M
MazeFly
Iron
- Joined
- Sep 14, 2024
- Posts
- 16
- Reputation
- 26
Hi,
I know this might not be the ideal place to ask as I know it's most populated by clueless teenagers, but I suppose the question can not hurt. I've gone through bimax twice (had moderate sleep apnea, main indication was genuinely functional but the aesthetic part was also huge to me), somewhat considering a third, but mostly assuming I won't do that at the moment. The second bimax also included a ZSO. The large-ish maxillary advancement reduced my ogee curve despite the ZSO (4ish mm lateral expansion iirc). I'm considering having the hardware of the second bimax removed, and combining this hardware removal with the installation of a saddled titanium mesh infrarorbital implant, extended to the zygomatic arch to restore the ogee curve, fill out the area below the eyes (I have a slight negative orbital vector) and perhaps, if I feel confident this can actually be done this way, raise the margin of the lower lid a bit.
Firstly, how is the community viewing saddled infras these days? Do you think they can persistently raise lower lid resting margin? This was a very ongoing debate back when I last checked, people kept disagree, some saying they clearly could, others claiming that any results showing that are a result of swelling.
Besides your assessment of its utlity, how safe do you think this is? Feel free to elaborate on complications you know of or anecdotes you heard.
Lastly, I'm concerned this might negatively affect my facial expressiveness in subtle ways that have a large impact on how I'm perceived by people who are attuned to subtle cues. I don't know enough about the anatomy involved to know whether it could alter the way eye muscles behave. I can say that since my 2 bimaxes and ZSO, I have a bit more of a creepy "mister beast" type smile when smiling with teeth. I'm trying to-train myself out of that. I'm not sure why this happened exactly, but my smile looks more strained. My maxilla is a bit too tall right now but I'm trying my best to work with what I have now by whitening my teeth, getting composite resin bonding (maybe veneers in the future) and possibly a bit of gum grafting as well.
I'm looking ideally to have slightly verically more narrow and supported eyes at rest, and am fine if they scrunch up more when smiling, this is seen as cute generally.
The implant would obviously be custom designed and receive approval from various people who are decently knowledgeable on this sort of thing, and I'll do some tissue simulations in pirate surgery software myself.
Anyone have any input on how well-designed, conservative, saddled infra implants may interact subtle expressions of the eyes?
I'm deliberately wanting to avoid direct soft tissue to the eyes, as I consider the risk of an uncanny outcome too high. I look decent-ish, and wouldn't want to end up looking even slightly uncanny as a result of this, especially not when it comes to the eyes, as people project a lot of meaning/intent onto them.
Thanks for any input.
I know this might not be the ideal place to ask as I know it's most populated by clueless teenagers, but I suppose the question can not hurt. I've gone through bimax twice (had moderate sleep apnea, main indication was genuinely functional but the aesthetic part was also huge to me), somewhat considering a third, but mostly assuming I won't do that at the moment. The second bimax also included a ZSO. The large-ish maxillary advancement reduced my ogee curve despite the ZSO (4ish mm lateral expansion iirc). I'm considering having the hardware of the second bimax removed, and combining this hardware removal with the installation of a saddled titanium mesh infrarorbital implant, extended to the zygomatic arch to restore the ogee curve, fill out the area below the eyes (I have a slight negative orbital vector) and perhaps, if I feel confident this can actually be done this way, raise the margin of the lower lid a bit.
Firstly, how is the community viewing saddled infras these days? Do you think they can persistently raise lower lid resting margin? This was a very ongoing debate back when I last checked, people kept disagree, some saying they clearly could, others claiming that any results showing that are a result of swelling.
Besides your assessment of its utlity, how safe do you think this is? Feel free to elaborate on complications you know of or anecdotes you heard.
Lastly, I'm concerned this might negatively affect my facial expressiveness in subtle ways that have a large impact on how I'm perceived by people who are attuned to subtle cues. I don't know enough about the anatomy involved to know whether it could alter the way eye muscles behave. I can say that since my 2 bimaxes and ZSO, I have a bit more of a creepy "mister beast" type smile when smiling with teeth. I'm trying to-train myself out of that. I'm not sure why this happened exactly, but my smile looks more strained. My maxilla is a bit too tall right now but I'm trying my best to work with what I have now by whitening my teeth, getting composite resin bonding (maybe veneers in the future) and possibly a bit of gum grafting as well.
I'm looking ideally to have slightly verically more narrow and supported eyes at rest, and am fine if they scrunch up more when smiling, this is seen as cute generally.
The implant would obviously be custom designed and receive approval from various people who are decently knowledgeable on this sort of thing, and I'll do some tissue simulations in pirate surgery software myself.
Anyone have any input on how well-designed, conservative, saddled infra implants may interact subtle expressions of the eyes?
I'm deliberately wanting to avoid direct soft tissue to the eyes, as I consider the risk of an uncanny outcome too high. I look decent-ish, and wouldn't want to end up looking even slightly uncanny as a result of this, especially not when it comes to the eyes, as people project a lot of meaning/intent onto them.
Thanks for any input.
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