Pagnoni infra orbital implant result, why infra can be a meme if thin skin

lurking truecel

lurking truecel

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I mean its a shit design, and he obv just need fat graft around it or some other procedures. But he removed them, same guy who got botched with none union in maxilla
 
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bro needed fat graft everywhere
Yea ita funny almost what he did expect, it doesnt look so bad even apart from him obv lacking fat and having bulgy eyes. The implant is small in design and Conservative even. It could have been 10x worse.
 
bro needed fat graft everywhere
Also a eye area like that will never be saved, because of he goes hard on fat graft he will have lumps and skin sag and overall look botched. But with good fat grafting of he can avoid lumps it would be atleast decent looking.
 
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I mean its a shit design, and he obv just need fat graft around it or some other procedures. But he removed them, same guy who got botched with none union in maxilla
wdym he removed them? are you talking about Pagnoni not doing a fat graft for him?
 
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Also a eye area like that will never be saved, because of he goes hard on fat graft he will have lumps and skin sag and overall look botched. But with good fat grafting of he can avoid lumps it would be atleast decent looking.
yeah everything around his eyes looks stretched and saggy like a used condom
 
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wdym he removed them? are you talking about Pagnoni not doing a fat graft for him?
He removed them, never heard that pag actually does fat graft
 
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yeah everything around his eyes looks stretched and saggy like a used condom
Yea i mean a implant wasnt gonna do anything for him
 
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yeah it aged him badly JFL
I mean the implant didnt age him, yes it made it more hollow. But he already looked aged. But the thing is also pag cant recommend other treatments like fat graft or some kind of lift to fix it
 
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implant alone is bad in these cases but, whats the best choice then,
conservative implant + conservative fat OR no implant and big amount of fat alone
 
I really don’t understand why they keep using designs that are literally the same shape as the face and only increase the horizontal width. Will stay shit but bigger 😂
 
View attachment 4460246View attachment 4460248
I mean its a shit design, and he obv just need fat graft around it or some other procedures. But he removed them, same guy who got botched with none union in maxilla
doesn't everybody's infra orbital region have thin skin? Also what did this guy think was gonna happen? Did he just think the implant was gonna magically add volume to the whole under eye region:unsure:
 
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he posted his results months ago and deleted them after. pagnonis a botcher
12 hours, months ago...
Even if this nigger got botched it doesnt matter anyway. Even the best surgeon will botch 1/1000 guys.
 
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Also an eye area like that will never be saved, because of he goes hard on fat graft he will have lumps and skin sag and overall look botched. But with good fat grafting of he can avoid lumps it would be atleast decent looking.
Needed lower bleph + fat grafting
 
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doesn't everybody's infra orbital region have thin skin? Also what did this guy think was gonna happen? Did he just think the implant was gonna magically add volume to the whole under eye region:unsure:
It varies a lot between people
 
I really don’t understand why they keep using designs that are literally the same shape as the face and only increase the horizontal width. Will stay shit but bigger 😂
I mean this guy needs OD
 
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Was the implant placed too low?
 
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@RealSurgerymax what do u think went wrong in this case? What could have Pags done better?
 
@RealSurgerymax what do u think went wrong in this case? What could have Pags done better?
This patient chose the Italian designer over Giant. Not smart............
 
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His eye area in the before looks so bad its actually almost comical
 
Yeah I agree. But doesn’t the implant look misplaced as well?

As I understand it, “feathering” the edges of PEEK implants is difficult due to the material properties. I would guess Giant is better at designing them to blend in with natural angle changes on the bone rather than having them stop suddenly on a flat surface. Using titanium instead also allows thinner edges.

I do a completely different kind of engineering than he does but there’s some analogy with metalwork/coating design.

I don’t even have a negative orbital vector (somehow, despite my extreme bug eyes) so I am not sure I’m really an infra candidate at all.
 
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As I understand it, “feathering” the edges of PEEK implants is difficult due to the material properties. I would guess Giant is better at designing them to blend in with natural angle changes on the bone rather than having them stop suddenly on a flat surface. Using titanium instead also allows thinner edges.

I do a completely different kind of engineering than he does but there’s some analogy with metalwork/coating design.

I don’t even have a negative orbital vector (somehow, despite my extreme bug eyes) so I am not sure I’m really an infra candidate at all.
Also needing some kind of fat graft over is usually needed even with good design. These dude would have gotten some slight edges either way. But overall the implant just seems useless and small aswell
 
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Also needing some kind of fat graft over is usually needed even with good design. These dude would have gotten some slight edges either way. But overall the implant just seems useless and small aswell

Fat graft over implant is not an idea I’m comfortable with, the implant capsule is infection prone.

I have come round to the idea that you should get fat grafts before implants if your under eye is thin but unfortunately I’m all out of time to execute.
 
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Fat graft over implant is not an idea I’m comfortable with, the implant capsule is infection prone.

I have come round to the idea that you should get fat grafts before implants if your under eye is thin but unfortunately I’m all out of time to execute.
I mean i dont think its that prone to infection, i mean fat graft before is good but most people need touch up. @RealSurgerymax what's your thoughts on this, i know you said its better to them separate because of inflammation. Before or after ?
 
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