I have an extremely short face. Is this a maxillary down graft case or can a vertical lengthening genio help it? or should i just rope

[sereneforever]

pls help me money is not an issue at all

 

[sereneforever]

uo

 

[sereneforever]

d

 

[sereneforever]

y

 

[sereneforever]

u

 

[LackEmpathyTherefor]

Idk bruh, your pic isn’t the best tbh

 

[sereneforever]

Idk bruh, your pic isn’t the best tbh

my bad

 

[Tealovingfool]

Dont rope theres ways to cope

 

[sereneforever]

Dont rope theres ways to cope

Getting skull mogged every day bro i cant take it much longer before going ER. But money isn’t an issue for me i just need to know what surgery would actually help because there’s almost no vertical genio before and after a with a lot of movement except arabincels

 

[sereneforever]

one last boost before failed thread

 

[geenk worg]

raffaini did one case where he lengthened the nose but it's very non standard and complex procedure

 

[sereneforever]

raffaini did one case where he lengthened the nose but it's very non standard and complex procedure

wow he saved his life

 

[tweaqo]

Bro get a CT scan and upload better pictures.

How do you expect us to know.

Anyway if you fix the slight short face you have, you will look very good, ur way above average

 

[vi0lex]

This is a biological case not a surgical one bro

 

[sereneforever]

Bro get a CT scan and upload better pictures.

How do you expect us to know.

Anyway if you fix the slight short face you have, you will look very good, ur way above average

Thank you bro, i just followed the picture from arab incels but i guess it didn’t out good. To fix it do i need a downgraft would you say from an eyeball, i’ve seen you in comments you seem be knowledgable in surgeries

 

[tweaqo]

Thank you bro, i just followed the picture from arab incels but i guess it didn’t out good. To fix it do i need a downgraft would you say from an eyeball, i’ve seen you in comments you seem be knowledgable in surgeries

Well yeah it’s a possibility you might need a small bit of downgrafting, but nobody can say for sure without scans.

You don’t seem to have clinical SFS, just borderline, so a large downgraft is not needed

 

[Whirr22222]

U need a terra large LF1 downgraft and u will look good

 

[LTNUser]

U need a terra large LF1 downgraft and u will look good

Is short face/skull feminine trait ?

 

[sereneforever]

Well yeah it’s a possibility you might need a small bit of downgrafting, but nobody can say for sure without scans.

You don’t seem to have clinical SFS, just borderline, so a large downgraft is not needed

Can i dm you

 

[Whirr22222]

Is short face/skull feminine trait ?

Just not a good trait at all low class and feminine

 

[sereneforever]

Is short face/skull feminine trait ?

its an indian street sweeper dalit trait

 

[sereneforever]

This is a biological case not a surgical one bro

bro what

 

[bossman]

SFS is extremely simple to fix with a capable surgeon through downgrafting and rotating.

I recommend consulting a few maxillofacial surgeons who can look at your scans and determine whether this is fixable purely from a genioplasty or whether a trimax is indicated.

My personal opinion is you will have a more aesthetically pleasing result if you go for a trimax as, chances are, it’s not just chin height you’re lacking.

 

[sereneforever]

SFS is extremely simple to fix with a capable surgeon through downgrafting and rotating.

I recommend consulting a few maxillofacial surgeons who can look at your scans and determine whether this is fixable purely from a genioplasty or whether a trimax is indicated.

My personal opinion is you will have a more aesthetically pleasing result if you go for a trimax as, chances are, it’s not just chin height your lacking.

Thank you for the advice i’m going to get a scan in London soon

 

[bossman]

Thank you for the advice i’m going to get a scan in London soon

Good man. Whatever you do, don’t consult any docs in the UK.

Also, careful about the scan. Some docs are fine with a CBCT. Some are insistent on a medical grade skull CT. Technically it is higher quality and anyone who accepts a CBCT would accept a medical grade skull CT. However, it’s more expensive and there are not a lot of places that do it in London, and it requires a good radiographer. So it’s better to decide on a few surgeons and check their requirements.

 

[sereneforever]

Good man. Whatever you do, don’t consult any docs in the UK.

Also, careful about the scan. Some docs are fine with a CBCT. Some are insistent on a medical grade skull CT. Technically it is higher quality and anyone who accepts a CBCT would accept a medical grade skull CT. However, it’s more expensive and there are not a lot of places that do it in London, and it requires a good radiographer. So it’s better to decide on a few surgeons and check their requirements.

You seem knowledgeable bro, can i dm you for a second?

 

[lurking truecel]

I love this

 

[sereneforever]

I love this

why bro

 

[sayso27]

I'm getting my surgery soon and I've consulted with my surgeon. I look pretty similar to you in terms of my short face. Your chin is fine and isn't significantly recessed- your short midface is what gives the illusion of your lower third being shorter. Get maxillary downgrafting.

 

[geenk worg]

Your chin is fine and isn't significantly recessed- your short midface is what gives the illusion of your lower third being shorter. Get maxillary downgrafting.

His whole face is short - middle third, lower third. What do you mean by "illusion"?

 

[geenk worg]

SFS is extremely simple to fix with a capable surgeon through downgrafting and rotating.

Easy to fix when the lower third of the face is shorter than the middle third.

That's not the case. here it's the opposite. Conventional orthognatics work on the lower third, they can shorten it, elongate it, correct asymmetry, advance it etc. They can't do much for his middle third. What he needs is jaw surgery combined with elongation rhinoplasty - as i shown in this thread it is possible, but i don't know how many surgeons could do a good job with it other than raffaini.

 

[sereneforever]

Easy to fix when the lower third of the face is shorter than the middle third.

That's not the case. here it's the opposite. Conventional orthognatics work on the lower third, they can shorten it, elongate it, correct asymmetry, advance it etc. They can't do much for his middle third. What he needs is jaw surgery combined with elongation rhinoplasty - as i shown in this thread it is possible, but i don't know how many surgeons could do a good job with it other than raffaini.

Damn it’s lowkey over

 

[geenk worg]

Damn it’s lowkey over

Your best bet is probably Turkey, there i guess you'd find some surgeon who is willing to do it, for the right amount of $$$

 

[sereneforever]

y

 

[IDontBlameAnybody]

U need a terra large LF1 downgraft and u will look good

Wouldn't he have a really big philtrum after the downgraft? Though I kinda agree with you, idk what else would he do.

 

[sereneforever]

Wouldn't he have a really big philtrum after the downgraft? Though I kinda agree with you, idk what else would he do.

1 step forward 2 steps back ass shit. So over

 

[IDontBlameAnybody]

1 step forward 2 steps back ass shit. So over

I mean get some feedback here, see what others have to say. I'd say personally WITH MY LIMITED knowledge that downgrafting might be your best bet, and even though your philtrum will become bigger (maybe it can be mitigated with some kind of maxillary rotation though I DONT KNOW CLEARLY), you probably will still look a lot better. So in my logic, you'd trade a bigger failo with a smaller one.

 

[kaydd]

SFS is extremely simple to fix with a capable surgeon through downgrafting and rotating.

I recommend consulting a few maxillofacial surgeons who can look at your scans and determine whether this is fixable purely from a genioplasty or whether a trimax is indicated.

My personal opinion is you will have a more aesthetically pleasing result if you go for a trimax as, chances are, it’s not just chin height you’re lacking.

Would you say the same for a downgrown mandible instead of a downswuang? or is a downgrown mandible isnt necessarily a sfs case

 

[sayso27]

His whole face is short - middle third, lower third. What do you mean by "illusion"?

Maxillary hypoplasia (lack of vertical maxillary growth) in turn makes your lower third (and overall face) look compressed. Usually patients who've undergone maxillary downgrafting notice a change in their lower third, since the midface ends up balanced more hamoniously post-op.
Example:

Obviously you could combine a BSSO/genioplasty with the lefort if the lower third is still an issue. IMO it'd be useless to carry out a genioplasty only without addressing the maxillary vertical deficiency, which is his major problem.

 

[sayso27]

Wouldn't he have a really big philtrum after the downgraft? Though I kinda agree with you, idk what else would he do.

Not necessarily. Here's a (famous) example of a SFS patient who had maxillary downgrafting.

In the case of short face syndrome, you shouldn't worry too much about the philtrum being overly elongated- the short maxilla makes your philtrum appear squashed anyway. Any reputable surgeon wouldn't perform a large enough downgraft for that to be the case anyway. Downgrafting can genuinely save people with SFS. Much more benefit than risk.

 

[geenk worg]

Maxillary hypoplasia (lack of vertical maxillary growth) in turn makes your lower third (and overall face) look compressed. Usually patients who've undergone maxillary downgrafting notice a change in their lower third, since the midface ends up balanced more hamoniously post-op.
Example:
View attachment 4481776
Obviously you could combine a BSSO/genioplasty with the lefort if the lower third is still an issue. IMO it'd be useless to carry out a genioplasty only without addressing the maxillary vertical deficiency, which is his major problem.

Not what i asked. Did you even read my comment?

 

[sereneforever]

Maxillary hypoplasia (lack of vertical maxillary growth) in turn makes your lower third (and overall face) look compressed. Usually patients who've undergone maxillary downgrafting notice a change in their lower third, since the midface ends up balanced more hamoniously post-op.
Example:
View attachment 4481776
Obviously you could combine a BSSO/genioplasty with the lefort if the lower third is still an issue. IMO it'd be useless to carry out a genioplasty only without addressing the maxillary vertical deficiency, which is his major problem.

Thanks for the in depth replies bro

 

[Taylors_Lil_Ethnic]

pls help me money is not an issue at all

I think bimax would solve your issue

 

[sayso27]

Not what i asked. Did you even read my comment?

Read my reply lmao. I've answered your question in full.

 

[geenk worg]

Read my reply lmao. I've answered your question in full.

No you didn't. There is no "illusion". His whole face is short.

 

[sereneforever]

No you didn't. There is no "illusion". His whole face is short.

Over for me?

 

[sayso27]

No you didn't. There is no "illusion". His whole face is short.

The maxilla is the central anchor of the face. It directly influences and holds all the surrounding bones in their position.
If the maxilla is recessed, (in OP's case), the mandible rotates upwards/backwards at rest, the nasal base is widened (giving the face an even more "wide and short" appearance), and the chin to lip ratio appears reduced. These things all in turn make everything below the midface look shorter, even if the mandible is of normal size and growth. The human eye judges facial perception by relative proportions (how all the bones in the face fit together), not by the actual lengths of these bones.

e.g. imagine a three story building with first and third floors of normal height, but an unusually short second floor. If the second floor is unusually short, the other floors and overall building will look short as a result (even if they're of normal height), because the reference height in the middle floor is reduced.

The visual proportions change because the maxilla is slap bang in the middle of the face, and sets the spacing of all the other surrounding tissue.
Moreover, OP seems to have a well-developed mandible. His lower jawline is strong and doesn't look recessed. It's just camouflaged by his short maxilla.

 

[sayso27]

Over for me?

No. I'm in the same position as you and I'm undergoing jaw surgery soon, and I've seen post-op simulations given by my surgeon... a few millimetres of maxillary downgrafting will do absolute wonders.

 

[sereneforever]

No. I'm in the same position as you and I'm undergoing jaw surgery soon, and I've seen post-op simulations given by my surgeon... a few millimetres of maxillary downgrafting will do absolute wonders.

hopefully bro cuz this is just for my health at this point i can get girls mainly due to my height only good thing about me but when i get a pic and just get skull mogged ts hurts my soul a lot shits js brutal being deformed . Do you have a. pic of yourself?

 

[sayso27]

hopefully bro cuz this is just for my health at this point i can get girls mainly due to my height only good thing about me but when i get a pic and just get skull mogged ts hurts my soul a lot shits js brutal being deformed . Do you have a. pic of yourself?

I might DM you one later. In the mean time don't feel bad, look up maxillary downgrafting transformations on youtube, they're genuine lifefuel. It's rough living with SFS, but it's an easy and relatively safe fix. It'll be okay once you get the surgery.