My review on a surgery ascension (& ideal craniofacial aesthetics judgement)

monecel

monecel

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There is a guy on tiktok / some other platforms called lin00b who has had a significant ascension and change in facial aesthetics through surgery. As far as I am aware he went to giant implants and got the following:

Trimax,
Titanium Implants:
Infraorbital-Malar,
Supraorbital,
Jaw Angle
Possible Fat Grafting


Here are pictures of the ascension:

Before:

1765847064418
1765847081685
1765847096368


After:

1765847124019
1765847138519
1765847159253

1765847385158


You can see a significant increase in zygomatic protrusion on his 3/4 profile. Maxillary CCW is significant, radix had some filling, basically every aspect of his face was masculinized. However I have some of my own opinions on what may be more ideal in terms of aesthetics. The results are very good but are slightly uncanny imo.

The main points I have are these:

- Ramus height increased slightly too much
- Increased zygomatic protrusion requires more smoothing
- Mandible body ideally could have slight negative space near the gonion
- Mid-Supraorbital protrusion could have been increased more while outer protrusion could have decreased slightly


Point 1. Ramus Height:

I don't have faceIQ level of autistic measurements for side profiles right now but based on intuition the ramus height added with the gonial implants seems a bit high compared to what it should be. The gonion is below the lip on the side profile while ideally it might be a bit higher. Because I don't have a front profile I can't compare the outer palpebral fissure-nasal/jaw angle measurement but from the side it seems like the jaw would be on the flatter side.

Barrett is a good example of this, having an ideal frontal angle:

1765848402111


And with very high posterior facial depth though with a less tall ramus than the implant design above in comparison:


1765848484380


More jaw depth will naturally change your jaw angle so adding ramus height on much can over-compensate so this is something to think about.


Point 2. Zygomatic smoothing

When increasing how much the zygos protrude, especially when factoring in the 3/4 profile, it seems ideal to add a bit of height as well (though it depends on the baseline) as this is how bones naturally grow. It is very rare to find protrusive zygos that have a very sharp contour. In the images at the top of this thread you can see the 3/4 profile and how the zygo lacks a bit of height compared to what may be ideal.

1765847973619


Point 3. Mandibular Negative Space:

1765847620596


People with large amounts of posterior maxillary/sphenoid depth and subsequent mandibular depth very often have a slight upwards curve in the mandible body before the gonion. This occurs mainly due to the protrusion of the gonion itself. This is something that could have been improved in implant design in my opinion. It isn't too significant but mandibles with good growth naturally have this curvature. There are definitely worse implant designers, some want to make the jaw a series of straight angles (jfl)

Example:

1765847815666



4. Mid-Supraorbital Protrusion

Very much a nitpick but this is something I think could be improved in supraorbital implant design. What I am talking about is the depth added in the brow ridge vs the edges of the brow ridge. In my opinion the supras could have more depth added in the middle in design which may be more congruent with natural androgenic growth.

Also just to add in to this I think the increased radix depth might be slightly too much based on other features.

1765848719934



To make my nitpicks in design clearer here is my best attempt at a morph to show the differences in aesthetics:

1765849161660


The differences seem small but these changes actually mean a lot in terms of harmony and being as "canny" as possible after surgery.

Results are definitely way better than fillercels like androgenic jfl


1765849572235


^ Not sure what you call this contour :ROFLMAO:


Anyways thank you for reading this thread on craniofacial aesthetics.
 

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Reactions: fallendown, the next o'pry and Mess
mirin, good post. did androgenic seriously get filler? and idk to me he looks weird and uncanny same with nocturnal kent idk how theyre called chads theyre nowhere near tbh
 
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mirin, good post. did androgenic seriously get filler? and idk to me he looks weird and uncanny same with nocturnal kent idk how theyre called chads theyre nowhere near tbh
It'd be hard to explain the changes otherwise. I think he still did run Test + GH + Peptides + PTHs but for the specific changes that happened they seem more related to what filler would do.
 
It'd be hard to explain the changes otherwise. I think he still did run Test + GH + Peptides + PTHs but for the specific changes that happened they seem more related to what filler would do.
agreed. yeah filler is just cope, this posts proves implants terramog. you still need to find a good designer though
 
agreed. yeah filler is just cope, this posts proves implants terramog. you still need to find a good designer though
Don't know giant's @ on here, but if I decide to go for implants, he's my guy
 
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agreed. yeah filler is just cope, this posts proves implants terramog. you still need to find a good designer though
One thing I've been thinking about is about material choices based on location. PEEK seems like a very good material all around, especially for peri-ortibal implants, however for jaw-angle implants titanium might be more ideal for resiliance to impact. Gonial implants don't have much material to attach to and also have a higher chance for bending at the furthest end from attachment. Titanium's bending modulus is very stiff compared to PEEK which is more similar to bone (though it is attached with screws which is a weak point in transferring impact force). I'm thinking about a situation where someone gives you a hook to the face and your implant just fractures off lol.
 
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One thing I've been thinking about is about material choices based on location. PEEK seems like a very good material all around, especially for peri-ortibal implants, however for jaw-angle implants titanium might be more ideal for resiliance to impact. Gonial implants don't have much material to attach to and also have a higher chance for bending at the furthest end from attachment. Titanium's bending modulus is very stiff compared to PEEK which is more similar to bone (though it is attached with screws which is a weak point in transferring impact force). I'm thinking about a situation where someone gives you a hook to the face and your implant just fractures off lol.
titanium will always be the best, its just a brutal copepill you need to swallow that you need to avoid physical altercations post op. your implant will most definitely fracture upon impact. although one interesting note that after a long enough time period your real bones start to recognise the implant and actually starts fusing bone to it to become one piece, so possibly/theoretically it could become stronger infact, than your natural bone.
 
titanium will always be the best, its just a brutal copepill you need to swallow that you need to avoid physical altercations post op. your implant will most definitely fracture upon impact. although one interesting note that after a long enough time period your real bones start to recognise the implant and actually starts fusing bone to it to become one piece, so possibly/theoretically it could become stronger infact, than your natural bone.
I think you could take a punch to the cheekbone with a PEEK implant without much of an issue because the implant is attached uniformly, I think gonial implants are much more of an issue as I mentioned. PEEK is also very strong and one of the strongest polymers you can custom print actually
 
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