Risk/Reward of the most important male looksmax surgeries

MadTwatter

MadTwatter

Chief of Surgery @ Tavistock Mental Health Clinic
Joined
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Low Risk + Low Reward
Buccal fat removal - other than the results posted here on this site, I’ve been unable to find a single result which shows a significant change to somebody’s face.
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Low risk + High reward
facial fat grafting - relatively inexpensive (mine done for €1300) and I literally couldn’t find a bad result. Like a more realistic, permanent version of fillers that age with your face. Very effective at fixing subhuman hollow eyes.
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A260EBAF 9BD1 4789 BF8C 91A97B25F945

fillers - usually look good, depending on the skill of the person giving them, fade significantly after 5 months. Great for tear troughs, chin and jaw. Avoid cheeks and lips.

otoplasty - cheap (can be done for $300 if you’re willing to travel) and it’s difficult to fuck up pinning back somebody’s ears, fixing goofy ears can effectively fix a “subhuman” aesthetic.
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CA5B692E 6FD1 48C5 A169 BEFEBC7D6785


scalp micropigmentation - another one which is difficult to fuck up. I paid €600 and I’ve had tons of compliments about how thick my hair looks.
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hair transplant - among the best ways to looksmax. One of the best decisions I ever made. You can get an A+ hair transplant for €3000 if you’re willing to travel. When used in combination with scalp micropigmentation, it’s the most effective looksmax for the money in my humble opinion.
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F6DE024F 30DF 4F6C A3B8 F1B21CD18368

LeFort maxillary advancement - considered to be the surgical holy grail for jawcels. 90% of the population’s maxillas are recesses. This is the most effective way to fix and while it’s low risk, it has a ton of drawbacks.
You’re going to have to pay out the ass, you’re probably going to have to travel, it’s unpleasant as fuck to have your face broken and then reconstructed with titanium plates, you’re probably going to have facial nerve damage to some extent. If you can overcome these hurdles, LeFort is your fastest way to Chad status.
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892EAA0D 628A 40A0 9B2C A70E788B29E8


Medium risk + medium reward
crowns/veneers - you can get a custom realistic set of EMAX replacement teeth that last 15+ years in Turkey for €4000~. They can look unrealistic if you get them too white. A very effective treatment if you have very little “teeth show” when smiling. Even though my teeth were white and straight, I was embarrassed by my smile before I got them.
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chin / jaw implants very easy to misjudge what size is needed. A chin wing or mandibuloplasty will give more realistic results but are more at risk of causing permanent nerve damage and cost twice as much. Ideally you should get a custom chin and jaw wraparound from Eppley in Indianapolis but it’s going to cost $20,000. Should be noted that even Eppley has a few terrible results.
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Blepharoplasty - effective as a form of removing the “tired look” from droopy eyes but also removes any hooding. Maybe save this one for when you’re older and the droppyness outweighs the aesthetics of hooding
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High risk + low reward
Cheek implants
- these very rarely look aesthetic and don’t look good with age. They always seem to give a Joan Rivers look. If you really want better zygos, get MSE or fillers.

High risk + High reward
Lip lift
- they generally look good on women but can make men look like phaggots. Worth it if you have little upper lip expose and no teeth exposure when smiling. If it’s botched, you can’t get it revised.
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1B1512B4 39FE 43F9 B2A1 B546CF62B6B4

Rhinoplasty - arguably the most effective surgery for fixing an unaesthetic face. You should always go to a surgeon who sexualises in nose jobs. Also the most easy to recognise as fake. There’s a reason that revision rhinoplasties are so common.
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Canthoplasty/almond eye - can be god-tier if you’re a bug-eyed goblin but the results are can be inconsistent and uncanny. See Zyzz’s brother. You’re also going to end up paying out the ass to go to Dr Taban in Beverly Hills if you want it done by a specialist.
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Low Risk + Low Reward
Buccal fat removal - other than the results posted here on this site, I’ve been unable to find a single result which shows a significant change to somebody’s face.
View attachment 622706
View attachment 622709

Low risk + High reward
facial fat grafting - relatively inexpensive (mine done for €1300) and I literally couldn’t find a bad result. Like a more realistic, permanent version of fillers that age with your face. Very effective at fixing subhuman hollow eyes.
View attachment 622695
View attachment 622696
fillers - usually look good, depending on the skill of the person giving them, fade significantly after 5 months. Great for tear troughs, chin and jaw. Avoid cheeks and lips.

otoplasty - cheap (can be done for $300 if you’re willing to travel) and it’s difficult to fuck up pinning back somebody’s ears, fixing goofy ears can effectively fix a “subhuman” aesthetic.
View attachment 622668
View attachment 622667

scalp micropigmentation - another one which is difficult to fuck up. I paid €600 and I’ve had tons of compliments about how thick my hair looks.
View attachment 622662
View attachment 622658
hair transplant - among the best ways to looksmax. One of the best decisions I ever made. You can get an A+ hair transplant for €3000 if you’re willing to travel. When used in combination with scalp micropigmentation, it’s the most effective looksmax for the money in my humble opinion.
View attachment 622648
View attachment 622650
LeFort maxillary advancement - considered to be the surgical holy grail for jawcels. 90% of the population’s maxillas are recesses. This is the most effective way to fix and while it’s low risk, it has a ton of drawbacks.
You’re going to have to pay out the ass, you’re probably going to have to travel, it’s unpleasant as fuck to have your face broken and then reconstructed with titanium plates, you’re probably going to have facial nerve damage to some extent. If you can overcome these hurdles, LeFort is your fastest way to Chad status.
View attachment 622640
View attachment 622639

Medium risk + medium reward
crowns/veneers - you can get a custom realistic set of EMAX replacement teeth that last 15+ years in Turkey for €4000~. They can look unrealistic if you get them too white. A very effective treatment if you have very little “teeth show” when smiling. Even though my teeth were white and straight, I was embarrassed by my smile before I got them.
View attachment 622736
View attachment 622721

chin / jaw implants very easy to misjudge what size is needed. A chin wing or mandibuloplasty will give more realistic results but are more at risk of causing permanent nerve damage and cost twice as much. Ideally you should get a custom chin and jaw wraparound from Eppley in Indianapolis but it’s going to cost $20,000. Should be noted that even Eppley has a few terrible results.
View attachment 622740
View attachment 622738

Blepharoplasty - effective as a form of removing the “tired look” from droopy eyes but also removes any hooding. Maybe save this one for when you’re older and the droppyness outweighs the aesthetics of hooding
View attachment 622743
View attachment 622764

High risk + low reward
Cheek implants
- these very rarely look aesthetic and don’t look good with age. They always seem to give a Joan Rivers look. If you really want better zygos, get MSE or fillers.

High risk + High reward
Lip lift
- they generally look good on women but can make men look like phaggots. Worth it if you have little upper lip expose and no teeth exposure when smiling. If it’s botched, you can’t get it revised.
View attachment 622778
View attachment 622785
Rhinoplasty - arguably the most effective surgery for fixing an unaesthetic face. You should always go to a surgeon who sexualises in nose jobs. Also the most easy to recognise as fake. There’s a reason that revision rhinoplasties are so common.
View attachment 622772
Canthoplasty/almond eye - can be god-tier if you’re a bug-eyed goblin but the results are can be inconsistent and uncanny. See Zyzz’s brother. You’re also going to end up paying out the ass to go to Dr Taban in Beverly Hills if you want it done by a specialist.
View attachment 622768
BASED thank you
 
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I agree mostly but cheek implants are not low reward when done right, custom implants by Eppley or Yaremchuk have produced some very good results. Its also the only way to get forward grown zygo's, the ZSO cant bring it forward enough.
 
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I agree mostly but cheek implants are not low reward when done right, custom implants by Eppley or Yaremchuk have produced some very good results. Its also the only way to get forward grown zygo's, the ZSO cant bring it forward enough.

Agreed Eppley has produced some very good results but there are a couple on realself which look uncanny and one which was totally botched. I can’t seem to access the pics at the moment but one guy looked so ridiculous he had to get them removed after a year.

MSE + Facemask is ideal for moving zygos forward but I didn’t include them here because I’m not sure they’re technically surgery.
 
Agreed Eppley has produced some very good results but there are a couple on realself which look uncanny and one which was totally botched. I can’t seem to access the pics at the moment but one guy looked so ridiculous he had to get them removed after a year.

MSE + Facemask is ideal for moving zygos forward but I didn’t include them here because I’m not sure they’re technically surgery.

Post the photos if you find them, never seen a botched looking result by him on the zygos, only on the jaw I've seen photos where he's made people look like cartoons lmao.
 
zyzz's brother looks like dogshit now what happened to this nigga
 
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finally a good thread, with almost no reactions. Retard site.
 
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Reactions: TheEndHasNoEnd, Warlow and MadTwatter
What about genioplasty? Lower eyelid retraction?
 
Low Risk + Low Reward
Buccal fat removal - other than the results posted here on this site, I’ve been unable to find a single result which shows a significant change to somebody’s face.
View attachment 622706
View attachment 622709

Low risk + High reward
facial fat grafting - relatively inexpensive (mine done for €1300) and I literally couldn’t find a bad result. Like a more realistic, permanent version of fillers that age with your face. Very effective at fixing subhuman hollow eyes.
View attachment 622695
View attachment 622696
fillers - usually look good, depending on the skill of the person giving them, fade significantly after 5 months. Great for tear troughs, chin and jaw. Avoid cheeks and lips.

otoplasty - cheap (can be done for $300 if you’re willing to travel) and it’s difficult to fuck up pinning back somebody’s ears, fixing goofy ears can effectively fix a “subhuman” aesthetic.
View attachment 622668
View attachment 622667

scalp micropigmentation - another one which is difficult to fuck up. I paid €600 and I’ve had tons of compliments about how thick my hair looks.
View attachment 622662
View attachment 622658
hair transplant - among the best ways to looksmax. One of the best decisions I ever made. You can get an A+ hair transplant for €3000 if you’re willing to travel. When used in combination with scalp micropigmentation, it’s the most effective looksmax for the money in my humble opinion.
View attachment 622648
View attachment 622650
LeFort maxillary advancement - considered to be the surgical holy grail for jawcels. 90% of the population’s maxillas are recesses. This is the most effective way to fix and while it’s low risk, it has a ton of drawbacks.
You’re going to have to pay out the ass, you’re probably going to have to travel, it’s unpleasant as fuck to have your face broken and then reconstructed with titanium plates, you’re probably going to have facial nerve damage to some extent. If you can overcome these hurdles, LeFort is your fastest way to Chad status.
View attachment 622640
View attachment 622639

Medium risk + medium reward
crowns/veneers - you can get a custom realistic set of EMAX replacement teeth that last 15+ years in Turkey for €4000~. They can look unrealistic if you get them too white. A very effective treatment if you have very little “teeth show” when smiling. Even though my teeth were white and straight, I was embarrassed by my smile before I got them.
View attachment 622736
View attachment 622721

chin / jaw implants very easy to misjudge what size is needed. A chin wing or mandibuloplasty will give more realistic results but are more at risk of causing permanent nerve damage and cost twice as much. Ideally you should get a custom chin and jaw wraparound from Eppley in Indianapolis but it’s going to cost $20,000. Should be noted that even Eppley has a few terrible results.
View attachment 622740
View attachment 622738

Blepharoplasty - effective as a form of removing the “tired look” from droopy eyes but also removes any hooding. Maybe save this one for when you’re older and the droppyness outweighs the aesthetics of hooding
View attachment 622743
View attachment 622764

High risk + low reward
Cheek implants
- these very rarely look aesthetic and don’t look good with age. They always seem to give a Joan Rivers look. If you really want better zygos, get MSE or fillers.

High risk + High reward
Lip lift
- they generally look good on women but can make men look like phaggots. Worth it if you have little upper lip expose and no teeth exposure when smiling. If it’s botched, you can’t get it revised.
View attachment 622778
View attachment 622785
Rhinoplasty - arguably the most effective surgery for fixing an unaesthetic face. You should always go to a surgeon who sexualises in nose jobs. Also the most easy to recognise as fake. There’s a reason that revision rhinoplasties are so common.
View attachment 622772
Canthoplasty/almond eye - can be god-tier if you’re a bug-eyed goblin but the results are can be inconsistent and uncanny. See Zyzz’s brother. You’re also going to end up paying out the ass to go to Dr Taban in Beverly Hills if you want it done by a specialist.
View attachment 622768
where you see custom infraorbital rim implants
 
Nice, where did you go for the hairtransplant and do you have before/after ?
 
Post the photos if you find them, never seen a botched looking result by him on the zygos, only on the jaw I've seen photos where he's made people look like cartoons lmao.
Found the case
userimage-1d16081d-eee1-4db0-a75e-f1047943ab20.
 
Found the case
userimage-1d16081d-eee1-4db0-a75e-f1047943ab20.

Male-Custom-Infraorbital-Malar-and-Jawline-Implant-results-front-view-Dr-Barry-Eppley-Indianapolis-300x207.jpg

Male-Custom-Infraorbital-Malar-and-Jawline-Implant-results-side-view-Dr-Barry-Eppley-Indianapolis-300x194.jpg

Male-Custom-Infraorbital-and-Jawline-Implant-results-right-oblique-view-Dr-Barry-Eppley-Indianapolis-300x187.jpg


These are his photos 6months post-op, once the swelling finally went down. I wouldn't call his cheekbones botches, certainly not a great result though. His jaw was totally overdone, crazy that he went for so much projection.
 
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Isnt facial fat grafting dangerous?
 
Male-Custom-Infraorbital-Malar-and-Jawline-Implant-results-front-view-Dr-Barry-Eppley-Indianapolis-300x207.jpg

Male-Custom-Infraorbital-Malar-and-Jawline-Implant-results-side-view-Dr-Barry-Eppley-Indianapolis-300x194.jpg

Male-Custom-Infraorbital-and-Jawline-Implant-results-right-oblique-view-Dr-Barry-Eppley-Indianapolis-300x187.jpg


These are his photos 6months post-op, once the swelling finally went down. I wouldn't call his cheekbones botches, certainly not a great result though. His jaw was totally overdone, crazy that he went for so much projection.
Theres a second review on the guy's realself account where he talks about how he went back a year later and got everything removed lol
 
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I've never heard that and can't find a source for it?
I heard moving the grafts to under your eyes, if done incorrectly, can damage them/cause blindness. And it only lasts for 3 years.
Theres a second review on the guy's realself account where he talks about how he went back a year later and got everything removed lol
He looks better with the implants tbh
 
Theres a second review on the guy's realself account where he talks about how he went back a year later and got everything removed lol

Just checked out his implant designs, dude was legit out of his mind. Look how he made his zygos project forward from his infraorbital rims:

Userimage d38bcbbd 922b 429a a8f4 1e377341d10c


Eppley really should've stepped in and told him it wont look good. Saiyan got great results and he didn't make his zygo corners anywhere close to that much forward relative to infraorbital rims, he kept things proportionate but still got very strong cheekbones from it.

Saiyan ct birds eye view
 
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Reactions: MadTwatter
Fucking beautiful, MadTwatter. Golden thread!

Never heard of buccal fat removal. If fat below the jaw count as buccal, I might opt for this.

Never heard of facial fat grafting either. Looks great, if you can remove the baggy eyes naturally.

And SMP if that's basically microblading, that'll fade, then it's low risk and it's something everyone with a full head of hair, that's not super thick, should opt for.
 
Le Fort I is at least medium risk. It's not low risk at all.
 
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Buccal Fat removal is only worth it if you TRULY leaned down to 10-12%

Most people (including me) made/make the mistake of thinking they're close to 12% while in reality they are 16-18 or more.


Rn im 16.5% so pretty hyped to get down to 10-12 ngl
 
Buccal Fat removal is only worth it if you TRULY leaned down to 10-12%

Most people (including me) made/make the mistake of thinking they're close to 12% while in reality they are 16-18 or more.


Rn im 16.5% so pretty hyped to get down to 10-12 ngl
Most people look like Rodeblur when they go 10%

But you should be there atleast once in your life to see if face bloat gets reduced
 
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Most people look like Rodeblur when they go 10%

But you should be there atleast once in your life to see if face bloat gets reduced
Yes. But 16.5 isnt thst good imo, cutting out carbs etc helped a minor amount bloat wise so its mostly fat since i have no visible abs
 

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