Second consultation with Dr Ramieri scheduled; will discuss a bolder surgical plan

[Acquiescence]

First consult thread:
https://looksmax.org/threads/my-online-preliminary-surgical-consultation-with-dr-ramieri.1457782/

Tl;dr of that: infras + genio combo

However, for the lower third specifically, this plan could result in an overly projected chin

So this next time around, I will ask directly what kind of aesthetic changes incorporating a bimax into to the surgical plan (and possibly jaw angles as well) could yield. Should have done this the first time around ngl, but in the moment I was just curious to see what Ramieri’s unadulterated thoughts were on my case

Wait time is getting brutal, 4 months out from now. But I desperately need that time to wageslave for more funds anyway (only have 20k atm) so not really an issue

If I’m truly going to head down the hardmaxxing path, then I need to be certain I’m doing it right to make all this effort worthwhile

That’s all for now

Tl;dr: might add bimax + jaw angles to the previously decided upon infras + genio surgical plan

 

[LEFORT17]

First consult thread:
https://looksmax.org/threads/my-online-preliminary-surgical-consultation-with-dr-ramieri.1457782/

Tl;dr of that: infras + genio combo

However, for the lower third specifically, this plan could result in an overly projected chin

So this next time around, I will ask directly what kind of aesthetic changes incorporating a bimax into to the surgical plan (and possibly jaw angles as well) could yield. Should have done this the first time around ngl, but in the moment I was just curious to see what Ramieri’s unadulterated thoughts were on my case

Wait time is getting brutal, 4 months out from now. But I desperately need that time to wageslave for more funds anyway (only have 20k atm) so not really an issue

If I’m truly going to head down the hardmaxxing path, then I need to be certain I’m doing it right to make all this effort worthwhile

That’s all for now

Tl;dr: might add bimax + jaw angles to the previously decided upon infras + genio surgical plan

wrap around jaw implant could be an option for you

 

[Acquiescence]

wrap around jaw implant could be an option for you View attachment 3835575

Those tend to look uncanny no?

 

[LEFORT17]

Those tend to look uncanny no?

you want better jaw angles and slight more projection and vertical height. if done correctly this can address all your concerns

 

[tweaqo]

Mirin.

Keep us updated

 

[lurking truecel]

You need a camtho and fat graft aswell, do genio and jaw angles. Bimax is overkill and dumb, waste of money and risky

 

[xevuxia]

Idk why but Ramieri is always wants to over project the chin

 

[xevuxia]

Btw the jaw implants plus chin implant or genio is going to cost around 18 000 eur

 

[newgen/cel]

excited 4 u boyo

 

[xevuxia]

Those tend to look uncanny no?

Ramieri implants not looks that uncanny imo

 

[xevuxia]

Plus how much is a consultation with Ramieri ? 100-150 eur ?

 

[Foreverbrad]

4 months wait just for the consult? Holy shit.

Plus how much is a consultation with Ramieri ? 100-150 eur ?

yes

 

[xevuxia]

4 months wait just for the consult? Holy shit.

Then how long does it take to make a jaw and chin implant ? 1-2 year ?!

 

[chrishell]

Are you having the infra malar implants saddled

 

[SkeetNeet]

It was like a week’s wait for my first consult last year

The wait time for the second online consult this year was around 10 weeks

Making an assumption here, but perhaps patients who are consulting for the first time are given priority over patients who have already consulted

 

[jaymog]

Tl;dr: might add bimax + jaw angles to the previously decided upon infras + genio surgical plan

How is your current gonial projection? If not good, do not expect much change. Mine have always been nonexistent even at 10-12% bodyfat with ab veins. They didn’t change much and I had a 16mm mandible movement with CCW. I’m going to get gonial implants once healed from bimax.

From my research and talks with surgeons, I dont recommend wrap around. Just custom gonial angle implants made of peek or titanium.

 

[Lefor3Laser]

wrap around jaw implant could be an option for you View attachment 3835575

You'll also have to take into consideration many factors as soft tissue, deep mentolabial and overall skeletal structure, not always the case.

But yes, it also depends on the design's size.

 

[iblamemandible7]

Mirin so hard dude keep us updated

 

[Acquiescence]

You need a camtho and fat graft aswell, do genio and jaw angles. Bimax is overkill and dumb, waste of money and risky

I really would rather avoid bimax if possible, but the Ricketts E-plane values might get fucked up afterwards from just genio alone. Maybe lip lift + lip fillers can sufficiently balance out the side profile following genio. Let’s see how this second consult goes first though

 

[lurking truecel]

I really would rather avoid bimax if possible, but the Ricketts E-plane values might get fucked up afterwards from just genio alone. Maybe lip lift + lip fillers can sufficiently balance out the side profile following genio. Let’s see how this second consult goes first though

I mean doing bimax for less then 5 mm is just stupid, and doing surgeries thinking about angles etc is setup for becoming botched or just having bdd for the rest of life. Any surgery will have some kind of complication that will looksmin aswell, so being authstic about it is a setup to be dissatisfied

 

[genes_reroll]

Idk why but Ramieri is always wants to over project the chin

He suggested 8mm genio for me but my chin isnt that recessed at all , i would do 4-5mm max

 

[Acquiescence]

I mean doing bimax for less then 5 mm is just stupid, and doing surgeries thinking about angles etc is setup for becoming botched or just having bdd for the rest of life. Any surgery will have some kind of complication that will looksmin aswell, so being authstic about it is a setup to be dissatisfied

Fair point.

So it’s looking like:

1. Saddled infra-malars, genio, and jaw angles with Ramieri
2. Potentially midface lift to reposition soft tissue and fat pad over infras
3. Potentially drop down supras with Pagnoni
4. Upper / lower eye area fat grafts, lower lid retraction, and cantho
5. Lip lift + lip fillers
6. HT

Early-mid 2026 for step 1

(Also I’d benefit on paper from OBO and LL but JFL @ that pipedream)

 

[lurking truecel]

Fair point.

So it’s looking like:

1. Saddled infra-malars, genio, and jaw angles with Ramieri
2. Potentially midface lift to reposition soft tissue and fat pad over infras
3. Potentially drop down supras with Pagnoni
4. Upper / lower eye area fat grafts, lower lid retraction, and cantho
5. Lift lift + lip fillers
6. HT

Early-mid 2026 for step 1

(Also I’d benefit on paper from OBO and LL but JFL @ that pipedream)

Thats like 60k worth of surgeries, with many who risk complication with will increase cost. And it will be a recovery time that will last 3-5 years total. I think its time to think more efficiently on what procedures you really need and which ones who are just psl authists on this forum recommending. When they dont even know result from half of these. And to be fair have you ever even tried to go low body fat to see your true potential even. You have thick oily skin aswell which makes recovery time for surgeries longer.

You should plan so you can do everything in two surgeries, not plan for 3+, because you want 1 year between the two.

You need to think about time aswell, is it worth wasting 5 years doing surgeries for finally the age pill taking you after you are done with surgeries given that you are not botched in one of them.

 

[lurking truecel]

Fair point.

So it’s looking like:

1. Saddled infra-malars, genio, and jaw angles with Ramieri
2. Potentially midface lift to reposition soft tissue and fat pad over infras
3. Potentially drop down supras with Pagnoni
4. Upper / lower eye area fat grafts, lower lid retraction, and cantho
5. Lip lift + lip fillers
6. HT

Early-mid 2026 for step 1

(Also I’d benefit on paper from OBO and LL but JFL @ that pipedream)

And its over when you fall for @chrishell thread about midface lift and when he shows a dude who didnt even have face lift and say its needed when doing infras. Falling for some Hollywood gay maxing strategy

 

[Acquiescence]

Thats like 60k worth of surgeries, with many who risk complication with will increase cost. And it will be a recovery time that will last 3-5 years total. I think its time to think more efficiently on what procedures you really need and which ones who are just psl authists on this forum recommending. When they dont even know result from half of these. And to be fair have you ever even tried to go low body fat to see your true potential even. You have thick oily skin aswell which makes recovery time for surgeries longer.

You should plan so you can do everything in two surgeries, not plan for 3+, because you want 1 year between the two.

You need to think about time aswell, is it worth wasting 5 years doing surgeries for finally the age pill taking you after you are done with surgeries given that you are not botched in one of them.

Respectfully,

1. Minus the supras, HT, and lip fillers, everything in that list is something you’ve personally recommended to me (either implicitly or explicitly - unless I’ve misinterpreted what you’ve said, in which by all means please correct me):
https://looksmax.org/threads/finall...sion-plan-to-get-to-mtn.1407815/post-20803003

You need lower eyelid tightening if you want the schlera show to be gone. Doing bimax is not worth in your case. Maybe chin and jaw implants, + zygo implants and a lip lift. Paranasal implants could also be a option which should lift the lip little bit without making your nose worse from side and front. And then you can do fat graft.

Maybe it would be possible to do lower eyelid tightening and implants at the same time. Then go back to do the paranasal and fat graft and maybe some midface tight procedure also. This will be a lot more cost effective and less recovery heavy then doing bimax that would do nothing in your case.

You need a camtho and fat graft aswell, do genio and jaw angles. Bimax is overkill and dumb, waste of money and risky

2. This was my peak gymcel physique:

While unfortunately I don’t have a full face pic from that time, you can see (at least to my eye) there really wasn’t all that much change in my apparent facial bone structure. While I’m admittedly not as conditioned now, I’m still fairly lean (fluctuating between 155-160 lbs at 5’10”), and I work manual labor every day for my job

So yes, in my opinion I do need some bone structure augmentation. And according to Ramieri himself, the lower third (specifically, chin and gonion areas) are underrepresented, and the malar region has a negative vector

3. Regarding the overall cost and age pill side of things - it is what it is.

I think combining the infras, genio, and jaw angles all into one op is plenty efficient to start with. Yes, it will take longer and cost more staging everything else out, but I want to do this right and minimize the chances for a botch or uncanny results as best I can. And I think each of these procedures has a reasonable aesthetic ROI and risk-cost profile for my case (and yes I am mentally bracing for the likelihood of a botch anyways, or complications, or necessary revisions etc)

Regardless, if you have specific recommendations as to what procedures I can better group together, I’m all ears

Also, to my mind, it’s already over and always has been. The name of the game now is damage control. I’ve already missed out on my best years, no need to rush and fuck up the rest

My life as it currently is, post academia, is literally just wageslaving and coping with hobbies and irl brocels / family. And that’s all it’s going to be ad infinitum. I don’t want to get married or have kids, don’t really have any strong goals atp beyond surgery, eventual retirement, and enjoying the ride as best I can. So I don’t see this surgery journey as wasting time and money if all I’m missing out on moving forward is more of the same ol’ same ol’

4.

And its over when you fall for @chrishell thread about midface lift and when he shows a dude who didnt even have face lift and say its needed when doing infras. Falling for some Hollywood gay maxing strategy

That’s why I have potentially under that bracket. Need to see how soft tissue reacts first ofc

Never claimed to be high IQ, or NT for that matter. There’s a reason why I’m here

 

[lurking truecel]

Respectfully,

1. Minus the supras, HT, and lip fillers, everything in that list is something you’ve personally recommended to me (either implicitly or explicitly - unless I’ve misinterpreted what you’ve said, in which by all means please correct me):
https://looksmax.org/threads/finall...sion-plan-to-get-to-mtn.1407815/post-20803003



2. This was my peak gymcel physique:
View attachment 3837967

While unfortunately I don’t have a full face pic from that time, you can see (at least to my eye) there really wasn’t all that much change in my apparent facial bone structure. While I’m admittedly not as conditioned now, I’m still fairly lean (fluctuating between 155-160 lbs at 5’10”), and I work manual labor every day for my job

So yes, in my opinion I do need some bone structure augmentation. And according to Ramieri himself, the lower third (specifically, chin and gonion areas) are underrepresented, and the malar region has a negative vector

3. Regarding the overall cost and age pill side of things - it is what it is.

I think combining the infras, genio, and jaw angles all into one op is plenty efficient to start with. Yes, it will take longer and cost more staging everything else out, but I want to do this right and minimize the chances for a botch or uncanny results as best I can. And I think each of these procedures has a reasonable aesthetic ROI and risk-cost profile for my case (and yes I am mentally bracing for the likelihood of a botch anyways, or complications, or necessary revisions etc)

Regardless, if you have specific recommendations as to what procedures I can better group together, I’m all ears

Also, to my mind, it’s already over and always has been. The name of the game now is damage control. I’ve already missed out on my best years, no need to rush and fuck up the rest

My life as it currently is, post academia, is literally just wageslaving and coping with hobbies and irl brocels / family. And that’s all it’s going to be ad infinitum. I don’t want to get married or have kids, don’t really have any strong goals atp beyond surgery, eventual retirement, and enjoying the ride as best I can. So I don’t see this surgery journey as wasting time and money if all I’m missing out on moving forward is more of the same ol’ same ol’

4.


That’s why I have potentially under that bracket. Need to see how soft tissue reacts first ofc

Never claimed to be high IQ, or NT for that matter. There’s a reason why I’m here

Damn so its my fault haha, nah for real. The thing is when its comes down to practically doing surgeries. You should allways see what the potential surgeries is you can get with specific surgeon. In your case its a surgeon focused on bone which is ramieri, he also works with someone who can do lip lift in the same surgery. So this is something you should look into. Then you need a occulplastic surgeon for fat graft and cantho around eyes. Then you should be done.

Ht and laser etc is a bit more chill even if its more money

Bone surgery, infra, etc is probably like 20-30 k at most

The other one should be like 10-15 at most

 

[kingofkings]

nFirst consult thread:
https://looksmax.org/threads/my-online-preliminary-surgical-consultation-with-dr-ramieri.1457782/

My brother in christ, you need to get this crazy bimax idea out of your head and never let it return.

You need to focus all your energy into ascending your eye area which is your biggest problem by far. You need the works though - fat grafting, saddled infras, retraction of lower lids and a cantho. Some might say supras as well but I would hold off on that and see how all of those look first.

That said, there's obstacles preventing an insane ascension no matter how many procedures you pursue. The current intercanthal distance relative to your skull shape is a failo, as is the natural morphology of your lips which can't be substantially altered by fillers, just to name 2.

 

[Acquiescence]

Just want to say thanks to everyone who gave valuable input to this thread. I believe I now have a much clearer picture of the surgical path ahead

Just gotta keep grinding it out at work now to build up some more funds. Will post another debrief thread once I’ve had my second consult in 4 months. Godspeed

 

[FlotPSL]

Good luck