My Genio Consult Is In 2 Days Please Give Me Good Questions I Ask The Surgeon

[Lars]

chin from front is really good but from side it sucks

Do you guys have good questions to ask him

@Mongrelcel
@Titbot
@PapiMew

 

[Tom Jones]

how much advancement are you thinking you want?

 

[Lars]

how much advancement are you thinking you want?

i guess 5 to 7 but i dont know i want not too obvious ofc just whats good harmony wise surgeon in the netherlands draws lines where harmony is but i also want my chin to stay the same width in the front i guess they dont do that alot so i will go to rome for genio

 

[Tom Jones]

i guess 5 to 7 but i dont know i want not too obvious ofc just whats good harmony wise surgeon in the netherlands draws lines where harmony is but i also want my chin to stay the same width in the front i guess they dont do that alot so i will go to rome for genio

while they are already sawing in your mandible, i say go for 7 mm if possible whitout compromising the shape of your chin. That is definately possible with a good surgeon. your morph looks about just over 7mm so it wont destroy the harmony imo.

 

[Titbot]

M

chin from front is really good but from side it sucksView attachment 1640598




Do you guys have good questions to ask him

@Mongrelcel
@Titbot
@PapiMew

Mirin. I don’t know enough about chin.

 

[Cidre enjoyer]

how much will this cost you ?
seems like a good idea imo your side profile looks a bit off, especially in that video where you have that messenger type bag

 

[Lars]

how much will this cost you ?
seems like a good idea imo your side profile looks a bit off, especially in that video where you have that messenger type bag

yess, hmm 5-10k depends surgeon tbh here in the netherlands about 5k but i guess i am going for the expensive one if they dont keep my front width the same because that legit halos my lowerthird

 

[RazerGlazer]

Your case is pretty simple - you only need advancement; however it is also pretty easy to fucked up your proportions.

you should ask him what is his technique to only give forward advancement and to regards to your vertical height of the chin would remain the same? - you dont want to change your vertical height for the chin, looks perfect the way it is now and on top of that it is also square.

ASK HIM IF HE DOES WEDGE GENIOPLASTY.

When you slide the chin bone forward, you lose vertical height, you need some open wedge! Very important

 

[Lars]

Your case is pretty simple - you only need advancement; however it is also pretty easy to fucked up your proportions.

you should ask him what is his technique to only give forward advancement and to regards to your vertical height of the chin would remain the same? - you dont want to change your vertical height for the chin, looks perfect the way it is now and on top of that it is also square.

ASK HIM IF HE DOES WEDGE GENIOPLASTY.

When you slide the chin bone forward, you lose vertical height, you need some open wedge! Very important

THANKS!! really helpfull reply saving that one, i guess i am going for ramiri if i hear he doesnt do

 

[Gerardwayfan]

do it if you are rich! huge looksmax at ur side profile imho, but front matters most

 

[Lars]

do it if you are rich! huge looksmax at ur side profile imho, but front matters most

indeed, so if they cant keep the front i am not getting it

 

[Tom Jones]

nice

The surgery itself is pretty brutal though.



This surgeon does some genios with pretty serious advancements.

 

[Lars]

@RealSurgerymax

 

[Lars]

The surgery itself is pretty brutal though.



This surgeon does some genios with pretty serious advancements.

yeaah love to watch that hahah

 

[RazerGlazer]

The surgery itself is pretty brutal though.



This surgeon does some genios with pretty serious advancements.

stop scaring the guy, you are not helping tbh.

you dont need to know how its done tbh. Does everyone know whats inside a car, every single piece? No, we are just driving.

The idea is the same, we dont care how its done, only the result matters.

//oh never mind, he likes that

@StrangerDanger I also had bimax.

 

[bogii]

The surgery itself is pretty brutal though.



This surgeon does some genios with pretty serious advancements.

looks brutal, but every surgery looks like that even rhino looks brutal

 

[Deleted member 18361]

I agree; he's recessed, he needs to start hard chin tucking so that his face lifts up 1cm in a year CCW-wise (that would be an additional 5-7mm chin gain excluding potential bonesmashing gains), but since the consult is arranged, better than nothing.

Fucking retard lol

Do you realize you need space for the maxilla to CCW rotate? like how the fuck is the maxilla gonna go upward when there’s bone? This is so fucking simple I can’t believe people struggle with this

 

[Deleted member 18849]

Fucking retard lol

Do you realize you need space for the maxilla to CCW rotate? like how the fuck is the maxilla gonna go upward when there’s bone? This is so fucking simple I can’t believe people struggle with this
View attachment 1640738

The maxilla expands first you idiot. And is being remodeled. Edit:

 

[Tom Jones]

stop scaring the guy, you are not helping tbh.

you dont need to know how its done tbh. Does everyone know whats inside a car, every single piece? No, we are just driving.

The idea is the same, we dont care how its done, only the result matters.

//oh never mind, he likes that

@StrangerDanger I also had bimax.

Wasnt trting to scare him tbh. I would like to know what im in for, i i were to have that done. Watching this would be almost reassuring at how a seasoned doc can chill trhough an operation like this. and still provide good results.

 

[Lars]

looks brutal, but every surgery looks like that even rhino looks brutal

rhino looks way more brutal to me tbh than chin , genio is maybe one of the less brutal ones

 

[Anchor_Ship]

rhino looks way more brutal to me tbh than chin , genio is maybe one of the less brutal ones

Brutality is cope pain is cope

 

[Tom Jones]

yeaah love to watch that hahah

Does your doctor have any before after pics of other patients he can show to prove his skills?

 

[bogii]

rhino looks way more brutal to me tbh than chin , genio is maybe one of the less brutal ones

yea and I have to get rhino

 

[Lars]

Brutality is cope pain is cope

yeah i am just gonna buy research chemicals (drugs) to fix the pain O-Desmethyltramadol (also known as O-DSMT and desmetramadol) is an opioid substance of the phenylpropylamine class. It is an active metabolite of tramadol. https://psychonautwiki.org/wiki/O-Desmethyltramadol

 

[Deleted member 18361]

The maxilla expands first you idiot.

Are you dead serious? No way you can be this retarded.

The maxilla expanding laterally somehow allows the maxilla to somehow counter clockwise rotate through bone? It’s different dimensions, bud. Even if the entire midface somehow projects through some magical spell, you literally need coronal space for the maxilla to rotate. Such simple logic, unbelievable.

 

[RazerGlazer]

yeah i am just gonna buy research chemicals (drugs) to fix the pain O-Desmethyltramadol (also known as O-DSMT and desmetramadol) is an opioid substance of the phenylpropylamine class. It is an active metabolite of tramadol. https://psychonautwiki.org/wiki/O-Desmethyltramadol

Trust me, you dont need those.

I had bimax and genio in same time and I had 0 pain. Don't bother wasting money on those tbh. Only thing that bothered me was the discomfort of being swollen. Make sure you eat a lot of pineapple after surgery cause it contains bromelain which is good for inflamations

 

[Lars]

Trust me, you dont need those.

I had bimax and genio in same time and I had 0 pain. Don't bother wasting money on those tbh.

lol they are 20 bucks hahaha love the Netherlands

 

[Deleted member 18849]

Are you dead serious? No way you can be this retarded.

The maxilla expanding laterally somehow allows the maxilla to somehow counter clockwise rotate through bone? It’s different dimensions, bud. Even if the entire midface somehow projects through some magical spell, you literally need coronal space for the maxilla to rotate. Such simple logic, unbelievable.

Bone is organic and continuously remodeled you moron. Watch the gif, applied pressure to expand and then remodel. It's not rock.

 

[Tom Jones]

yea and I have to get rhino

This is one of the most brutal surgeries i've seen. must have fractured his frontal bone

 

[RazerGlazer]

Trust me, you dont need those.

I had bimax and genio in same time and I had 0 pain. Don't bother wasting money on those tbh. Only thing that bothered me was the discomfort of being swollen. Make sure you eat a lot of pineapple after surgery cause it contains bromelain which is good for inflamations

also make sure you have magnesium sulphate, its so good for swelling. Put it in a cold water, stay like 10-15 minutes pause 20 minutes and do it again.

This is very important to do it as soon as you are done with your surgery. I know all these stuff from my therapist told me btw, I'm not inventing new things.

 

[BoneDensity]

Not worth it

I think a small advancement would ascend him dramatically since its the only below average feature I see in his face

 

[randomvanish]

you need bimax and infra implants tbh

 

[Lars]

also make sure you have magnesium sulphate, its so good for swelling. Put it in a cold water, stay like 10-15 minutes pause 20 minutes and do it again.

This is very important to do it as soon as you are done with your surgery. All these things my therapist told me btw, I'm not inventing new things.

View attachment 1640765

i have citrate at home rn is sulphate more important?

 

[RazerGlazer]

i have citrate at home rn is sulphate more important?

Not sure. I only used sulphate tbh. It's really cheap btw.

//almost forgot. I also used cabbage.

really fucking good, make sure you smash the cabbage so that the juice comes out and than apply on the swelling.

 

[Deleted member 18361]

Bone is organic and continuously remodeled you moron. Watch the gif, applied pressure to remodel

No one suffers from ONLY severe downward growth. Literally no one. If you are recessed, your jaws are short; your dental arches are not forward enough. Putting your tongue on upper palate is not gonna somehow move the dental arches forward. The only way is through surgery.

Recession is not the jaws are shifted backward, recession is in terms of the length of the jaws. Again, only through surgery can you change this.

Most unrealistic gif I have ever seen and I’m not surprised you actually start to now put effort into something based off a drawing from an unknown person.

 

[Tom Jones]

bro how tf do you watch those, and why

I think its interesting to watch. How primitive and brutal they are, and yet the body heals. They could almost swap toolboxes with a carpenter and still get the job done.

 

[Deleted member 18849]

No one suffers from ONLY severe downward growth. Literally no one. If you are recessed, your jaws are short; your dental arches are not forward enough. Putting your tongue on upper palate is not gonna somehow move the dental arches forward. The only way is through surgery.

Recession is not the jaws are shifted backward, recession is in terms of the length of the jaws. Again, only through surgery can you change this.
View attachment 1640770
Most unrealistic gif I have ever seen and I’m not surprised you actually start to now put effort into something based off a drawing from an unknown person.

Citation needed. If you're recessed your upper jaw is grown downwards, you're usually a mouthbreather and you have poor cheekbone + eye support. OP's eye support doesn't seem good.
You can actually measure the length of your mandible to tell if it's short. If you have tired eyes and the triangle between your nose edge and eyes, is short and tall without the eye support it's recession.

Keep coping for the gif, now you understand that bone is being remodeled and it's not rock solid?

 

[Lars]

Not sure. I only used sulphate tbh. It's really cheap btw.

//almost forgot. I also used cabbage.

really fucking good, make sure you smash the cabbage so that the juice comes out and than apply on the swelling.

View attachment 1640776

i am glad i am back her such smart users here instead of asking on reddit with all those retards

 

[Deleted member 18361]

Citation needed. If you're recessed your upper jaw is grown downwards, you're usually a mouthbreather and you have poor cheekbone + eye support. OP's eye support doesn't seem good.
You can actually measure the length of your mandible to tell if it's short. If you have tired eyes and the triangle between your nose edge and eyes, is short and tall without the eye support it's recession.

Keep coping for the gif, now you understand that bone is being remodeled and it's not rock solid?

Mirin your microscopic comprehension skills. It’s almost like you replied to the wrong message. I’ll let you cope until it’s too late.

 

[Deleted member 18849]

Mirin your microscopic comprehension skills. It’s almost like you replied to the wrong message. I’ll let you cope until it’s too late.

You have no reply you surgery copecel. Start from backing up your statements, couldn't even realize the difference between forward growth (hard palate focused chin tucks) bone remodeling and expanding (mainly soft palate focused) for general maxillary expansion.

Bone is not rock. It moves over time given pressure over long periods of time. Cope harder than last time.

 

[Mongrelcel]

with pretty serious advancements

is the bone going to connect tho

 

[Tom Jones]

is the bone going to connect tho

yes the bone will fuse eventually

 

[valhalar]

Your profile is perfect for genio. The results on that chin type are usually very good. I agree about ‘wedge’. When they advance it they can also split it in the middle to widen it so you will not lose chin width.

 

[Lars]

Long time, no see @larsanova69

I was actually considering doing a genioplasty megathread because I have a decent amount of literature I’ve gathered over the year that’s yet to make its way on this site for some reason. For that just DM me on discord because I doubt I'll ever get to posting it.

So pertaining to your chin height worry.

I want you to think of it like this. When we move something anteriorly, anything left behind will appear smaller than what was brought forward if we are looking at it from a one-point perspective.

The one-point perspective is a drawing method that shows how things appear to get smaller as they get further away, converging towards a single 'vanishing point' on the horizon line.

It also matters to what degree you bring something forward (1-14mm) and the amount of downward growth (1-6ish° CCW) you are starting off with pre-op. This is why CCW is recommended for someone like you who is a bit downward grown (This is what IIRC at least from seeing your pictures back in the day). You can make this correlation with width as well.

If one is fairly downward grown, what may happen is exactly the opposite of what they are going for. So what might happen is the chin will actually lengthen (this may be hard to comprehend without a picture) and the anterior gains will be minimal, unfortunately.

So pertaining to your chin width worry.

I recommend getting a custom genioplasty if you can afford it (custom plates and guides). You'd design it in such a way where the step-off deformity is minute. This custom osteotomy is called a biplaner geniotomy. This allows you to capture bone height anteriorly to advance the mentalis muscle and avoid an overly deep labiomental crease (Although I prefer deeper labiomental folds), and still advance and/or down graft (for length) a large distance and maintain a smooth contour of the

I'd re-evaluate the thought of getting an extending genioplasty (if it is on your mind) as the mid-mandible gains aren't always ideal unless you plan on getting jaw angles afterward (most people I've encountered went this route surprisingly).

Also, acknowledge large/blackpilled movements go hand in hand with nerve damage. I doubt you'll experience that though.

I'm too lazy to type more, but my last piece of advice for you is to think about surgery from a '360 point of view'. A lot of people get tunnel-visioned and never correlate how one change to a part of the face may disrupt harmony on another part of the face. This is not a skill you'll develop overnight but I've looked over so many clinical cases these past 2 years that it comes naturally.

View attachment 1640944

Also, too lazy to discuss how the underlying muscles work in the grand scheme. So just wanted to add this picture for visual reasons.

Damn son didnt expect this high iq of an response AKA in short i need to go to rome for this

 

[mulattomaxxer]

I am not well informed on genioplasty but:

-Bring a phone/notepad to make notes of what he tells you.
-Ask him what osteotomy he will perform to only project your chin forward from the side profile. Ask if the front will remain the same after your chin being moved forward. (Bring that morph for before vs after). Make sure you know the exact osteotomy name so you can do your own research. There have been great comments above mine. I would note these down and bring them to the consulation.
-Any consideration for soft tissue?
-Ask for Previous Results (May struggle due to patient confidentiality but its worth a shot). If you like the shit he has previously done he should do a good job with you.
-Expected Recovery Time.
-Total cost and hospital Stay time.
-Finance plan and potential surgery date.

 

[Anchor_Ship]

Long time, no see @larsanova69

I was actually considering doing a genioplasty megathread because I have a decent amount of literature I’ve gathered over the year that’s yet to make its way on this site for some reason. For that just DM me on discord because I doubt I'll ever get to posting it.

So pertaining to your chin height worry.

I want you to think of it like this. When we move something anteriorly, anything left behind will appear smaller than what was brought forward if we are looking at it from a one-point perspective.

The one-point perspective is a drawing method that shows how things appear to get smaller as they get further away, converging towards a single 'vanishing point' on the horizon line.

It also matters to what degree you bring something forward (1-14mm) and the amount of downward growth (1-6ish° CCW) you are starting off with pre-op. This is why CCW is recommended for someone like you who is a bit downward grown (This is what IIRC at least from seeing your pictures back in the day). You can make this correlation with width as well.

If one is fairly downward grown, what may happen is exactly the opposite of what they are going for. So what might happen is the chin will actually lengthen (this may be hard to comprehend without a picture) and the anterior gains will be minimal, unfortunately.

So pertaining to your chin width worry.

I recommend getting a custom genioplasty if you can afford it (custom plates and guides). You'd design it in such a way where the step-off deformity is minute. This custom osteotomy is called a biplaner geniotomy. This allows you to capture bone height anteriorly to advance the mentalis muscle and avoid an overly deep labiomental crease (Although I prefer deeper labiomental folds), and still advance and/or down graft (for length) a large distance and maintain a smooth contour of the jawline.

I'd re-evaluate the thought of getting an extending genioplasty (if it is on your mind) as the mid-mandible gains aren't always ideal unless you plan on getting jaw angles afterward (most people I've encountered went this route surprisingly).

Also, acknowledge large/blackpilled movements go hand in hand with nerve damage. I doubt you'll experience that though.

I'm too lazy to type more, but my last piece of advice for you is to think about surgery from a '360 point of view'. A lot of people get tunnel-visioned and never correlate how one change to a part of the face may disrupt harmony on another part of the face. This is not a skill you'll develop overnight but I've looked over so many clinical cases these past 2 years that it comes naturally.

View attachment 1640944

Also, too lazy to discuss how the underlying muscles work in the grand scheme. So just wanted to add this picture for visual reasons.

I am looking to get this done can you dm me your discord?

 

[Deleted member 1660]

chin from front is really good but from side it sucksView attachment 1640598




Do you guys have good questions to ask him

@Mongrelcel
@Titbot
@PapiMew

cancel your genio and start bone smashing now

 

[Lars]

PM yours

Also, I usually only help people who are very serious and have most or all of the funds for the particular surgery they want.

Can i also pm you

 

[Lars]

I am not well informed on genioplasty but:

-Bring a phone/notepad to make notes of what he tells you.
-Ask him what osteotomy he will perform to only project your chin forward from the side profile. Ask if the front will remain the same after your chin being moved forward. (Bring that morph for before vs after). Make sure you know the exact osteotomy name so you can do your own research. There have been great comments above mine. I would note these down and bring them to the consulation.
-Any consideration for soft tissue?
-Ask for Previous Results (May struggle due to patient confidentiality but its worth a shot). If you like the shit he has previously done he should do a good job with you.
-Expected Recovery Time.
-Total cost and hospital Stay time.
-Finance plan and potential surgery date.

Thx!

 

[RazerGlazer]

To be honest all the info here is kinda useless if the surgeon is not competent enough.

One is theory, other is execution of the surgery.

Maybe also ask him to show you similar before and afters regards to what you want, that will give you a feeling about if he is the right surgeon or not.

Also if you have even a small doubt about your future surgeon just dont do it, you need to be 100% that he is the right one.