Ramus Widening

[MeinChadf]

A question for Dr @RealSurgerymax if you will be so kind sir

What is your opinion of Ramus Widening during a Bimax or BSSO? Is there a scientific consensus on whether it is safe? Does it depend on the initial position of the condyles?

I've heard/seen some surgeons do it (Pagnoni, Augusto Pary) and others say it is a bad idea (Ramieri). It seems like a perfect antidote for narrow bigonial width

Case studies from people here in case interested:
https://looksmax.org/threads/2-5-weeks-post-djs-and-genio.241192/ (actual looksmax user who did it)
https://looksmax.org/threads/bimax-jaw-widen.369023/ (non forum person)
https://looksmax.org/threads/i-will-be-getting-bimax-next-month.412412/#post-6845754 (looksmax user who is about to do it)

 

[RealSurgerymax]

• It can be done minimally (almost unnoticeable) through condyle torquing, which can occur in varying degrees and rotations depending on the angle of the BSSO cut. The angle of the BSSO cut deoends on the width of the bone & location of the neurovascular foramen.
  
  
  
  
• It can be done through adapting the mandible to straight or bent-out plates instead of adapting plates to a curved-in mandible
• 
  
• It can be done by sandwiching a bone graft between the BSSO segments
• 
• It “can” and is done by the surgeons you mentioned without bone graft & little contact between segments I wouldnt have it done that way because of high chance if relapse and non-union.

 

[RealSurgerymax]

• Non of the above methods will result in male-model “flaring” jaw angles. CUSTOM Implants are still best for aesthetic jaw angles.

 

[Deleted member 2729]

• Non of the above methods will result in male-model “flaring” jaw angles. CUSTOM Implants are still best for aesthetic jaw angles.

Are jaw implants safe in your opinion?

 

[MeinChadf]

• It can be done minimally (almost unnoticeable) through condyle torquing, which can occur in varying degrees and rotations depending on the angle of the BSSO cut. The angle of the BSSO cut deoends on the width of the bone & location of the neurovascular foramen.
  View attachment 1410311
• It can be done through adapting the mandible to straight or bent-out plates instead of adapting plates to a curved-in mandible
• View attachment 1410316View attachment 1410318
• It can be done by sandwiching a bone graft between the BSSO segments
• View attachment 1410321
• It “can” and is done by the surgeons you mentioned without bone graft & little contact between segments I wouldnt have it done that way because of high chance if relapse and non-union.

Fucking amazing answer as always man, so much IQ in this, thank you.

How many bimax's have you done at this point in time? And are you based in europe?

 

[Deleted member 7725]

Fucking amazing answer as always man, so much IQ in this, thank you.

How many bimax's have you done at this point in time? And are you based in europe?

He's based in Cambodia and bimax's are only a hobby. His main income is from owning a brothel.

 

[MeinChadf]

He's based in Cambodia and bimax's are only a hobby. His main income is from owning a brothel.

This guy gets more and more based every time I hear something new about him

 

[.👽.]

• Non of the above methods will result in male-model “flaring” jaw angles. CUSTOM Implants are still best for aesthetic jaw angles.

what about chinwing to make them wider?

 

[Deleted member 3679]

A question for Dr @RealSurgerymax if you will be so kind sir

What is your opinion of Ramus Widening during a Bimax or BSSO? Is there a scientific consensus on whether it is safe? Does it depend on the initial position of the condyles?

I've heard/seen some surgeons do it (Pagnoni, Augusto Pary) and others say it is a bad idea (Ramieri). It seems like a perfect antidote for narrow bigonial width

Case studies from people here in case interested:
https://looksmax.org/threads/2-5-weeks-post-djs-and-genio.241192/ (actual looksmax user who did it)
https://looksmax.org/threads/bimax-jaw-widen.369023/ (non forum person)
https://looksmax.org/threads/i-will-be-getting-bimax-next-month.412412/#post-6845754 (looksmax user who is about to do it)

Ahhh the ramus widening... yes the first thread is mine! To be honest when I got the bimax with Pagnoni I never thought to widen the ramus but he said with the additional forward growth my face would look too narrow and that would balance it out.

 

[hansmoleman]

A question for Dr @RealSurgerymax if you will be so kind sir

What is your opinion of Ramus Widening during a Bimax or BSSO? Is there a scientific consensus on whether it is safe? Does it depend on the initial position of the condyles?

I've heard/seen some surgeons do it (Pagnoni, Augusto Pary) and others say it is a bad idea (Ramieri). It seems like a perfect antidote for narrow bigonial width

Case studies from people here in case interested:
https://looksmax.org/threads/2-5-weeks-post-djs-and-genio.241192/ (actual looksmax user who did it)
https://looksmax.org/threads/bimax-jaw-widen.369023/ (non forum person)
https://looksmax.org/threads/i-will-be-getting-bimax-next-month.412412/#post-6845754 (looksmax user who is about to do it)

Curiously enough, Ramieri is doing jaw widening at the moment (a user on .org got it @politically correct )

Do you have more information on what Ramieri said exactly? Why is it a bad idea? Did he change his mind? Or did he discover a new method?

 

[hansmoleman]

Curiously enough, Ramieri is doing jaw widening at the moment (a user on .org got it @politically correct )

Do you have more information on what Ramieri said exactly? Why is it a bad idea? Did he change his mind? Or did he discover a new method?

@SixCRY @RealSurgerymax

 

[Deleted member 32196]

• It can be done minimally (almost unnoticeable) through condyle torquing, which can occur in varying degrees and rotations depending on the angle of the BSSO cut. The angle of the BSSO cut deoends on the width of the bone & location of the neurovascular foramen.
  View attachment 1410311
  
• It can be done through adapting the mandible to straight or bent-out plates instead of adapting plates to a curved-in mandible
• View attachment 1410316View attachment 1410318
• It can be done by sandwiching a bone graft between the BSSO segments
• View attachment 1410321
• It “can” and is done by the surgeons you mentioned without bone graft & little contact between segments I wouldnt have it done that way because of high chance if relapse and non-union.

Would ramus widening improve cheekbones/hollowness?

 

[RealSurgerymax]

Would ramus widening improve cheekbones/hollowness?

Ramus widening is more limited in creating hollow cheekbones since the entire surface of the ramus is moving out unlike an implant which can make a more concave space.

 

[Deleted member 32196]

Ramus widening is more limited in creating hollow cheekbones since the entire surface of the ramus is moving out unlike an implant which can make a more concave space.

But it would lead to an improvement nonetheless, if I understand correctly?