving the ramus then?

 

[Acne Victim]

I see, what would be improving the ramus then?

Implants u mean?

You gain mass on the jaw angle region while losing on the rest. But to what degree is hard to tell, and something I don’t even know myself, as too much jaw shaving could make you look boneless

 

[viniciussdc]

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

First you should have maxillary advancement and mandibular setback. Then, from top to bottom: Upper eyelid filler, canthopexy/canthoplasty, custom infraorbital rim implants, rhinoplasty, setback otoplasty, custom zygomatic arch implants, upper lateral lip vermillion advancement, lower lip vermillion advancement to fix asymmetry, chin wing and/or custom jawline implant with or without horizontal advancement genioplasty and/or chin implant.