monecel
Also known as morphcel
- Joined
- Dec 14, 2023
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This is my current surgery plan.
The aim is to increase my bigonial width, decrease ESR, increase palate width, increase jaw width, increase gonial flaring, fix my deep bite, advance maxilla and mandible, advance chin, increase chin width, increase ramus height, slightly increase mouth width, decrease scleral show, slightly increase canthal tilt, accentuate cheekbones slightly, decrease teeth crowding.
To do this, this is the current surgery list. This is a real plan and not some hypotheticals based on random surgeries I found. These will directly address the issues I have and fix my facial flaws. It is also partly functional (will improve breathing/bite) but mostly aesthetic.
For the split genioplasty the idea is to make my chin width closer to my mouth width. Because I would be getting MSDO at the same time then my chin width would increase anyways but I'd still want advancement so it would be a 2-in-1 contribution to chin width. Because I have a short lower third I may also want about 2-4mm of downwards movement.
The multi-segment lefort is a way to expand the palate without increasing nasal width like MSE does. My alar base is already about 1.1-1.2x my ICD which is not ideal and MSE is less targeted anyways. If I'm getting a lefort it makes sense to also get a segmented version as I can have more posterior expansion leading to more teeth show and an ideal palate shape rather than a squared off one which MSE does.
Recovery for this seems brutal but I've got some plans for that. Typical peptides like BPC157, TB500 etc. definitely, however I'm also looking into running potent osteogenic compounds (to speed up new bone growth/repair), nerve regeneration peptides (6 piece mandible/3 piece maxilla seems like nerve hell), antibacterial/anti-infection compounds (mainly to avoid any issues with the PEEK implants) & whatever other therapies to speed up recovery I can do. I'd also have a lot of inflammation so it would need to be managed so I don't have too much downtime.
This plan would make practically all of my features inside the ideal range and would ascend me by a large amount. I'll do some consultations with surgeons and I need to get facial scans to make a proper analysis of my flaws but fixing my jaw + the implants would make it so all features are good or higher in individual features and they would have much better harmony than before. The only thing this would not address would be my less than ideal radix-supraorbital angle but that can be fixed in other ways and potentially with PCL thread spam. Supra implants also require a seperate entry which would be too much for one surgery. I don't think it matters that much compared to fixing the other features tbh.
I've been thinking about how I will play off the difference with people I already know, the thing is it will be hard to not notice, but I could say "I fixed my jaw and went to a proper orthadontist" which is true but obviously that makes it seem like a purely functional change vs the obvious aesthetic ideals. Luckily (or kind of ironically), I don't know that many people and I'm not that outgoing at this point IRL. Partly because I'm kind of retarded and also super into interests nobody else is. The upside to this however is that new social interactions won't see the change and I will be percieved as-is for my looks.
This may seem cope but I am genuinely not that attached to my own looks. I think the best genetics should proliferate more and the more you "hack" your appearance/physiology the less genuine you may be. However you can't deny the influence appearance has on how others treat you and also how directly they let you address their mind. It's a very powerful thing if you want to influence people. This is my main reasoning other than functionality.
Here are some images to better display the surgeries and their functions.
^ 3-Piece (Multi Segment) Lefort I.
As you can see in the image there is more posterior expansion than anterior expansion which is the ideal. This increases teeth show (currently I have a 6-tooth smile) and also increases palate width and airway width. The only issue is that if you do this alone then you lower teeth won't line up right and you will have a weird bite.
MSE creates ogres because it expands the anterior and posterior the same amount, creating a square-shaped palate. An example:
^ This guy really needed a lefort with posterior expansion and advancement to fix the gum show/maxillary recession.
This image below is actually quite similar to what I'd be getting excluding the supraorbital implants (and also the implants would be PEEK rather than titanium as shown below) and adding the MSDO and vertical maxillary osteotomies:
For the 3/4 profile I want my zygomatic contours to look natural so I only want to increase zygo vertical height slightly and the depth increase won't be huge.
^ Here is what a sliding split genioplasty looks like. The reasoning for this over chin implants is because the muscles attached to the hyoid are attached to the back of the chin meaning if you create an osteotomy and advance it instead of using an implant, it will tighten your submental more than an implant would.
Any thoughts on the plan is appreciated.
The aim is to increase my bigonial width, decrease ESR, increase palate width, increase jaw width, increase gonial flaring, fix my deep bite, advance maxilla and mandible, advance chin, increase chin width, increase ramus height, slightly increase mouth width, decrease scleral show, slightly increase canthal tilt, accentuate cheekbones slightly, decrease teeth crowding.
To do this, this is the current surgery list. This is a real plan and not some hypotheticals based on random surgeries I found. These will directly address the issues I have and fix my facial flaws. It is also partly functional (will improve breathing/bite) but mostly aesthetic.
- BSSO
- MSDO
- 3-Piece Segmented Lefort I (with CCW)
- Sliding Split Genioplasty
- Custom PEEK/Titanium Jaw Angle Implants
- Saddled PEEK Infraorbital/Malar Implants
For the split genioplasty the idea is to make my chin width closer to my mouth width. Because I would be getting MSDO at the same time then my chin width would increase anyways but I'd still want advancement so it would be a 2-in-1 contribution to chin width. Because I have a short lower third I may also want about 2-4mm of downwards movement.
The multi-segment lefort is a way to expand the palate without increasing nasal width like MSE does. My alar base is already about 1.1-1.2x my ICD which is not ideal and MSE is less targeted anyways. If I'm getting a lefort it makes sense to also get a segmented version as I can have more posterior expansion leading to more teeth show and an ideal palate shape rather than a squared off one which MSE does.
Recovery for this seems brutal but I've got some plans for that. Typical peptides like BPC157, TB500 etc. definitely, however I'm also looking into running potent osteogenic compounds (to speed up new bone growth/repair), nerve regeneration peptides (6 piece mandible/3 piece maxilla seems like nerve hell), antibacterial/anti-infection compounds (mainly to avoid any issues with the PEEK implants) & whatever other therapies to speed up recovery I can do. I'd also have a lot of inflammation so it would need to be managed so I don't have too much downtime.
This plan would make practically all of my features inside the ideal range and would ascend me by a large amount. I'll do some consultations with surgeons and I need to get facial scans to make a proper analysis of my flaws but fixing my jaw + the implants would make it so all features are good or higher in individual features and they would have much better harmony than before. The only thing this would not address would be my less than ideal radix-supraorbital angle but that can be fixed in other ways and potentially with PCL thread spam. Supra implants also require a seperate entry which would be too much for one surgery. I don't think it matters that much compared to fixing the other features tbh.
I've been thinking about how I will play off the difference with people I already know, the thing is it will be hard to not notice, but I could say "I fixed my jaw and went to a proper orthadontist" which is true but obviously that makes it seem like a purely functional change vs the obvious aesthetic ideals. Luckily (or kind of ironically), I don't know that many people and I'm not that outgoing at this point IRL. Partly because I'm kind of retarded and also super into interests nobody else is. The upside to this however is that new social interactions won't see the change and I will be percieved as-is for my looks.
This may seem cope but I am genuinely not that attached to my own looks. I think the best genetics should proliferate more and the more you "hack" your appearance/physiology the less genuine you may be. However you can't deny the influence appearance has on how others treat you and also how directly they let you address their mind. It's a very powerful thing if you want to influence people. This is my main reasoning other than functionality.
Here are some images to better display the surgeries and their functions.
^ 3-Piece (Multi Segment) Lefort I.
As you can see in the image there is more posterior expansion than anterior expansion which is the ideal. This increases teeth show (currently I have a 6-tooth smile) and also increases palate width and airway width. The only issue is that if you do this alone then you lower teeth won't line up right and you will have a weird bite.
MSE creates ogres because it expands the anterior and posterior the same amount, creating a square-shaped palate. An example:
^ This guy really needed a lefort with posterior expansion and advancement to fix the gum show/maxillary recession.
This image below is actually quite similar to what I'd be getting excluding the supraorbital implants (and also the implants would be PEEK rather than titanium as shown below) and adding the MSDO and vertical maxillary osteotomies:
For the 3/4 profile I want my zygomatic contours to look natural so I only want to increase zygo vertical height slightly and the depth increase won't be huge.
^ Here is what a sliding split genioplasty looks like. The reasoning for this over chin implants is because the muscles attached to the hyoid are attached to the back of the chin meaning if you create an osteotomy and advance it instead of using an implant, it will tighten your submental more than an implant would.
Any thoughts on the plan is appreciated.
