I had modified Orbital Box Osteotomy and Implants by Surgerymax. AMA

[saggyballsackcel]

Hello everyone! I am a long time lurker on .org and a dedicated hardmaxxer - some of you might know me as monke from looksmax related group chats. I’m here to discuss the planning, share my personal experience, and answer questions regarding the whole process of the modified Orbital Box Osteotomy combined with orbital implants I had. Feel free to ask any questions.

View attachment 2679696View attachment 2679745View attachment 2679746View attachment 2679722View attachment 2679747



View attachment 2679860
Original stats:
• 62mm IPD
• 0.46 ESR
• 31mm ICD
•135mm bizygomatic width
• 0.95 Midface Ratio
• Narrow looking intercanthal-nasal area
• Rated as MTN

Main aesthetic concerns:
• Long midface
• Narrow face
• Narrow intercanthal-nasal area

Stats after surgery:
• 69mm IPD
• 0.47 ESR
• 35 mm ICD
• 147mm bizygomatic width
• Spacious intercanthal-nasal area
• 1.0 Midface Ratio
• Rating: too swollen to be rated yet






View attachment 2679699

All ratios are secondary to IPD and ICD; the OBO essentially reset my foundation, serving as the necessary groundwork for lateral expansion across my entire face. Think of it as bimax but for the lateral growth instead of forward. It significantly enhanced my midface ratio, shortening the perceived length, aided by the supraorbital dropdown applied to the implant design, which shortened my nose and lowered my eyebrows.

View attachment 2679753

Additionally, as you might have noticed the increase in IPD is not equal to the increase in ICD, which was achieved through a combination of obo with medial orbital wall implants, which was done in order to achieve the ideal increase for both metrics. Effectively all my aesthetic concerns were addressed without any fear for severe complications, as the OBO was done subcranially (without exposing the brain). While there are more details, I’d rather not make the initial post too technical. You can feel free to ask for specifics.


View attachment 2679773View attachment 2679629

Credits to @RealSurgerymax, the designer and inventor behind many modifications, who assisted during the surgery, and to Dr. Burak Ercin, the surgeon. The procedure was a complete success, confirmed by post-op CT scans. It involved a manageable recovery, probably comparable to that of bimax. I had minimal pain but a lot of swelling in the initial week. Double vision (expected due to IPD adjustment) was fully resolved within a month. I spent a week in the hospital for extended IV antibiotics, minimizing infection risks. The only lingering complication is minor strabismus, which I plan to correct surgically soon.


View attachment 2679777View attachment 2679778

Overall, I’m incredibly satisfied with the experience and results, though I’ve yet to see the final outcome due to swelling. Huge thanks to Surgerymax for revolutionizing hardmaxxing and Dr. Ercin for executing the plan successfully. Special thanks to (you know who you are) for the support throughout the journey.


I’m currently sharing only procedure photos on Giant’s page, withholding before/after pictures until I complete my surgical journey in a few years.


We are all gonna make it.
Thanks for reading.


View attachment 2679823View attachment 2679789





Designer:

View attachment 2679761
https://www.instagram.com/surgerymax.cmf?igsh=MTE3NzJiZmFkemhtYw==

Surgeon:

View attachment 2679762
https://www.instagram.com/buraksercanercin?igsh=bml4amo1ZnY0ZzJ4


OBO edit:

Maybe icd matters more than IPD.

 

[LampPostPrime]

Dnrd post results

 

[Delissola]

Bro just consider complete ignoring "when results" questions

 

[mentªlcel]

There is a actual surgery to fix long mid face??

 

[Delissola]

There is a actual surgery to fix long mid face??

Long philtrum->Lefort 1 with decreasing philtrum region(it is well-known and relatively widespread surgrery)
Long nose->one of Lefort2 modifications but it is very risky and this has not been done for cosmetic purposes yet,maybe Giant soon invent cosmetic Lefort 2
Narrow midface like elongated midface ratio and narrow Fwhr -> Modified Orbital Box Osteotomy with some titanium cheekbone imnpants would be lifefuel for you BUT for some reason, there are still no results posted so we dont even know if that guy looked like alien

 

[mentªlcel]

Long philtrum->Lefort 1 with decreasing philtrum region(it is well-known and relatively widespread surgrery)
Long nose->one of Lefort2 modifications but it is very risky and this has not been done for cosmetic purposes yet,maybe Giant soon invent cosmetic Lefort 2
Narrow midface like elongated midface ratio and narrow Fwhr -> Modified Orbital Box Osteotomy with some titanium cheekbone imnpants would be lifefuel for you BUT for some reason, there are still no results posted so we dont even know if that guy looked like alien

For my situation what surgery would help compress for my midface? Lefort 2?

 

[Fairytale]

There is a actual surgery to fix long mid face??

Yes

 

[Delissola]

For my situation what surgery would help compress for my midface? Lefort 2?View attachment 2984613View attachment 2984618

Yep,your nose is a slighlty on a longer side,but nothing crazy.Even if you decide to do one of these crazy surgeries,you shouldnt do lefort 2 bc as I said earlier it is very risky and so far it has never been performed for cosmetic purposes.I dont know maybe Giant invent modified one,but as I understand it definitely won't be this year.Anyway modified obo is more well-known and in addition we have two performed cases at least
So you can get modified obo to improve ipsilateral angle(bc Even if your nose is short in relation to your thirds of your face, if you have a small angle, your nose will appear long and vice versa).And yeah it aslo improve your midface ratio and fwhr that is also helpful at making illusion of shorter nose).But you shouldnt get too much eye movement bc too much icd looks terrible on males.I would also reccommend you some cheekbones implants and some surgery to get more elongated eyes i dont mean just canthoplasty but something related to orbital bones ,yours is too roundish at a first view