My Jaw Surgery Journey (Video and Pictures)

[Gaia262]

Have you had any surgical clinics make a custom morph for you to predict what implants would look like on you? If so, could you post them?

You are going to look really good in about 6 months tbh

Thanks man.

Unfortunately I dont have the morphing outcomes of an implant would look like.

 

[Returnofthemack]

Congrats on taking a big step and going forward with surgery! It's a long process.

Have you thought about buccal fat removal? It seems you store more fat on the cheeks.

Also I think the wraparound implants Will improve even more your looks.
Did Dr Ramieri told you how long you have to wait after DJS to get the wraparound implants?

And thanks for your contribution

 

[zeek]

@Gaia262 Looks really good! A custom jaw implant when you're healed from the bimax will definitely enhance the results.

Also, I think you posted a pic of the actual implant being held whilst while you were on the table. I can't find it in the thread anymore, can you repost or tag if it's somewhere else? Thanks.

Also, you said your family wasn't necessarily supportive of it. What do they think now and how have they reacted?

 

[Gaia262]

Congrats on taking a big step and going forward with surgery! It's a long process.

Have you thought about buccal fat removal? It seems you store more fat on the cheeks.

Also I think the wraparound implants Will improve even more your looks.
Did Dr Ramieri told you how long you have to wait after DJS to get the wraparound implants?

And thanks for your contribution

Thanks man happy to help you out , he hasn't given a timeline but we are to review at 6 months so February /March time.

Dr Ramieri is all for the buccal fat removal, but I'm thinking the implant will stretch the soft tissue instead. So its not needed.

@Gaia262 Looks really good! A custom jaw implant when you're healed from the bimax will definitely enhance the results.

Also, I think you posted a pic of the actual implant being held whilst while you were on the table. I can't find it in the thread anymore, can you repost or tag if it's somewhere else? Thanks.

Also, you said your family wasn't necessarily supportive of it. What do they think now and how have they reacted?

Thanks man , hope to document my wrap around journey as its something we discuss here alot but we don't have much guides on.

My family are now supportive of it as the swelling is coming down and its better. But when I was swollen and had major surgical weightloss they were practically hostile.

Its true what people say how people treat you is directly correlated to what you look like including your family.

 

[zeek]

Thanks man happy to help you out , he hasn't given a timeline but we are to review at 6 months so February /March time.

Dr Ramieri is all for the buccal fat removal, but I'm thinking the implant will stretch the soft tissue instead. So its not needed.


Thanks man , hope to document my wrap around journey as its something we discuss here alot but we don't have much guides on.

My family are now supportive of it as the swelling is coming down and its better. But when I was swollen and had major surgical weightloss they were practically hostile.

Its true what people say how people treat you is directly correlated to what you look like including your family.

View attachment 1477157

Thanks for the pic!

That sounds really gratifying.

I'm in a much starting better position personally but the friends I've told about jaw surgery are like wtf? They think I'm delusional since my bite is good and my proportions are normal.

And I think you should probably go for the buccal fat pad removal.

A combination of the bony augmentation and fat reduction from the soft tissue is subtle but can be really dramatic at the same time.

It would especially benefit you since you have thick tissue and round cheeks.

 

[marken12]

Was your PEEK implant fixated using metal screws? Was just reading through Taban's Infraorbital implants section on his website and according to him complications are more often if the implant is placed with improper technique and fixated with metal screws (can actually fuck up your eye area more + infections etc).

Also, would it be possible to see the design of the implant that Ramieri sent you for approval? I basically want to see how much of the infraorbital and malar region it covers

 

[Gaia262]

Was your PEEK implant fixated using metal screws? Was just reading through Taban's Infraorbital implants section on his website and according to him complications are more often if the implant is placed with improper technique and fixated with metal screws (can actually fuck up your eye area more + infections etc).

Also, would it be possible to see the design of the implant that Ramieri sent you for approval? I basically want to see how much of the infraorbital and malar region it covers

Yes it was fixated by a metal screw.

Taban uses silicone and its not custom. It costs $14,000 with him last time i checked.

 

[Gaia262]

@Kingkellz thoughts on updated video?

 

[Deleted member 15831]

Update looks great. I'm surprised by how swollen your cheeks still are. Have you looked into a lymphatic drainage message? Apparently they're quite helpful for DJS

 

[Gaia262]

Update looks great. I'm surprised by how swollen your cheeks still are. Have you looked into a lymphatic drainage message? Apparently they're quite helpful for DJS

Thanks man, swelling is taking ages, i did self massages for the first few months but now just leave it to heal on its own.

 

[Jason Voorhees]

Bump

 

[fogdart]

congrats dude. you're looking good - more mandible and chin definition & projection. Thanks for sharing your journey with other brocels - most users here just post race bait threads and mog battles

 

[RIPPED IRL]

Good job man, i will do the same next year

How long do u have to use the braces? @Gaia262

 

[Gaia262]

Good job man, i will do the same next year

How long do u have to use the braces? @Gaia262

Thanks bro, It was like a whole year pre-surgery now its going to be around 4 more months. I would say 20 months in total.

 

[RIPPED IRL]

Thanks bro, It was like a whole year pre-surgery now its going to be around 4 more months. I would say 20 months in total.

Did u have the call with ramieri 1 year pre surgery ?

 

[Gaia262]

Did u have the call with ramieri 1 year pre surgery ?

Yes, to discuss the movements and what teeth the position need to be in before he can operate, he will coordinate with your orthodontist.

You may not need this and be a surgery first canidate.

 

[Edgar]

Front looks better desu

As always with bimax... let me guess, side profile improved but frontal there is no difference. Am i correct? If yes, now you need to get implants as a next step.

 

[RIPPED IRL]

Still fat subhuman. Genetics are everything

lmfaoo gtfo

 

[NarrowJaw]

Ngl i'm most interested in his simulation of surgical movements, do you think i could get a CT scan or whatever he needs in my country and send him the files so he could make a simulation remotely? Or would i have to see him in his office to get all the measurements and scans done?

 

[Gaia262]

View attachment 1498095
Ngl i'm most interested in his simulation of surgical movements, do you think i could get a CT scan or whatever he needs in my country and send him the files so he could make a simulation remotely? Or would i have to see him in his office to get all the measurements and scans done?

I think it has to be done with him in office, most likely how his scans are done. You can email him to enquire to double check if he can do this for you.

 

[SOS-Sonic]

This might be a super specific question, but from your experience, is Ramieri willing to give large movements like Alfaro or Gunson?

Do you know how many mm maximum he gives for movements? Especially regarding LF1, BSSO and downgrafting.

 

[Gaia262]

This might be a super specific question, but from your experience, is Ramieri willing to give large movements like Alfaro or Gunson?

Do you know how many mm maximum he gives for movements? Especially regarding LF1, BSSO and downgrafting.

He worries about giving you defects like chimp limp, so doesn't go overboard.

 

[newlurker69]

Another question: does Ramieri use minimally invasive techniques? Alfaro advertises this a lot, and it seems like his patients recover pretty quickly. I wonder how much these techniques are unique to him vs. more common.

 

[Gaia262]

Another question: does Ramieri use minimally invasive techniques? Alfaro advertises this a lot, and it seems like his patients recover pretty quickly. I wonder how much these techniques are unique to him vs. more common.

I know Dr Ramieri specialises in the most modern techniques in maxilofacial surgeries. His PhD is in modern technologies.

I can't confirm exactly how he does his physical cuts. He did offer me two ways of doing the bsso cut, but i went for the normal way.

You could drop him an email to confirm.

 

[ItalianCesso]

Do you know how much he charges for Chin Wing by chance?

 

[Gaia262]

Do you know how much he charges for Chin Wing by chance?

tbh, no bro. it's best to email him to confirm.

 

[needjawsurgery]

Was the genioplasty pointless as you are now having the wrap around jaw implant? have you considered just gonial angle implants and skip the chin prostheses or are you not happy with the genioplasty? also do you know if its possible to have bsso and wrap around implant in the same surgery ty bro

 

[Gaia262]

Was the genioplasty pointless as you are now having the wrap around jaw implant? in hindsight would you skip it? also do you know if its possible to have bsso and wrap around implant in the same surgery

The genio was basically free with the bimax it would of cost me the same 15k euros without it. I am happy to of had it.

For having the both at the same time it is possible, there will have to be meticulous planning to make sure it fits. it is common to do a BSSO and a jaw implant at the same time.

 

[Cope]

I appreciate you documenting this for us. You've done what 95% of the users here will never dream of doing and are providing an endeavor for the future of looksmaxxing. I applaud you for that.

But prior to getting the surgery done, I noticed the facial bloat and lack of collagen right away. This would have been more important to address before following through with the trimax + custom malar implants. You should've done cheek lipo + Kybella first and considered doing CO2 fractional lasers or just follow all the products from my guide + Derminator 2 tbh. I also noticed how you were shorter than both the docs right away despite wearing boots (in the summer too JFL). Should've saved up for LL first and then considered facial surgery.

Based posting though, keep us updated.

 

[Deleted member 2816]

Front looks better desu

F

As always with bimax... let me guess, side profile improved but frontal there is no difference. Am i correct? If yes, now you need to get implants as a next step.

Autistic delusional comment. Front has improved miles

 

[Deleted member 13332]

did you have wisdom teeth removal in england or ramieri done it?

 

[Gaia262]

did you have wisdom teeth removal in england or ramieri done it?

I had my wisdom teeth removed in the UK.

 

[Deleted member 7098]

I had my wisdom teeth removed in the UK.

wisdom teeth removal gives enough of a gap to perform bimax surgery? thought they'd always remove a molar tooth too

 

[Gaia262]

wisdom teeth removal gives enough of a gap to perform bimax the surgery? thought they'd always remove a molar tooth too

Yeah i had my lower premolars removed then retracted to create an overjet for the bsso.

lower wisdom tooth removal is needed as this is where the bsso cut is.

 

[Deleted member 16834]

Chin makes a man. Holy shit. Even curries can look human with a decent sized chin

 

[Deleted member 7098]

Yeah i had my lower premolars removed then retracted to create an overjet for the bsso.

lower wisdom tooth removal is needed as this is where the bsso cut is.

but you don't have a tooth gap now, right?

 

[Birdcell]

This is what I need , but the cucked surgeons in Germany won't agree , all of my 3 maxfacs said Genio only

 

[Gaia262]

but you don't have a tooth gap now, right?

No lower teeth it's retracted to close the gap.

This animation but just the lower teeth




It creates an overjet then you can do the bsso and move the lower jaw forward.

 

[ifyouwannabemylover]

this is probably already here somewhere but you had surgery first right?

 

[ifyouwannabemylover]

This is what I need , but the cucked surgeons in Germany won't agree , all of my 3 maxfacs said Genio only

who did you go to? pm if you don't want to say it here pls

 

[Gaia262]

this is probably already here somewhere but you had surgery first right?

No i was in braces for a whole year and had extractions before surgery.

 

[Deleted member 15065]

Slightly above average to Htn max, still a very nice improvement

 

[metagross]

Why did you pay only 5k for custom infraorbital rim implants? This other guy that had infraorbital rim implants recently, like a week ago max, paid 13k

 

[Gaia262]

Why did you pay only 5k for custom infraorbital rim implants? This other guy that had infraorbital rim implants recently, like a week ago max, paid 13k

I had it in combination with other surgeries so saved on things like theatre fees.

 

[Slyfex8]

Honestly looking at that 4 months video you really look a lot better than before. You basically got from a bloated recessed lower jaw to an elongated more angular lower jaw. Congrats!

But the nostrils width from front is really bad IMO it kind of makes you look more ethnic.. I would fix the nose again if I was you

 

[Djaniw]

Looks great mate.

I'm trying to piece together what order you did things in, let me know where I'm going wrong here:

1st: Consultation (video?) with Ramieri, he tells you what you'll need to do pre-surgery.

2nd: Visit orthodontist in the UK, get braces fixed and teeth extracted.

Fast forward 12 months.

3rd: Surgery with Ramieri in Rome, jaw and implants.

Is that the right order of things?

Also, and I don't know if this is part of your own plan, but what if you / anyone wanted to get veneers fitted too? Best to wait til after surgery / swelling / full round of orthodontics?

Appreciate you documenting this journey for us, you're a real one.

 

[Gaia262]

Honestly looking at that 4 months video you really look a lot better than before. You basically got from a bloated recessed lower jaw to an elongated more angular lower jaw. Congrats!

But the nostrils width from front is really bad IMO it kind of makes you look more ethnic.. I would fix the nose again if I was you

Thanks bro

The swelling has gone down alot since 4 months in the nose area. Hopefully will post a 6 month update in the next few weeks.

Looks great mate.

I'm trying to piece together what order you did things in, let me know where I'm going wrong here:

1st: Consultation (video?) with Ramieri, he tells you what you'll need to do pre-surgery.

2nd: Visit orthodontist in the UK, get braces fixed and teeth extracted.

Fast forward 12 months.

3rd: Surgery with Ramieri in Rome, jaw and implants.

Is that the right order of things?

Also, and I don't know if this is part of your own plan, but what if you / anyone wanted to get veneers fitted too? Best to wait til after surgery / swelling / full round of orthodontics?

Appreciate you documenting this journey for us, you're a real one.

Hi bro, I'm happy to help yes that was the order , if you wanted veneers its best after surgery. You may feel you don't need them when your teeth are aligned and you have a good smile from the jaw alignment.

 

[one job away]

This is what I need , but the cucked surgeons in Germany won't agree , all of my 3 maxfacs said Genio only

You don’t neee bimax. Simple as that.

 

[Djaniw]

Thanks bro

The swelling has gone down alot since 4 months in the nose area. Hopefully will post a 6 month update in the next few weeks.



Hi bro, I'm happy to help yes that was the order , if you wanted veneers its best after surgery. You may feel you don't need them when your teeth are aligned and you have a good smile from the jaw alignment.

Awesome, thanks.

 

[Slyfex8]

Thanks bro

The swelling has gone down alot since 4 months in the nose area. Hopefully will post a 6 month update in the next few weeks.



Hi bro, I'm happy to help yes that was the order , if you wanted veneers its best after surgery. You may feel you don't need them when your teeth are aligned and you have a good smile from the jaw alignment.

Btw I was wondering : What prevented you to do the surgery first/surgery only method? Were your teeth actually crooked or did your overbite got camoufled by an orthodontist in the past and because of that you needed your teeth decompensated again?