Will there ever be a solution to the OBO problem?

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Having low ipd is one of the worst fucking failos imaginable. Beyond just the harmful effects it has on facial aesthetics, the only surgery available to fix it is damn near impossible to get. It’s only really performed on syndromatic patients, incredibly invasive, expensive, and risky. So if you are low ipd what the fuck can you do? I’ve read threads here where you can mask it with strategies like having a wider eyebrow gap and longer brows on the outside, but in terms of real IPD changes you’re fucked.

Is there any hope that surgical techniques will evolve in the future and OBO becomes more attainable to the average patient? I can kinda see an analogue with LL: initially an incredibly niche surgery meant to treat disabled or deformed patients, but over time as the procedure evolved, more and more people began to get it simply for the sake of being taller. I personally don’t see it happening because height is so universally seen in a blackpilled way vs only forum rotters being able to diagnose low ipd as an aesthetic issue. But I hope I’m wrong
 
ther is a thread in botb, guy that got this surgery i think he gave the name too.
 
palate expansion can increase ipd by a small amount
 
It is very invasive and expensive. Also need to search hard for someone to do it. I'm not sure how risky it is though a surgeon was quoted in another thread saying 1 in 20,000 risk of blindness (probably less if it's mild expansion with no significant deformity to fix) but not sure what the long term complication rate is or how aesthetically effective and precise it is in most cases.

I agree IPD is probably one of the hardest issues to fix along with severe recession, severe manletism. At the end of the day you need to dislocate the orbits right? I think there have been threads mentioning safer sub-cranial OBOs that are rarely done.
 
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ther is a thread in botb, guy that got this surgery i think he gave the name too.
Yea I read through the @CosmicMaxxer thread, honestly it only made the whole prospect even less appealing to me. He said the cost was like 50k, which is even more than bimax JFL. Then many users don’t even think the result is better than his starting point, so the only PSLer case we have of the surgery wasn’t even a definite success. On top of this, he speculated the surgery itself can limit future surgeries: implants in the area are still possible but would have to be specially designed to go over the new metal plating, AND the overall weakness the surgery creates might prevent a lefort movement. And if that’s the case, I’m definitely getting bimax over OBO. Fucking sucks to need both and having to choose one or the other, but you gotta play the cards genetics dealt you

Oh yea, not to mention the multiple failed attempts of @optimisticzoomer to schedule even a consultation for OBO
 
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It is very invasive and expensive. Also need to search hard for someone to do it. I'm not sure how risky it is though a surgeon was quoted in another thread saying 1 in 20,000 risk of blindness (probably less if it's mild expansion with no significant deformity to fix) but not sure what the long term complication rate is or how aesthetically effective and precise it is in most cases.

I agree IPD is probably one of the hardest issues to fix along with severe recession, severe manletism. At the end of the day you need to dislocate the orbits right? I think there have been threads mentioning safer sub-cranial OBOs that are rarely done.
Yes, the only thing giving me hope are the threads by @RealSurgerymax . I’d only need a few mm’s of advancement, my IPD is 60mm currently and I’d need to go to 65-68mm. If it’s true that widening OBOs can be done subcranially, then maybe there is a chance. Tbh I’m putting OBO on the backburner for now. I have many other easier to fix failos that need to be addressed to ascend my shit base first. Only after all of those are done will I reconsider the possibility, but I suspect once everything else is taken care of I’ll be in a good enough rating tier (HTN) that I won‘t care anymore.
 
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Yea I read through the @CosmicMaxxer thread, honestly it only made the whole prospect even less appealing to me. He said the cost was like 50k, which is even more than bimax JFL. Then many users don’t even think the result is better than his starting point, so the only PSLer case we have of the surgery wasn’t even a definite success. On top of this, he speculated the surgery itself can limit future surgeries: implants in the area are still possible but would have to be specially designed to go over the new metal plating, AND the overall weakness the surgery creates might prevent a lefort movement. And if that’s the case, I’m definitely getting bimax over OBO. Fucking sucks to need both and having to choose one or the other, but you gotta play the cards genetics dealt you

Oh yea, not to mention the multiple failed attempts of @optimisticzoomer to schedule even a consultation for OBO
because we did not see his whole face but rather only his eye area so we cant spot much difference in the case of OBO.

i think people said that for the other surgeries he got, not obo, his eye area was sub par tbh, droop eyelid, bad medial canthus etc...
 
Yes, the only thing giving me hope are the threads by @RealSurgerymax . I’d only need a few mm’s of advancement, my IPD is 60mm currently and I’d need to go to 65-68mm. If it’s true that widening OBOs can be done subcranially, then maybe there is a chance. Tbh I’m putting OBO on the backburner for now. I have many other easier to fix failos that need to be addressed to ascend my shit base first. Only after all of those are done will I reconsider the possibility, but I suspect once everything else is taken care of I’ll be in a good enough rating tier (HTN) that I won‘t care anymore.
That's a decent bit of expansion especially if you go from 60 to 68.
 
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AND the overall weakness the surgery creates might prevent a lefort movement.
What's this weakness you are mentioning? I am curious.
 
because we did not see his whole face but rather only his eye area so we cant spot much difference in the case of OBO.

i think people said that for the other surgeries he got, not obo, his eye area was sub par tbh, droop eyelid, bad medial canthus etc...
True, it probably looks better with the whole face in view. And yea, it seems like he went fully down the implants route which is why he might look uncanny. Seems to me osteotomies mog implants in cases where the desired change is possible via bone movement.
 
That's a decent bit of expansion especially if you go from 60 to 68. Use ESR, MFR, size of ICD etc to calculate what your ideal IPD is. Shouldn’t be a 3mm range as that would impact your ratios a lot… but then again OBO isn’t super precise. Also don’t overdo it because you’re insecure and want super wide set eyes as is common with Cyclopscels who overcompensate. 0.46 ESR 1-1.1 MFR are ideal.
Noted. Hopefully if I ever go down the route of hunting for a willing surgeon the fact it will be subcranial and a minimal movement might help persuade them.
 
What's this weakness you are mentioning? I am curious.
Basically someone in the thread asked him if bimax is possible after OBO movements, and he said the whole area might be too fragile to perform a lefort on. No idea if it’s true or not, hopefully not
 
people with low ipd usually have low pfl so it’s over
 
people with low ipd usually have low pfl so it’s over
Pretty much.

I think there is huge potential for this area of looksmaxxing. If a highly motivated, high IQ user did a deep dive into research about potential safer modifications of OBO, then went through the process of consulting a wide variety of surgeons to see who could perform such a procedure, it could pave the way to a tried and true ascension path for low ipdcels. There has been some discussion on this forum of subcranial OBO on adult patients being much safer and aesthetically predicable than traditional OBO for deformities, but it all seems theoretical at the moment and almost no surgeon in the world would be able to do it.

Very tempted to undertake this sort of research myself. Currently preoccupied with moneymaxxing though.

What a cruel joke that someone has to literally conduct innovative medical research and undergo an experimental orbital osteotomy just to fix their base.
 
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