Pagnoni refused to give me infraorbital rim implants

[ramierifag]

Because I already did canthoplasty and he said you can't know how soft tissues will behave after. @RealSurgerymax pagnoni gave me 2 oculoplastics' names to get palate graft and enhanced lower eyelid, will i be able to do infras after that with another surgeon? (maybe ramieri cause pagnoni said he won't do anything on people who already did plastic surgery in that area)

 

[RealSurgerymax]

Hes one of my mentors. I respect him for not doing surgery he knows could turn out problematic

You have retraction or ectropion right now?

 

[Sodoku]

@RealSurgerymax if you had filler around the eye area in the past, do you need to get it dissolved pre surgery?

 

[greycel]

@RealSurgerymax if you had filler around the eye area in the past, do you need to get it dissolved pre surgery?

@Titbot needed to, when he had his surgeries.

 

[Narroworbits]

@Titbot needed to, when he had his surgeries.

Is that him in avi?

 

[RealSurgerymax]

@RealSurgerymax if you had filler around the eye area in the past, do you need to get it dissolved pre surgery?

Yes, pre-assessment and planning preferably.

 

[greycel]

Is that him in avi?

JoinedAug 12, 2024

 

[chrishell]

I would trust his opinion

 

[ramierifag]

Hes one of my mentors. I respect him for not doing surgery he knows could turn out problematic

You have retraction or ectropion right now?

The tarsal strip made my lower eyelid more tight and adherent to the eye ball. Is it possible to do palate graft and then infras (with or without saddles) just for adding volume? He said that even only cheekbone implants would bring the lower eyelid down and not lift it.

 

[Mugwump]

fuark hes a bluepilled cuck tf

 

[ramierifag]

fuark hes a bluepilled cuck tf

I guess doing cantho and then infras (probably happened thousands of times) is problematic but not doing modified lefort3+obo+tripod at giants

 

[Mugwump]

I guess doing cantho and then infras (probably happened thousands of times) is problematic but not doing modified lefort3+obo+tripod at giants

foreal bro he needs to level up his game

 

[PrimoMaxxer]

Hes one of my mentors. I respect him for not doing surgery he knows could turn out problematic

You have retraction or ectropion right now?

would this only pose problems if cantho is done first before infras? Would it be less problematic to do infras then cantho?

 

[AspieBro]

Yes, pre-assessment and planning preferably.

Wouldn’t the plan be made based on the bone in the CT scan though? Not the soft tissue?

 

[ramierifag]

The tarsal strip made my lower eyelid more tight and adherent to the eye ball. Is it possible to do palate graft and then infras (with or without saddles) just for adding volume? He said that even only cheekbone implants would bring the lower eyelid down and not lift it.

@RealSurgerymax

 

[iseeblue9]

fuark hes a bluepilled cuck tf

why dont u become our brutal rainbow pill surgeon and give any surgery we like

 

[Mugwump]

why dont u become our brutal rainbow pill surgeon and give any surgery we like

me give you surgery ?

 

[ramierifag]

@RealSurgerymax

@RealSurgerymax

 

[RealSurgerymax]

The tarsal strip made my lower eyelid more tight and adherent to the eye ball. Is it possible to do palate graft and then infras (with or without saddles) just for adding volume? He said that even only cheekbone implants would bring the lower eyelid down and not lift it.

Yes it can all be combined with a plastic surgeon who does all of these

 

[ramierifag]

Yes it can all be combined with a plastic surgeon who does all of these

Im in italy so I would do infras with Ramieri and palate graft with an ophtalmologist Pagnoni recommended to me (Marabottini or Quaranta Leoni, always in Rome).
What should i get before, the graft or the implant? @RealSurgerymax

 

[ramierifag]

Im in italy so I would do infras with Ramieri and palate graft with an ophtalmologist Pagnoni recommended to me (Marabottini or Quaranta Leoni, always in Rome).
What should i get before, the graft or the implant? @RealSurgerymax

@RealSurgerymax

 

[longjohnmong]

over

 

[ramierifag]

@RealSurgerymax Im in italy so I would do infras with Ramieri and palate graft with an ophtalmologist Pagnoni recommended to me (Marabottini or Quaranta Leoni, always in Rome).
What should i get before, the graft or the implant?

 

[notalive]

Why are all the blackpilled surgeon's in Italy? So unfair.

 

[RealSurgerymax]

@RealSurgerymax Im in italy so I would do infras with Ramieri and palate graft with an ophtalmologist Pagnoni recommended to me (Marabottini or Quaranta Leoni, always in Rome).
What should i get before, the graft or the implant?

get eyelid problems fixed first

 

[iseeblue9]

get eyelid problems fixed first

@RealSurgerymax why couldn’t u fix gui’s eyes they are still slanting
is it impossible to fix downturn eyes?

 

[ramierifag]

View attachment 3333428
@RealSurgerymax why couldn’t u fix gui’s eyes they are still slanting
is it impossible to fix downturn eyes?

Dinamic canthopexy and temporal lift are used for example by doctor Albano in italy to get positive tilt cat eyes but I dont know how much time do the results last.
Probably is a good idea if bone support problem is already fixed

 

[RealSurgerymax]

View attachment 3333428
@RealSurgerymax why couldn’t u fix gui’s eyes they are still slanting
is it impossible to fix downturn eyes?

he got botched canthopexies in Brazil before he came with lots of scarring. Prime example why pags doesn't want the trouble because it complicates things and limits the results. Anyway gui is coming for revision in a few weeks where we will fix the canthopexies (we never did them in the first place a Brazilian doctor did)

 

[iseeblue9]

he got botched canthopexies in Brazil before he came with lots of scarring. Prime example why pags doesn't want the trouble because it complicates things and limits the results. Anyway gui is coming for revision in a few weeks where we will fix the canthopexies (we never did them in the first place a Brazilian doctor did)

@RealSurgerymax Are you planning to focus more into other eye area surgeries (not obo)
like canthopexies of your own technique that fix the issue of sagging eyes/droopy af (most canthopexy/canthoplasty doesnt improve nct or help with small round eyes)

Do you think you can develop more of a less invasive TRIPOD OSTEOTOMY technique in the near future which a normal person can get too without fearing much of the complications. that would be one of the saving surgery for eye area for small eyes which can’t be fixed without that

 

[ramierifag]

@RealSurgerymax did you ever have a case where infraorbital malar implants dragged down lower eyelids (maybe tightened due to a previous canthoplasty/pexy) instead of lifting them up?

 

[ramierifag]

@RealSurgerymax did you ever have a case where infraorbital malar implants dragged down lower eyelids (maybe tightened due to a previous canthoplasty/pexy) instead of lifting them up?

@RealSurgerymax

 

[Tenshi]

Maybe he's got a point. I've noticed people here in this site are obsessed with implants and as you might think everything can be solved through ''implants'' according to them. People here will have you shoving implants until you look like you've got a whole mask popping through your skin.

 

[ramierifag]

Maybe he's got a point. I've noticed people here in this site are obsessed with implants and as you might think everything can be solved through ''implants'' according to them. People here will have you shoving implants until you look like you've got a whole mask popping through your skin.

Even a plastic surgeon recommended me to get implants at a maxfac and not filler because im recessed as fuck in my undereye area, im pretty sure i need infraorbital malar implants more than oxygen.
This is what happens when you don't remove adenoids

 

[kilgrave]

Yes, pre-assessment and planning preferably.

Wish I'd of known this at the time...of course it was fat filler so not sure what could've been done. Have a slight out pouching of the right under eye now.

 

[Understandingz]

Because I already did canthoplasty and he said you can't know how soft tissues will behave after. @RealSurgerymax pagnoni gave me 2 oculoplastics' names to get palate graft and enhanced lower eyelid, will i be able to do infras after that with another surgeon? (maybe ramieri cause pagnoni said he won't do anything on people who already did plastic surgery in that area)

why didn't u ask pagoni from the start??????? and went for another surgeon??

 

[Understandingz]

Maybe he's got a point. I've noticed people here in this site are obsessed with implants and as you might think everything can be solved through ''implants'' according to them. People here will have you shoving implants until you look like you've got a whole mask popping through your skin.

Alot of people in this forum need brain implant maxxing

 

[apocalypse]

Hes one of my mentors. I respect him for not doing surgery he knows could turn out problematic

You have retraction or ectropion right now?

Thoughts on that widely circulated Pagnoni bad review calling him a brutal butcher?

 

[RealSurgerymax]

Thoughts on that widely circulated Pagnoni bad review calling him a brutal butcher?

Who cares. People can write anything. He's one of the best there is.

 

[Understandingz]

Who cares. People can write anything. He's one of the best there is.

When are you going to release some data / study related to the obo , I'm very interested in that , and are you going to attempt to find Europian surgeons that are also able to do obo or it's going to remain strictly turkish thing?

Like anonymizing the patients 3d scans before and after so people can see that it's really working / recovery complications or anything to make this look less like a bootleg version , are you not also going to rebrand yourself from that logo eventually?

 

[ramierifag]

@RealSurgerymax did you ever have a case where infraorbital malar implants dragged down lower eyelids (maybe tightened due to a previous canthoplasty/pexy) instead of lifting them up?