What surgeries for my side

[iblamemygenes]

@chrishell @Lefor3Laser @Snicket @RealSurgerymax

 

[iblamemygenes]

@Jonas2k7 @chadisbeingmade

 

[zuku]

View attachment 3731571
@chrishell @Lefor3Laser @Snicket @RealSurgerymax

none

 

[iblamemygenes]

@Clavicular

 

[chrishell]

What's the chin scar from

What's your BF%

What's your occlusion

Post front

Post smiling wide front and side

 

[iblamemygenes]

none

Why not

 

[zuku]

Why not

because your side is good

 

[iblamemygenes]

What's the chin scar from

What's your BF%

What's your occlusion

Black kid pulled knife on me

25-30 % still going down from like 40 a couple months ago

I think I have a slight overbite but it’s uneven on both sides

 

[rrm_ss2]

View attachment 3731571
@chrishell @Lefor3Laser @Snicket @RealSurgerymax

brutal ratio

 

[iblamemygenes]

brutal ratio

Idc

 

[iblamemygenes]

because your side is good

Anything for improvement tho?

 

[zuku]

Anything for improvement tho?

get a bit leaner and you're good

 

[renos]

Black kid pulled knife on me

well well well...

 

[iblamemygenes]

well well well...

Ofc

 

[chrishell]

Black kid pulled knife on me

25-30 % still going down from like 40 a couple months ago

I think I have a slight overbite but it’s uneven on both sides

Post front

Post smiling wide front and side

 

[iblamemygenes]

Post front

Post smiling wide front and side

Max amount of smile or normal smile

 

[chrishell]

Max amount of smile or normal smile

Max

 

[iblamemygenes]

Post front

Post smiling wide front and side

Front

 

[chrishell]

Front

Smile

 

[faustianspirit]

Shalom

 

[iblamemygenes]

Max

For the front pics the second one is mouth open for downgraft simulation I think, which honestly looks better, here’s smiles

 

[iblamemygenes]

Smile

Those are completely max smile tho not a normal smile

 

[rubberduck]

It's odd how shitty your teeth are when your jaw is okay

 

[iblamemygenes]

It's odd how shitty your teeth are when your jaw is okay

Wym

 

[rubberduck]

Wym

People with good jaw development typically have good teeth, people with poor jaw development typically have bad teeth. Your jaw isn't recessed nor is it too narrow, but your teeth look crowded & crooked. Looks like you have a small palate despite having a good sized jaw.

I don't think you need any surgery, you look fine. Just need to lose weight. Maybe get invisiline or a palette expander or something to fix your teeth

 

[iblamemygenes]

People with good jaw development typically have good teeth, people with poor jaw development typically have bad teeth. Your jaw isn't recessed nor is it too narrow, but your teeth look crowded & crooked. Looks like you have a small palate despite having a good sized jaw.

I don't think you need any surgery, you look fine. Just need to lose weight. Maybe get invisiline or a palette expander or something to fix your teeth

I look fine yea but I wanna improve, im getting some ortho treatment for sure but might need some mandible angle implants and infra omplants

 

[copercel123]

View attachment 3731571
@chrishell @Lefor3Laser @Snicket @RealSurgerymax

Tbh only chin implant

 

[iblamemygenes]

Tbh only chin implant

my chin is one of the projected features I have though?

 

[jeff1234]

my chin is one of the projected features I have though?

it isnt projected forwardly tho

 

[Lefor3Laser]

Bimax would be useless (ROI wise), for now, focus on bf.

 

[iblamemygenes]

For the front pics the second one is mouth open for downgraft simulation I think, which honestly looks better, here’s smiles

@chrishell

 

[chrishell]

@chrishell

I would consult with a jaw surgeon. You look like a candidate for LeFort 1 with downgraft and palatal expansion done with MSE or by segmenting the LeFort. Some surgeons may propose to mobilize the lower jaw; I can't tell without seeing scans but often times downgraft candidates need the mandible moved forward a bit and the chin set back a bit to harmonize with the new maxilla position and/or make room for any necessary rotation so do not be surprised if a surgeon brings up the lower jaw too even if your lower third looks "strong" as is. Not prescribing anything just giving you an idea of what to anticipate. Expect to need orthodontics before/after. And then a rhinoplasty. Forget jaw implants. The orbital vector does not seem bad enough(?) to merit an infra implant, I think you could get away with fat injections, though without a 3/4 view I can't confidently determine whether malar implants would help you. I think you would stand a lot to gain from these procedures. Get consulting bro! In the meantime, unfat yourself and work on your skin.

 

[iblamemygenes]

I would consult with a jaw surgeon. You look like a candidate for LeFort 1 with downgraft and palatal expansion done with MSE or by segmenting the LeFort. Some surgeons may propose to mobilize the lower jaw; I can't tell without seeing scans but often times downgraft candidates need the mandible moved forward a bit and the chin set back a bit to harmonize with the new maxilla position and/or make room for any necessary rotation so do not be surprised if a surgeon brings up the lower jaw too even if your lower third looks "strong" as is. Not prescribing anything just giving you an idea of what to anticipate. Expect to need orthodontics before/after. And then a rhinoplasty. Forget jaw implants. The orbital vector does not seem bad enough(?) to merit an infra implant, I think you could get away with fat injections, though without a 3/4 view I can't confidently determine whether malar implants would help you. I think you would stand a lot to gain from these procedures. Get consulting bro! In the meantime, unfat yourself and work on your skin.

appreciate it man

 

[iblamemygenes]

I would consult with a jaw surgeon. You look like a candidate for LeFort 1 with downgraft and palatal expansion done with MSE or by segmenting the LeFort. Some surgeons may propose to mobilize the lower jaw; I can't tell without seeing scans but often times downgraft candidates need the mandible moved forward a bit and the chin set back a bit to harmonize with the new maxilla position and/or make room for any necessary rotation so do not be surprised if a surgeon brings up the lower jaw too even if your lower third looks "strong" as is. Not prescribing anything just giving you an idea of what to anticipate. Expect to need orthodontics before/after. And then a rhinoplasty. Forget jaw implants. The orbital vector does not seem bad enough(?) to merit an infra implant, I think you could get away with fat injections, though without a 3/4 view I can't confidently determine whether malar implants would help you. I think you would stand a lot to gain from these procedures. Get consulting bro! In the meantime, unfat yourself and work on your skin.

Attached pics of my 3/4th and also paransal. As for the paranasal it is way behind my premaxilla as you can see so idk if a Lefort 1 would make that relation look worse, also my infras are low set so small ones might be needed that are saddled

 

[chrishell]

Attached pics of my 3/4th and also paransal. As for the paranasal it is way behind my premaxilla as you can see so idk if a Lefort 1 would make that relation look worse, also my infras are low set so small ones might be needed that are saddled

Circle what you mean by premaxilla

 

[Localcat12345]

25% body fat and asking man drop it to at least 10-12% then consider surgery. No surgery for a fat face

 

[iblamemygenes]

Circle what you mean by premaxilla

 

[iblamemygenes]

Circle what you mean by premaxilla

It’s way ahead of my nasal base right?

 

[chrishell]

View attachment 3794370

Ok what do you mean by paranasal then?

 

[dahtry7]

try losing some fat before spending money on surgery

 

[chrishell]

Ok If I'm understanding what you're trying to say you mean that your nose base might be too set back to the point where getting a LeFort 1 will make it look more recessed? If so, yes that is a possibility and the extent to which that occurs will depend on the movements. You would have to conceptualize the (projection) rhinoplasty as a second and necessary step in any jaw surgery plan. Many surgeons can use cartilage to build up your nose base to harmonize with your new LeFort region in addition to reshaping the rest of the nose. I saw a very good result from this recently from Steinbacher where he fixed a guy whose nose looked a little too set back after their LeFort 1

 

[iblamemygenes]

Ok what do you mean by paranasal then?

Yes nose base

Ok If I'm understanding what you're trying to say you mean that your nose base might be too set back to the point where getting a LeFort 1 will make it look more recessed? If so, yes that is a possibility and the extent to which that occurs will depend on the movements. You would have to conceptualize the (projection) rhinoplasty as a second and necessary step in any jaw surgery plan. Many surgeons can use cartilage to build up your nose base to harmonize with your new LeFort region in addition to reshaping the rest of the nose. I saw a very good result from this recently from Steinbacher whose nose looked a little too set back after their LeFort 1

Can you send the results to that? And do you think I could just get a higher lf1?

 

[chrishell]

Yes nose base

Can you send the results to that? And do you think I could just get a higher lf1?

No Lf1 cut will move the nose base. No matter how high. If anything getting a higher cut LF1 will make it look even more recessed. I can't advise LF2 because there are no ethical surgeons Im aware of that do it and recent cases by Giant are a disaster. I can't share that guy's results unfortunately, but maybe if you consult Steinbacher he will show you. I know he's done a few like this. And many surgeons elsewhere too. I don't know that much about rhino surgeons.

 

[iblamemygenes]

No Lf1 cut will move the nose base. No matter how high. If anything getting a higher cut LF1 will make it look even more recessed. I can't advise LF2 because there are no ethical surgeons Im aware of that do it and recent cases by Giant are a disaster. I can't share that guy's results unfortunately, but maybe if you consult Steinbacher he will show you. I know he's done a few like this. And many surgeons elsewhere too. I don't know that much about rhino surgeons.

Well my nasion is already projected decently right? My upper maxilla is not bad id say it’s averagely grown it’s just my nasal base is slightly recessed,

also I don’t even have an overbite idk why my lips are like that, it does feel like my lower maxilla is kinda protruded though. Do you think a downgraft lf1 and a projection rihno would work?

 

[chrishell]

Well my nasion is already projected decently right? My upper maxilla is not bad id say it’s averagely grown it’s just my nasal base is slightly recessed, View attachment 3794817also I don’t even have an overbite idk why my lips are like that, it does feel like my lower maxilla is kinda protruded though. Do you think a downgraft lf1 and a projection rihno would work?

Yes it would work I have nothing more to add now just consult some surgeons