Orbital Box Osteotomy Surgeons

[spacio]

Serious question: why do we not go to obo surgeons that operate on kids with facial deformities? Since OBO to decrease eye width and get rid of say a bulging face tumor is harder than operating on someone without facial deformities and just looking to increase eye width/spacing? I feel like I need this surgery because eye area determines EVERYTHING ELSE.

Plus my bitemporal bizygomatic width is too high making my eyes look even more squished together than it already is. To me it's obo or rope.

If all else fails I'll save money for Eppley or Steinbacher.

What do you think?

 

[Deleted member 23472]

@RealSurgerymax

 

[RealSurgerymax]

@RealSurgerymax

- Because they won’t do it for non-deformed, for the most part
- Because the ones who will don’t know how to modify it to be aesthetic (I invented the modification and frankly am gatekeeping a few parts until we publish the results in medical journals, but the most important modification is that it’s subcranial meaning no craniotomy, while still being 360°.)
- Because in America it will be over $100K for a full 360° OBO because of hospital fees. Only a 180° OBO could potentially be done outpatient and that is REALLY pushing it and will probably end up in unexpected hospitalization.
- Because unlike jaw surgery, the smallest movements will be noticed. The magnitude of 1mm change is much higher on the nose and around the eyes than other parts of the face meaning it should really be done with precision guides and custom plates (ideally jaw surgery is too, but for aesthetic orbital translocation surgery it definitely shouldn’t be freehanded under visual estimation)

This is a case I designed to show the concept of customized precision OBO:

- Because it will leave stepoffs that need to be addressed with specially designed custom implants at the same time, which also have to be a porous to perfuse the detached orbits, meaning the implants will be very hard to remove or revise, meaning go to someone who really knows what they’re doing in the design process so you have a much lower likelihood of wanting to change them. Most people who get implants designed by the big companies end up wanting to change them. My revision rate is far less than usual (not 0, but far less) because of unmatched experience. All of these little details, obstacles in the way of a good, safe cosmetic OBO have been overcome with years of research and planning to make it something realistic.

- Because there are countless combinations and patterns of osteotomies that need to be tailored to the patient and for the maximal aesthetic and you’re not gonna get that anywhere but a Surgerymax CMF design collaboration with an affiliated surgeon.

There’s no where else but Surgerymax CMF doing what we’re doing with my select partner surgeons and there won’t be for a very long time. We are already taking OBO cases, they were supposed to happen at the end of this month but I’m just really behind. They will be operated in Istanbul.

Instagram: Surgerymax.CMF

 

[Deleted member 23472]

- Because they won’t do it for non-deformed, for the most part
- Because the ones who will don’t know how to modify it to be aesthetic (I invented the modification and frankly am gatekeeping a few parts until we publish the results in medical journals, but the most important modification is that it’s subcranial meaning no craniotomy, while still being 360°.)
- Because in America it will be over $100K for a full 360° OBO because of hospital fees. Only a 180° OBO could potentially be done outpatient and that is REALLY pushing it and will probably end up in unexpected hospitalization.
- Because unlike jaw surgery, the smallest movements will be noticed. The magnitude of 1mm change is much higher on the nose and around the eyes than other parts of the face meaning it should really be done with precision guides and custom plates (ideally jaw surgery is too, but for aesthetic orbital translocation surgery it definitely shouldn’t be freehanded under visual estimation)

This is a case I designed to show the concept of customized precision OBO:
View attachment 2458182View attachment 2458184

- Because it will leave stepoffs that need to be addressed with specially designed custom implants at the same time, which also have to be a porous to perfuse the detached orbits, meaning the implants will be very hard to remove or revise, meaning go to someone who really knows what they’re doing in the design process so you have a much lower likelihood of wanting to change them. Most people who get implants designed by the big companies end up wanting to change them. My revision rate is far less than usual (not 0, but far less) because of unmatched experience. All of these little details, obstacles in the way of a good, safe cosmetic OBO have been overcome with years of research and planning to make it something realistic.
View attachment 2458188
- Because there are countless combinations and patterns of osteotomies that need to be tailored to the patient and for the maximal aesthetic and you’re not gonna get that anywhere but a Surgerymax CMF design collaboration with an affiliated surgeon.
View attachment 2458198

There’s no where else but Surgerymax CMF doing what we’re doing with my select partner surgeons and there won’t be for a very long time. We are already taking OBO cases, they were supposed to happen at the end of this month but I’m just really behind. They will be operated in Istanbul.

Instagram: Surgerymax.CMF

Impressive. Thanks for giving surgerycels the chance of ascension.

 

[HerpDerpson]

- Because they won’t do it for non-deformed, for the most part
- Because the ones who will don’t know how to modify it to be aesthetic (I invented the modification and frankly am gatekeeping a few parts until we publish the results in medical journals, but the most important modification is that it’s subcranial meaning no craniotomy, while still being 360°.)
- Because in America it will be over $100K for a full 360° OBO because of hospital fees. Only a 180° OBO could potentially be done outpatient and that is REALLY pushing it and will probably end up in unexpected hospitalization.
- Because unlike jaw surgery, the smallest movements will be noticed. The magnitude of 1mm change is much higher on the nose and around the eyes than other parts of the face meaning it should really be done with precision guides and custom plates (ideally jaw surgery is too, but for aesthetic orbital translocation surgery it definitely shouldn’t be freehanded under visual estimation)

This is a case I designed to show the concept of customized precision OBO:
View attachment 2458182View attachment 2458184

- Because it will leave stepoffs that need to be addressed with specially designed custom implants at the same time, which also have to be a porous to perfuse the detached orbits, meaning the implants will be very hard to remove or revise, meaning go to someone who really knows what they’re doing in the design process so you have a much lower likelihood of wanting to change them. Most people who get implants designed by the big companies end up wanting to change them. My revision rate is far less than usual (not 0, but far less) because of unmatched experience. All of these little details, obstacles in the way of a good, safe cosmetic OBO have been overcome with years of research and planning to make it something realistic.
View attachment 2458188
- Because there are countless combinations and patterns of osteotomies that need to be tailored to the patient and for the maximal aesthetic and you’re not gonna get that anywhere but a Surgerymax CMF design collaboration with an affiliated surgeon.
View attachment 2458198

There’s no where else but Surgerymax CMF doing what we’re doing with my select partner surgeons and there won’t be for a very long time. We are already taking OBO cases, they were supposed to happen at the end of this month but I’m just really behind. They will be operated in Istanbul.

Instagram: Surgerymax.CMF

That's a very detailed answer, thanks.

 

[spacio]

- Because they won’t do it for non-deformed, for the most part
- Because the ones who will don’t know how to modify it to be aesthetic (I invented the modification and frankly am gatekeeping a few parts until we publish the results in medical journals, but the most important modification is that it’s subcranial meaning no craniotomy, while still being 360°.)
- Because in America it will be over $100K for a full 360° OBO because of hospital fees. Only a 180° OBO could potentially be done outpatient and that is REALLY pushing it and will probably end up in unexpected hospitalization.
- Because unlike jaw surgery, the smallest movements will be noticed. The magnitude of 1mm change is much higher on the nose and around the eyes than other parts of the face meaning it should really be done with precision guides and custom plates (ideally jaw surgery is too, but for aesthetic orbital translocation surgery it definitely shouldn’t be freehanded under visual estimation)

This is a case I designed to show the concept of customized precision OBO:
View attachment 2458182View attachment 2458184

- Because it will leave stepoffs that need to be addressed with specially designed custom implants at the same time, which also have to be a porous to perfuse the detached orbits, meaning the implants will be very hard to remove or revise, meaning go to someone who really knows what they’re doing in the design process so you have a much lower likelihood of wanting to change them. Most people who get implants designed by the big companies end up wanting to change them. My revision rate is far less than usual (not 0, but far less) because of unmatched experience. All of these little details, obstacles in the way of a good, safe cosmetic OBO have been overcome with years of research and planning to make it something realistic.
View attachment 2458188
- Because there are countless combinations and patterns of osteotomies that need to be tailored to the patient and for the maximal aesthetic and you’re not gonna get that anywhere but a Surgerymax CMF design collaboration with an affiliated surgeon.
View attachment 2458198

There’s no where else but Surgerymax CMF doing what we’re doing with my select partner surgeons and there won’t be for a very long time. We are already taking OBO cases, they were supposed to happen at the end of this month but I’m just really behind. They will be operated in Istanbul.

Instagram: Surgerymax.CMF

Thanks for the very detailed response.

Which clinic are you in partnership with and how do I sign up to be on the waitlist for this?

 

[RealSurgerymax]

Thanks for the very detailed response.

Which clinic are you in partnership with and how do I sign up to be on the waitlist for this?

It will be at Acibadem Hospital in Maltepe/Istanbul

Dm on Giant.Implants. I’m behind on getting to new cases since I have some pretty in depth active ones but I will get to it

 

[pcmaxing]

- Because they won’t do it for non-deformed, for the most part
- Because the ones who will don’t know how to modify it to be aesthetic (I invented the modification and frankly am gatekeeping a few parts until we publish the results in medical journals, but the most important modification is that it’s subcranial meaning no craniotomy, while still being 360°.)
- Because in America it will be over $100K for a full 360° OBO because of hospital fees. Only a 180° OBO could potentially be done outpatient and that is REALLY pushing it and will probably end up in unexpected hospitalization.
- Because unlike jaw surgery, the smallest movements will be noticed. The magnitude of 1mm change is much higher on the nose and around the eyes than other parts of the face meaning it should really be done with precision guides and custom plates (ideally jaw surgery is too, but for aesthetic orbital translocation surgery it definitely shouldn’t be freehanded under visual estimation)

This is a case I designed to show the concept of customized precision OBO:
View attachment 2458182View attachment 2458184

- Because it will leave stepoffs that need to be addressed with specially designed custom implants at the same time, which also have to be a porous to perfuse the detached orbits, meaning the implants will be very hard to remove or revise, meaning go to someone who really knows what they’re doing in the design process so you have a much lower likelihood of wanting to change them. Most people who get implants designed by the big companies end up wanting to change them. My revision rate is far less than usual (not 0, but far less) because of unmatched experience. All of these little details, obstacles in the way of a good, safe cosmetic OBO have been overcome with years of research and planning to make it something realistic.
View attachment 2458188
- Because there are countless combinations and patterns of osteotomies that need to be tailored to the patient and for the maximal aesthetic and you’re not gonna get that anywhere but a Surgerymax CMF design collaboration with an affiliated surgeon.
View attachment 2458198

There’s no where else but Surgerymax CMF doing what we’re doing with my select partner surgeons and there won’t be for a very long time. We are already taking OBO cases, they were supposed to happen at the end of this month but I’m just really behind. They will be operated in Istanbul.

Instagram: Surgerymax.CMF

Is there ever going to be a time , when it’s not a million months to even

- Because they won’t do it for non-deformed, for the most part
- Because the ones who will don’t know how to modify it to be aesthetic (I invented the modification and frankly am gatekeeping a few parts until we publish the results in medical journals, but the most important modification is that it’s subcranial meaning no craniotomy, while still being 360°.)
- Because in America it will be over $100K for a full 360° OBO because of hospital fees. Only a 180° OBO could potentially be done outpatient and that is REALLY pushing it and will probably end up in unexpected hospitalization.
- Because unlike jaw surgery, the smallest movements will be noticed. The magnitude of 1mm change is much higher on the nose and around the eyes than other parts of the face meaning it should really be done with precision guides and custom plates (ideally jaw surgery is too, but for aesthetic orbital translocation surgery it definitely shouldn’t be freehanded under visual estimation)

This is a case I designed to show the concept of customized precision OBO:
View attachment 2458182View attachment 2458184

- Because it will leave stepoffs that need to be addressed with specially designed custom implants at the same time, which also have to be a porous to perfuse the detached orbits, meaning the implants will be very hard to remove or revise, meaning go to someone who really knows what they’re doing in the design process so you have a much lower likelihood of wanting to change them. Most people who get implants designed by the big companies end up wanting to change them. My revision rate is far less than usual (not 0, but far less) because of unmatched experience. All of these little details, obstacles in the way of a good, safe cosmetic OBO have been overcome with years of research and planning to make it something realistic.
View attachment 2458188
- Because there are countless combinations and patterns of osteotomies that need to be tailored to the patient and for the maximal aesthetic and you’re not gonna get that anywhere but a Surgerymax CMF design collaboration with an affiliated surgeon.
View attachment 2458198

There’s no where else but Surgerymax CMF doing what we’re doing with my select partner surgeons and there won’t be for a very long time. We are already taking OBO cases, they were supposed to happen at the end of this month but I’m just really behind. They will be operated in Istanbul.

Instagram: Surgerymax.CMF

@RealSurgerymax
2 legit questions for a very serious possible customer

1) how much USD is this surgery going to run us in turkey … just a ballpark estimate ? Usd dollars

2) do you see a time down the road , where this or getting other procedures done in your clinic becomes like using another clinic or surgeon for other surgeries? Where You put a down payment and start working on this immediately or atleast within a few months ? With a surgery date set within a year atleast?
because I’ve been trying to connect with you over 1.5 years with money in hand and haven’t even scratched out a consultation??? The wait time is brutal brother , I’m sure many others feel the same way.

is this light down the tunnel with this also?

 

[RealSurgerymax]

Is there ever going to be a time , when it’s not a million months to even

@RealSurgerymax
2 legit questions for a very serious possible customer

1) how much USD is this surgery going to run us in turkey … just a ballpark estimate ? Usd dollars

2) do you see a time down the road , where this or getting other procedures done in your clinic becomes like using another clinic or surgeon for other surgeries? Where You put a down payment and start working on this immediately or atleast within a few months ? With a surgery date set within a year atleast?
because I’ve been trying to connect with you over 1.5 years with money in hand and haven’t even scratched out a consultation??? The wait time is brutal brother , I’m sure many others feel the same way.

is this light down the tunnel with this also?

Yes dm on giant, bump if it’s been over a month as the unanswered filter only works for last 30 days. I’m sending a link soon.

 

[longjohnmong]

It will be at Acibadem Hospital in Maltepe/Istanbul

Is the surgeon the same surgeon who will do your facial implants in Istanbul? Is it Candirli?

 

[Octavian_Augustus]

Yes dm on giant, bump if it’s been over a month as the unanswered filter only works for last 30 days. I’m sending a link soon.

RSM, can OBO be done a few months after bimax or will the plates from bimax make it difficult to get OBO? What is the ideal sequence?

 

[RealSurgerymax]

RSM, can OBO be done a few months after bimax or will the plates from bimax make it difficult to get OBO? What is the ideal sequence?

Certainly not after most bimaxes where the plates will be in the way. Both the OBO cases I am working on are also getting bimax staged, and each procedure is taken into account to make room for the other, I’m designing both.

 

[Octavian_Augustus]

Certainly not after most bimaxes where the plates will be in the way. Both the OBO cases I am working on are also getting bimax staged, and each procedure is taken into account to make room for the other, I’m designing both.

Thanks, in light of this info please check my DM when you have a second.

 

[Deleted member 13710]

Serious question: why do we not go to obo surgeons that operate on kids with facial deformities?

The majority of craniofacial surgeons are not plastic surgeons. They are not even going to consider doing that kind of operation on you unless you have a major medical issue, regardless of how much $$$ you try and wave around in their faces. Don't waste your time.

All this time people spent talking about OBO is a waste of time.

 

[spacio]

Certainly not after most bimaxes where the plates will be in the way. Both the OBO cases I am working on are also getting bimax staged, and each procedure is taken into account to make room for the other, I’m designing both.

I'm getting a 3 piece lf 1 done in Korea this Christmas - how soon after can I get OBO? Can OBO and bilateral tripod be done at the same time? And if you had to recommend getting only one done, would it be obo or bto? (I personally think it's bto but looking to minimize risk)

 

[RealSurgerymax]

I'm getting a 3 piece lf 1 done in Korea this Christmas - how soon after can I get OBO? Can OBO and bilateral tripod be done at the same time? And if you had to recommend getting only one done, would it be obo or bto? (I personally think it's bto but looking to minimize risk)

If you got the LeFort planned, and guided with a custom plate designed by me you can get obo in just 3-6 months since we know the plates will not be in the way as it would be designed with the OBO in mind. If you get it in Korea with standard plates or custom plates not designed with the OBO in mind then OBO will be a closer to a year later as the plates will need to be removed.