Italian Jaw Journey (GTFIH) - Bimax + CCW + Expansion + Infras | Planning with Ramieri/Pagnoni/Raffaini

The good old none grafts italian step off special
ye i have these shit step off he botched me badly my previous jawline was fine too i just needed some extra projection , so foolish of me to fall for the meme looksmax propaganda but lesson learned. Now i've had fillers and they look 100 times better , less invasive and i can dissolve them when i want, jfl at cutting your bone just to look like deformed joke
 
  • +1
Reactions: lurking truecel
ye i have these shit step off he botched me badly my previous jawline was fine too i just needed some extra projection , so foolish of me to fall for the meme looksmax propaganda but lesson learned
Yea i mean they never bone graft, in the genios and barely in the bimaxes. I dont know what reason for it is
 
Yea i mean they never bone graft, in the genios and barely in the bimaxes. I dont know what reason for it is
they are retarded and have too much ego to admit they are a subpar choice in the surgery industry, but still retards from this forum keep going to them because they're too lazy to do their own research so they don't need to change anything just take the highest volume possible of patients and as long the patient doesn't die on the surgery table they're good
 
  • +1
Reactions: kuromilover and lurking truecel
they are retarded and have too much ego to admit they are a subpar choice in the surgery industry, but still retards from this forum keep going to them because they're too lazy to do their own research so they don't need to change anything just take the highest volume possible of patients and as long the patient doesn't die on the surgery table they're good
I mean i dont think you get much better surgeons if you dont pay even more tough
 
I mean i dont think you get much better surgeons if you dont pay even more tough
there are hidden gems here and there , you just got to do your homework , get consultations ask the right questions and before and after. Also high price only means they have more patients and they can do higher prices doesn't mean they are good at what they do it can just be good marketing like the italians
 
  • +1
Reactions: lurking truecel and vermicel
Hi guys, long-time lurker, first-time poster from Italy.

I’m finally starting my hardmaxxing journey to try to fix all of my major flaws and I’m looking for the best surgeon in Italy for a complex case.

PRE-OP




Disclaimer: I’ve done some preliminary measurements on my CBCT using RadiAnt and Romexis. I’m not a pro, so if I messed up some calculations, please let me know. These should be roughly accurate though.
My Analysis (Based on CBCT):
  • Gonial Angle: 131.8°
  • Inter-molar Width: ~34.7mm (Narrow palate, teeth in compensation).
  • Face Type: High divergence, nasolabial folds, poor midface & infraorbital support)
I want to make sure I find a surgeon who can handle the aesthetic side of this, not just the occlusion.
  • Bimax (BSSO + Lefort 1) with CCW Rotation: I need to close that 132° angle and get projection.
  • Skeletal Expansion (MARPE/MSE/FME/SARPE): My inter-molar width is ~34.7mm. I’m debating and honestly I don't have much knowledge about this. I want to maximize midface widening and cheekbone support. Given I'm planning Bimax anyway, which one would you guys suggest?
  • Midface support: I’m leaning towards custom PEEK inframalar/infraorbital implants but I want to know if I can avoid paranasal implants by performing a High LeFort I cut and advancing the ANS, or maybe eventually both?
  • Jaw/Angles: I definitely lack bone mass here too. I'm considering custom jaw implants (wraparound or angles), but I’m worried about two things: 1) Is it even possible to do Bimax + Midface + Jaw implants in a single op? 2) The budget might explode.
  • Genioplasty: Undecided. If the CCW rotation provides enough projection, I might skip it, but idk tbh.

The Surgeon Question

I’m planning to visit Ramieri, Pagnoni, and Raffaini.
  • Which of these do you think is the best and open to custom midface implants alongside the Bimax? (keeping in mind how much each surgeon charges)
  • Should I do consultations with all three or is there a clear winner for this specific approach?

I’m open to any HIGH IQ advice or suggestions regarding my skeletal plan, movements, or surgeon choice. Don't hold back.

Brutally honest feedback only. If you guys have any questions or need more info, measurements, or specific CBCT slices to help me out, just ask no problem. Thanks.
good luck dont go with dr taban
 
  • JFL
Reactions: kuromilover
there are hidden gems here and there , you just got to do your homework , get consultations ask the right questions and before and after. Also high price only means they have more patients and they can do higher prices doesn't mean they are good at what they do it can just be good marketing like the italians
Yea i mean its prob true, germany and those countries seems to have many but i see sp many bogdanoffs from surgeons people say is good. I am in disc and the whole dc is basically about going to a surgeon that has hype. Then 2-3 gets botched and then they go to the next one. Its sad really
 
  • +1
Reactions: monk321
But yea ram is brutally shit at genio, i thought pag was better actually, but apparenly he is dog shit too.
like atp who do i go to if they’re all gonna just gonna botch my trimax, I’d like to avoid that..
 
  • +1
Reactions: lurking truecel and kuromilover
  • +1
Reactions: lurking truecel
your last chance :aheago:
IMG 4169


Imagine getting botched by this guy:hnghn:
 

Similar threads

Vir
Replies
6
Views
170
lurking truecel
lurking truecel
disco
Replies
34
Views
325
zemult
zemult
I
Replies
6
Views
71
lurking truecel
lurking truecel
VladimirtheGreat
Replies
60
Views
807
Davud.isbarxanli.04
Davud.isbarxanli.04

Users who are viewing this thread

  • kuromilover
  • Jgns
  • smallgromp123
  • teno
  • cheekbonesforlife
  • vermicel
  • armemann
  • monk321
  • MediterraneanMoid
  • tyler1234
Back
Top