Just had Bimax consult. Surgeon said he'll do ZSO at the same time

[lilhorizontal32]

surgeon seems blackpilled. some key things he said:

- the aesthetic side of the surgery is as important as the functional side
- that he wouldn't do this surgery if it made people worse looking (when asked if there was any % I would get looksminned)
- that I would most likely get a MODERATE improvement in function and aesthetics
- maybe 5-6mm on the maxilla, but he doesn't like doing too much as moving the maxilla forward excessively causes the face to look chimplike, but probably 10mm ish on the mandible (when asked how many mm of movement he would probably do), but would need to get a CT scan before he could say for sure
- also said that he would do a septoplasty to counteract the nose upturning effect
- said he would do a cheekbone osteotomy (I'm assuming ZSO) in the same operation for cheekbone enhancement

However when I asked him to show me a before and after photo of someone with a similar base as me, he showed me a photo of a guy he gave a full philtrum to, bordering on chimp lip (iirc), and when I pointed this out, he said that the photo was taken 3 weeks after surgery and that it was swelling, which idk is true

Thoughts? Should I pull the trigger and go with this surgeon? Or are there any other background checks I should do to make sure that he's as good/blackpilled as he claims to be?

 

[gamma]

What's his price for bimax + zso?

 

[.👽.]

Does LF1 make the Philtrum longer?

 

[lilhorizontal32]

What's his price for bimax + zso?

20-25k USD

15-20k for bimax + 5k for ZSO

 

[lilhorizontal32]

Does LF1 make the Philtrum longer?

I'm pretty sure CCW & maxillary impaction makes the philtrum shorter

 

[.👽.]

I'm pretty sure CCW & maxillary impaction makes the philtrum shorter

What about a regular lf1 advancement

 

[lilhorizontal32]

What about a regular lf1 advancement

not sure about just a regular advancement

 

[pizza]

I'm pretty sure CCW & maxillary impaction makes the philtrum shorter

significantly scleral show reduction too

 

[fuggg]

whos the surgeon

 

[WannaBeA6]

lol no if you're gonna pay 20k for a no name, go for lookism famous doctors instead

 

[lilhorizontal32]

whos the surgeon

He isn’t famous, just someone my ortho recommended

 

[Edgar]

How is CCW possible? Is it really CCW or an illusion of

 

[Edgar]

Cuz like are you crushing the bone that is already there?

 

[Edgar]

Also gl on the surgery

 

[homo_faber]

that guy got double jaw and zso at the same time too

cosmetic surgeries arent worth it

because it will not make a big difference because its all about personality because it looks unnatural because its all about confidence because bdd because just get another haircut instead because just shave it off and grow a beard bro because just hit the gym...

lookism.net

 

[ifyouwannabemylover]

that guy got double jaw and zso at the same time too

cosmetic surgeries arent worth it

because it will not make a big difference because its all about personality because it looks unnatural because its all about confidence because bdd because just get another haircut instead because just shave it off and grow a beard bro because just hit the gym...

lookism.net

he took a shower

 

[homo_faber]

he took a shower

and got a new haircut. also his submental improved after he started respecting women

 

[N1c]

It is nice to finaly hear that somebody is actually getting this instead of just talking about getting it

 

[dnrd]

haahhahaahh 25k for a bimax

 

[lilhorizontal32]

How is CCW possible? Is it really CCW or an illusion of

For CCW they usually both impact the anterior part of the maxilla, and do downgrading of the posterior part

if I I understand correctly, this causes the occlusal plane to tip in an upwards manner and become more flat

 

[Newzsy34]

For CCW they usually both impact the anterior part of the maxilla, and do downgrading of the posterior part

if I I understand correctly, this causes the occlusal plane to tip in an upwards manner and become more flat

what does posterior downgrade mean?

 

[Edgar]

both impact the anterior part of the maxilla,

This what I struggle to understand tbh. Do they remove bone?

 

[lilhorizontal32]

what does posterior downgrade mean?

Downgrafting* my mistake

they push the bottom part of your maxilla down if I understand correctly, I think by removing bone? Not too sure

This what I struggle to understand tbh. Do they remove bone?

Unsure how they do it but it’s standard procedure for gummy smiles. It shortens the philtrum

 

[homo_faber]

Downgrafting* my mistake

they push the bottom part of your maxilla down if I understand correctly, I think by removing bone? Not too sure




Unsure how they do it but it’s standard procedure for gummy smiles. It shortens the philtrum

downgrafting means they cut your maxilla, put it down, fix it with screws and in the gap they often put bone material so everything fuses nice together

 

[volslayer187]

surgeon seems blackpilled. some key things he said:

- the aesthetic side of the surgery is as important as the functional side
- that he wouldn't do this surgery if it made people worse looking (when asked if there was any % I would get looksminned)
- that I would most likely get a MODERATE improvement in function and aesthetics
- maybe 5-6mm on the maxilla, but he doesn't like doing too much as moving the maxilla forward excessively causes the face to look chimplike, but probably 10mm ish on the mandible (when asked how many mm of movement he would probably do), but would need to get a CT scan before he could say for sure
- also said that he would do a septoplasty to counteract the nose upturning effect
- said he would do a cheekbone osteotomy (I'm assuming ZSO) in the same operation for cheekbone enhancement

However when I asked him to show me a before and after photo of someone with a similar base as me, he showed me a photo of a guy he gave a full philtrum to, bordering on chimp lip (iirc), and when I pointed this out, he said that the photo was taken 3 weeks after surgery and that it was swelling, which idk is true

Thoughts? Should I pull the trigger and go with this surgeon? Or are there any other background checks I should do to make sure that he's as good/blackpilled as he claims to be?

I’m 2 weeks post bimax with 10mm maxilla forwards, yeah he’s right, still a lot of swelling at that point, I looked like a chimp the first week but know I look ok so idk.... the point is only 6mm forward is unlikely to give you that effect

 

[lilhorizontal32]

I’m 2 weeks post bimax with 10mm maxilla forwards, yeah he’s right, still a lot of swelling at that point, I looked like a chimp the first week but know I look ok so idk.... the point is only 6mm forward is unlikely to give you that effect

good to hear you didnt get chimp lip bro, and thanks for the info, does make me a bit more relaxed about the whole thing

 

[volslayer187]

good to hear you didnt get chimp lip bro, and thanks for the info, does make me a bit more relaxed about the whole thing

If you’re really recessed the chances of bimax looksmining you is almost 0 tbh... but be careful with zso though because it doesn’t give you anterior projection, which means if your masilla needs to move forward by a lot you’re not really improving anything and your zygos will just look flatter

 

[lilhorizontal32]

good to hear you didnt get chimp lip bro, and thanks for the info, does make me a bit more relaxed about the whole thing

If you’re really recessed the chances of bimax looksmining you is almost 0 tbh... but be careful with zso though because it doesn’t give you anterior projection, which means if your masilla needs to move forward by a lot you’re not really improving anything and your zygos will just look flatter

yeah will do, appreciate the heads up

thing is with me im not super recessed, only kind of, thats why im having so much difficulty figuring out what to do. if its any indicator, 3 surgeons I consulted with recommended bimax straight away, 1 said I dont need anything done, another said genio should be sufficient unless sleep study says otherwise, and 1 said he wont suggest or do anything until he sees my sleep study

 

[oldcelloser]

how can i get >25 mm widening of the upper and lower jaw, after i had a bimax 10 yrs ago? im over 30 btw
Any top surgeons that can perform this? please link me some threads

 

[lilhorizontal32]

how can i get >25 mm widening of the upper and lower jaw, after i had a bimax 10 yrs ago? im over 30 btw
Any top surgeons that can perform this? please link me some threads

eppley can do implants, but he has dodgy ethics so be a bit careful with him. still worth consulting imo

aside from that dhir and yaremchuk are also meant to be pretty good

 

[oldcelloser]

eppley can do implants, but he has dodgy ethics so be a bit careful with him. still worth consulting imo

aside from that dhir and yaremchuk are also meant to be pretty good

yeah but they aren't orthodontists right? i need a wide jaw and wide smile, after that i will perhaps consider jaw/cheek implants

 

[lilhorizontal32]

yeah but they aren't orthodontists right? i need a wide jaw and wide smile, after that i will perhaps consider jaw/cheek implants

didnt read the part about you wanting a wider upper jaw. my surgeon said that he will expand the upper jaw during Bimax. not sure how much of an effect this will have though

if not, you can also do MSE, MARPE or SARPE for a wider jaw and wider smile. SARPE is quite invasive though, similar to a lefort 1, so I'd recommend MARPE or MSE. MSE seems to be the best expander though going from what I've read here, but I think both can potentially have an effect on your facial width, so just be careful as they can have a negative effect on your es ratio

also you can make your mandible wider during a BSSO/Bimax with a special cut that some surgeons do. and obviously implants (ramus or wraparound jaw) will also help, but make sure you fix your recession first

 

[Chadakin]

that guy got double jaw and zso at the same time too

cosmetic surgeries arent worth it

because it will not make a big difference because its all about personality because it looks unnatural because its all about confidence because bdd because just get another haircut instead because just shave it off and grow a beard bro because just hit the gym...

lookism.net

This is why bimax is mostly cope. You can't cheat genetics and get a Chad jaw even with surgery. On top of that the frontal changes are extremely risky (pig nose).

 

[SixCRY]

yes 3w post Op philtrum will look like a chimp, u need 3month for philtrum swelling to go down

 

[lilhorizontal32]

This is why bimax is mostly cope. You can't cheat genetics and get a Chad jaw even with surgery. On top of that the frontal changes are extremely risky (pig nose).

a small to moderate gain, because he was not that recessed to begin with.

I'm getting around 10mm of BSSO and 5mm genio , so much higher chance that Bimax will be improve me around 1 PSL

 

[lilhorizontal32]

yes 3w post Op philtrum will look like a chimp, u need 3month for philtrum swelling to go down

Idk why he showed me that patient then jfl

he knew that I was aesthetically focussed as well

 

[Chadakin]

a small to moderate gain, because he was not that recessed to begin with.

I'm getting around 10mm of BSSO and 5mm genio , so much higher chance that Bimax will be improve me around 1 PSL

How recessed are you bro?

 

[chedurak]

Can someone show me example of chimp Lip that keeps getting talked about

 

[Deleted member 14262]

20-25k USD

15-20k for bimax + 5k for ZSO

Don't share prices on here. Some doctors want to keep those prices private, and if they catch wind of this they will likely increase the prices for others.

 

[Deleted member 14262]

Can someone show me example of chimp Lip that keeps getting talked about

Jut your jaw out and look in the mirror.

 

[Deleted member 14262]

OP why don't you tell us his name?

 

[coolguy1]

Whats zso?

 

[lilhorizontal32]

OP why don't you tell us his name?

He is a local surgeon

 

[Deleted member 14262]

Whats zso?

Zygomatic Sandwich Osteotomy. To make the cheekbones more defined.

 

[SubhumanityForce]

didnt read the part about you wanting a wider upper jaw. my surgeon said that he will expand the upper jaw during Bimax. not sure how much of an effect this will have though

if not, you can also do MSE, MARPE or SARPE for a wider jaw and wider smile. SARPE is quite invasive though, similar to a lefort 1, so I'd recommend MARPE or MSE. MSE seems to be the best expander though going from what I've read here, but I think both can potentially have an effect on your facial width, so just be careful as they can have a negative effect on your es ratio

also you can make your mandible wider during a BSSO/Bimax with a special cut that some surgeons do. and obviously implants (ramus or wraparound jaw) will also help, but make sure you fix your recession first

There is no special cut. If you move the jaw forwards enough, you will get some width gains in the mid and front part of the jaw, because your jaw is almost V shaped. (picture it and you will understand.). The bigonial remains the same. Only angle implants will do