I will not be getting Bimax

[Acromegaly_Chad]

You got it right boyos, it won't happen. I will not get Bimaxillary advancement surgery. But it doesn't mean that I won't get anything done, I'll just be getting something different.

The most severe risks of a bimax are:

- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.

So, to eliminate all these risks, I'll be getting distraction osteogenesis for both jaws:

It advances the jaws at a rate of 0.25mm per day, so for my 10mm lower jaw advancement I will have to click it forward for 40 days, and for the 5mm lefort 1 for 20 days.
However, I'm free to choose when to stop. The surgeons (either Triaca or Obwegeser) said that in these cases, they just look at the ongoing results every other day and stop moving when they think it's ideal.
Now of course if the surgeon is bluepilled and doesn't want to give me as much advancement, I'll just not show up to his office and keep the distractors in until I have as much as I wanted JFL.

Nerve damage isn't an issue because the nerve doesn't get stretched suddenly, it has lots of time to adjust (40 days for the mandible) instead of just a few seconds during a BSSO.

Theoretically, I could go for a massive 15mm lefort 1 and end up like a total freak chimp as long as I keep clicking the distractors JFL.

It's more expensive than regular Bimax obviously and I have to keep the 4 distractors in for 4 months but I'm glad to do that when my nerves remain intact and the result is better.

 

[coolguy1]

Doesn't that hurt bro?

 

[Acromegaly_Chad]

Uneducated idiots on jawsurgeryforums fucked their lifes by getting multiple bimax (because they didn't get enough advancement out of one bimax) and totally fucking up their nerves, so many guys there have their mouths completely numb just LOL.

Looksmax has definitely overtaken that shithole of a place now with the knowledge gained here

 

[Acromegaly_Chad]

Doesn't that hurt bro?

Nope, it feels like braces apparently. Also, who cares about pain, its just for 40 days and after that you get to enjoy life

 

[LastHopeForNorman]

And who will do it?

nobody do it except some indian surgeon

 

[user47283]

You got it right boyos, it won't happen. I will not get Bimaxillary advancement surgery. But it doesn't mean that I won't get anything done, I'll just be getting something different.

The most severe risks of a bimax are:

- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.

So, to eliminate all these risks, I'll be getting distraction osteogenesis for both jaws:

View attachment 1384093

View attachment 1384094

It advances the jaws at a rate of 0.25mm per day, so for my 10mm lower jaw advancement I will have to click it forward for 40 days, and for the 5mm lefort 1 for 20 days.
However, I'm free to choose when to stop. The surgeons (either Triaca or Obwegeser) said that in these cases, they just look at the ongoing results every other day and stop moving when they think it's ideal.
Now of course if the surgeon is bluepilled and doesn't want to give me as much advancement, I'll just not show up to his office and keep the distractors in until I have as much as I wanted JFL.

Nerve damage isn't an issue because the nerve doesn't get stretched suddenly, it has lots of time to adjust (40 days for the mandible) instead of just a few seconds during a BSSO.

Theoretically, I could go for a massive 15mm lefort 1 and end up like a total freak chimp as long as I keep clicking the distractors JFL.

It's more expensive than regular Bimax obviously and I have to keep the 4 distractors in for 4 months but I'm glad to do that when my nerves remain intact and the result is better.

Good post , I have paraethesia from genio it seems but I don’t mind. Aesthetics is all that matter to me physical pain is nothing

 

[Acromegaly_Chad]

And who will do it?

nobody do it except some indian surgeon

I wrote it in the post:
Dr Triaca and Dr Obwegeser.
Maybe even Dr Brusco I'll talk to him too soon

 

[Acromegaly_Chad]

Good post , I have paraethesia from genio it seems but I don’t mind. Aesthetics is all that matter to me physical pain is nothing

It depends on how bad the pain is. I thought the same like you until 8 months after the Chin Wing but somehow it bothers me more over time..

 

[Acromegaly_Chad]

And who will do it?

nobody do it except some indian surgeon

There's also Dr Sullivan and several surgeons in Florida who do it. It's just not as popular because people are scared of it and prefer the quick BSSO

 

[KraftDurchLeid]

ik you‘re rich but isn‘t that extremely expensive?

 

[Acromegaly_Chad]

ik you‘re rich but isn‘t that extremely expensive?

I hope not

Plan B is to get a regular lefort 1 and just DO for my mandible, but I want to avoid nerve damage at all costs, I can't handle any more

 

[KraftDurchLeid]

I hope not

Plan B is to get a regular lefort 1 and just DO for my mandible, but I want to avoid nerve damage at all costs, I can't handle any more

is it that bad?

i had a „who cares, it‘s about aesthetics“ mentality when it came to stuff like this

 

[LastHopeForNorman]

Distraction Osteogenesis – Facial Surgery Institute

facialsurgeryinstitute.com

Dr. Frank Farbod do it in Michigan

thoughts?

 

[Acromegaly_Chad]

is it that bad?

i had a „who cares, it‘s about aesthetics“ mentality when it came to stuff like this

Yes don't have that mentality, I speak from experience. Nerve damage is no joke, my lower lip is that much pins and needles on the right side that I haven't dared to touch it for over a year now

 

[PURE ARYAN GENETICS]

what about ccw

 

[Acromegaly_Chad]

what about ccw

Not possible but my occlusional plane is straight so I dont need it

 

[Deleted member 13367]

jfl you're shitting on osteotomy just cuz you had bad experience with it. Most bimax patients only have temporary numbness for a couple weeks/months. Your case is rare

 

[PURE ARYAN GENETICS]

Not possible but my occlusional plane is straight so I dont need it

time to invent ccw distraction who wants in on the patent

 

[Acromegaly_Chad]

jfl you're shitting on osteotomy just cuz you had bad experience with it. Most bimax patients only have temporary numbness for a couple weeks/months. Your case is rare

This is probably even true yes, see I would totally get a regular bimax if I wouldn't already have nerve damage, but I can't afford to get even more

 

[Pumanator]

In the thread you mentioned relapse. I can't see the bone suddenly relapsing alot after it's sawed off and placed back with metal plates. How often and how much mm relapse can you expect?

Also who is getting multiple bimaxes? Shouldn't a good surgeon like the Italian one or other reputable do it proper and perhaps do a implant / ching wing after If it lacking sharp lines?

The nerve injury I can imagine. I had my 2nd wisdom teeth taken out as preparation for my bimax. After 3 weeks I still missing some feeling in my lower lip and the feeling in my chin area is almost back. I can imagine bimax doing more damage.

I agree with the unpredictable outcome. A surgeon told me even computer models can't predict reliable. Sometime you can't advance as much cause of the lip. Sometime it looks comical when expanded too much. So alot of time the surgeon use his own vision and change during operation.

Good luck with the braces way. Didn't know it. Also u can judge everyday how it looks like wich is good. Hope it will become more mainstream.

 

[ifyouwannabemylover]

didn't know this was a thing apart from imdo

can you even do accurate movements with this? ccw?

I've heard bad things about brusco btw but can't confirm

 

[Acromegaly_Chad]

In the thread you mentioned relapse. I can't see the bone suddenly relapsing alot after it's sawed off and placed back with metal plates. How often and how much mm relapse can you expect?

Also who is getting multiple bimaxes? Shouldn't a good surgeon like the Italian one or other reputable do it proper and perhaps do a implant / ching wing after If it lacking sharp lines?

The nerve injury I can imagine. I had my 2nd wisdom teeth taken out as preparation for my bimax. After 3 weeks I still missing some feeling in my lower lip and the feeling in my chin area is almost back. I can imagine bimax doing more damage.

I agree with the unpredictable outcome. A surgeon told me even computer models can't predict reliable. Sometime you can't advance as much cause of the lip. Sometime it looks comical when expanded too much. So alot of time the surgeon use his own vision and change during operation.

Good luck with the braces way. Didn't know it. Also u can judge everyday how it looks like wich is good. Hope it will become more mainstream.

I quote the statement a surgeon has given me about Distraction Osteogenesis:

In my opinion, IMDO is better than BSSO for young adults with small mandibles wanting to get a better result, lower the risk of numbness/paraesthesia of the lower lip, chin and teeth, widen the mandible, have a perfect mandibular contour (no risk of palpable or even visible notches), avoid dental extractions because of having not enough bone for having all the teeth erupted and I never occlusion , widen the UPPER jaw more than with BSSO, but of course, also willing to accept its postops (plural, as we must remove the distractors, that is another procedure), other risks, maybe other procedures and, of course, its costs.

In my humble opinion, IMDO is THE way to increase the size of a small mandible. It works (and has almost the same limitations) in adults the same way it works in teeenagers, although the procedure is much easier, better tolerated and risks are lower within younger patients.


This is the forefront of jaw surgery, getting large advancements with terrible nerve injury risk is just retarded

 

[Jason Voorhees]

Dont you need an overjet to qualify for it?

 

[Deleted member 3828]

Dont you need an overjet to qualify for it?

 

[Deleted member 13367]

Dont you need an overjet to qualify for it?

not if your doing both jaws, tho upper jaw DO seems like very nieche procedure

 

[Reckless Turtle]

I hope not

Plan B is to get a regular lefort 1 and just DO for my mandible, but I want to avoid nerve damage at all costs, I can't handle any more

Why do you already have nerve damage?

 

[Deleted member 3828]

Why do you already have nerve damage?

a)I punched him
b)he tried to munch on my huge cock
c)has had jaw surgery before
d)all of the above

 

[Tobias Fünke]

I quote the statement a surgeon has given me about Distraction Osteogenesis:

In my opinion, IMDO is better than BSSO for young adults with small mandibles wanting to get a better result, lower the risk of numbness/paraesthesia of the lower lip, chin and teeth, widen the mandible, have a perfect mandibular contour (no risk of palpable or even visible notches), avoid dental extractions because of having not enough bone for having all the teeth erupted and I never occlusion , widen the UPPER jaw more than with BSSO, but of course, also willing to accept its postops (plural, as we must remove the distractors, that is another procedure), other risks, maybe other procedures and, of course, its costs.

In my humble opinion, IMDO is THE way to increase the size of a small mandible. It works (and has almost the same limitations) in adults the same way it works in teeenagers, although the procedure is much easier, better tolerated and risks are lower within younger patients.


This is the forefront of jaw surgery, getting large advancements with terrible nerve injury risk is just

I'm fairly low IQ, but I remember IMDO aficionados saying that it was only a good option for teenagers or very young adults (very early twenties) and that anyone older should go for BSSO. Is that the case for all forms of D.O.?

And do other forms of D.O. widen the Jaws as well as grow them forward?

 

[ChristianChad]

I'm fairly low IQ, but I remember IMDO aficionados saying that it was only a good option for teenagers or very young adults (very early twenties) and that anyone older should go for BSSO. Is that the case for all forms of D.O.?

And do other forms of D.O. widen the Jaws as well as grow them forward?

What is better for teenager, DO?

 

[sloopnoob]

I wrote it in the post:
Dr Triaca and Dr Obwegeser.
Maybe even Dr Brusco I'll talk to him too soon

tell me if obwegeser responds

 

[Acromegaly_Chad]

I'm fairly low IQ, but I remember IMDO aficionados saying that it was only a good option for teenagers or very young adults (very early twenties) and that anyone older should go for BSSO. Is that the case for all forms of D.O.?

And do other forms of D.O. widen the Jaws as well as grow them forward?

What is better for teenager, DO?

So being the extreme autist that I am I actually just called the quoted surgeon and spoke 30minutes to him,
he said the main problem with age is that the older you are, the more prone you are to asymmetry and the less it's possible for orthodontics to correct that scelettal asymmetry, so in the worst case you end up getting a DO and need an additional BSSO.

He agreed with me that a 10mm advancement of the mandible is very large and would put me statistically at a 50 - 60% risk for additional nerve damage, and in IMDO this is very rarely the case. Also, 10mm BSSO is prone to relapse and being unstable.

IMDO is more expensive than a regular Bimax, but it also widens the mandible, especially from the second molars forward which can have dramatic effects that are unseen in a BSSO.

He quoted me 35k, but in Spain, this includes Hospital stays etc.

Also, he said it's close to impossible to find an orthodontist willing to cooperate, however, he's successfully treated patients from Germany or the UK already.

Right now I'm seriously considering this ngl.

 

[ChristianChad]

So being the extreme autist that I am I actually just called the quoted surgeon and spoke 30minutes to him,
he said the main problem with age is that the older you are, the more prone you are to asymmetry and the less it's possible for orthodontics to correct that scelettal asymmetry, so in the worst case you end up getting a DO and need an additional BSSO.

He agreed with me that a 10mm advancement of the mandible is very large and would put me statistically at a 50 - 60% risk for additional nerve damage, and in IMDO this is very rarely the case. Also, 10mm BSSO is prone to relapse and being unstable.

IMDO is more expensive than a regular Bimax, but it also widens the mandible, especially from the second molars forward which can have dramatic effects that are unseen in a BSSO.

He quoted me 35k, but in Spain, this includes Hospital stays etc.

Also, he said it's close to impossible to find an orthodontist willing to cooperate, however, he's successfully treated patients from Germany or the UK already.

Right now I'm seriously considering this ngl.

what is that thing in ur avi?

 

[Deleted member 5385]

But can you do ccw/cw rotation with DO?

 

[Acromegaly_Chad]

But can you do ccw/cw rotation with DO?

Only limited. But I don't need neither

Guys once I get that shit in my mouth I'll be very tempted to keep it even longer and give me a massive 30mm advancement for a hyper ante face JFL

 

[Deleted member 13476]

wtf bro limb lengthening on your face
based af

 

[pouetpouet]

Noooo why do you leave us Get bimax please

 

[Acromegaly_Chad]

what is that thing in ur avi?

Surgical simulation on a foid (I know gay moment) by Alfaro

 

[pouetpouet]

Surgical simulation on a foid (I know gay moment) by Alfaro

Alfaro did this ? Omg it’s so cool

 

[AlwaysHaveQuestions]

so you are going to one surgeon for DO on lefort 1 and another for IMDO? fucking hoe

 

[Acromegaly_Chad]

so you are going to one surgeon for DO on lefort 1 and another for IMDO? fucking hoe

Nah, I'll get a regular 5mm lefort 1 I guess and then a 10mm IMDO, all with the same surgeon, maybe with Triaca or Obwegeser or maybe even with @Sergio-OMS but he's in Madrid which is quite far away from where I live

 

[spark]

So being the extreme autist that I am I actually just called the quoted surgeon and spoke 30minutes to him,
he said the main problem with age is that the older you are, the more prone you are to asymmetry and the less it's possible for orthodontics to correct that scelettal asymmetry, so in the worst case you end up getting a DO and need an additional BSSO.

He agreed with me that a 10mm advancement of the mandible is very large and would put me statistically at a 50 - 60% risk for additional nerve damage, and in IMDO this is very rarely the case. Also, 10mm BSSO is prone to relapse and being unstable.

IMDO is more expensive than a regular Bimax, but it also widens the mandible, especially from the second molars forward which can have dramatic effects that are unseen in a BSSO.

He quoted me 35k, but in Spain, this includes Hospital stays etc.

Also, he said it's close to impossible to find an orthodontist willing to cooperate, however, he's successfully treated patients from Germany or the UK already.

Right now I'm seriously considering this ngl.

didnt coceancig say imdo is cheaper than
bsso?

 

[CristianT]

You got it right boyos, it won't happen. I will not get Bimaxillary advancement surgery. But it doesn't mean that I won't get anything done, I'll just be getting something different.

The most severe risks of a bimax are:

- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.

So, to eliminate all these risks, I'll be getting distraction osteogenesis for both jaws:

View attachment 1384093

View attachment 1384094

It advances the jaws at a rate of 0.25mm per day, so for my 10mm lower jaw advancement I will have to click it forward for 40 days, and for the 5mm lefort 1 for 20 days.
However, I'm free to choose when to stop. The surgeons (either Triaca or Obwegeser) said that in these cases, they just look at the ongoing results every other day and stop moving when they think it's ideal.
Now of course if the surgeon is bluepilled and doesn't want to give me as much advancement, I'll just not show up to his office and keep the distractors in until I have as much as I wanted JFL.

Nerve damage isn't an issue because the nerve doesn't get stretched suddenly, it has lots of time to adjust (40 days for the mandible) instead of just a few seconds during a BSSO.

Theoretically, I could go for a massive 15mm lefort 1 and end up like a total freak chimp as long as I keep clicking the distractors JFL.

It's more expensive than regular Bimax obviously and I have to keep the 4 distractors in for 4 months but I'm glad to do that when my nerves remain intact and the result is better.

Cope. I had bimax and it was the best thing ive done in my life. I had 0 pain only discomfort.

 

[Acromegaly_Chad]

Cope. I had bimax and it was the best thing ive done in my life. I had 0 pain only discomfort.

Check DMs

 

[.👽.]

sounds very good, so you can Stop until you reach your desired result. with bimax you cant really know. lifefuel but sadly i only will get a bimax

 

[PubertyMaxxer]

You got it right boyos, it won't happen. I will not get Bimaxillary advancement surgery. But it doesn't mean that I won't get anything done, I'll just be getting something different.

The most severe risks of a bimax are:

- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.

So, to eliminate all these risks, I'll be getting distraction osteogenesis for both jaws:

View attachment 1384093

View attachment 1384094

It advances the jaws at a rate of 0.25mm per day, so for my 10mm lower jaw advancement I will have to click it forward for 40 days, and for the 5mm lefort 1 for 20 days.
However, I'm free to choose when to stop. The surgeons (either Triaca or Obwegeser) said that in these cases, they just look at the ongoing results every other day and stop moving when they think it's ideal.
Now of course if the surgeon is bluepilled and doesn't want to give me as much advancement, I'll just not show up to his office and keep the distractors in until I have as much as I wanted JFL.

Nerve damage isn't an issue because the nerve doesn't get stretched suddenly, it has lots of time to adjust (40 days for the mandible) instead of just a few seconds during a BSSO.

Theoretically, I could go for a massive 15mm lefort 1 and end up like a total freak chimp as long as I keep clicking the distractors JFL.

It's more expensive than regular Bimax obviously and I have to keep the 4 distractors in for 4 months but I'm glad to do that when my nerves remain intact and the result is better.

Does Mommaerts, Raffaini, Defranq or Ramieri also do this?

 

[Deleted member 7098]

The most severe risks of a bimax are:

- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.

And that‘s why you get implants instead of jaw surgery if you aren‘t mega-recessed to begin with

cba having my quality of life ruined because of irreversible nerve damage

 

[Deleted member 2729]

And that‘s why you get implants instead of jaw surgery if you aren‘t mega-recessed to begin with

cba having my quality of life ruined because of irreversible nerve damage

Can jaw implants create hollow cheeks?

 

[Acromegaly_Chad]

Can jaw implants create hollow cheeks?

Hollow cheeks = forward growth + high, forward zygos + prominent jaw angles + thin skin and very little buccal fat, at least thats what Dr Brusco told me

 

[Deleted member 2729]

Hollow cheeks = forward growth + high, forward zygos + prominent jaw angles + thin skin and very little buccal fat, at least thats what Dr Brusco told me

Sounds legit tbh. I think I have OK maxilla forward growth and not much buccal fat. Gonial angles should be fixed with implants, but how to know if my zygos are high and forward?

 

[Deleted member 7725]

Interesting. There's a surgeon who does DO somewhat close to me. Can you get bigonial widening from it? That's the main reason I want to get bimax. Also can you get CCW movement as well from it to prevent chimp lip and exacerbating downward growth?