Trimax + Gymmaxx + Leanmaxx Ascension

[jackinthebox]

Several months in the planning stage due to me deciding on things like what surgeon to go with, etc. could easily have been done in a month tbh

Only about 1 month of hermitmaxxing before I could speak well enough to socialise again (swelling meant I could hardly speak at first and then I had a lisp for a while). Many months for all swelling to go but I already looked better then before very shortly after surgery.

Orthodontic refinement has taken forever, I literally just finished the other day, but not a big problem at all as I had Invisalign, not braces. I couldn’t start for quite a while post-op as I had to wait for my mouth to be able to open wide enough to do intra-oral scans. Aesthetically my smile and occlusion looked fine in no time, then it just took absolutely forever to really fine-tune my occlusion.

curious can you do this stuff if you already did invisalign/braces as a kid for minor teeth crookedness/crowding?

 

[BlackpilledPlatypus]

curious can you do this stuff if you already did invisalign/braces as a kid for minor teeth crookedness/crowding?

Yes, but if you had camouflage orthodontics, it may need to be undone.

I had Invisalign for gappy teeth and overbite not that long before I had surgery, even though I started that treatment before I knew anything about surgery so it wasn’t intended as preparation.

 

[jackinthebox]

Yes, but if you had camouflage orthodontics, it may need to be undone.

I had Invisalign for gappy teeth and overbite not that long before I had surgery, even though I started that treatment before I knew anything about surgery so it wasn’t intended as preparation.

Sound great, minor invisalign should be no major hindrance then.

 

[jackinthebox]

View attachment 4198286

yes bro you can live in a closet in the hood, eat rice and beans, and pour it all into bitcoin or stocks or whatever and you'd be richer than rn

 

[akach]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

Did you get just trimax or anything else? Insane life fuel omg

 

[ltn_looksminner]

holy ascension , best investment you ever made in your life , i have a question if you don't mind, did the maxillary downgraft give you a gummy smile ? or it doesnt have any effects on that
also how did your bigonial width increase .

 

[ltn_looksminner]

@lurking truecel

 

[highschoolmaxxer]

Mirin.

I'm planning on getting bimax with a local surgeon in about 11 months. What's the consensus on getting it with a bp-known (and aesthetically minded) surgeon vs a local (experienced) one?

 

[BaldAutistV2]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

would you ever get fat reduction injections in face and jaw to look even better or no ?

 

[savemebimax]

Mirin.

I'm planning on getting bimax with a local surgeon in about 11 months. What's the consensus on getting it with a bp-known (and aesthetically minded) surgeon vs a local (experienced) one?

I don’t know about consensus but a lot of results posted here as insane bimax ascensions have been by random no name local surgeons, they can certainly ascend someone but also can be underwhelming/poor. It depends what your issue is, I’m sure any local surgeon could hard ascend a SFScel

 

[BlackpilledPlatypus]

Sound great, minor invisalign should be no major hindrance then.

Perhaps but doesn’t make sense to me if someone is planning surgery (I wasn’t when I first got Invisalign). Might as well do any orthodontic work as part of surgery prep, you’ll have perfect occlusion at the end and no risk of ending up having to pay twice or reverse things.

 

[BlackpilledPlatypus]

Did you get just trimax or anything else? Insane life fuel omg

Just trimax and fat loss

 

[BlackpilledPlatypus]

holy ascension , best investment you ever made in your life , i have a question if you don't mind, did the maxillary downgraft give you a gummy smile ? or it doesnt have any effects on that
also how did your bigonial width increase .

The downgraft increased tooth show a lot but obviously that was a benefit to me. If you have too much downgrafting or don’t need it, then yes you can end up with a gummy smile. I have a tiny bit of gum show but it’s within the ideal range I think, so not a “gummy smile”. Depending on how you feel about that, possibly I would’ve been better with just a tiny bit less downgrafting. Original plan was less but I wanted a bit more.

As for bigonial width, I did have a tiny bit of ramus widening, and I think jaw advancement can create the illusion of a wider jaw at least, but otherwise it’s still the same.

Maybe it’s also the photo angle, this one is from a bit further away.

 

[PrimoMaxxer]

can you post your cbct's if you have them? Curious to how they look

 

[monk231]

The downgraft increased tooth show a lot but obviously that was a benefit to me. If you have too much downgrafting or don’t need it, then yes you can end up with a gummy smile. I have a tiny bit of gum show but it’s within the ideal range I think, so not a “gummy smile”. Depending on how you feel about that, possibly I would’ve been better with just a tiny bit less downgrafting. Original plan was less but I wanted a bit more.

As for bigonial width, I did have a tiny bit of ramus widening, and I think jaw advancement can create the illusion of a wider jaw at least, but otherwise it’s still the same.

Maybe it’s also the photo angle, this one is from a bit further away.
View attachment 4205880

this is type of result i dream of for my gonions tbh , looks natural and permanent without dogshit implants to worry with. You don't want to look like a roblox character i would be more than happy if i was you

 

[LEFORT17]

The downgraft increased tooth show a lot but obviously that was a benefit to me. If you have too much downgrafting or don’t need it, then yes you can end up with a gummy smile. I have a tiny bit of gum show but it’s within the ideal range I think, so not a “gummy smile”. Depending on how you feel about that, possibly I would’ve been better with just a tiny bit less downgrafting. Original plan was less but I wanted a bit more.

As for bigonial width, I did have a tiny bit of ramus widening, and I think jaw advancement can create the illusion of a wider jaw at least, but otherwise it’s still the same.

Maybe it’s also the photo angle, this one is from a bit further away.
View attachment 4205880

those 2mm ramus widening did a LOTTTT

 

[BlackpilledPlatypus]

would you ever get fat reduction injections in face and jaw to look even better or no ?

Probably not because I don’t think I need them and I don’t want to make myself age worse as you lose facial volume with age and I plan to stay lean.

But if I was someone who had gotten lean and still had stubborn areas of facial fat really cucking me, then yes, I’d consider that.

 

[BlackpilledPlatypus]

I don’t know about consensus but a lot of results posted here as insane bimax ascensions have been by random no name local surgeons, they can certainly ascend someone but also can be underwhelming/poor. It depends what your issue is, I’m sure any local surgeon could hard ascend a SFScel

Agree, I definitely don’t think the bp surgeons are the only options but they are quite safe options due to having a good track record and you know they will look to optimise aesthetics in the planning.

Also I don’t think Ramieri was more expensive than a no-name surgeon would’ve been really, unless I went to a third world country.

 

[BlackpilledPlatypus]

this is type of result i dream of for my gonions tbh , looks natural and permanent without dogshit implants to worry with. You don't want to look like a roblox character i would be more than happy if i was you

those 2mm ramus widening did a LOTTTT

Here is another old “before” photo. Focal length and angles make a big difference and I don’t think my jaw looked particularly narrow there but the shortness is really highlighted

I had LASEK too because I was a four-eyes

 

[monk231]

Here is another old “before” photo. Focal length and angles make a big difference and I don’t think my jaw looked particularly narrow there but the shortness is really highlighted

View attachment 4205909
I had LASEK too because I was a four-eyes

but i think it gave a lot more flared gonions regardless , no way you would look like you do now with just leanmaxxing (only gonions part)

 

[BlackpilledPlatypus]

can you post your cbct's if you have them? Curious to how they look

Some screenshots of the pre-op CBCT:

As for the post-op, they gave it to me on a CD and I don’t have a desktop with a CD drive, but I do have this photo from Ramieri’s office:

 

[BlackpilledPlatypus]

Some screenshots of the pre-op CBCT:
View attachment 4206093
As for the post-op, they gave it to me on a CD and I don’t have a desktop with a CD drive, but I do have this photo from Ramieri’s office:

View attachment 4206102

I think the glowing overlay is the pre-surgery positions.

You can see I had edge to edge bite post-op but my teeth shifted over the next few months causing this to quickly improve anyway, but then I still opted to do orthodontic refinement as I was supposed to. I also had gaps reforming in my teeth like I had before I did Invisalign for the first time before discovering jaw surgery.

 

[savemebimax]

Agree, I definitely don’t think the bp surgeons are the only options but they are quite safe options due to having a good track record and you know they will look to optimise aesthetics in the planning.

Also I don’t think Ramieri was more expensive than a no-name surgeon would’ve been really, unless I went to a third world country.

I agree that if you live in the UK for example it is cheaper and better to get a surgeon from outside the UK if you’re going down the paying for it route.

It’s just some people either have the option to get it for free from the health service in their country by a local assigned surgeon or pay the full price elsewhere. That’s when it can get somewhat hard to decide.

 

[BlackpilledPlatypus]

I agree that if you live in the UK for example it is cheaper and better to get a surgeon from outside the UK if you’re going down the paying for it route.

It’s just some people either have the option to get it for free from the health service in their country by a local assigned surgeon or pay the full price elsewhere. That’s when it can get somewhat hard to decide.

For sure, if I had that option of doing it for free with a local surgeon, I’d probably almost certainly have done that, even if the result would maybe have been not quite as good.

This was worth every penny to me but still a massive amount of money.

I assume you’d still be able to see the surgical plan beforehand with any surgeon so arguably it’s not a massive gamble.

 

[Cyframe]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

Your a fucking inspiration...

 

[akach]

For sure, if I had that option of doing it for free with a local surgeon, I’d probably almost certainly have done that, even if the result would maybe have been not quite as good.

This was worth every penny to me but still a massive amount of money.

I assume you’d still be able to see the surgical plan beforehand with any surgeon so arguably it’s not a massive gamble.

Who'd you get it with and how much did it cost? Did you have any bite problems?

 

[Weed]

Big.
Before is literally me, late 20s, had prior ortho not related to surgery and gymmaxxing

Gonna have a consultation with Ramieri in few weeks, hope I will be surgery first too
Very nice result.

 

[HTNGrevious]

How much satisfaction do u feel from this?

 

[BaldAutistV2]

Probably not because I don’t think I need them and I don’t want to make myself age worse as you lose facial volume with age and I plan to stay lean.

But if I was someone who had gotten lean and still had stubborn areas of facial fat really cucking me, then yes, I’d consider that.

Wise words

 

[key]

Out fucking standing

 

[fezzz]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

How much was trimax and how did you save up for it?

 

[Poke Nixon!]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

oh my god bro so inspiring! hopefully i'll get a trimax done at 20! thanks so much it boosted my confidence

 

[ltn_looksminner]

The downgraft increased tooth show a lot but obviously that was a benefit to me. If you have too much downgrafting or don’t need it, then yes you can end up with a gummy smile. I have a tiny bit of gum show but it’s within the ideal range I think, so not a “gummy smile”. Depending on how you feel about that, possibly I would’ve been better with just a tiny bit less downgrafting. Original plan was less but I wanted a bit more.

As for bigonial width, I did have a tiny bit of ramus widening, and I think jaw advancement can create the illusion of a wider jaw at least, but otherwise it’s still the same.

Maybe it’s also the photo angle, this one is from a bit further away.
View attachment 4205880

Thank you dude , enjoy the ascension

 

[highschoolmaxxer]

I don’t know about consensus but a lot of results posted here as insane bimax ascensions have been by random no name local surgeons, they can certainly ascend someone but also can be underwhelming/poor. It depends what your issue is, I’m sure any local surgeon could hard ascend a SFScel

No SFS just recessed

In fact Im also getting ccw rotation

 

[BigNoseSlavcel]

One of the best ascensions I've seen on this forum. Bimax / trimax truly is the holy grail if you have the right base to do it. How did you save up for the surgery if you don't mind me asking?

 

[LEFORT17]

Some screenshots of the pre-op CBCT:
View attachment 4206093
As for the post-op, they gave it to me on a CD and I don’t have a desktop with a CD drive, but I do have this photo from Ramieri’s office:

View attachment 4206102

downgraft,cw, vertical length genio. do you know which degree your occlusional plane is now post op

 

[zaebalsya]

Do you have ur CBCT before&after?
I would love to see it @BlackpilledPlatypus

 

[churmaxxed]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

mirin

 

[BlackpilledPlatypus]

Who'd you get it with and how much did it cost? Did you have any bite problems?

How much was trimax and how did you save up for it?

It’s all in the thread but:

Ramieri

€15k + €6k for custom plates

Yes I used savings and put credit card spending on a 0% balance transfer to essentially give myself a very cheap loan for part of the cost

Before surgery, I had a pretty mild overbite, I don’t think any bluepilled ortho would’ve recommended surgery

 

[BlackpilledPlatypus]

Big.
Before is literally me, late 20s, had prior ortho not related to surgery and gymmaxxing

Gonna have a consultation with Ramieri in few weeks, hope I will be surgery first too
Very nice result.

Good luck bro

 

[BlackpilledPlatypus]

How much satisfaction do u feel from this?

All the satisfaction

But real talk, hedonic adaptation is of course a thing and life satisfaction tends to be regulated to a baseline, I don’t live in a state of an eternal bliss.

But there’s been plenty of times where things are going great with girls, etc, and I think back to my past life and how far I’ve come, and the ego boost and dopamine hit is massive.

And I know that looking much better just affords me so many more opportunities and experiences that I would never have been able to have before. Even when good things are happening, often life will still feel very normal as it does for most people, but to be able to exist in that normalcy and not be faced with the pain of “not having” is underrated.

The pain of not having what you want is greater than than the joy of having it. I don’t know if that’s a depressing thought or not, but this was all still 100% worth it to me.

 

[BlackpilledPlatypus]

One of the best ascensions I've seen on this forum. Bimax / trimax truly is the holy grail if you have the right base to do it. How did you save up for the surgery if you don't mind me asking?

Just working a full-time job with ok salary and living with parents.

And previously at university I’d done matched betting and had some savings from that.

I didn’t quite have enough for when I wanted to have surgery so I put all my spending in daily life on credit card then got a 0% balance transfer which meant I got a few years to pay that back with no interest. So works like a loan but much cheaper than an actual bank loan.

 

[BlackpilledPlatypus]

Do you have ur CBCT before&after?
I would love to see it @BlackpilledPlatypus

I only have this unfortunately:

Some screenshots of the pre-op CBCT:
View attachment 4206093
As for the post-op, they gave it to me on a CD and I don’t have a desktop with a CD drive, but I do have this photo from Ramieri’s office:

View attachment 4206102

 

[BlackpilledPlatypus]

downgraft,cw, vertical length genio. do you know which degree your occlusional plane is now post op

Not sure, I think he did tell me at one point.

Also I was under the impression it was linear advancement not CW, but I might be mistaken

 

[SteirischeEiche]

How long did you stay in Italy following the procedure and how much did it cost to stay there? (In addition to the Cost of Bimax itself)

 

[BlackpilledPlatypus]

How long did you stay in Italy following the procedure and how much did it cost to stay there? (In addition to the Cost of Bimax itself)

Had to stay for 2 weeks post-op for the post checks. 2 nights in the hospital (included in the price), then the rest of the time in an Airbnb which cost me pretty much exactly £1000. You of course need to check in to your Airbnb a day or (ideally) two before surgery so you can stock up on food and be ready to get up early on surgery day.

Some other costs I should’ve mentioned to give the full picture, but completely forgot about tbh:

Had to have some pre-surgery tests the day before including a blood test and some other stuff that I’ve forgotten. This was done at the hospital and cost €300. For a UKcel it’s really weird having the card machine shoved at you after a hospital trip.

A bunch of prescription medicines are needed post-op (antibiotics and some other stuff), you have to buy them from the pharmacy and this came to a total of maybe €200 at the most I think.

Hospital fees were included in the surgery price but the hospital is a separate business to Ramieri’s company, so I got an invoice from the hospital for like €2.5k or something like that and I had to ask for that to be refunded to me from Ramieri in order to pay the hospital myself.

Also most of the hospital staff don’t speak English so google translate is essential.

So overall no problems but I suppose the process could’ve been smoother, but ultimately it’s all about the result and these are minor details.

 

[BlackpilledPlatypus]

Had to stay for 2 weeks post-op for the post checks. 2 nights in the hospital (included in the price), then the rest of the time in an Airbnb which cost me pretty much exactly £1000. You of course need to check in to your Airbnb a day or (ideally) two before surgery so you can stock up on food and be ready to get up early on surgery day.

Some other costs I should’ve mentioned to give the full picture, but completely forgot about tbh:

Had to have some pre-surgery tests the day before including a blood test and some other stuff that I’ve forgotten. This was done at the hospital and cost €300. For a UKcel it’s really weird having the card machine shoved at you after a hospital trip.

A bunch of prescription medicines are needed post-op (antibiotics and some other stuff), you have to buy them from the pharmacy and this came to a total of maybe €200 at the most I think.

Hospital fees were included in the surgery price but the hospital is a separate business to Ramieri’s company, so I got an invoice from the hospital for like €2.5k or something like that and I had to ask for that to be refunded to me from Ramieri in order to pay the hospital myself.

Also most of the hospital staff don’t speak English so google translate is essential.

So overall no problems but I suppose the process could’ve been smoother, but ultimately it’s all about the result and these are minor details.

Just checked and it was €1875 that the hospital billed me (but I didn’t need to pay it of course).

Ramieri’s assistant told me it was a mistake on behalf of the hospital, but I know it happened to at least one other patient that I spoke to on this site as well.

 

[blondepersonreal]

Had trimax with Ramieri at the beginning of 2024. Finally got decently lean.

Pre-surgery vs now:
View attachment 4195819
View attachment 4195820
View attachment 4195821
View attachment 4195823

Gymcelled for 8 years natty (but I should’ve just used gear)

View attachment 4195982

View attachment 4195983

I’m a non-NT manlet late 20s oldcel with Peter Pan syndrome, but now I slay uni girls every now and again, I get IOIs, validation and admiration. Things aren’t too bad. It’s probably not over for you.

Crazy transformation good shit

 

[sereneforever]

Holy shit bro crazy ascension i wish i could do this

 

[akach]

It’s all in the thread but:

Ramieri

€15k + €6k for custom plates

Yes I used savings and put credit card spending on a 0% balance transfer to essentially give myself a very cheap loan for part of the cost

Before surgery, I had a pretty mild overbite, I don’t think any bluepilled ortho would’ve recommended surgery

Bro ts music to my ears I've just gotta save up 34k cad though