Is my brow ridge a limiting factor?

Foreverbrad

Foreverbrad

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I’ve tried to adjust this to Frankfort plane. Do you guys think my brow ridge is a limiting factor on how much I can advance my lower third and lower-middle third (Trimax) or upper middle third (rhinoplasty and infras) in terms of maintaining overall harmony?

Bear in mind I have a 1cm length beard so my jaw looks better than it is.
 
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I’ve tried to adjust this to Frankfort plane. Do you guys think my brow ridge is a limiting factor on how much I can advance my lower third and lower-middle third (Trimax) or upper middle third (rhinoplasty and infras) in terms of maintaining overall harmony?

Bear in mind I have a 1cm length beard so my jaw looks better than it is.
Not much of advancment to be honest, since if you do, you'll end up with a strong ante face (dogmaxxed).
 
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Not much of advancment to be honest, since if you do, you'll end up with a strong ante face (dogmaxxed).

Only if I maintained the same beard length though. I already need a fairly big trimax advancement just to make my jaw “real”

need periorbitals to fix the contour,

lf2+lf1 min

LF2 is probably not going to be an option as Giant is clearly overbooked.

Periorbital implants are not an option either for the same reason. I can get infraorbital implants and/or periorbital fat grafting.

This is why I’m asking if the brow ridge is a limiting factor - I can fill in the UEE with fat but I’m not in a position to be able to add projection.
 
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I’ve tried to adjust this to Frankfort plane. Do you guys think my brow ridge is a limiting factor on how much I can advance my lower third and lower-middle third (Trimax) or upper middle third (rhinoplasty and infras) in terms of maintaining overall harmony?

Bear in mind I have a 1cm length beard so my jaw looks better than it is.
Shave for starters
 
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Shave for starters

I’m not gonna shave. Already said I’m horribly recessed under that, you can tell it from my lip position and if you could see my teeth it’s even worse.
 
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I’m not gonna shave. Already said I’m horribly recessed under that, you can tell it from my lip position and if you could see my teeth it’s even worse.
Why dont you surgerymax ?
 
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A bit, but the bigger issue is the radix
 
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Why dont you surgerymax ?

I have Trimax in March.

A bit, but the bigger issue is the radix

I’m aware. My radix projection is 9mm from the fronts of the eyeballs, according to some studies the ideal is 10-13mm.

Problem is my brow ridge is only projected from the radix by 4mm so adding to the radix could make it look weird unless I were to have brow ridge filler or something but that’s an extremely dangerous area for filler injections. I am absolutely not doing a coronal incision for full width supras.

The 2mm of extra radix projector is probably small enough to be within the tolerance range of harmony for bimax movements though I’d imagine - e.g it would not be critical to increase the bimax by 2mm to compensate.
 
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A bit, but the bigger issue is the radix
What about his chin ?
Seems like he is frauding with beard to hide his recession
 
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What about his chin ?
Seems like he is frauding with beard to hide his recession

100% I know I need Trimax, it’s booked, not worth discussing any more.
Focusing on eye area and mid face problems now.
 
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Ur saying the Frankfurt plane is unideal due to the browridge being overprojected??
 
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I have Trimax in March.



I’m aware. My radix projection is 9mm from the fronts of the eyeballs, according to some studies the ideal is 10-13mm.

Problem is my brow ridge is only projected from the radix by 4mm so adding to the radix could make it look weird unless I were to have brow ridge filler or something but that’s an extremely dangerous area for filler injections. I am absolutely not doing a coronal incision for full width supras.

The 2mm of extra radix projector is probably small enough to be within the tolerance range of harmony for bimax movements though I’d imagine - e.g it would not be critical to increase the bimax by 2mm to compensate.
Its an absolute horrible place to do filler, it dhould be fixed by a cartilage graft, you can add a little bit to the browridge and also add to the radix, cheap,effective and can do multiple things at the same time

Also a lot safer than filler long term since you dont have to keep risking nerve damage and infection once evey 2 years but only ly 1time and migration is bound to be horrific for this area

If you cant ir just wont get a cartilage graft get a fat graft altough it seems a bit unideeal for this amount of volume in this place
 
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Ur saying the Frankfurt plane is unideal due to the browridge being overprojected??

No.

Its an absolute horrible place to do filler, it dhould be fixed by a cartilage graft, you can add a little bit to the browridge and also add to the radix

If you cant ir just wont get a cartilage graft get a fat graft altough it seems a bit unideeal for this amount of volume in this place

Based on some "ideal" measurements I've found:

Ideal Radix projection: 10-12mm from Cornea (mine is 9mm)
Ideal Brow Ridge projection: 4-5mm from Radix (mine is 4mm)

So essentially if I try to augment my radix alone then I will just fuck my brow ridge projection.
I need a minimum of 1mm of radix augmentation and 2mm of extra brow ridge projection.
Or a maximum of 3mm of radix augmentation and 4mm of brow ridge projection.

Possible solutions:
1. 3mm Lefort 2 advancement + full width 4mm supraorbital implant
2. 3mm radix augmentation rhinoplasty + 4mm cartilage graft to brow ridge
3. 2-3mm orbital decompression
4. 1-2mm radix augmentation and 1-2mm of fat grafting to the brow ridge during my UEE fat grafting.
5. Do it with fillers and risk going blind
6. Cope and do nothing

Case 1 is unlikely to be possible now.
Case 2 will be very expensive.
Case 3 makes me think only of Frank Tufano.
Case 4 is quite realistic and less expensive than case 2 but more dangerous due to arterial occlusion risk.
Case 5 would be the cheapest - to be honest fat grafting is a much higher risk of blindness than fillers since you can't dissolve them in an emergency. The risk from fillers comes from having to do it repeatedly.
Case 6 perhaps it's just not worth the risk and expense
 
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No.



Based on some "ideal" measurements I've found:

Ideal Radix projection: 10-12mm from Cornea (mine is 9mm)
Ideal Brow Ridge projection: 4-5mm from Radix (mine is 4mm)

So essentially if I try to augment my radix alone then I will just fuck my brow ridge projection.
I need a minimum of 1mm of radix augmentation and 2mm of extra brow ridge projection.
Or a maximum of 3mm of radix augmentation and 4mm of brow ridge projection.

Possible solutions:
1. 3mm Lefort 2 advancement + full width 4mm supraorbital implant
2. 3mm radix augmentation rhinoplasty + 4mm cartilage graft to brow ridge
3. 2-3mm orbital decompression
4. 1-2mm radix augmentation and 1-2mm of fat grafting to the brow ridge during my UEE fat grafting.
5. Do it with fillers and risk going blind
6. Cope and do nothing

Case 1 is unlikely to be possible now.
Case 2 will be very expensive.
Case 3 makes me think only of Frank Tufano.
Case 4 is quite realistic and less expensive than case 2 but more dangerous due to arterial occlusion risk.
Case 5 would be the cheapest - to be honest fat grafting is a much higher risk of blindness than fillers since you can't dissolve them in an emergency. The risk from fillers comes from having to do it repeatedly.
Case 6 perhaps it's just not worth the risk and expense
A cartilage could be jsed to augment both at the same time you could add 3-4mm on botht he radix and brow ridge at the same time
 
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A cartilage could be jsed to augment both at the same time you could add 3-4mm on botht he radix and brow ridge at the same time

You could but then you are getting into 3D issues - augmenting just the centre brow ridge potentially leaving the sides looking deficient.

IMG 8774
 
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You could but then you are getting into 3D issues - augmenting just the centre brow ridge potentially leaving the sides looking deficient.

View attachment 4438919
Imbpretty sure you can still use the cartilage a fair bit out since it also connects to the new cartilage so i dont think ittl be a problem and if you want a more smooth transition adding some fat should be cheap and easy
 
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I have Trimax in March.



I’m aware. My radix projection is 9mm from the fronts of the eyeballs, according to some studies the ideal is 10-13mm.

Problem is my brow ridge is only projected from the radix by 4mm so adding to the radix could make it look weird unless I were to have brow ridge filler or something but that’s an extremely dangerous area for filler injections. I am absolutely not doing a coronal incision for full width supras.

The 2mm of extra radix projector is probably small enough to be within the tolerance range of harmony for bimax movements though I’d imagine - e.g it would not be critical to increase the bimax by 2mm to compensate.
with whom will you do trimax?
 
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Imbpretty sure you can still use the cartilage a fair bit out since it also connects to the new cartilage so i dont think ittl be a problem and if you want a more smooth transition adding some fat should be cheap and easy

I could certainly fill that "flat" bit on the front of the scan to continue the radius round instead of having a flat, I think you could manage 2-2.5mm by that and not need to add fat for transition. The complication rate for fat in glabella is around five times higher than other areas, the danger of it can not be understated and I do not want to inject things there.

with whom will you do trimax?

Ramieri, I know he works with nose surgeon as well and does combined cases, I might ask him about this.
Or just get the trimax and have the midface/nose/eyes done afterwards. It's not gonna be cheap either way.
 
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I could certainly fill that "flat" bit on the front of the scan to continue the radius round instead of having a flat, I think you could manage 2-2.5mm by that and not need to add fat for transition. The complication rate for fat in glabella is around five times higher than other areas, the danger of it can not be understated and I do not want to inject things there.



Ramieri, I know he works with nose surgeon as well and does combined cases, I might ask him about this.
Or just get the trimax and have the midface/nose/eyes done afterwards. It's not gonna be cheap either way.
How was your consult with ramieri.
Is it true that he is an asshole?
From what i have read on the forum he seems to be an asshole surgeon that doesnt like morphs and will send you to the asylum or some shit.
 
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could certainly fill that "flat" bit on the front of the scan to continue the radius round instead of having a flat, I think you could manage 2-2.5mm by that and not need to add fat for transition. The complication rate for fat in glabella is around five times higher than other areas, the danger of it can not be understated and I do not want to inject things there.
Yeah obviously its a fucked area, now soing anything comes at high risk obviously but i think you just gotta find a good surgeon snd get over your inhib or leave it, since anything that could be of use here would have to get real deep which is where the danger really is
 
How was your consult with ramieri.
Is it true that he is an asshole?
From what i have read on the forum he seems to be an asshole surgeon that doesnt like morphs and will send you to the asylum or some shit.

He doesn’t like people who are asking for shit they don’t need or acting like absolute incels in the consult I guess. Act like a fucking adult and you will be fine I think.

Yeah obviously its a fucked area, now soing anything comes at high risk obviously but i think you just gotta find a good surgeon snd get over your inhib or leave it, since anything that could be of use here would have to get real deep which is where the danger really is

Cartilage graft is possibly less risky than a fat injection here because the real risk is arterial occlusion by the injected fat.

I like the idea of just augmenting the flat area in the middle with 2-3mm to be honest, it seems efficient especially when you look at my frontal bone in 3D.

IMG 1351
 
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He doesn’t like people who are asking for shit they don’t need or acting like absolute incels in the consult I guess. Act like a fucking adult and you will be fine I think.



Cartilage graft is possibly less risky than a fat injection here because the real risk is arterial occlusion by the injected fat.

I like the idea of just augmenting the flat area in the middle with 2-3mm to be honest, it seems efficient especially when you look at my frontal bone in 3D.

View attachment 4438971
Yeah id go with it, of course its risky but its higher odds of being beneficial, of course complications might happen but then atleast you tried
 
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I’ve tried to adjust this to Frankfort plane. Do you guys think my brow ridge is a limiting factor on how much I can advance my lower third and lower-middle third (Trimax) or upper middle third (rhinoplasty and infras) in terms of maintaining overall harmony?

Bear in mind I have a 1cm length beard so my jaw looks better than it is.
Bimax asap
 
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