How does one tell if cheekbone implants are a good idea?

[HorseMan7]

My face is downward grown and I'm trying to get double jaw surgery. Since the midface/cheekbones sit on top of the jaws, downward growth of might affect them too. I wonder if cheekbone implants should be done with all bimax surgeries.

 

[Manfrommars]

Normally if you are downward grown your whole face will look retruded, so implants for the forehead zygos orbits is normally done for a match to a bimax advancement

 

[lurking truecel]

Depends, you just look at the CT scan. And also for sfs it usually not needed because the upper part of the face is well developed. But yes with downward growth it's usually necessary.

 

[HorseMan7]

Good to know. Any thoughts on this?

 

[HandsomeTwink420]

Good to know. Any thoughts on this? View attachment 3302847

I'm having the same thoughts about my own situation.

Unfortunately, there aren't many surgeons that do cheek implants along with a bimax where I live.

If you have aesthetic problems, I believe it's very likely that you also have / will develop some functional problems, sleep apnea, neck position, mouth breathing, etc....

I personally think it's more important to get the bimax done ASAP with a safe surgeon reasonably close to home, ideally, covered under insurance.

The risks of bimax increase quite a bit with age.

Implants can always be done after, and, given that you'd already be done with the bimax, it gives you more geographical flexibility, you can go to another country for implants and recover within a week or two instead of an ordeal for multiple months.

Just some trade-offs to think about...

 

[lurking truecel]

Good to know. Any thoughts on this? View attachment 3302847

You need leforte 3

 

[gofortheeyes]

You need leforte 3

How do you know, could you show me a CT scan that doesn't need LF3, so i can compare?

 

[lurking truecel]

How do you know, could you show me a CT scan that doesn't need LF3, so i can compare?

You def don't need leforte 3, leforte 1 will be sufficient

 

[lurking truecel]

Good to know. Any thoughts on this? View attachment 3302847

But yea getting infras could help aswell

 

[HorseMan7]

You need leforte 3

Are you just saying that for the lols? Idk who would even perform a lefort 3 on me.

 

[lurking truecel]

Are you just saying that for the lols? Idk who would even perform a lefort 3 on me.

Yes you don't need leforte 3 ofc, I mean maybe you could benefit from it but it will not happen. Leforte 1 and infras is the best

 

[moreroidsmoredates]

I'm having the same thoughts about my own situation.

Unfortunately, there aren't many surgeons that do cheek implants along with a bimax where I live.

If you have aesthetic problems, I believe it's very likely that you also have / will develop some functional problems, sleep apnea, neck position, mouth breathing, etc....

I personally think it's more important to get the bimax done ASAP with a safe surgeon reasonably close to home, ideally, covered under insurance.

The risks of bimax increase quite a bit with age.

Implants can always be done after, and, given that you'd already be done with the bimax, it gives you more geographical flexibility, you can go to another country for implants and recover within a week or two instead of an ordeal for multiple months.

Just some trade-offs to think about...

NHS surgeons won’t give you maximum advancements, because they want to play it safe.

 

[ectomorpher]

covered under insurance.

from what I've read, the surgeons with insurance are terrible, they know nothing about aesthetics and would only solve the respiratory problem and not the aesthetic one

 

[HorseMan7]

from what I've read, the surgeons with insurance are terrible, they know nothing about aesthetics and would only solve the respiratory problem and not the aesthetic one

I've definitely heard of people getting good surgeons in network. If there isn't a surgeon close to home, I think it's worth the effort to fly to see them a couple of times. There are a ton of good surgeons out there besides the 5 or so that people on this forum are always mentioning. The most important thing is to find someone experienced who is able to do all different kinds of movements, rotations, impactions etc. They should hopefully have an idea of the best options for your case.

 

[ectomorpher]

I've definitely heard of people getting good surgeons in network. If there isn't a surgeon close to home, I think it's worth the effort to fly to see them a couple of times. There are a ton of good surgeons out there besides the 5 or so that people on this forum are always mentioning. The most important thing is to find someone experienced who is able to do all different kinds of movements, rotations, impactions etc. They should hopefully have an idea of the best options for your case.

can you choose the surgeon with insurance?

 

[HorseMan7]

can you choose the surgeon with insurance?

Depends on the insurance I assume. My insurance covers a percentage of treatments out of network so I'm just going with a surgeon that can give me a plan I like.