Surgery Update Feb 2026

Acquiescence

Acquiescence

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- Embarrassing that I’ve flip flopped on this so many times, but as of now I once again believe getting surgery through Giant Implants is not feasible, so I’m going back to Dr Ramieri

- Had a consult with Ram back in May 2025. Conclusion was that he recommended genioplasty (advancement and downgrafting, but I’ll also be asking about the potential for incorporating widening and mentolabial fold smoothing) with custom saddled infra-malar implants

- Just scheduled a consult to move the process forward for refining surgical planning details and scheduling a surgery date. 4 month wait time from now, early June is date for that consult

- Will hopefully get a surgery date in before the end of the year. Will share results here

- Cost estimate as of last year for these procedures combined was ~18k USD

- I’ll be risking my career by taking the time off for this surgery, but I’m going to be 25 this year, the clock is ticking and I can’t keep putting this off. I have the funds now so all that’s left is getting over the mental block

- Future feasible procedures still on the docket to get after this: cantho, orbital fat grafts, lip lift, HT, and maybe rhino and jaw angles. Not sure on the timeline for those yet or how / if I could consolidate them into more concentrated ops

No I won’t magically become Chad but I gotta try something
 
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what is your current rating and height?
 
- Embarrassing that I’ve flip flopped on this so many times, but as of now I once again believe getting surgery through Giant Implants is not feasible, so I’m going back to Dr Ramieri

- Had a consult with Ram back in May 2025. Conclusion was that he recommended genioplasty (advancement and downgrafting, but I’ll also be asking about the potential for incorporating widening and mentolabial fold smoothing) with custom saddled infra-malar implants

- Just scheduled a consult to move the process forward for refining surgical planning details and scheduling a surgery date. 4 month wait time from now, early June is date for that consult

- Will hopefully get a surgery date in before the end of the year. Will share results here

- Cost estimate as of last year for these procedures combined was ~18k USD

- I’ll be risking my career by taking the time off for this surgery, but I’m going to be 25 this year, the clock is ticking and I can’t keep putting this off. I have the funds now so all that’s left is getting over the mental block

- Future feasible procedures still on the docket to get after this: cantho, orbital fat grafts, lip lift, HT, and maybe rhino and jaw angles. Not sure on the timeline for those yet or how / if I could consolidate them into more concentrated ops

No I won’t magically become Chad but I gotta try something
Glad to see you actually came to a more realistic approach on surgeries, trust me, even 1 small procedure like genioplasty can make a huge difference, wish you luck on your journey!

And on your future surgeries, wait and see the results of the one's you'll be doing.
 
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- Embarrassing that I’ve flip flopped on this so many times, but as of now I once again believe getting surgery through Giant Implants is not feasible, so I’m going back to Dr Ramieri

- Had a consult with Ram back in May 2025. Conclusion was that he recommended genioplasty (advancement and downgrafting, but I’ll also be asking about the potential for incorporating widening and mentolabial fold smoothing) with custom saddled infra-malar implants

- Just scheduled a consult to move the process forward for refining surgical planning details and scheduling a surgery date. 4 month wait time from now, early June is date for that consult

- Will hopefully get a surgery date in before the end of the year. Will share results here

- Cost estimate as of last year for these procedures combined was ~18k USD

- I’ll be risking my career by taking the time off for this surgery, but I’m going to be 25 this year, the clock is ticking and I can’t keep putting this off. I have the funds now so all that’s left is getting over the mental block

- Future feasible procedures still on the docket to get after this: cantho, orbital fat grafts, lip lift, HT, and maybe rhino and jaw angles. Not sure on the timeline for those yet or how / if I could consolidate them into more concentrated ops

No I won’t magically become Chad but I gotta try something
Similar mindset with me turning 24 this year. Still need upper midface/submalar work, like btween the cheekbones and nose. Even htn is not enough, forget it below chadlite+ tbh. Youth are the only yrs that matter so we have to do as much as we can asap to ascend as hard as possible and not have regrets. And it isn't like the age of peak female attractiveness is rising along with our ages, fuck no, it will always be the same, so that gap is widening and best case is being like Amnesia but worst case ascending late and being cut off from the girls who are even worth ascending for
 
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Similar mindset with me turning 24 this year. Still need upper midface/submalar work, like btween the cheekbones and nose. Even htn is not enough, forget it below chadlite+ tbh. Youth are the only yrs that matter so we have to do as much as we can asap to ascend as hard as possible and not have regrets. And it isn't like the age of peak female attractiveness is rising along with our ages, fuck no, it will always be the same, so that gap is widening and best case is being like Amnesia but worst case ascending late and being cut off from the girls who are even worth ascending for
Okay you are a more reasonable user than I first thought I will admit
 
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No longer enjoying hobbies like mainly constant reading and intellecual arc when I could be spending more time on PT job to stack more money for hardmaxxes. Tf is the point of free time, or doing what you "enjoy", when you could be driving yourself closer to a better life? It is just impossible to really care about or prioritize other things rn
 
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Okay you are a more reasonable user than I first thought I will admit
I have my struggles and it's not been a really enjoyable life once exiting bluepilled childhood days
Doing my best in life
Not trying to grift, but at least as for bonesmashing I think we have enough running this to either prove or disprove it before long, per se
 
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No longer enjoying hobbies like mainly constant reading and intellecual arc when I could be spending more time on PT job to stack more money for hardmaxxes. Tf is the point of free time, or doing what you "enjoy", when you could be driving yourself closer to a better life? It is just impossible to really care about or prioritize other things rn
Yea agreed generally although I definitely have a burn out limit when it comes to working more hours, so I make sure to keep my weekends clear to rest and recover (especially important for blue collar work like I do) and I still make some effort to do my copes / hobbies although yes they are not always enjoyable and I feel the boot of Father Time on my neck to ascend
 
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Not trying to grift, but at least as for bonesmashing I think we have enough running this to either prove or disprove it before long, per se
I have my doubts of course but let me say this: I would LOVE to not have to be stuck going down the surgery rabbit hole. The time sink, financial drain, and social rep tarnishing is colossal and it’s always preferable to avoid it (but sadly unless already GL I don’t believe it’s avoidable)
 
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Yea agreed generally although I definitely have a burn out limit when it comes to working more hours, so I make sure to keep my weekends clear to rest and recover (especially important for blue collar work like I do) and I still make some effort to do my copes / hobbies although yes they are not always enjoyable and I feel the boot of Father Time on my neck to ascend
Yeah, makes sense
It is brutal when you have missed out on enough core memories of teen years onwards that will not be recovered etc.
And then we all exist because 2 ppl decide to reproduce for their self-satisfaction in life, for their enjoyment, which is why any of us go thru any of these situations and is the most monstrous thing imaginable
 
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I have my doubts of course but let me say this: I would LOVE to not have to be stuck going down the surgery rabbit hole. The time sink, financial drain, and social rep tarnishing is colossal and it’s always preferable to avoid it (but sadly unless already GL I don’t believe it’s avoidable)
I mean yeah I am still getting it
defo depends on what things, like can you fraud a little forward growth with front of chin via maybe hammer or just filler sure, but it is not bimax
if someone was doing cheekbone work that is something I'd say if it isn't desperate there's no loss in testing the hammer for a while to see since they wouldn't lose during this. Well if they got some results and then stopped for some reason, the base of presumably scar tissue deposited there may cause unexpected issues when surgeon tries to implant or inject there and doesnt realize what is going on, etc
 
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all goes well :Salamiheart:
 
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Similar mindset with me turning 24 this year. Still need upper midface/submalar work, like btween the cheekbones and nose. Even htn is not enough, forget it below chadlite+ tbh. Youth are the only yrs that matter so we have to do as much as we can asap to ascend as hard as possible and not have regrets.
Tf is the point of free time, or doing what you "enjoy", when you could be driving yourself closer to a better life? It is just impossible to really care about or prioritize other things rn
It is brutal when you have missed out on enough core memories of teen years onwards that will not be recovered etc.
man these replies are relatable asf

I turned 20 recently and it just hit me like a truck that I’m not a teenager anymore and I’m running out of time.

I physically cannot enjoy doing anything that isn’t some form of self improvement I.e improving looks and making money.

Sometimes I wonder if I’m too extreme (in that I’m not out “enjoying myself” enough) but what is there to enjoy if you don’t feel good or satisfied about yourself and your situation in life.

Normies seem to be good at coping with the fact that they’re mediocre (or even below that) and can still enjoy their life but I just can’t seem to do that.
 
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man these replies are relatable asf

I turned 20 recently and it just hit me like a truck that I’m not a teenager anymore and I’m running out of time.

I physically cannot enjoy doing anything that isn’t some form of self improvement I.e improving looks and making money.

Sometimes I wonder if I’m too extreme (in that I’m not out “enjoying myself” enough) but what is there to enjoy if you don’t feel good or satisfied about yourself and your situation in life.

Normies seem to be good at coping with the fact that they’re mediocre (or even below that) and can still enjoy their life but I just can’t seem to do that.
same here at 18 though luckily my procedures are more for lower 3rd than eye area or midface which is such a blessing. Imo it's not extreme to feel unsatisfied about where you are. It should just push you to become better.
 
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man these replies are relatable asf

I turned 20 recently and it just hit me like a truck that I’m not a teenager anymore and I’m running out of time.

I physically cannot enjoy doing anything that isn’t some form of self improvement I.e improving looks and making money.

Sometimes I wonder if I’m too extreme (in that I’m not out “enjoying myself” enough) but what is there to enjoy if you don’t feel good or satisfied about yourself and your situation in life.

Normies seem to be good at coping with the fact that they’re mediocre (or even below that) and can still enjoy their life but I just can’t seem to do that.
I still think you should do something fun during the years of grind tbh because there are no guarantees and it’d be brutal to look back and not have a single positive memory or activity to reminisce on after failing to achieve one’s goals and ending up in the exact same spot anyways

But yea there’s a high degree of sacrifice required too, even for just a mere chance of meaningful improvement, no easy way out
 
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I still think you should do something fun during the years of grind tbh because there are no guarantees and it’d be brutal to look back and not have a single positive memory or activity to reminisce on after failing to achieve one’s goals and ending up in the exact same spot anyways

But yea there’s a high degree of sacrifice required too, even for just a mere chance of meaningful improvement, no easy way out
ehh fair but it's not enjoyable for me once you know the true reality of whats happening before it was chill but now I know why certain things happen so I would rather work on myself and then come back after. I guess if I was like you pushing 30 it would be different no diss but yea
 
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man these replies are relatable asf

I turned 20 recently and it just hit me like a truck that I’m not a teenager anymore and I’m running out of time.

I physically cannot enjoy doing anything that isn’t some form of self improvement I.e improving looks and making money.

Sometimes I wonder if I’m too extreme (in that I’m not out “enjoying myself” enough) but what is there to enjoy if you don’t feel good or satisfied about yourself and your situation in life.

Normies seem to be good at coping with the fact that they’re mediocre (or even below that) and can still enjoy their life but I just can’t seem to do that.
@snowslayer @Acquiescence @CheeseTouch Yeah I think this has been the major value of the forum to me over time and across my multiple accounts over the years even tho I’ve learned some good maxxes things as well:

Being able to come across those in similar shoes with similar low grade agony over knowing how much better life could be and what was missed out on, knowing the brutality of how the favorable treatment and relations with others are based entirely on if dopamine/serotonin are spiked in then in our presence, which is purely mechanical and impersonal and self-seeking. Oh and this person or girl is has “depth” because they enjoy people with great personalities, when this still just means “I want to be around people who cause the most enjoyable chemical releases in my brain”

To be treated as worthless, to know you have no chance before a word is even spoken potentially

Since people this relatable and aware aren’t findable IRL etc

Acq isn’t wrong about saying to do some fun things and yet See isn’t wrong for only wanting to do improvement related things. Again this is autobiographical: “I still enjoy these hobbies”, vs “I don’t get dopamine from these things knowing these areas need to improve”; just depends what fits one’s psyche. So there is never of course a “correct” “balance”, whatever this would mean; normies criticizing your ratios of types of activities are saying “I wouldn’t personally want to live in this way, so I’m just going to call it wrong” lol, not seeing the subjectivity

And I completely get the feeling of not being able to enjoy anything knowing you aren’t good looking enough for the girls you want or to have much social power; would be like trying to enjoy the day with a 50lb existential weight vest or sm

Normies definitely are often content in the same way that it doesn’t agonize the average person that they aren’t a millionaire: since if something never seems like a possibility then your mind isn’t wasting energy longing for it for no reason perhaps. Their subconscious definitely blocks them from being wrecked over how in this one life their mid tier aging woman is not a beautiful muse tier psl goddess and so on. But for those of us smart enough to know we can cut against the grain of life via looks improvement no matter what it takes, from hardmaxxes to medium maxxes like Botox or filler to at home things like hitting an area with a hammer 3x a day to keep it constantly pumped to stimulate a scar tissue accumulation response over weeks and months, since our horizons are opened we are no longer contented, since contentment keeps one where one is but it is the urgency of goal unfulfilled that spurs us on
 
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I guess if I was like you pushing 30
Frustrated World Cup GIF
 
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@snowslayer @Acquiescence @CheeseTouch Yeah I think this has been the major value of the forum to me over time and across my multiple accounts over the years even tho I’ve learned some good maxxes things as well:

Being able to come across those in similar shoes with similar low grade agony over knowing how much better life could be and what was missed out on, knowing the brutality of how the favorable treatment and relations with others are based entirely on if dopamine/serotonin are spiked in then in our presence, which is purely mechanical and impersonal and self-seeking. Oh and this person or girl is has “depth” because they enjoy people with great personalities, when this still just means “I want to be around people who cause the most enjoyable chemical releases in my brain”

To be treated as worthless, to know you have no chance before a word is even spoken potentially

Since people this relatable and aware aren’t findable IRL etc

Acq isn’t wrong about saying to do some fun things and yet See isn’t wrong for only wanting to do improvement related things. Again this is autobiographical: “I still enjoy these hobbies”, vs “I don’t get dopamine from these things knowing these areas need to improve”; just depends what fits one’s psyche. So there is never of course a “correct” “balance”, whatever this would mean; normies criticizing your ratios of types of activities are saying “I wouldn’t personally want to live in this way, so I’m just going to call it wrong” lol, not seeing the subjectivity

And I completely get the feeling of not being able to enjoy anything knowing you aren’t good looking enough for the girls you want or to have much social power; would be like trying to enjoy the day with a 50lb existential weight vest or sm

Normies definitely are often content in the same way that it doesn’t agonize the average person that they aren’t a millionaire: since if something never seems like a possibility then your mind isn’t wasting energy longing for it for no reason perhaps. Their subconscious definitely blocks them from being wrecked over how in this one life their mid tier aging woman is not a beautiful muse tier psl goddess and so on. But for those of us smart enough to know we can cut against the grain of life via looks improvement no matter what it takes, from hardmaxxes to medium maxxes like Botox or filler to at home things like hitting an area with a hammer 3x a day to keep it constantly pumped to stimulate a scar tissue accumulation response over weeks and months, since our horizons are opened we are no longer contented, since contentment keeps one where one is but it is the urgency of goal unfulfilled that spurs us on
tbh i haven't thought about it that deeply it's more simple thinking of. Yea I know my looks are hindering me from getting respect from this person at work, this girl at school, a group of friends/people irl. What can I can do right now nothing so just keep working on myself and developing as a person to be ready to come back, looks aren't the only parts of looksmaxxing if you are attractive w low iq it's almost worthless you have to be socially charismatic, smart, be able to have knowledge about lots of things, you have to be mentally attractive as much as physically so you can work on that in the mean time. It's also different being 18 compared to being in 20s but I know if I do these things right now I'm setting myself up for a much better road ahead of me.
 
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man these replies are relatable asf

I turned 20 recently and it just hit me like a truck that I’m not a teenager anymore and I’m running out of time.

I physically cannot enjoy doing anything that isn’t some form of self improvement I.e improving looks and making money.

Sometimes I wonder if I’m too extreme (in that I’m not out “enjoying myself” enough) but what is there to enjoy if you don’t feel good or satisfied about yourself and your situation in life.

Normies seem to be good at coping with the fact that they’re mediocre (or even below that) and can still enjoy their life but I just can’t seem to do that.
holy shit ur in my exact situation bro I feel u completely just turned 20 and also feel like I'm running out of time and its asif I cant enjoy anything anymore with those facts on my mind due to barely any satisfaction. I swear bro I just cannot bullshit myself and cope rn.
 
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C
@snowslayer @Acquiescence @CheeseTouch Yeah I think this has been the major value of the forum to me over time and across my multiple accounts over the years even tho I’ve learned some good maxxes things as well:

Being able to come across those in similar shoes with similar low grade agony over knowing how much better life could be and what was missed out on, knowing the brutality of how the favorable treatment and relations with others are based entirely on if dopamine/serotonin are spiked in then in our presence, which is purely mechanical and impersonal and self-seeking. Oh and this person or girl is has “depth” because they enjoy people with great personalities, when this still just means “I want to be around people who cause the most enjoyable chemical releases in my brain”

To be treated as worthless, to know you have no chance before a word is even spoken potentially

Since people this relatable and aware aren’t findable IRL etc

Acq isn’t wrong about saying to do some fun things and yet See isn’t wrong for only wanting to do improvement related things. Again this is autobiographical: “I still enjoy these hobbies”, vs “I don’t get dopamine from these things knowing these areas need to improve”; just depends what fits one’s psyche. So there is never of course a “correct” “balance”, whatever this would mean; normies criticizing your ratios of types of activities are saying “I wouldn’t personally want to live in this way, so I’m just going to call it wrong” lol, not seeing the subjectivity

And I completely get the feeling of not being able to enjoy anything knowing you aren’t good looking enough for the girls you want or to have much social power; would be like trying to enjoy the day with a 50lb existential weight vest or sm

Normies definitely are often content in the same way that it doesn’t agonize the average person that they aren’t a millionaire: since if something never seems like a possibility then your mind isn’t wasting energy longing for it for no reason perhaps. Their subconscious definitely blocks them from being wrecked over how in this one life their mid tier aging woman is not a beautiful muse tier psl goddess and so on. But for those of us smart enough to know we can cut against the grain of life via looks improvement no matter what it takes, from hardmaxxes to medium maxxes like Botox or filler to at home things like hitting an area with a hammer 3x a day to keep it constantly pumped to stimulate a scar tissue accumulation response over weeks and months, since our horizons are opened we are no longer contented, since contentment keeps one where one is but it is the urgency of goal unfulfilled that spurs us on
Completely agreed bro couldnt have said it better myself, its exactly like an existential weight vest on your mind, and it can feel so painful at times. Imagine the feeling of jubilation you'll get once the shits acc done tho, holy shit I might just bust.
 
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holy shit ur in my exact situation bro I feel u completely just turned 20 and also feel like I'm running out of time and its asif I cant enjoy anything anymore with those facts on my mind due to barely any satisfaction. I swear bro I just cannot bullshit myself and cope rn.
fell better about yourself man. Simply having a goal in your mind, and working towards it is enough for your age.
 
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fell better about yourself man. Simply having a goal in your mind, and working towards it is enough for your age.
I have the money and everything Im just stuck tbh waiting for family to travel to turkey and get everything hooked up and done rn. The wait is killing me way harder than the grind that I went through bf yk
 
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I have the money and everything Im just stuck tbh waiting for family to travel to turkey and get everything hooked up and done rn. The wait is killing me way harder than the grind that I went through bf yk
do you have a thread dedicated to your plan? Id love to read
 
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do you have a thread dedicated to your plan? Id love to read
i dont have the scans yet im getting them in a couple weeks when I touch down in turkey but im planning a bimax, with inframalar implants, a ht (probably a forehead reduction surgery cause I dont want to waste too many grafts first) a rhino and maybe a liplift and canthopexy. Then im planning to get co2 fractional lasering. Hoping to get to atleast htn with all of these and softmaxes
 
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i dont have the scans yet im getting them in a couple weeks when I touch down in turkey but im planning a bimax, with inframalar implants, a ht (probably a forehead reduction surgery cause I dont want to waste too many grafts first) a rhino and maybe a liplift and canthopexy. Then im planning to get co2 fractional lasering. Hoping to get to atleast htn with all of these and softmaxes
exactly my plan too wtf, ty for being a guinea pig for me
 
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exactly my plan too wtf, ty for being a guinea pig for me
lmao hopefully it all goes well though, chances are it does but you never know hopefully not tho
 
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lmao hopefully it all goes well though, chances are it does but you never know hopefully not tho
its not as unforeseen as you think it is man. Just be intelligent and realistic when it comes to your planning, and obviously dont cheap out.
Lot of talk from somone who didnt even get his scans done yet :trepidation: but hopefully i come out alive too
 
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Then im planning to get co2 fractional lasering
I could do with this tbh.

I've got loads of random acne scars, freckles, moles, fine lines between eyebrows, smile lines etc.

No amount of ghkcu, retinol coping is really going to work and i can't be bothered to go through the whole tret process.
 
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I could do with this tbh.

I've got loads of random acne scars, freckles, moles, fine lines between eyebrows, smile lines etc.

No amount of ghkcu, retinol coping is really going to work and i can't be bothered to go through the whole tret process.
definitely get it its not too expensive or annoying and I've only heard really good things about it
 
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definitely get it its not too expensive or annoying and I've only heard really good things about it
Yeah i just need to hit the fucking reset button on my skin :lul:
 
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Yeah i just need to hit the fucking reset button on my skin :lul:
definitely get it its not too expensive or annoying and I've only heard really good things about it
Based upon my research co2 is among the most potent collagen maxxing methods out there so def consider it

As for me I’ve been a taz and Botox whore for many years now so no further skin maxxing necessary till post ascension surgeries
 
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ngl do accutane first lol
i don't think my acne is severe enough to warrant that, i just have some scars here and there and a few spots. I'd say it's just the combination of everything that is ruining my skin not just the acne part alone.
 
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i don't think my acne is severe enough to warrant that, i just have some scars here and there and a few spots. I'd say it's just the combination of everything that is ruining my skin not just the acne part alone.
u be morphing or nah
 
u be morphing or nah
Not really

Done it in the past to see what i'd look like with wider jaw, lips, neck etc. but haven't done any morphs in a long time
 
Not really

Done it in the past to see what i'd look like with wider jaw, lips, neck etc. but haven't done any morphs in a long time
imma pm u mine to see if im being unreasonable if u dont mind
 
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Not really

Done it in the past to see what i'd look like with wider jaw, lips, neck etc. but haven't done any morphs in a long time
Probably for the best

As Saint Rehab always says, surgeries are done on operating tables, not photoshop canvases
 
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Not really

Done it in the past to see what i'd look like with wider jaw, lips, neck etc. but haven't done any morphs in a long time
can you morph me? ill pm u if u allow
 
can you morph me? ill pm u if u allow
last time i did a morph was like a year ago

i don't do morphs

I don't even have photoshop on my pc anymore
 
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Probably for the best

As Saint Rehab always says, surgeries are done on operating tables, not photoshop canvases
Yeah it never helped me much anyway,

It only shows you what you want your face to look like, not how it will actually look like when applying the soft/hardmax in practice.
 
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Probably for the best

As Saint Rehab always says, surgeries are done on operating tables, not photoshop canvases
not really, just be realistic with your morphs, the whole cosmetic surgery industry runs on showing people their morphs, if you somehow have skills to be better than doctors at creating morphs, it is a pretty useful tool
 
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not really, just be realistic with your morphs, the whole cosmetic surgery industry runs on showing people their morphs, if you somehow have skills to be better than doctors at creating morphs, it is a pretty useful tool
I mean morphs (and surgery simulations etc) have their place but you need to be realistic too ofc
 
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I’m 17 and started wageslaving for surgeries at 16 years old. Homeschooled myself and got two jobs. I have 13k currently because my parents and grandparents cover everything so I save every penny

I used to be really bitter at the negative social experiences I had. I remember when asked someone if I could sit at their table at lunch because I had no fucking friends, and they would look at me like I was crazy. I didn’t even bother to enter the cafeteria the rest of the year. I’m honestly grateful because it led me to surgery which will hopefully save me before I’m too old

Also you guys have to be lying about enjoying life pre surgery. It’s borderline impossible to enjoy things in public when you’re not even comfortable in your own skin
 
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