nathan_Bs123
Ascend and Leverage
- Joined
- Feb 10, 2026
- Posts
- 362
- Reputation
- 143
Context:
I’m 20 and feel very fortunate to be in a position where I can realistically pursue this plan. I’m aiming to begin next summer.
Right now, I’m in the middle of “softmaxxing” — working on getting down to around 10% body fat (currently ~14%), undergoing Accutane treatment for acne, taking oral minoxidil, and growing out my hair.
This post outlines my three-stage plan, and I’d really appreciate any feedback or advice.
I’m currently in discussions with an oral surgeon and will be getting a CBCT scan soon, after which I plan to reassess again.
STAGE 1:
Midface / Orbital Area:
I believe I have upper midface recession, particularly around the infraorbital and zygomatic regions. I’m considering custom implants combining pyriform aperture, infraorbital, and malar augmentation (attached). The goal is to improve tear trough depth, increase midface projection, and create better overall facial balance. The photos might not show but I do have an insane tear trough and a bit of nasolabial folds.
POTENTIONALLY: Lower Face (Mandible):
My mandibular body seems slightly short. I’m unsure whether augmentation is necessary and would like input on whether this would significantly improve proportions.
STAGE 2:
Eye Area Procedures:
After healing from the initial procedures, I’m planning:
Credits to @tweaqo
This plan is partially based on results from @tweaqo with a similar situation, aiming to achieve comparable improvements in the eye area. His eye area is similliar to mine and I believe I can replicate his results, take a look at his article.
Rhinoplasty (High Priority):
This is likely my highest ROI procedure. Planned changes include reducing the nasal bridge, decreasing alar width, refining the tip, and correcting a hanging columella.
STAGE 3:
Final Refinement Stage:
After structural work is complete, I plan to do:
Conclusion:
I’d really appreciate any honest feedback, especially on procedure prioritization, potential redundancies, and whether anything here seems unnecessary or overly aggressive.
If you have experience with similar cases or see areas where I might be overlooking something (particularly regarding sequencing or harmony between procedures), I’d be very grateful for your input.
I’m 20 and feel very fortunate to be in a position where I can realistically pursue this plan. I’m aiming to begin next summer.
Right now, I’m in the middle of “softmaxxing” — working on getting down to around 10% body fat (currently ~14%), undergoing Accutane treatment for acne, taking oral minoxidil, and growing out my hair.
This post outlines my three-stage plan, and I’d really appreciate any feedback or advice.
I’m currently in discussions with an oral surgeon and will be getting a CBCT scan soon, after which I plan to reassess again.
STAGE 1:
Midface / Orbital Area:
I believe I have upper midface recession, particularly around the infraorbital and zygomatic regions. I’m considering custom implants combining pyriform aperture, infraorbital, and malar augmentation (attached). The goal is to improve tear trough depth, increase midface projection, and create better overall facial balance. The photos might not show but I do have an insane tear trough and a bit of nasolabial folds.
POTENTIONALLY: Lower Face (Mandible):
My mandibular body seems slightly short. I’m unsure whether augmentation is necessary and would like input on whether this would significantly improve proportions.
STAGE 2:
Eye Area Procedures:
After healing from the initial procedures, I’m planning:
- Bilateral lateral canthopexy
- Ptosis repair surgery
- Fat grafting to the infraorbital and supraorbital/brow ridge area
This plan is partially based on results from @tweaqo with a similar situation, aiming to achieve comparable improvements in the eye area. His eye area is similliar to mine and I believe I can replicate his results, take a look at his article.
Rhinoplasty (High Priority):
This is likely my highest ROI procedure. Planned changes include reducing the nasal bridge, decreasing alar width, refining the tip, and correcting a hanging columella.
STAGE 3:
Final Refinement Stage:
After structural work is complete, I plan to do:
- CO₂ laser for acne scars
- Possible lip lift (depending on philtrum changes after rhinoplasty)
- Additional soft tissue adjustments if needed: (aqualyx, fat graft etc...)
Conclusion:
I’d really appreciate any honest feedback, especially on procedure prioritization, potential redundancies, and whether anything here seems unnecessary or overly aggressive.
If you have experience with similar cases or see areas where I might be overlooking something (particularly regarding sequencing or harmony between procedures), I’d be very grateful for your input.
