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

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.
 
Bro just consider complete ignoring "when results" questions
 
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Reactions: optimisticzoomer
There is a actual surgery to fix long mid face??
 
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:blackpill::redpill::bluepill:
 
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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:blackpill::redpill::bluepill:
For my situation what surgery would help compress for my midface? Lefort 2?
Screenshot 20240612 012011
Screenshot 20240616 201601
 
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 :blackpill:
 
Last edited:
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anticel, the dude on the left, got 27mm advancement, including genio, which he says in his thread was half of the projection, so he got "only" 13.5mm advancement from the BSSO and a massive 13.5mm genio.
that s not me niqqa.
 
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@T50gandycel
 
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I'd share but I know how this forum reacts when it's not supported by post ascension pics. I'll be sharing the full transformation once I'm done with it.
tag me for the full thing boyo
 
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 :blackpill:
Autism
 
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Is that blindening
 
q
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:

wow this is some interesting shit
 
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:

Lmao wtf nigga u hardmaxxed b4 even getting lean ??? Ur hand has no knuckles bha
 
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 :blackpill:
LF2 is a walk in the park compared to OBO don't spread misinformation. For a maxfac it's a relatively easy surgery he cuts on the lf2 lines with the nose root (nasion)or without quadrangular LF 2, the cuts doesn't go into the orbits like on the LF3 where he (she) must cut into the orbit laterally , than he advance the whole maxilla. A 2 piece lefort 2 is also no problem when more rotation is needed he actually cuts additonally on the LF1 line and rotate the lower maxilla till to the LF1 line.
We must also understand that people that have OBO (syndromal) have a miriad of other surgeries done to achieve good reconstructive result, for example monobloc advancement (forward movement of the upper skull), lf3 and so on.
 
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LF2 is a walk in the park compared to OBO don't spread misinformation. For a maxfac it's a relatively easy surgery he cuts on the lf2 lines with the nose root (nasion)or without quadrangular LF 2, the cuts doesn't go into the orbits like on the LF3 where he (she) must cut into the orbit laterally , than he advance the whole maxilla. A 2 piece lefort 2 is also no problem when more rotation is needed he actually cuts additonally on the LF1 line and rotate the lower maxilla till to the LF1 line.
We must also understand that people that have OBO (syndromal) have a miriad of other surgeries done to achieve good reconstructive result, for example monobloc advancement (forward movement of the upper skull), lf3 and so on.
How much LF2 can shorten nose/midface length?
 
Wait wait, he has strabismus now? How can he correct that?
 
So here is how AI does at unblurring images.
1.
1719181250200
1719181258427

2.
1719181358760
1719181367658


Idk what to think here...

Probably hella inaccurate, but might give some insights into the result.
 
Last edited:
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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:

can u send me the results?
 
Nah, giant implatns showed me these photos uncensored on zoom call and looks pretty much the same, he's just swollen as fuck obviously
Did Giant tell you when he would publish the results?
 
We need an update soon or are you waiting until the full year mark?
Ngl, i started to lose my trust in both giant and the OP. I mean if it was a life changing result, they would have posted 1000 times by now. I think the OP got botched or had minimal results, thus not posting. I mean if there was a great result, it would also skyrocket the attention towards both giant and surgeries. Also at giant’s insta, he never shows post results. He only shows the photos during surgery. I also ain’t buying the bs of patient allowance. If they had great results they would be so willing to be an example for future looksmaxers.
 
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Ngl, i started to lose my trust in both giant and the OP. I mean if it was a life changing result, they would have posted 1000 times by now. I think the OP got botched or had minimal results, thus not posting. I mean if there was a great result, it would also skyrocket the attention towards both giant and surgeries. Also at giant’s insta, he never shows post results. He only shows the photos during surgery. I also ain’t buying the bs of patient allowance. If they had great results they would be so willing to be an example for future looksmaxers.
Yeah also @boringthot supposedly had it done a few months ago and he would upload his before and afters as he said, which he still hasn't done.
 
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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:
 

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If they had great results they would be so willing to be an example for future looksmaxers.
If I had great results I would not post them but instead delete my account
 
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If I had great results I would not post them but instead delete my account
I dunno man. The way i see it, there ain’t many incels on this forum. More like normies who are trying to be Chad/Chadlite. So there is no point deleting your account afterwards.
 
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Ngl, i started to lose my trust in both giant and the OP. I mean if it was a life changing result, they would have posted 1000 times by now. I think the OP got botched or had minimal results, thus not posting. I mean if there was a great result, it would also skyrocket the attention towards both giant and surgeries. Also at giant’s insta, he never shows post results. He only shows the photos during surgery. I also ain’t buying the bs of patient allowance. If they had great results they would be so willing to be an example for future looksmaxers.
or he looks incredibly uncanny, and if he doesn’t then he probably got strabismus and is fucked because of it. obo and giant will always be a meme he hasn’t posted a single result and uses the most blocky material for implants out there
 
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It's sad it failed...I mean I dont need obo/tripod myself at all but it was promising to see new possibilities.

Wonder how this will go
1000003500
 
Yeah also @boringthot supposedly had it done a few months ago and he would upload his before and afters as he said, which he still hasn't done.
Did he end up getting it? He told me he was planning it, back in like January or something, and yeah, said he would show results
 
Did he end up getting it? He told me he was planning it, back in like January or something, and yeah, said he would show results
Probably chickened out (also Giant promised launching a website in January:forcedsmile:)
 
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Did he end up getting it? He told me he was planning it, back in like January or something, and yeah, said he would show results
Idk he didnt reply anymore after the month he supposedly was gonna get it done
 
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How much LF2 can shorten nose/midface length?
LF2 actually doesn't shorten midface it brings your midface more forward. BSSO with CCW short nose midface. basically a two piece lf2 .
 
how come the average person who gets bimax is a long midface cel? :feelshah:
 
LF2 actually doesn't shorten midface it brings your midface more forward. BSSO with CCW short nose midface. basically a two piece lf2 .
but what about ccw lefort 2?
 

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LF2 actually doesn't shorten midface it brings your midface more forward. BSSO with CCW short nose midface. basically a two piece lf2 .
I was told that bsso with ccw dont affect in nose length.In fact, it just bring the jaw forward and maybe slightly reduces the upper jaw/philtrum.
 
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I was told that bsso with ccw dont affect in nose length.In fact, it just bring the jaw forward and maybe slightly reduces the upper jaw/philtrum.
you mean lefort 1 correct? u said bsso which is lower jaw., and yeah it makes sense, never seen a CCW lf1 decrease midface length (bar changes in philtrum). Its conceivable that one could make a diagonal cut and basically slide the lf1 area up and forward idk if that's ever been done.
 
you mean lefort 1 correct? u said bsso which is lower jaw., and yeah it makes sense, never seen a CCW lf1 decrease midface length (bar changes in philtrum). Its conceivable that one could make a diagonal cut and basically slide the lf1 area up and forward idk if that's ever been done.
Which surgery is more dangerous cosmetic lefort 2 or cosmetic obo?
 
but what about ccw lefort 2?
The midface hasn't shortened? Measure it. Or just look at the alignment of orbits and teeth and nasal cavity in both
 
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you mean lefort 1 correct? u said bsso which is lower jaw., and yeah it makes sense, never seen a CCW lf1 decrease midface length (bar changes in philtrum). Its conceivable that one could make a diagonal cut and basically slide the lf1 area up and forward idk if that's ever been done.
The surgeon can impact the maxilla during LF1, for example to fix a gummy smile, and that should indeed shorten philtrum length and overall midface length a little bit.
 
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The surgeon can impact the maxilla during LF1, for example to fix a gummy smile, and that should indeed shorten philtrum length and overall midface length a little bit.
I think anterior impaction might be part of a true solution to midface shortening. But I think there is more too it then just that.
 
well im not so clear on what harmony is exactly, but if you mean to change ratios. Of course there are tons of things you can do. But most of those things will make you look ugly, then another large proportion will keep your psl the same, and then there will be a tiny portion which actually makes you better looking.


This is a case by case thing, but not everyone needs an OBO, most people need ccw maxilla (and I mean the whole maxilla not just the bottom part)
Where are these cases from ?
 
you mean lefort 1 correct? u said bsso which is lower jaw., and yeah it makes sense, never seen a CCW lf1 decrease midface length (bar changes in philtrum). Its conceivable that one could make a diagonal cut and basically slide the lf1 area up and forward idk if that's ever been done.
They can do high cut leforts right? Like to the point where it's just above the bottom of your nose.

There's definitely a way

From a trannie subreddit where a trannie was asking a famous trannie surgeon about midface shortening (long midface is a bigger failio on women than men)

" initially asked if I could get 1cm+ reduction in my midface, not knowing the technical details of the surgery and only reading about it online. He paused for a bit and said that he could move the upper jaw up an excessive amount, even more than 1cm, but there's drawbacks to it. Apparently, when you move the upper jaw up too much it causes the skin in the midface to compress with folding and wrinkling and there really isn't a good way to correct this. In my case he said 5-6mm would be preferred."

The nasal cavity will always be somewhat of a limiting factor, but I think they can currently shorten the midface more than they usually do rn.
 
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