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

[VampyrMaxx]

cant i just measure it with a ruler?
I aslo measured my ipd with an ruler.

Rulers arent very accurate. I would get a digital pupilometer and then use a photo to get the BW, that should be the most accurate way. Or you could PM face, I could give an estimate.

 

[Skelecel]

View attachment 2679747

Is your case the same as my pfp? If so very cool bhai, the design is quite aesthetic, I hope to get a similar procedure done in the near future.

 

[fuckingmeat]

not serious but can you fight with them and be ok?

 

[tqxt]

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:

 

[UnknownNormie]

Can this surgery get your eyes closer together?

 

[Seeyenar]

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:

@SpectrumAesthetics3

 

[Minuskul]

Can this surgery get your eyes closer together?

Yes

 

[ScientiaAeterna]

Updates for us?

 

[BM7]

Updates for us?

He died.
Rest in peace, orbital bro.

 

[ScientiaAeterna]

He died.
Rest in peace, orbital bro.

U r kidding right? Ts isnt even funny

 

[tension]

what if instead of obo, it was ovo

 

[abdulaziz_py]

What do u do to afford this surgery?

 

[Jesus_ist_König]

@Mazilias

 

[kushagra]

mirin

 

[ijustwannaascendlol]

Worst treadh ever

 

[egorkrasnov]

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:

Mirin, wish u a great recovery

 

[gunterrr]

It was about 30k usd including everything (Design, titanium implant manufacturing, surgery, hospital stay etc.)

Next up is bimax, genio and jaw angle implants. But, I’m also planning on getting a few soft tissue adjustments and potentially limb lengthening in the future.

Yes, the surgery was quite long by itself, it would be too dangerous to combine the two.

How did you afford this

 

[Number1Greycel]

How did you afford this

He has a business

Through a business that I've grown in the past 2 years.

 

[MagicalWaves]

Post yours when you get it

what a pussy still cant admit u got botched 2 years latwr fuck you cunt

 

[mltn2mtn]

what a pussy still cant admit u got botched 2 years latwr fuck you cunt

he is still waiting for giant to stop posting gay threads and do a revision

 

[MagicalWaves]

he is still waiting for giant to stop posting gay threads and do a revision

fuck giant and this guy i despise both of them

 

[mltn2mtn]

fuck giant and this guy i despise both of them

yeah tbh I feel bad for bro though, if I was stuck in his shitty position I’d do the same thing.

 

[Antonlord7]

fuck giant and this guy i despise both of them

yeah tbh I feel bad for bro though, if I was stuck in his shitty position I’d do the same thing.

Just Implants round orbits it's enough

I'd rather look with ipd like cr7 or ian somerhalder than walking alien and strabismus

 

[MagicalWaves]

Just Implants round orbits it's enough

I'd rather look with ipd like cr7 or ian somerhalder than walking alien and strabismus

I have wideset eyes not closeset

I remember when this nigga posted this it gave me so much hope but bothbhim and giant are pussies

 

[Antonlord7]

I have wideset eyes not closeset

I remember when this nigga posted this it gave me so much hope but bothbhim and giant are pussies

I've slightly close like cr7/Cameron/Stepanov that's why i said it

Wide set i think it's better because the ipd/esr is closer to the ideal range and most people just lack of lateral support look at sean o'pry/jordan Barrett for example if they didn't had this good lateral support they would be more visible

Look at linOOb front before and after legit now his ipd looks ideal

I think you have higher chances because you lack of lateral support but of course depends on the fucking situation

 

[MagicalWaves]

I've slightly close like cr7/Cameron/Stepanov that's why i said it

Wide set i think it's better because the ipd/esr is closer to the ideal range and most people just lack of lateral support look at sean o'pry/jordan Barrett for example if they didn't had this good lateral support they would be more visible

Look at linOOb front before and after legit now his ipd looks ideal

I think you have higher chances because you lack of lateral support but of course depends on the fucking situation

Honestly it might be that but i dont even know at this point i swear my face looks different and my eyes look more wideset in diff pics its actually ropefuel all from today

maybe im just insecure so i think i look diff but idek they are def wide set tho

 

[MagicalWaves]

Honestly it might be that but i dont even know at this point i swear my face looks different and my eyes look more wideset in diff pics its actually ropefuel all from today

maybe im just insecure so i think i look diff but idek they are def wide set tho

@Antonlord7 thoughts on my case?

 

[Antonlord7]

Honestly it might be that but i dont even know at this point i swear my face looks different and my eyes look more wideset in diff pics its actually ropefuel all from today

maybe im just insecure so i think i look diff but idek they are def wide set tho

Nah you're chilling get more lateral support and "taller skull"as you can

You have it better than linOOb's before

It looks like ideal to me and reminds slightly of Clav/Jordan/o'pry not bad

Your nasal,radix nerfs you and make it to look more worse

You need lateral and radix/nasal more forward support and you're ideal

 

[MagicalWaves]

Nah you're chilling get more lateral support and "taller skull"as you can

You have it better than linOOb's before

It looks like ideal to me and reminds slightly of Clav/Jordan/o'pry not bad

Your nasal,radix nerfs you and make it to look more worse

You need lateral and radix/nasal more forward support and you're ideal

So, Cantho for sure, Rhino for sure maybe nasolabial implant and ngl idk what really gives for forward support what do you think?

 

[Antonlord7]

So, Cantho for sure, Rhino for sure maybe nasolabial implant and ngl idk what really gives for forward support what do you think?

I mean you should get first implants around orbits and then get cantho and whatever you want because a good design can fix your eyes and look more PCT as lin00b for example

In the case for more forward growth on radix/nasal you need LF2 and supra/nasal implants or just implants on this area and fatgrafting if they give it

That's the case for your eye area

 

[MagicalWaves]

I mean you should get first implants around orbits and then get cantho and whatever you want because a good design can fix your eyes and look more PCT as lin00b for example

In the case for more forward growth on radix/nasal you need LF2 and supra/nasal implants or just implants on this area and fatgrafting if they give it

That's the case for your eye area

Thank you bro and for actually giving good advice

was tired of constantly hearing "oh bro u need obo or that it was over" every time i posted

 

[mltn2mtn]

I've slightly close like cr7/Cameron/Stepanov that's why i said it

Same ngl my eye area is fucked. I got slightly close like Ian/stepanov, but my pfl, uee, and Lower eyelids r shit the only thing I have is color. When I squint my esr looks way worse for some reason though, in the future I’m just going to get fat grafts for uee.

 

[Antonlord7]

Thank you bro and for actually giving good advice

was tired of constantly hearing "oh bro u need obo or that it was over" every time i posted

They don't know shit that's why

I've spent almost my whole life on measuring and analysing ratios on face

Wide IPD it's better even than slightly narrow

Wide IPD it's also more superior that means your skull is fully developed on that area but didn't "get" the same development/support from lateral area

Don't worry you're already good on that area

Focus on your lower first you need palate expansion try marpe but i would say Mse because your lips can go more wider than just 5mm expansion

 

[Antonlord7]

Same ngl my eye area is fucked. I got slightly close like Ian/stepanov, but my pfl, uee, and Lower eyelids r shit the only thing I have is color. When I squint my esr looks way worse for some reason though, in the future I’m just going to get fat grafts for uee.

Yeah i have the same most of the times but in my case is my shit radix/nasal

Also slightly narrow ipd it's more visible in smaller skulls and especially when the esr is shit

For example look at Stepanov and Cameron alborzian they have tall skull and even with their shit ipd they still look ideal because of their skull/ESR

I learned because i look like my father but his skull it's bigger than mine and even if we have the same eye distance his ipd still looks more ideal than mine because of that

I would skull/ESR mich more important than ipd

 

[mltn2mtn]

Yeah i have the same most of the times but in my case is my shit radix/nasal

Also slightly narrow ipd it's more visible in smaller skulls and especially when the esr is shit

For example look at Stepanov and Cameron alborzian they have tall skull and even with their shit ipd they still look ideal because of their skull/ESR

I learned because i look like my father but his skull it's bigger than mine and even if we have the same eye distance his ipd still looks more ideal than mine because of that

I would skull/ESR mich more important than ipd

Yeah I have a tall skull like stepanov actually, and my ipd is slightly narrow so it sort of looks ideal no one on org has told me I have death tier close set eyes; its actually one of my least important falios.

 

[Antonlord7]

Yeah I have a tall skull like stepanov actually, and my ipd is slightly narrow so it sort of looks ideal no one on org has told me I have death tier close set eyes; its actually one of my least important falios.

Lucky mf
Mine is shit like normall to tall but reccesed/flat

 

[nikolozzaa]

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:

What can you tell me about infras, what surgey is for fixing extremly reccesed infra orbitals

 

[HooverMaxDustFilter]

They don't know shit that's why

I've spent almost my whole life on measuring and analysing ratios on face

Wide IPD it's better even than slightly narrow

Wide IPD it's also more superior that means your skull is fully developed on that area but didn't "get" the same development/support from lateral area

Don't worry you're already good on that area

Focus on your lower first you need palate expansion try marpe but i would say Mse because your lips can go more wider than just 5mm expansion

I have wide IPD too, but I've read that MSE can cause an enlargement of IPD even if it theoretically improves ESR pushing the zygos out.
For this reason I was opting to do SARPE for my upper palate since it won't be connected to the upper maxilla I should be able to avoid IPD changes (which I'll measure by an ophthalmologist to check for any changes) while widening more than MSE.
That along with MSDO for my narrow lower palate should get me a wider mouth aswell, mine it's way too narrow.
If that's not enough I'll do commissuroplasty and fly from Italy to the US to get it done by dr. Eppley.
I need to get a good earning job before of course or at least I need to pass sleep apnea tests to get covered.
However my zygos are already projected and larger than my gonions, implants in the orbital area would probably make my face unharmonious and if I try to compensate the extreme wideness of the zygos with jaw angle implants my skull will be giga short with an fwhr that looks like shit.
I think it's more useful to frame the IPD with more eyebrows at the center and a more defined nose bridge rather than opting for lateral orbital implants if you're not really recessed.

 

[HooverMaxDustFilter]

What can you tell me about infras, what surgey is for fixing extremly reccesed infra orbitals

either big saddle infraorbital implants or intraoral quadrangular leFort 2. There isn't much more for really recessed infra orbitals.

 

[alexzeno]

mirin

 

[Mazilias]

@Mazilias

I need this shit asap

 

[Acquiescence]

2026 and it’s still over for ipd cels

 

[nikolozzaa]

either big saddle infraorbital implants or intraoral quadrangular leFort 2. There isn't much more for really recessed infra orbitals.

Alright thanks