Why do some jaw implants look amazing and some awful?

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Sushiguy

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This has driven me crazy for years. Why do some jaw implant results look bulky/boxy and some look great? I don’t mean when the design is obviously shitty or you’re sticking the implants into fat, bloated faces. I mean when the design is solid but it still looks bad. Is it the material (silicone vs Medpor vs PEEK). Or is it because they are wrap around instead of just the angles? Here are examples of boxy/bulky look. Why do they look this way?

Here are some examples of results that are bulky/boxy:

IMG 7428

IMG 7429


And here are some that are great:

IMG 7431

IMG 7432

IMG 7416


Why is this? What’s the difference here???

Even me. A guy who got a wrap around many years ago. Some days it looks solid, and other days it’s looks off and uncanny (still at least better than my starting point). But if someone told me it would look way better if I took the front portion off and did a genio instead, I would do it in a heartbeat. Will someone fill me in?

Me uncanny:
IMG 7415

IMG 7433


Me sharp:

IMG 7302

IMG 7408
 
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Shit surgeon 90% of the time
 
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So you think it’s purely design then? Nothing to do with material or something else?
Yeah, the surgeon is 100% responsible for everything they do on you, it's completely their fault if people are not satisfied
 
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The problem is the design in most cases.
 
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Don’t pick dogshit clinics
 
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The problem is the design in most cases.
Some id say absolutely, but others it just seems to give a bulky look, not sharp, even if they were designed as such.
 
why would a woman get jaw implants
 

Faces with narrower palates tend to be less resistant to uncanniness from implants-- only certain ramus length, gonial angle, mandible length work and confluence of these factors work on faces with such a palate and they are harder to get right with implants
 
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Faces with narrower palates tend to be less resistant to uncanniness from implants-- only certain ramus length, gonial angle, mandible length work and confluence of these factors work on faces with such a palate and they are harder to get right with implants
Hmmm. So what do you think my issue is in the above uncanny pics?
 
Damn u got implants? Mirin. I’m on the design phase for mine
 
Hmmm. So what do you think my issue is in the above uncanny pics?
It is hard to tell without the whole face since the bizygomatic width-bigonial width ratio is key in considering what a good jaw width is.

At least from what I can see, you can see as the jaw moves into the midface it looks like a tube. Probably because the cheeks are not laterally wide enough.

Z1112


Your nasolabial folds in the uncanny pics give the impression that your jaws are recessed or at least the LeFort I area. is it possible this is the case? If it is the case, then of course putting implants on a recessed jaw will look uncanny.
 
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Whenever i see an uncanny implant, it's always some problem with this area that makes it look uncanny, rather than the jaw contour or implant design itself, I've noticed. I don't think there is a rule to apply to all faces but its always where I look first.

Z1112

Capture dcran 2023 07 28 004452
 
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It is hard to tell without the whole face since the bizygomatic width-bigonial width ratio is key in considering what a good jaw width is.

At least from what I can see, you can see as the jaw moves into the midface it looks like a tube. Probably because the cheeks are not laterally wide enough.

View attachment 2345183

Your nasolabial folds in the uncanny pics give the impression that your jaws are recessed or at least the LeFort I area. is it possible this is the case? If it is the case, then of course putting implants on a recessed jaw will look uncanny.
I would say slightly recessed yes, more so the lower. But profile view it’s pretty solid. But yeah depending on the lighting, the nasolabial folds have bothered me.

IMG 7443
 
Whenever i see an uncanny implant, it's always some problem with this area that makes it look uncanny, rather than the jaw contour or implant design itself, I've noticed. I don't think there is a rule to apply to all faces but its always where I look first.

View attachment 2345185
View attachment 2345192
Hypothetically, if I could do double jaw surgery where they remove only the anterior part of the implant (so midway and below), replace with a genio and the keep the angles in tact, it could look better?
 
Hypothetically, if I could do double jaw surgery where they remove only the anterior part of the implant (so midway and below), replace with a genio and the keep the angles in tact, it could look better?
This would depend if you are actually recessed. Do you have any before pics?



The thing is with implants especially jaw wraparounds is that everything "grows together," both forward and sideway, in every direction, so certain ratios tend to be causatively related with other ratios. If one is not recessed their face has more bandwidth so to speak to deal with individual ratios being altered, so to deal with an uncanny implant one, one resolves one issue, but then that opens up another, and so on.
 
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Lots of different things can cause nasolabial folds but at least in yours I can tell there is a distinct "sinking in" as you move from the midface into the LeFort I area. You can see it especially by the right (photo right) nostril in the pic. This indexes a skeletal rather than soft tissue problem.
 
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This would depend if you are actually recessed. Do you have any before pics?



The thing is with implants especially jaw wraparounds is that everything "grows together," both forward and sideway, in every direction, so certain ratios tend to be causatively related with other ratios. If one is not recessed their face has more bandwidth so to speak to deal with individual ratios being altered, so to deal with an uncanny implant one, one resolves one issue, but then that opens up another, and so on.
Oh yeah. Prior to the implants I looked like straight garbage. I really
regret though not doing jaw surgery first then implant potentially second. Here are some old pre implant photos

IMG 7450

IMG 7451

IMG 7452
 
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This has driven me crazy for years. Why do some jaw implant results look bulky/boxy and some look great? I don’t mean when the design is obviously shitty or you’re sticking the implants into fat, bloated faces. I mean when the design is solid but it still looks bad. Is it the material (silicone vs Medpor vs PEEK). Or is it because they are wrap around instead of just the angles? Here are examples of boxy/bulky look. Why do they look this way?

Here are some examples of results that are bulky/boxy:

View attachment 2345132
View attachment 2345133

And here are some that are great:

View attachment 2345134
View attachment 2345135
View attachment 2345139

Why is this? What’s the difference here???

Even me. A guy who got a wrap around many years ago. Some days it looks solid, and other days it’s looks off and uncanny (still at least better than my starting point). But if someone told me it would look way better if I took the front portion off and did a genio instead, I would do it in a heartbeat. Will someone fill me in?

Me uncanny:
View attachment 2345141
View attachment 2345143

Me sharp:

View attachment 2345144
View attachment 2345145
can you show your design?
 
You definitely did really improve from the implants.

It would probably be best to see a maxfac surgeon to see how recessed you are and find out if bimax would be worthwhile.
Recessed but not majorly. Do have a 5mm overbite though I would need surgery to correct. Some numbers I’ve been told in terms of surgery would be 4-5mm on top 7-8mm on bottom. Currently talking with Dr. Alfi and the plan is to potentially do the surgery and remove the anterior portion of the implant and leave angles alone (I have major major boney overgrowth as they’ve been there for a while). My worst fear is that I will come out worse though which still has me hesitant.
 
Your chin doesn't match your jaw, that's the problem
 
Lots of different things can cause nasolabial folds but at least in yours I can tell there is a distinct "sinking in" as you move from the midface into the LeFort I area. You can see it especially by the right (photo right) nostril in the pic. This indexes a skeletal rather than soft tissue problem.

Nasolabials are of my terrible failos
I think it's because I have forward projection is the mounth area (lower maxilla I think) but not enough lateral.

The fillers corrected it, they were a lot less visible. It could proove that my theory is the right. This is the picture now, without fillers will all my failos exposed
 

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By experience, I can tell you than lateral cheekbones is one of the most important features. You can't look good without them or only if the rest is perfect. However you can look good without a wide jaw

Cheekbones is the pillar of your midface. If they are non existant, if you lack bones in this area, it will look like your skin sags, giving a boneless looking
 
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Can you expand on this please
I don't think you needed bimax at all. At best genio or BSSO but definitely not bimax.

You probably should have gone for jaw angles only + genio instead of a wraparound but the end result is really great. You went from incel jaw to good jaw.
 
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I don't think you needed bimax at all. At best genio or BSSO but definitely not bimax.

You probably should have gone for jaw angles only + genio instead of a wraparound but the end result is really great. You went from incel jaw to good jaw.
thanks. I do wish I did angles + either BSSO or genio as well but I definitely needed/need at least BSSO. The beard makes it look better than it is but even with this giant thing in my face with a 8mm chin piece, you can still tell after a shave I’m pretty recessed. Upper jaw I’ve always been on the fence about.

IMG 7461
 
i can literally see the implant like x-rays
 
Which part? Even with the beard?
yes it doesnt fit the rest of your face therefor looks uncanny, like just one part of your face protudes (implants)
 
Caging hard at the first guys's pics.
3553466 IMG 7429
Dude's probably looking at himself in the miror like "hmm yeah, i got that brad pitt jawline now" :feelsthink:, while looking like a disgusting hamster.
 
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By experience, I can tell you than lateral cheekbones is one of the most important features. You can't look good without them or only if the rest is perfect. However you can look good without a wide jaw

Cheekbones is the pillar of your midface. If they are non existant, if you lack bones in this area, it will look like your skin sags, giving a boneless looking
All the reason why I've always harked for lateral cheekbone augmentation and why it's the one thing I know I'm saving up for. Wide cheekbones can make or break a lot of features. NCT can be improved, loose cheek fat can be fixed, premature skin creases can be eased, thin faces can be made wider, "long faces" can be made to be more proportionate. This area is crucial. I'd choose good looking zygo implants over wrap around jaw anyday.
 
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