My bimax and genio plan with Dr Ramieri

So I mean bimax recovery is rough dude being honest, first week really sucks. No real pain but just discomfort, insane swelling, dry broken lips, jaw very cramped from the elastics, cant enjoy food

I'm currently 10 days post, second week is a lot easier, the main annoying thing at this point is that you have to wear really tight elastics which feels like you are biting down on a piece of wood 24/7. Apart from that its not so bad its more just about managing boredom as you are stuck in a hotel room for 3 weeks

My advice is to stay within 5 minutes of his clinic and do a really big shop for everything you need before surgery
do you think it's possible to return to work after 3 weeks of recovery?
 
do you think it's possible to return to work after 3 weeks of recovery?
easily if you have a desk job, you could do it after 8-9 days assuming you dont mind people noticing how swollen you are
 
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Why you weren't satisfied with implants? Ramieri did them too?
 
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Why you weren't satisfied with implants? Ramieri did them too?
I just decided I wanted to address the underlying deficiency rather than cover it with implants, there was nothing wrong with my implants they looked good

I may get some new ones put in once bimax heals
 
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I just decided I wanted to address the underlying deficiency rather than cover it with implants, there was nothing wrong with my implants they looked good

I may get some new ones put in once bimax heals
Sounds good. Do you have any functional issues like sleep apnea?

How was recovery after getting jaw implants?
 
Hey one question, was orthodontics handled by their team?
 
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Do you have some surgeron name to give for custom genioplasty with custom plate + bone graft ?

Or we can get everything custom with you and go to the surgeron we want ?

How its work ?
 
Do you have some surgeron name to give for custom genioplasty with custom plate + bone graft ?

Or we can get everything custom with you and go to the surgeron we want ?

How its work ?
plastic surgeons dont really do it

maxillofacial surgeons do

Ramieri, Raffaini, Pagnoni, Sailer, DeFranq,
 
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OP, any updates? How’s the postop going?
 
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OP, any updates? How’s the postop going?
Hey,

Currently 5w post.

Thankfully no complications so far except minor early contact of my molars on bite causing a tiny open bite which will be fixed with invisalign

Aesthetically the result is amazing, the design was perfect. I asked for a hyper anteface and he gave me such good projection and harmony

Contrary to what people said the cheek implants look great too, great ogee curve which tapers into my cheek hollows well
 
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Hey,

Currently 5w post.

Thankfully no complications so far except minor early contact of my molars on bite causing a tiny open bite which will be fixed with invisalign

Aesthetically the result is amazing, the design was perfect. I asked for a hyper anteface and he gave me such good projection and harmony

Contrary to what people said the cheek implants look great too, great ogee curve which tapers into my cheek hollows well

Sounds great! Will you share some pics?
 
Sounds great! Will you share some pics?
Not of myself, but the jaw result is VERY similar to this, my lower third is almost identical to this guy, same facial hair/structure

1682527448892
 
Hey,

Currently 5w post.

Thankfully no complications so far except minor early contact of my molars on bite causing a tiny open bite which will be fixed with invisalign

Aesthetically the result is amazing, the design was perfect. I asked for a hyper anteface and he gave me such good projection and harmony

Contrary to what people said the cheek implants look great too, great ogee curve which tapers into my cheek hollows well
Did you notice any change in the eyes/eye area as a result of these procedures?

I’ve seen a lot of cases where the eye area seem to change as a result of bimax. Of course the implant will help here too.
 
Did you notice any change in the eyes/eye area as a result of these procedures?

I’ve seen a lot of cases where the eye area seem to change as a result of bimax. Of course the implant will help here too.
impossible to say, my eye are improved but i had infraorbital implants and fat grafting below my eye which definitely helped
 
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Since when could Bimax widen the jaw, how is this possible anatomically relative to where the cuts are made ?
 
Since when could Bimax widen the jaw, how is this possible anatomically relative to where the cuts are made ?

Before he mentioned it, I had just seen Coceancig doing it…
 
Since when could Bimax widen the jaw, how is this possible anatomically relative to where the cuts are made ?
you create a gap and fill it using bone grafts, plus do a bit of torquing of the gonions
 
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Is there a reason why you chose to get Bimax over IMDO with conceancig?
imdo is for young people, past a certain age you cant do it
 
how old are you? Coceancig done imho on many patients 30+, its just ideal younger, but 20s is easily doable
late 20s, I also dont have an overbite, also coceancig is like 3x price of italian surgeons
 
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Was the widening of the mandible successful and noticable in the end? Did you have to get any wisdom teeth out?
 
Was the widening of the mandible successful and noticable in the end? Did you have to get any wisdom teeth out?
yes it was, no removal of teeth
 
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That’s awesome, and did you say Ramieri offers fat grafting too?
yes, i had 3ccs each side, he didnt charge me for it
 
Nice, where? Is it possible to get them as an alternative to malar implants?
no its not really going to give those kinds of results, i used it to fill in my undereye hollows a bit, which is what is best used for
 
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it was only 19k?

do you live in italy?
 
24k including cheek implants, i'm not from italy
Your cheek implants are w/o saddle right?

did you ask ramieri about this and whether saddle is necessary/beneficial?
 
Your cheek implants are w/o saddle right?

did you ask ramieri about this and whether saddle is necessary/beneficial?
I asked, but he doesnt offer it, he just injected some fat instead

Its definitely beneficial if you lack undereye support
 
I asked, but he doesnt offer it, he just injected some fat instead

Its definitely beneficial if you lack undereye support
Cool how have the fat grafts held up


If that is how you looked in before its good btw so after must be real good
 
Cool how have the fat grafts held up


If that is how you looked in before its good btw so after must be real good
quite well, obviously its not as good as a saddled implant
 
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I asked, but he doesnt offer it, he just injected some fat instead
I asked and he didn't say he didn't offer it. I said something like "I would have Giant design the implants. I've heard you don't do saddle. Is that accurate?" And his secretary just got back to me with a price, didn't address that at all.
 
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I asked and he didn't say he didn't offer it. I said something like "I would have Giant design the implants. I've heard you don't do saddle. Is that accurate?" And his secretary just got back to me with a price, didn't address that at all.
If you get him to design it for you, once he sees the design and sees its saddled, i doubt he will agree to do the surgery
 
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how much did it cost with the hotel costs and everything else?
 
We had like the exact same starting point but Ramieri wouldn't do bimax for me.

Thumbnail Lateral Ceph X Ray
 
So, any after photos?
 
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