Help with surgery design (round 2)

[midfacedeficient]

lookin like shit still but i got up and got some stuff at the mall. feeling a good bit better. think ive got my hair transplant tomorrow or tuesday

 

[tyler1234]

lookin like shit still but i got up and got some stuff at the mall. feeling a good bit better. think ive got my hair transplant tomorrow or tuesday
View attachment 4870378

What nose did u show him before the surgery

 

[kaydd]

Looksmaxxing Speedrun Istanbul Seed Any%Glitchless 1.16.1 17:57

 

[Firstname.Lastname]

lookin like shit still but i got up and got some stuff at the mall. feeling a good bit better. think ive got my hair transplant tomorrow or tuesday
View attachment 4870378

Brutal 2x, the blood in the sclera shit has always freaked me out.

Please watch closely for any sign of infections, brother. Implant risk via inter-oral approach generally have 7-15% infection rate(7% is for peek generally titanium is closer to the higher end I believe). You had an open interoral wound for a period of time followed by removing and placing another implant. So your risk is going to be much higher.

Be sure to do whatever post surgery protocol is for that religiously without deviation. Also try and avoid foods that promote bacteria growth or can get logged places. It would likely be a good idea to avoid anything with simple sugars or artificial sweaters(since they can digests it), while mostly living off a diet of liquid protein. All while doing the antispectic shit, at least for a week or two.

Oh the upside the puffiness is actually kind of making you look more youthful.

 

[PAUL_ALLEN]

I'm at 5 week post op from djs and starting to look at what i want done next. I think my eye area's good enough so i was mainly looking at the mid face and a little bit of the lower third. just gunna say what i was thinking about have done and see what you all think. i threw some befores relaxed and smiling (i have teeth now didnt before the downgraft) in the attachments for reference. not sure why the photos look so dingy


midface
nose job
given. going to reduce the size and slightly upturn it.
lip lift
not sure if it's necessary. my teeth show when i smile but not when I talk. I'd like them to show when I talk. but if I pull the lip up it might show gum when i smile. what do you guys think? is it possible?

paranasals
as you can see now that some swellings gone down my nasolabials are getting more prominent again. I don't want fat grafting, i wanted to fake some bone support instead. Surgeon thinks a facelift oughtta do it, but id rather augment the structure, facelift seems like a subscription based service where ive gotta do it again and again over the years to keep fixing it.
I've seen a few different shapes, ones with a hood on each side of the nose, ones with one big hoof under the nose, and ones that trace all the way up the side if the nose and also augment the infras. This is more of a full midface augmentation. Do these look stupid in practice or no?
Should I get paranasals, and what shape would work best?

cheekbones
could i increase them a good bit more or am i approaching the gay zone?

lower third
buccal fat removal
I want the hollow cheeks and ik this helps but everyone hates on it. what do you guys think? i like the skeleton, gaunt look. so i think id like it

chin
chin is deviated a few mm sideways, and upturned in the side profile. would it be easier to just have the entire thing shaved off and augmented instead of doing genio? I'd get more freedom in my design and I think it's be a faster recovery.

jaw
if i do a chin implant, should I go ahead and design the implant to augment the entire mandible? fix the angle a bit and add some flare at the ends?

neck lift
got that little double chin no matter how lean i get


So yeah lmk what you guys think and if you have any other suggestions

you dont look like a real person you look cgi