A
Anth0ny
Bronze
- Joined
- Feb 17, 2024
- Posts
- 375
- Reputation
- 298
Before Surgery (Current State)
Femur Lengthening (Dr. Paley)
Trimax (Bimax + Genioplasty)
Botox for Eyebrows (Interim)
- Facial Assessment:
- Ratios: Facial thirds unbalanced (tall forehead, flat midface, recessed lower third), FWHR 1.65 (narrow zygos/jaw), midface ratio ~1.2 (long midface)
bizygomatic-to-bigonial off (130mm bizygomatic, ~110mm bigonial). - Lower Third: Recessed maxilla (9mm deficit), recessed mandible (11mm deficit), weak chin (recessed, narrow). Nasolabial angle obtuse, no tooth show.
- Midface: Flat zygos (lacking lateral/forward projection), no under-eye support (recessed maxilla).
- Eyes: Almond, neutral canthal tilt (meh), not deep-set, high eyebrows (no hooding).
- Nose: Straight bridge (decent), but wide base, undefined tip.
- Forehead/Eyebrows: Tall forehead (high hairline, ~7cm), high eyebrows (lacking intensity).
- Lips: Likely long philtrum (>15mm) due to recessed maxilla, flat upper lip, no tooth show.
- Skin: Medium tone (versatile), some redness/acne on cheek (fixable).
- Ratios: Facial thirds unbalanced (tall forehead, flat midface, recessed lower third), FWHR 1.65 (narrow zygos/jaw), midface ratio ~1.2 (long midface)
- Body Assessment:
- framecel (Test blast will help)
- 5'7-5'8ish? (HGH + AI carrying)
Femur Lengthening (Dr. Paley)
- Target: +3 inches (7.6 cm) to femurs.
- Method: PRECICE nail, 0.75mm/day (76 days lengthening, ~2.5 months), 4–6 months consolidation. Full recovery: 6–9 months.
- Cost: $90k–$100k.
- Target: +1.5 inches (3.8 cm) to tibias.
- Method: PRECICE nail, 0.5mm/day (76 days, ~2.5 months), 4–6 months consolidation. Full recovery: 6–8 months.
- Timing: 12–18 months post-femur, if proportions need it (femur-to-tibia target: 1.2–1.3, leg-to-torso target: 1.45).
- Cost: $80k–$90k.
Trimax (Bimax + Genioplasty)
- Bimax: LeFort I (9mm forward, 2° counterclockwise rotation), BSSO (11mm forward, 1° counterclockwise rotation).
- Genioplasty: 9mm forward, 4mm vertical height, 2.5mm width per side (5mm total).
- Recovery: 6–12 weeks functional, 6–12 months final.
- 6mm lateral, 4mm forward projection. Custom implants via 3D imaging.
- Recovery: 6–8 weeks functional, 3–6 months final.
- 2.5mm projection, custom fit to blend with zygos.
- Recovery: 6–8 weeks functional, 3–6 months final.
- Narrow nasal base 2.5mm, alar width -1mm per side, tip projection +1.5mm, refine tip.
- Recovery: 6–8 weeks functional, 6–12 months final.
- Lateral canthoplasty, +2mm outer corner elevation (2–3° positive canthal tilt).
- Recovery: 4–6 weeks functional, 3 months final.
- Hairline advancement: -1.8cm. Reverse brow lift: -3mm eyebrow drop (just above supraorbital rim).
- Recovery: 6–8 weeks functional, 3–6 months final.
- Post-trimax eval (6–12 months). If philtrum >14mm or no tooth show (1–2mm), remove 3–4mm skin, philtrum → 12–13mm.
- Recovery: 4–6 weeks functional, 3 months final.
Botox for Eyebrows (Interim)
- 12 units in frontalis (6 per side), drops eyebrows 1.5–2mm. Repeat every 3–4 months until reverse brow lift.
- Cost: $300/session.
- 12–18 months post-surgery: 0.5mL per side (Voluma) for chin/jaw/zygos symmetry, 0.3mL upper lip if no lip lift.
- Recovery: 1–3 days swelling.