LONG FACE? GET BRACES BEFORE BIMAX.

[DonaldJTrump]

If you suffer from LONG FACE SYNDROME, a gummy smile, scleral show, lip incompetence, blah blah blah, and want to fix it with bimax. READ THIS THREAD! TLDR AT THE BOTTOM FOR ADHDCELS.

1. Dental compensation can mask skeletal vertical excess​

• Kim et al., 2014 (Journal of Craniofacial Surgery):
  

  “Dental compensation may mask the underlying skeletal discrepancy… Retroclined maxillary incisors can reduce incisor display and gingival exposure.”
  Kim, Y.I. et al. J Craniofac Surg 2014;25(5):1703–1708

• Proffit et al., Contemporary Orthodontics (textbook):
  

  “When maxillary incisors are retroclined or intruded, the amount of gum shown on smile may be reduced, disguising vertical maxillary excess.”

---

2. Decompensation restores true skeletal relationship​

• Proffit & White, Surgical-Orthodontic Treatment (orthognathic surgery reference):
  

  “Pre-surgical orthodontics aims to eliminate dental compensation… This often includes proclining retroclined incisors and/or extruding them, which increases incisor and gingival display to permit accurate surgical correction.”

• Arnett & Gunson, 2004 (Am J Orthod Dentofacial Orthop):
  

  “Decompensation of incisor position is essential for proper surgical movements… For vertical maxillary excess, uprighting and extruding incisors may temporarily increase gingival exposure before impaction.”

---

3. Why this matters for Le Fort I impaction​

• Bell, 1992 (J Oral Maxillofac Surg):
  

  “Adequate incisor display preoperatively ensures that impaction of the maxilla will result in a harmonious smile line and facial proportion.”

unmasking the decompensation can allow you to impact the maxilla upwards, EVEN MORE THAN IF YOU HAD NO BRACES. yes, decompensation may lengthen the face temporarily (longer teeth, more gum show). BUT THIS IS A DENTAL CHANGE! NOT A SKELETAL CHANGE! YOU ARE NOT ACTUALLY LENGTHENING YOUR BONES/MAXILLA. that is IMPOSSIBLE without a downgraft!

once you have decompensated and have more of a gummy smile, more teeth show. then you can get a le fort 1 impaction upwards by a few mm and PHYSICALLY SHORTEN YOUR MAXILLA, bone-wise.

TL;DR: Get braces before bimax if you have long face syndrome to "decompensate" your teeth, allowing for you to shorten your maxilla even more during bimax (And end up with a shorter, more balanced, more handsome face after, the face you were SUPPOSED to have if you weren't a mouth breathing retard).

TAG THE BIMAX BROS PLEASE
@CopeTilliRope @Devon @Lefor3Laser @LEFORT17 @savemebimax

 

[savemebimax]

I hope this is true. I might kill myself If I come out with an EVEN longer midface after spending 25k on this shit

 

[kurd]

I hope this is true. I might kill myself If I come out with an EVEN longer midface after spending 25k on this shit

u mean 40k usd

 

[LEFORT17]

u mean 40k usd

not for europeancels nigga, you can get your bimax for 60k usd

 

[kurd]

not for europeancels nigga, you can get your bimax for 60k usd

i am european, bimax is 40k usd at ramieri

 

[LEFORT17]

i am european, bimax is 40k usd at ramieri

so he 2x his prices from 22k overnight ahh makes sense kurd

 

[savemebimax]

u mean 40k usd

No even more, trimax costs 100k USD in Italy, let that be known and no one go there unless you have that kind of money

 

[LEFORT17]

No even more, trimax costs 100k USD in Italy, let that be known and no one go there unless you have that kind of money

are we switching up italy with swiss

 

[savemebimax]

are we switching up italy with swiss

Spoke to Ramieri recently and he said 500k USD for trimax, no one go to him anymore, i will still be going though because he honoured the cheaper price of 18k euros he quoted to me. Looks like everyone else will have to find another surgeon.

 

[LEFORT17]

Spoke to Ramieri recently and he said 500k USD for trimax, no one go to him anymore, i will still be going though because he honoured the cheaper price of 18k euros he quoted to me. Looks like everyone else will have to find another surgeon.

i got the special offer from him to take out my liver and 4 of my ribs to finance my bimax. he be taking kidneys too if others are interested

 

[kurd]

so he 2x his prices from 22k overnight ahh makes sense kurd

wtf. bimax is 22k USD?? at ramieri, no way thats legit ill hop on the plane tommorow

 

[LEFORT17]

wtf. bimax is 22k USD?? at ramieri, no way thats legit ill hop on the plane tommorow

why are u saying USD all the time since ur european?

 

[DonaldJTrump]

Spoke to Ramieri recently and he said 500k USD for trimax, no one go to him anymore, i will still be going though because he honoured the cheaper price of 18k euros he quoted to me. Looks like everyone else will have to find another surgeon.

youre joking

i am european, bimax is 40k usd at ramieri

wtf, used to literally be 20k. since when?

 

[LEFORT17]

youre joking

wtf, used to literally be 20k. since when?

he raised it overnight boyo, say bye bye to your bimax

 

[DonaldJTrump]

he raised it overnight boyo, say bye bye to your bimax

what is the real price now? do you know?

 

[DonaldJTrump]

Bump

 

[DonaldJTrump]

.

 

[slaters]

Don’t you need decompensation before bimax tho

 

[Lefor3Laser]

Don’t you need decompensation before bimax tho

Depends on the severity of the case.

 

[DonaldJTrump]

Don’t you need decompensation before bimax tho

that was literally the entire point of the thread, yes.

 

[DonaldJTrump]

Depends on the severity of the case.

yes but even if minor, if you have a long face, you should always get them so you can maximize facial shortening imo

 

[tweaqo]

I hope this is true. I might kill myself If I come out with an EVEN longer midface after spending 25k on this shit

u mean 40k usd

youre joking

wtf, used to literally be 20k. since when?

he raised it overnight boyo, say bye bye to your bimax

No even more, trimax costs 100k USD in Italy, let that be known and no one go there unless you have that kind of money

Here you guys go. I spoke to him about a week ago and here’s what he quoted me:

FOR TRIMAX + IMPLANTS:

 

[savemebimax]

Here you guys go. I spoke to him about a week ago and here’s what he quoted me:

FOR TRIMAX + IMPLANTS:
View attachment 4021160

He's lying, it's 1 million euros to go to him now, go to other surgeons!

 

[greycel]

@Lefor3Laser @DonaldJTrump
Does this apply for somebody who has a downgrown skull from 4 premolar extractions + many years of braces with elastics to fix a big overjet they had as a kid

 

[LEFORT17]

Here you guys go. I spoke to him about a week ago and here’s what he quoted me:

FOR TRIMAX + IMPLANTS:
View attachment 4021160

 

[LEFORT17]

Here you guys go. I spoke to him about a week ago and here’s what he quoted me:

FOR TRIMAX + IMPLANTS:
View attachment 4021160

He really raised it tho. Someone got 24k quoted 1month ago lol

 

[AustrianMogger]

Here you guys go. I spoke to him about a week ago and here’s what he quoted me:

FOR TRIMAX + IMPLANTS:
View attachment 4021160

does he do primaxillary augmentation and paranasal implants

 

[AustrianMogger]

He really raised it tho. Someone got 24k quoted 1month ago lol

doubt ramieri or pagnoni as that much better then most other maxofacial surgeons in eu.

 

[DonaldJTrump]

@Lefor3Laser @DonaldJTrump
Does this apply for somebody who has a downgrown skull from 4 premolar extractions + many years of braces with elastics to fix a big overjet they had as a kid

yes. speak to ramieri