Trimax + Implants

[MikeAnthony]

Getting Bimax with CCW and Genio plasty
With custom infraorbital + malar implants + fat graft / PRP

Will I ascend ?

 

[Gittes]

Getting Bimax with CCW and Genio plasty
With custom infraorbital + malar implants + fat graft / PRP

Will I ascend ?

Bimax won't make much of a difference or you; marginal improvement to side profile, negligible front. Not an ideal candidate.

 

[zemult]

Side profile will improve and that's about it. You should be looking into orbital implants and eyelid retraction if you want frontal improvement, that will actually move the needle forward

 

[Gittes]

Side profile will improve and that's about it. You should be looking into orbital implants and eyelid retraction if you want frontal improvement, that will actually move the needle forward

Agreed. You don't start sawing into your maxilla unless there's a serious gain to be realized.

 

[MikeAnthony]

Bimax won't make much of a difference or you; marginal improvement to side profile, negligible front. Not an ideal candidate.

Agreed. You don't start sawing into your maxilla unless there's a serious gain to be realized.

I’m clinically retruded with narrow airway and assymetry , I got approved by insurance

 

[MikeAnthony]

to all the (Bimax won’t do anything and ur not a candidate ) I have clinical bimaxillary retrusion and narrow airway and my midline is off , and my chin in clinically retruded and asymmetric due to the jaws position . Simply
Slapping on custom inframalar implants (the upper mid face ) on a recessed base is silly and suboptimal
I was approved by insurance for Bimax

 

[Gittes]

to all the (Bimax won’t do anything and ur not a candidate ) I have clinical bimaxillary retrusion and narrow airway and my midline is off , and my chin in clinically retruded and asymmetric due to the jaws position . Simply
Slapping on custom inframalar implants (the upper mid face ) on a recessed base is silly and suboptimal
I was approved by insurance for Bimax

I didn't say you weren't a candidate - just not an ideal one. The side profile will improve but the front will barely change at all.
When you get an underwhelming result, you can't say you weren't warned.

 

[MikeAnthony]

I didn't say you weren't a candidate - just not an ideal one. The side profile will improve but the front will barely change at all.
When you get an underwhelming result, you can't say you weren't warned.

The front barely changes in most Bimax cases compared to side and 3/4 . I don’t understand your point.

 

[Gittes]

The front barely changes in most Bimax cases compared to side and 3/4 . I don’t understand your point.

Ideal candidates, who actually will see meaningful frontal changes, have either SFS or severe retrusion of the jaws - you have neither.

The frontal view is by far and away the important perspective, so bimax is not really an aesthetic surgery unless you're a prime candidate for it.

If you know the front won't really change, why are you asking if you'll ascend? You've basically answered your own question.

This guy had jaw surgery, infra-orbital rim and supra-orbital implants for a marginal improvement.

He would have been better off with fillers and jaw angle implants. Be wary of thinking surgery some kind of silver bullet; it's a normalization surgery for people with major failoes, not chad affirming.

Form follows function.

 

[MikeAnthony]

Side profile will improve and that's about it. You should be looking into orbital implants and eyelid retraction if you want frontal improvement, that will actually move the needle forwa

Ideal candidates, who actually will see meaningful frontal changes, have either SFS or severe retrusion of the jaws - you have neither.

The frontal view is by far and away the important perspective, so bimax is not really an aesthetic surgery unless you're a prime candidate for it.

If you know the front won't really change, why are you asking if you'll ascend? You've basically answered your own question.

This guy had jaw surgery, infra-orbital rim and supra-orbital implants for a marginal improvement.

He would have been better off with fillers and jaw angle implants. Be wary of thinking surgery some kind of silver bullet; it's a normalization surgery for people with major failoes, not chad affirming.

Form follows function.

Ideal candidates, who actually will see meaningful frontal changes, have either SFS or severe retrusion of the jaws - you have neither.

The frontal view is by far and away the important perspective, so bimax is not really an aesthetic surgery unless you're a prime candidate for it.

If you know the front won't really change, why are you asking if you'll ascend? You've basically answered your own question.

This guy had jaw surgery, infra-orbital rim and supra-orbital implants for a marginal improvement.

He would have been better off with fillers and jaw angle implants. Be wary of thinking surgery some kind of silver bullet; it's a normalization surgery for people with major failoes, not chad affirming.

Form follows function.

you’re evaluating this like I’m getting isolated bimax on an already ideal skeletal base. I’m not.


I have clinically documented bimaxillary retrusion, chin retrusion/asymmetry, a midline discrepancy and a narrow airway. Bimax + CCW is correcting the maxillomandibular base, and the genio is correcting chin projection/balance. That alone should improve sagittal harmony, lower-third structure, profile and 3/4 substantially.


Then the area bimax does NOT directly fix — my infraorbital/malar deficiency — is being addressed separately with custom infraorbital-malar implants, plus soft-tissue refinement. So my plan is specifically targeting both the jaw deficiency AND the upper-midface deficiency rather than expecting a Le Fort to magically create cheekbones.


I’m also not claiming my straight-on face is going to become unrecognizable. Frontal change from bimax is usually less dramatic than profile/3/4. That does not mean overall attractiveness barely changes. People are viewed dynamically, from every angle, and improved jaw projection, chin position, facial depth, orbital support and malar structure all contribute to the final result.


The example you posted doesn’t prove otherwise either. Different starting anatomy, movements, implant design, bodyfat, hair, lighting and photography make it useless for predicting my result.


Could my result be less dramatic than I expect? Obviously. The VSP and implant design will determine that. But “you aren’t severely deformed, therefore bimax + genio + custom IOM won’t meaningfully improve you” is not a serious anatomical argument.

 

[Gittes]

you’re evaluating this like I’m getting isolated bimax on an already ideal skeletal base. I’m not.

I didn't say you had an ideal skeletal base at any point.

I have clinically documented bimaxillary retrusion, chin retrusion/asymmetry, a midline discrepancy and a narrow airway. Bimax + CCW is correcting the maxillomandibular base, and the genio is correcting chin projection/balance.

"Clincially documented". Okay whatever. Take the average person and they will have some clinically measurable recession but that doesn't automatically justify surgery or guarantee a meaningful result. The best results by far have significant jaw retrusion or vertical deficiencies - that's not you.

That alone should improve sagittal harmony, lower-third structure, profile and 3/4 substantially.

The profile will definitely improve, 3/4 somewhat. Frontal change barely at all which is by the far the most important perspective.

Then the area bimax does NOT directly fix — my infraorbital/malar deficiency — is being addressed separately with custom infraorbital-malar implants, plus soft-tissue refinement. So my plan is specifically targeting both the jaw deficiency AND the upper-midface deficiency rather than expecting a Le Fort to magically create cheekbones.

Yes, which is why I provided an example of someone who did something similar with underwhelming results.

The example you posted doesn’t prove otherwise either. Different starting anatomy, movements, implant design, bodyfat, hair, lighting and photography make it useless for predicting my result.

Would you even be getting a bimax or implants without looking at examples/precedent first? Doesn't that cut both ways? By your logic, how can you confidently predict a good result then?

Could my result be less dramatic than I expect? Obviously. The VSP and implant design will determine that. But “you aren’t severely deformed, therefore bimax + genio + custom IOM won’t meaningfully improve you” is not a serious anatomical argument.

Form follows function. Surgery is a normalization procedure procedures at its core. I didn't say you have to be "severely deformed", just that almost all of the best cosmetic results address major problems. The truth is you will highly likely come out of these surgeries as a marginally improved version of yourself. You can't make a silk purse out of a sow's ear.

 

[tyler1234]

Bimax won't make much of a difference or you; marginal improvement to side profile, negligible front. Not an ideal candidate.

Yes he is lol