nigger

[idkmanimao]

1. Nose Height (Dorsal and Tip Projection)​

Natural

• None with clinically meaningful effect.
  Despite folklore about nasal “exercises” or massage, no controlled studies demonstrate permanent heightening or projection changes without implants or grafts.

Unnatural

• Augmentation Rhinoplasty (Surgical)
  • Implant materials: expanded‑PTFE (ePTFE), autologous costal cartilage (ACC), silicone, porous polyethylene.
  • Efficacy: In a series of 244 patients, dorsal height increased by 2.64 % with ePTFE and 5.82 % with ACC implants (both p < .001), with high aesthetic‑satisfaction scores Liebert Publications.
• Dorsal Preservation Rhinoplasty
  • Preserves the native dorsum while subtly lowering humps and augmenting radix, with an average 4.4 mm hump reduction and 95.6 % aesthetic improvement rate Lippincott Journals.
• Injectable Filler (“Liquid Rhinoplasty”)
  • Hyaluronic acid (HA): small volume injections can raise the radix and smooth profile.
  • Study: HA augmentation raised dorsal height by ~2 mm on average and was well tolerated in 30 patients over 6 months (no serious adverse events) ScienceDirect.

---

2. Lips: Thinner (Volume Reduction) & Wider (Horizontal Spread)​

Natural

• None proven for structural thinning or widening.
  Topical plumping (“lip scrubs,” cinnamon oil) only cause transient vasodilation—no lasting change in vermilion height or width.

Unnatural

• Volume Reduction
  • Lip Reduction Surgery: excisional vermilionectomy—removes excess red lip tissue for thinner lips. High patient satisfaction in small series; permanent effect.
• Horizontal Widening
  • V‑Y Lip Advancement Flap (for width): local flap techniques can increase horizontal span by ~3–5 mm per side; case reports show reliable outcomes.
• Injectable Fillers
  • Thinner effect (contour refinement): low‑volume HA injections into lip borders can sharpen vermilion line.
  • Evidence: In a randomized, evaluator‑blinded trial (n=16), Restylane Kysse and Juvéderm Volbella provided durable contouring with >89 % of subjects having ≥1‑grade improvement in fullness or definition at 12 weeks PMC.
• Lip Augmentation (for fullness and slight widening)
  • HA gels are well tolerated and durable when used for upper‑lip augmentation PMC.

---

3. Chin: Broader, More Projected​

Natural

• None reliably change bony projection.
  Chewing‑based programs (e.g., gum) increase bite force but do not alter mandibular shape or masseter hypertrophy in healthy adults PubMed.

Unnatural

• Sliding Genioplasty (Osteotomy)
  • Horizontal osteotomy advances the chin bone forward by 2–6 mm; stable long‑term projection in large series.
• Alloplastic Chin Implants
  • Porous polyethylene (Medpor), silicone:
    • In a 46‑patient series using porous polyethylene with screw fixation, anatomically correct, stable contours were achieved in both primary and secondary cases PubMed.
• Injectable Fillers for Chin
  • HA fillers (e.g., Restylane Defyne, Juvéderm Voluma XC): offer a 1–2 mm forward projection with immediate results lasting 9–18 months Allure.

---

4. Eyes: Crease, “Openness,” Puffiness​

Natural

• Lifestyle & Topicals
  • Sleep, hydration, salt reduction: reduce transient puffiness but do not alter lid fold or bone.
  • Caffeine‑containing eye creams: modestly decrease periorbital edema (small controlled trials), but effects wash out within hours.

Unnatural

• Upper Blepharoplasty (Double‑Eyelid Surgery)
  • Incisional or suture methods create a permanent crease.
  • Safety & Efficacy: In 86 Asian patients, a novel pretarsal‑OOM release technique yielded a high satisfaction rate with minimal complications PubMed.
• Lower Blepharoplasty
  • Removes or re‑drapes fat pads, tightens skin; long‑term reduction in under‑eye bags.
• Canthoplasty/Canthopexy
  • Lateral corner tightening to “open” the eye aperture; reliable in orbital‑fat repositioning cases.
• Injectable Approaches
  • Tear‑trough Fillers (HA, calcium hydroxyapatite): correct hollowing under the eye with >80 % patient satisfaction at 6 months in small cohorts.
• Pharmacologic
  • Oxymetazoline ophthalmic drops (Upneeq): FDA‑approved for acquired ptosis to lift the upper lid by ~1 mm on average in clinical trials.

 

[Deleted member 40105]

This is OP btw

 

[Scriggan]

1. Nose Height (Dorsal and Tip Projection)​

Natural

• None with clinically meaningful effect.
  Despite folklore about nasal “exercises” or massage, no controlled studies demonstrate permanent heightening or projection changes without implants or grafts.

Unnatural

• Augmentation Rhinoplasty (Surgical)
  • Implant materials: expanded‑PTFE (ePTFE), autologous costal cartilage (ACC), silicone, porous polyethylene.
  • Efficacy: In a series of 244 patients, dorsal height increased by 2.64 % with ePTFE and 5.82 % with ACC implants (both p < .001), with high aesthetic‑satisfaction scores Liebert Publications.
• Dorsal Preservation Rhinoplasty
  • Preserves the native dorsum while subtly lowering humps and augmenting radix, with an average 4.4 mm hump reduction and 95.6 % aesthetic improvement rate Lippincott Journals.
• Injectable Filler (“Liquid Rhinoplasty”)
  • Hyaluronic acid (HA): small volume injections can raise the radix and smooth profile.
  • Study: HA augmentation raised dorsal height by ~2 mm on average and was well tolerated in 30 patients over 6 months (no serious adverse events) ScienceDirect.

---

2. Lips: Thinner (Volume Reduction) & Wider (Horizontal Spread)​

Natural

• None proven for structural thinning or widening.
  Topical plumping (“lip scrubs,” cinnamon oil) only cause transient vasodilation—no lasting change in vermilion height or width.

Unnatural

• Volume Reduction
  • Lip Reduction Surgery: excisional vermilionectomy—removes excess red lip tissue for thinner lips. High patient satisfaction in small series; permanent effect.
• Horizontal Widening
  • V‑Y Lip Advancement Flap (for width): local flap techniques can increase horizontal span by ~3–5 mm per side; case reports show reliable outcomes.
• Injectable Fillers
  • Thinner effect (contour refinement): low‑volume HA injections into lip borders can sharpen vermilion line.
  • Evidence: In a randomized, evaluator‑blinded trial (n=16), Restylane Kysse and Juvéderm Volbella provided durable contouring with >89 % of subjects having ≥1‑grade improvement in fullness or definition at 12 weeks PMC.
• Lip Augmentation (for fullness and slight widening)
  • HA gels are well tolerated and durable when used for upper‑lip augmentation PMC.

---

3. Chin: Broader, More Projected​

Natural

• None reliably change bony projection.
  Chewing‑based programs (e.g., gum) increase bite force but do not alter mandibular shape or masseter hypertrophy in healthy adults PubMed.

Unnatural

• Sliding Genioplasty (Osteotomy)
  • Horizontal osteotomy advances the chin bone forward by 2–6 mm; stable long‑term projection in large series.
• Alloplastic Chin Implants
  • Porous polyethylene (Medpor), silicone:
    • In a 46‑patient series using porous polyethylene with screw fixation, anatomically correct, stable contours were achieved in both primary and secondary cases PubMed.
• Injectable Fillers for Chin
  • HA fillers (e.g., Restylane Defyne, Juvéderm Voluma XC): offer a 1–2 mm forward projection with immediate results lasting 9–18 months Allure.

---

4. Eyes: Crease, “Openness,” Puffiness​

Natural

• Lifestyle & Topicals
  • Sleep, hydration, salt reduction: reduce transient puffiness but do not alter lid fold or bone.
  • Caffeine‑containing eye creams: modestly decrease periorbital edema (small controlled trials), but effects wash out within hours.

Unnatural

• Upper Blepharoplasty (Double‑Eyelid Surgery)
  • Incisional or suture methods create a permanent crease.
  • Safety & Efficacy: In 86 Asian patients, a novel pretarsal‑OOM release technique yielded a high satisfaction rate with minimal complications PubMed.
• Lower Blepharoplasty
  • Removes or re‑drapes fat pads, tightens skin; long‑term reduction in under‑eye bags.
• Canthoplasty/Canthopexy
  • Lateral corner tightening to “open” the eye aperture; reliable in orbital‑fat repositioning cases.
• Injectable Approaches
  • Tear‑trough Fillers (HA, calcium hydroxyapatite): correct hollowing under the eye with >80 % patient satisfaction at 6 months in small cohorts.
• Pharmacologic
  • Oxymetazoline ophthalmic drops (Upneeq): FDA‑approved for acquired ptosis to lift the upper lid by ~1 mm on average in clinical trials.

mf asked for no hardmaxxing least obv chatgpt thread

 

[idkmanimao]

mf asked for no hardmaxxing least obv chatgpt thread

shhhh its a mix

 

[Scriggan]

shhhh its a mix

jfl its not basically all surgiers

 

[Healthymaxxer]

absolute autism

 

[idkmanimao]

jfl its not basically all surgiers

exactly