Acquiescence
#1 Oofy Doofy Jestermaxxer
- Joined
- Sep 12, 2024
- Posts
- 187
- Reputation
- 323
What’s up guys, just had my personally long-awaited consultation with Dr Ramieri earlier today. Here’s the full breadth of notes I took. If you want to dnr the autistic details, there’s a tl;dr at bottom
To start, check out this previous thread of mine if you want to see my face and ct scan + general looksmaxxing and life goals:
looksmax.org
Dr Ramieri himself: very down to earth, knowledgeable, and attentive; patiently listened to and answered all of my awkwardly phrased questions. No surprises here
Procedures discussion:
Both procedures will be done through intraoral incisions
Direct next steps to take:
Instead, I’m aiming to fix what failos I reasonably can, to reach (then maintain for as long as possible with anti-aging measures + geomax) my genetic looks ceiling, given today’s tech capabilities (so LTN->MTN, or MTN->HTN, depending upon how generous you are in your ratings)
What do you guys think? Is this a solid surgical plan? Or is it too conservative, and I need to ask Ramieri what kind of potential aesthetic results going bolder could yield? Greatly appreciate any input
Will continue to periodically post updates leading up to the actual surgery
Good luck to all other hardmaxxers out there, you got this
Tl;dr: moderate genioplasty + conservative custom saddled PEEK infraorbital-malar implants with Dr Ramieri by the end of this year; 18k USD total cost (excluding auxiliary costs); will post results here, good or bad, as well as give Ramieri full permission to share the results on socials if he so wishes; this is only round 1 of surgery - will be pursuing more in the future; MTN or HTN is the most likely feasible aesthetic result here, once it’s all said and done, after which the primary focus will be on anti-aging + geomax to preserve and enjoy those new looks for as long as possible
To start, check out this previous thread of mine if you want to see my face and ct scan + general looksmaxxing and life goals:
Finally settled on a risk-adverse surgical ascension plan to get to MTN
Face n CT scan: Two phase ascension plan: Phase 1: Ramieri visit in 2026 - Consulting with him next month, so this could be revised down as per his professional opinion (he suggested just genio years ago when I yolo'd over some pics his way, but I didn't have scans yet for a proper analysis...
looksmax.org
Dr Ramieri himself: very down to earth, knowledgeable, and attentive; patiently listened to and answered all of my awkwardly phrased questions. No surprises here
Procedures discussion:
- Lower Third:
- Slight recession
- Not an ideal candidate for cosmetic bimax for addressment
- Occlusion already good from previous orthodontic treatment in teen years to correct a small overbite
- Therefore, currently not much room for aesthetic advancement - only 1 millimeter - which is also within the range of expected risk for surgical error / relapse, so not worth it at all
- Occlusion already good from previous orthodontic treatment in teen years to correct a small overbite
- If bimax were to be pursued regardless, in order for it to make sense, extractions and decompensation orthodontic work would be necessary to make room for larger movements
- However, still Ramieri does not believe the end cosmetic outcome would be worth it
- Instead, genioplasty would be an ideal intersection between cost, risk, recovery, and expected aesthetic improvement (specifically, to balance out the side profile, vertically lengthen the front profile, and improve lower lip asymmetry)
- Quick and dirty estimates, subject to change:
- Genioplasty movements:
- 6 mm advancement, 3 mm downgraft
- Change in side profile soft tissue simulation:
- Before:
- After:
- Before:
- Genioplasty movements:
- Quick and dirty estimates, subject to change:
- Not an ideal candidate for cosmetic bimax for addressment
- Slight recession
- Midface:
- Slight negative vector in the malar region
- Address with conservative custom saddled PEEK infraorbital-malar implants
- Mass will be added primarily towards the front profile direction, and only minimally to the 3/4th and side profile directions
- Depending upon how the soft tissue reacts to the implant, pursue fat grafting or filler for further soft tissue refinement
- Address with conservative custom saddled PEEK infraorbital-malar implants
- Slight negative vector in the malar region
Both procedures will be done through intraoral incisions
Direct next steps to take:
- Decide on a final surgical date (most likely sometime before the end of this year)
- Make a down payment on the surgery (will have 20k saved up by the end of next month, and will continue to grow the savings as the year progresses ofc, so funding - at least for this first round of surgery - is no longer a major concern)
- Get an updated CT scan done and send it over to Ramieri’s team
- Finalize implant design and genioplasty movement
- Finally undergo surgery and finish payment
- Share results here myself, good or bad, as well as give Ramieri full permission to publicly post results on socials if he wants to
- For sure:
- Small HT to fix NW2 temporal recession (current hair loss stabilized with 0.5 mg oral dut and 5 mg oral minoxidil, both daily)
- Up in the air:
- Under eye fat grafting / filler as mentioned above, if necessary for further soft tissue refinement post infra-malar implant placement and healing, as well as lower lid tightening and a midface lift (supposedly, many infra-malar implant cases need this as a follow up to favorably redrape the soft tissue over the new implant mass)
- Consult with Dr Pagnoni to explore if supras would be worth it cosmetically (primarily to better shape and lower set the eyebrows, with conservative refined projection and shaping of the browridge as a secondary aesthetic goal)
- Upper eyelid fat grafting, either as a stand alone, or post supras if that avenue is pursued
- Research procedures to further enhance lip shape and volume if genioplasty changes are not sufficient
- Preliminary list to explore: paranasal implants, lip lift, and lip fillers / fat grafting
Instead, I’m aiming to fix what failos I reasonably can, to reach (then maintain for as long as possible with anti-aging measures + geomax) my genetic looks ceiling, given today’s tech capabilities (so LTN->MTN, or MTN->HTN, depending upon how generous you are in your ratings)
What do you guys think? Is this a solid surgical plan? Or is it too conservative, and I need to ask Ramieri what kind of potential aesthetic results going bolder could yield? Greatly appreciate any input
Will continue to periodically post updates leading up to the actual surgery
Good luck to all other hardmaxxers out there, you got this
Tl;dr: moderate genioplasty + conservative custom saddled PEEK infraorbital-malar implants with Dr Ramieri by the end of this year; 18k USD total cost (excluding auxiliary costs); will post results here, good or bad, as well as give Ramieri full permission to share the results on socials if he so wishes; this is only round 1 of surgery - will be pursuing more in the future; MTN or HTN is the most likely feasible aesthetic result here, once it’s all said and done, after which the primary focus will be on anti-aging + geomax to preserve and enjoy those new looks for as long as possible
