some surgeries are scary asf

[menas]

On September 3, 2024 we performed the first subcranial Orbital Box Osteotomy with Tripod Osteotomies, and the 2nd Custom Subcranial Orbital Box Osteotomy.

(The first ever was collaborated with Dr Ercin, designed & assisted by me in Dec 2023. I collaborate with 3 independant surgeons for this procedure but we were the first.)
View attachment 3164165

This thread will focus on the most recent OBO/Tripod Case.

The patient originally approached this service requesting a cosmetic facial bipartition. It was explained this isn't possible as facial bipartitions don't uniformly widen the face but rotate it (widen palate and narrow the orbits.) The patient also had a proposed plan in the USA with another surgeon. The USA OBO price quoted in cosmic's thread is long outdated and included no special modifications, custom guide or fixation system, or custom facial implants. Quote for the plan below, proposed by USA OBO surgeons using a custom system was well over $100,000.00 USD.
View attachment 3164198

I came up with something else which we did for less than half the above cost.
View attachment 3164207View attachment 3164208

Surgeon: Celal Candirli, Istanbul
View attachment 3164155

Designer, Inventor, and Assistant: Liam/Giant (Me)
View attachment 3164178

We planned two combined unicorn surgeries: Cosmetic OBO, and Tripod Osteotomies. Multiple facial implants including Infraorbital-Malar-Zygomatic, Supraorbital-Glabella-Nasion, and Parietal/Temporal Implants were combined for a total aesthetic facial recontouting & head widening effect.
This approach, including the guides necessary to execute it subcranially, was invented by myself with a patent-pending.

The movements were +2mm Lateralization of MOW (Medial Orbital Wall) and +4mm Lateralization of the LOR (Lateral Orbital Wall) per orbit, with Medial Orbital Wall Bone Grafts.

The goal for this segmental OBO plan was to increase the ICD (Intercanthal Distance) by approximately 4mm, IPD (Interpupillary Distance) by 6mm, PFL (Palpebral Fissure Length) by 1-2mm, and bizygomatic width by 12mm (8mm without zygomatic augmentation implants.) The way soft tissue, including the eye movement (IPD change) is a rough expectation since it doesn't follow skeletal movement exactly 1:1.

Orthognathic surgery is a long established field and soft tissue predictions are still not 100% accurate. Cosmetic Orbital Reconstruction is a no man's land so we are still honing in on all that. However I don't believe anyone living today has a better idea than this service given the special interest and exclusive availability of the applied Giant innovations.

This surgery required no oral incisions, simplifying the surgery with only coronal and eyelid incisions.

Patient was discharged to hotel on day 3. No ICU or blood transfusions were necessary. Double vision is expected in the immediate post op period as the brain adjusts to the new pupillary distance and is already nearly self resolved (Post Op Day 8). As of now there is no strabismus. Patient has been able to go outside and walk around since discharge.

So far, enopthalmos is not present. The Orbital Volume gained by the 2mm expansion (tripod osteotomies) was "refilled" with bone grafts in order to lateralize the globe within the orbit to create a greater IPD change than ICD change (Which hopefully stays like that.)

Simply, all the criticisms (including self criticisms) and things I/everyone was afraid could happen - didn't. This is to demonstrate proof of success, not to insinuate we have found a way to forever avoid this complication moving forward. If we do 10 OBOs, a couple of those will probably have minor strabismus in need of correction. Let me be clear. If one absolutely cannot do (take time off, pay for, and recover from) a minor corrective surgery after OBO, then they absolutely cannot get an OBO. Period.

I realize this surgery is not for everyone even if you're objectively a candidate for a little more/ little less IPD/ICD. If hearing about & seeing the reality of this operation helps you decide you don't want it - that's great. I want to be as transparent as possible about the risks, recovery and realistic things the procedure can achieve.

For those who really "need" to alter the IPD/ICD to achieve a better base for facial harmony, and can accept a second stage of more minor and inexpensive surgery can be needed: here is a much safer OBO that exponentially reduces the risk of death by keeping it subcranial (no craniotomy, no brain exposed) and is aesthetically optimized as an aesthetic OBO can be (Glabella contour preserved, 360-degrees, some other minor things I'll keep to myself for now.)

- Do not ask for public Before/Afters. Have some situational awareness.
- I'll be happy to post YOUR OBO/LF2/LF3 before and afters on the forum.
- Most of you trying to bully & manipulate your way into getting public b/a's ("it must be botched then") would have a meltdown if your pics got leaked on the forum.
- You can see before and afters privately if you are a serious candidate for that surgery. Before and Afters are viewable on zoom by vetted candidates only. For example if you are a candidate for bimax but not OBO, we can't show you OBO B/A's on zoom just because you're curious. This is out of respect for patient privacy.
- For me to agree to work on any case surgical/heavy blurred/non-identifying footage/photo release, anonymized skull/scan/design release, non-identifying case details release, and private/vetted b/a display (not circulation), is mandatory. Public B/A release is not mandatory and not surprisingly, 99% of people don't want to. One great b/a I had publicly posted asked to be taken down recently because of how some of you act.

Anonymized Strabismus Demo:



View attachment 3164220View attachment 3164221View attachment 3164222View attachment 3164223View attachment 3164227View attachment 3164230View attachment 3164232View attachment 3164239View attachment 3164216View attachment 3164217

like with lefort one ,bimax, bsso and other stuff they aren't that scary cause they aren't cutting that deep and its meh just maxilla and shit but like with OBO they are literally fucking moving your eyes even thinking about this shit is kind of scary...


@Jonas2k7
@edodalic29
@Gengar
@Zagro

 

[Franco333]

i can't even recognize half of what i'm seeing

 

[isegrim314]

Niggas will do this shit just to get a text back from LTB

 

[Jonas2k7]

 

[Zagro]

i can't even recognize half of what i'm seeing

 

[Snicket]

Niggas will do this shit just to get a text back from LTB

Made me laugh. Sad but true.

 

[menas]

View attachment 3687714

jfl that indian accent...
i would fucking freak out ngl.

also still not as scary...

 

[playxiing]

View attachment 3687714

it was nice

 

[It'snotover]

Niggas will do this shit just to get a text back from LTB

All to be ghosted because oofy doofie number74729101 took action before them. Broootal

 

[trenace450]

Looks like some shit from outlast holy fuck

 

[Snicket]

Looks like some shit from outlast holy fuck

Can't think of anything more scary than being woken up after the coronal incisions have been done.
It's the premise of a saw movie.

 

[alurmo]

yeah thats why i mostly stopped gaf abt looksmaxxing
this shti will force u to believe invasive surgeries like these are necessary for u meanwhile u haven't even fixed ur neurotransmitters yet

 

[Snicket]

yeah thats why i mostly stopped gaf abt looksmaxxing
this shti will force u to believe invasive surgeries like these are necessary for u meanwhile u haven't even fixed ur neurotransmitters yet

If you have an actual problem then that's something at least.
That's what these surgeries were actually designed for after all, to fix failos, not create halos - which is far more difficult.

 

[alurmo]

View attachment 3687714

no women is ever worth months and months of recovery and pain

 

[alurmo]

If you have an actual problem then that's something at least.
That's what these surgeries were actually designed for after all, to fix failos, not create halos - which is far more difficult.

yeah if ur obv deformed and cant softmaxx then yeah

 

[Alias!]

like with lefort one ,bimax, bsso and other stuff they aren't that scary cause they aren't cutting that deep and its meh just maxilla and shit but like with OBO they are literally fucking moving your eyes even thinking about this shit is kind of scary...


@Jonas2k7
@edodalic29
@Gengar
@Zagro

Cutting your face for 1 psl is such a scam

 

[menas]

yeah thats why i mostly stopped gaf abt looksmaxxing
this shti will force u to believe invasive surgeries like these are necessary for u meanwhile u haven't even fixed ur neurotransmitters yet

i would still consider genio,bsso and shit tbh and maybe some implants but i'm not sure but still the surgieries on the upper half of the face are scary asf

no women is ever worth months and months of recovery and pain

i don't think anybody is doing it for women tbh.

 

[unowkn]

like with lefort one ,bimax, bsso and other stuff they aren't that scary cause they aren't cutting that deep and its meh just maxilla and shit but like with OBO they are literally fucking moving your eyes even thinking about this shit is kind of scary...


@Jonas2k7
@edodalic29
@Gengar
@Zagro

Its age restricted my mom doesnt let me watch bad stuff pleeasse stop

 

[Youㅤ]

over for surgerycels

 

[Alias!]

View attachment 3687714

The surgeons have to watch gore right, he didn’t even flinch

 

[Snicket]

i would still consider genio,bsso and shit tbh and maybe some implants but i'm not sure but still the surgieries on the upper half of the face are scary asf

This is what surgeons think too. Cutting from or above the infraorbital nerve is a big no for most.
Risks just don't justify returns - even for surgeons let alone patients.
One law suit of medical negligence and their careers are over.

i don't think anybody is doing it for women tbh.

Some definitely are.

 

[Sicilian Cyclops]

I need that if i ever want to ascend past mtn

 

[Serial Coomer]

The surgeons have to watch gore right, he didn’t even flinch

i mean they watch niggas getting opened irl, not like they have to watch cartel videos

 

[Uehdbwidbfngj]

jfl that indian accent...
i would fucking freak out ngl.

also still not as scary...

Indians are actually smart when it comes to surgery and STEM fields.

 

[Snicket]

I need that if i ever want to ascend past mtn

These surgeries don't make you hot.
At least if they do, it's likely because the patient had a serious failo holding them back.

 

[Alias!]

Its age restricted my mom doesnt let me watch bad stuff pleeasse stop

 

[Sicilian Cyclops]

These surgeries don't make you hot.
At least if they do, it's likely because the patient had a serious failo holding them back.

We'll see if that's true or not if @Ape101 ever posts his fucking results

 

[Snicket]

We'll see if that's true or not if @Ape101 ever posts his results

I've seen the OBO result.

 

[Sicilian Cyclops]

I've seen the OBO result.

his? or someone else's?

 

[Snicket]

his? or someone else?

The one in the blurred out video in the first post by OP. I have seen the actual result.
I don't know if it's the same guy.

 

[Jonas2k7]

View attachment 3687714

Kids got umcomfortable seeing a surgery

@Snicket @chadisbeingmade

 

[shia.jihadist]

like with lefort one ,bimax, bsso and other stuff they aren't that scary cause they aren't cutting that deep and its meh just maxilla and shit but like with OBO they are literally fucking moving your eyes even thinking about this shit is kind of scary...


@Jonas2k7
@edodalic29
@Gengar
@Zagro

over for botched by taban cels

 

[gymceltard]

jfl that indian accent...
i would fucking freak out ngl.

also still not as scary...

When you hear your doctor speaking in an Indian accent you know it's over before the surgery has even began.

 

[silently_said]

even rhino scares me jfl

 

[iblameCopecels]

I will 100% do fatgrafts around the eye but any kind of bone cutting surgery im still not sure

 

[KJ7]

At least the only surgery I need is a LL

 

[gymceltard]

At least the only surgery I need is a LL

Have you watched videos of LL? It's even worse

 

[diditeverbegin]

View attachment 3687714

Wanna see before and after now

 

[kebinGarnett]

Have you watched videos of LL? It's even worse

wtf I thought they chopped his leg off, but seems like it was already missing

 

[zemult]

The one in the blurred out video in the first post by OP. I have seen the actual result.
I don't know if it's the same guy.

What's your truly honest thoughts on the results? Most of the concerns I've had with OBO is that it doesn't ever look natural.

Also the ICD gets completely fucked up sometimes, with CosmicMaxxer his eyes were like 1.5 eyes apart - although he was cyclops pre-op.

 

[KJ7]

Have you watched videos of LL? It's even worse

WTF. The guy was an amputee tho. It can't be that brutal normally.

 

[Swarthy Knight]

> Quote for the plan below, proposed by USA OBO surgeons using a custom system was well over $100,000.00 USD.
View attachment 3164198

I came up with something else which we did for less than half the above cost.
View attachment 3164207View attachment 3164208

Surgeon: Celal Candirli, Istanbul
View attachment 3164155


Brootal ROI

 

[Manchild_v2]

brutal

 

[zemult]

yeah thats why i mostly stopped gaf abt looksmaxxing
this shti will force u to believe invasive surgeries like these are necessary for u meanwhile u haven't even fixed ur neurotransmitters yet

"Neurotransmitters" is mostly cope, the actual reality for most users here is that they're edgy teenagers that don't get enough validation from real life so they're chronically online browsing these spaces - causing them to not actually try to socialize. It is usually a phase that ends within a year.

When it comes to actual ugly or manlet users though, unless you have serious falios that can easily be resolved with these invasive procedures, it is likely over for you.

You either have to come to terms with that truth, or rope. And you will live the remainder of your life thinking about What-Ifs.

 

[psychomandible]

You need obo tbh

 

[Copeamongcopers]

These are so fucking interesting to watch. It doesn’t disgust me. I’m just watching in awe over how far we’ve come, and how this is even possible.

I really want to become a surgeon if I have enough money to support the education

 

[gymceltard]

These are so fucking interesting to watch. It doesn’t disgust me. I’m just watching in awe over how far we’ve come, and how this is even possible.

I really want to become a surgeon if I have enough money to support the education

I wish I could become a plastic surgeon just to botch incels like Taban does.