jawsurgeryforums.com
General Category => Aesthetics => Topic started by: dervyx on June 21, 2017, 03:03:13 AM
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So I'm having this done in 6 weeks. It will be done in one surgery. During my consultations surgeon said it can provide any augmentation needed and will be placed high along those areas in smooth flow.
Will report back with results.
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Good luck
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Thanks.
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So I'm having this done in 6 weeks. It will be done in one surgery. During my consultations surgeon said it can provide any augmentation needed and will be placed high along those areas in smooth flow.
Will report back with results.
Thank's for sharing this information.
I look forward to your report.
Wonder how long does it take for the swelling to get down for this sort of surgery?
Is this procedure something that has been done for a long time or is it something new?
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Good luck, hope you get a great result
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Thank you for sharing this information.
I am interested too. Can you please tell me the name of your surgeon? Is it the belgian guy?
To be honest, I am a bit pessimistic of HA, anyway whatever augmentation I have, I want the shapes to be severe, brutal, angular and powerful, HA can't do that, or am I wrong?!
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Thank's for sharing this information.
I look forward to your report.
Wonder how long does it take for the swelling to get down for this sort of surgery?
Is this procedure something that has been done for a long time or is it something new?
My surgeon said most of the swelling should be gone within 2 weeks although some minor swelling may remain for further 4 weeks.
Thank you for sharing this information.
I am interested too. Can you please tell me the name of your surgeon? Is it the belgian guy?
To be honest, I am a bit pessimistic of HA, anyway whatever augmentation I have, I want the shapes to be severe, brutal, angular and powerful, HA can't do that, or am I wrong?!
It's not a very well known surgeon on online forums but I'd rather not say who it is until after surgery. and to answer your question, I don't know if HA can provide angular definition, I will know in 6 eweeks.
Question to more knowledgable members, is hydroxyapatite easy or difficult to remove after it's been a while? (I didn't want to ask this my surgeon as it would look as I doubt him)
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Good luck with the surgery, hope you get the results you're after. In regards to removal after a certain amount of time, I'm no expert but thought i'd share this as I came across it on realself, seems the guy never got any answers but he says that he was told it integrates and leaves damage and uneven surface from removal.
https://www.realself.com/question/east-texas-pa-cheek-implant-removal-hydroxyapatite (https://www.realself.com/question/east-texas-pa-cheek-implant-removal-hydroxyapatite)
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What are HA granules exactly?
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Interesting study in regards to HA bone resorption:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906722/
"The areas of skeletal augmentation included the prejowl region over the mandible (10), zygomaticomaxillary (10), and pyriform (4) regions. The average volume of hydroxyapatite granule mixture placed at each site was 1.6 ml (range = 0.4–3.5 ml). The radiological evaluation showed that 99.7% of the hydroxyapatite augmentation was maintained at 2 years when compared to the 3-month baseline measurements. The t test showed no statistical difference. There was no radiographic evidence of soft tissue atrophy or native bone resorption on the 1- and 2-year scans. Overall projection (bony and soft tissue) was maintained at the 2-year follow-up."
(http://imgur.com/download/yOqoaoZ)
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Thank you for sharing this information.
I am interested too. Can you please tell me the name of your surgeon? Is it the belgian guy?
To be honest, I am a bit pessimistic of HA, anyway whatever augmentation I have, I want the shapes to be severe, brutal, angular and powerful, HA can't do that, or am I wrong?!
Thought you were sold on the ZSO. Any revision there?
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Thought you were sold on the ZSO. Any revision there?
No. But: zso+ha granules+fat transfer=high cheekbones.
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No. But: zso+ha granules+fat transfer=high cheekbones.
8)
Have a similar plot myself. Looking into Restylene + zso atm.
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So I'm having this done in 6 weeks. It will be done in one surgery. During my consultations surgeon said it can provide any augmentation needed and will be placed high along those areas in smooth flow.
Will report back with results.
really excited about this, good luck and can't wait to hear you report back!
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I'm not a doctor, so feel free to ignore this, but I think you'll just look puffy afterwards. And AFAIK HA can't be removed and no implants maybe be placed over it later.
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I especially interested to see if it can make a positive difference on the zygomatic arch and orbital rim.
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8)
Have a similar plot myself. Looking into Restylene + zso atm.
Restylane is not permanent. Resorbable fillers are s**t imo, waste of time and money.
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really excited about this, good luck and can't wait to hear you report back!
Me too! Please dont be the next g&b.
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I especially interested to see if it can make a positive difference on the zygomatic arch and orbital rim.
Thats the point. I have heard Triaca used Bio Oss for orbital rim augmentation. Results were not satisfactory.
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Is this different or similar to what A&G do with HA? From their website:
Cosmetic
HARD TISSUE GRAFTS
In combination with orthognathic surgery, additional cosmetic procedures are necessary in order to achieve facial balance. In complete maxillary hypoplasia the high midface (malar eminence and orbital rims) lacks anterioposterior projection and requires the placement of implants. As described in Educational Materials: Surgical Techniques, a combination of Biomet’s Interpore 200 HA granules and Avitene collagen are mixed in sterile saline. The resultant putty is shaped and cured under a heat lamp. The implants provide projection and contour and are post-surgically adjustable for up to 6 weeks. The same technique can be used to provide vertical length at the mandibular angles for condylar resorption patients.
https://www.arnettgunson.com/technologies/ (https://www.arnettgunson.com/technologies/)
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its basically impossible to remove, but can be shaved down just like overly prominent bone can. think kylie jenner before and after having her jaw shaved down. The level of osseointegration in HA paste is better than any other alloplastic material AFAIK.
It dosnt work for the jaw cuz the granules migrate, but for the midface its very promising. my understanding was that only small augmentations can be made successfully? perhaps this is untrue.
I think the puffyness plosko is refering to is the residual swelling. the granules are rough and irritate the periostium for quite some time, from what ive seen from gunsons patients.
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Restylane is not permanent. Resorbable fillers are s**t imo, waste of time and money.
Well I cud be wrong but ive been told with each application certain residue solidifies and becomes "permanent" so after multiple applications it could deliver. I am doing research but my zygos are ok. I just want some more projection and I think Zso + Restylene could work. I am not interested in HA as of now.
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Well I cud be wrong but ive been told with each application certain residue solidifies and becomes "permanent" so after multiple applications it could deliver. I am doing research but my zygos are ok. I just want some more projection and I think Zso + Restylene could work. I am not interested in HA as of now.
yeah i've heard this too, after multiple applications over years you get a hardness in that area, which for a guy i'm assuming would look good?
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Well if the applications have been cosmetically appropriate and the subsequent residual hardness/augment is local to that original site , I reckon so. I am looking more into it.
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I get using Restylane to test if augmenting an area would look good but it makes no sense, practically or financially, to keep using it in the hope that there will be hardened deposits that build up over years vs just using the permanent ha paste.
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I get using Restylane to test if augmenting an area would look good but it makes no sense, practically or financially, to keep using it in the hope that there will be hardened deposits that build up over years vs just using the permanent ha paste.
permanent ha paste is something totally different and doesn't augment as well as the injectable filler
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I get using Restylane to test if augmenting an area would look good but it makes no sense, practically or financially, to keep using it in the hope that there will be hardened deposits that build up over years vs just using the permanent ha paste.
For testing surgeons can also inject water.
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So I'm having this done in 6 weeks. It will be done in one surgery. During my consultations surgeon said it can provide any augmentation needed and will be placed high along those areas in smooth flow.
Will report back with results.
6 weeks are over! 8)
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6 weeks are over! 8)
Come on man we are waiting! :P
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So I'm having this done in 6 weeks. It will be done in one surgery. During my consultations surgeon said it can provide any augmentation needed and will be placed high along those areas in smooth flow.
Will report back with results.
Dervyx , is this a patience test , we are failing miserably.. Hope everything went swimmingly with the surgery and we are gonna see some jaw-dropping results
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Sorry for the late reply but I've decided not to go ahead with the surgery after seeing some of the results in doctors office. Submalar area is as far as ha paste can reach unfortunately and it's not the look I was after. Although for a female I would definitely recommend this doc and a procedures I was proposed with.
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Sorry for the late reply but I've decided not to go ahead with the surgery after seeing some of the results in doctors office. Submalar area is as far as ha paste can reach unfortunately and it's not the look I was after. Although for a female I would definitely recommend this doc and a procedures I was proposed with.
Eh not too surprised, considering the HA paste + bimax result we all just saw from Gunson's office definitely splotched the HA over the submalar area. Appreciate the update!
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Sorry for the late reply but I've decided not to go ahead with the surgery after seeing some of the results in doctors office. Submalar area is as far as ha paste can reach unfortunately and it's not the look I was after. Although for a female I would definitely recommend this doc and a procedures I was proposed with.
Thanks for the update. You guys should consult with docs prior to making these monumental GnB style threads though :P
Lestat is not gonna like this.
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Thanks for the update. You guys should consult with docs prior to making these monumental GnB style threads though :P
Lestat is not gonna like this.
I did have a consult and even surgery scheduled with deposit paid. Ultimately decided against it at a later stage after pre-op consult.
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Yeah fair enough. Its a big commitment.
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https://www.realself.com/question/east-texas-pa-cheek-implant-removal-hydroxyapatite (https://www.realself.com/question/east-texas-pa-cheek-implant-removal-hydroxyapatite)
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It seems the guy is really upset about the results. What is it wrong with his cheeks in your opinions?
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He hasnt posted what he looked like before. Kind of a moot point evaluating it.
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He hasnt posted what he looked like before. Kind of a moot point evaluating it.
His cheeks look fine. I don't know why he is so upset.
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His cheeks look ridiculous
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His cheeks look ridiculous
Yeah it looks really bad as if someone put playdough asymmetrically on either side. Poor guy, but its livable, I doubt most people really pay attention to it in real life.
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Yeah it looks really bad as if someone put playdough asymmetrically on either side. Poor guy, but its livable, I doubt most people really pay attention to it in real life.
i think on first glance, liek if you look at him from a far or from a photo in a club or something, you would think he was a model. its only once you really look close and evaluate it, becomes clear he was a touch overdone.
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It's not his cheeks that look ridiculous imo, although the guy seems completely set on believing that is the culprit.
His overdone nose, his feminized (lifted? and overplucked) eyebrows with the high arch (and hollowed out temples => as a result of a midfacelift he seems to hint at, or a browlift?), the exaggerated hollowed out buccal area (buccal fat pad removal?), the fat loss around the eyes as a result of surgery with a lax lower eyelid (as a result of surgery), the what seems like a chin implant with deepened submental fold, the what seems like lip injections, is what is the problem. Just a case of too much plastic surgery and now he blames the cheeks. Not to say the cheeks look fantastic: they don't, but it is not what makes him look bad imo; it's the combination of the other stuff.
And too much surgery on an aging face is never a good look as the (subcutaneous) fat loss related to aging makes these surgery issues more apparent.
God this is all true and so depressing.
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God this is all true and so depressing.
Aging is cruel.
https://youtu.be/t1TcDHrkQYg
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It's not his cheeks that look ridiculous imo, although the guy seems completely set on believing that is the culprit.
His overdone nose, his feminized (lifted? and overplucked) eyebrows with the high arch (and hollowed out temples => as a result of a midfacelift he seems to hint at, or a browlift?), the exaggerated hollowed out buccal area (buccal fat pad removal?), the fat loss around the eyes as a result of surgery with a lax lower eyelid (as a result of surgery), the what seems like a chin implant with deepened submental fold, the what seems like lip injections, is what is the problem. Just a case of too much plastic surgery and now he blames the cheeks. Not to say the cheeks look fantastic: they don't, but it is not what makes him look bad imo; it's the combination of the other stuff.
And too much surgery on an aging face is never a good look as the (subcutaneous) fat loss related to aging makes these surgery issues more apparent.
Fat transfer would help soften the face - would make a huge difference.
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Fat transfer is the last thing he needs, unless he wants to look like a freakshow. Everyone who gets it looks bad. Even the people who say they are happy look bad. Not everyone knows what they look like.
He is handsome. Personally I would remove the lateral HA, change the shape of the nostrils, done.
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Fat transfer is the last thing he needs, unless he wants to look like a freakshow. Everyone who gets it looks bad. Even the people who say they are happy look bad. Not everyone knows what they look like.
He is handsome. Personally I would remove the lateral HA, change the shape of the nostrils, done.
I've had fat transfer and it looks natural.. Only issue is longevity.
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I've had fat transfer and it looks natural.. Only issue is longevity.
What do you mean with only issue is longevity?
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It only looks natural if you have a fuller face to begin with. That's the irony with fat. This guy is pretty thin so the fat would be quite visible.
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What do you think about this result (fat transfer)?
http://www.drclauser.com/lipostruttura-del-volto-secondo-tecnica-di-coleman-2/
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Are you referring to the forehead or the full face one?
It's decent but they are more reconstructive so irregularities and what not are less important than the overall improvement.
What do you think about this result (fat transfer)?
http://www.drclauser.com/lipostruttura-del-volto-secondo-tecnica-di-coleman-2/
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What a shocking review!
https://www.realself.com/review/van-der-dussen-belgium-cheek-implants-forehead-augmentation-sith#dr-review
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What a shocking review!
https://www.realself.com/review/van-der-dussen-belgium-cheek-implants-forehead-augmentation-sith#dr-review
Damn I didn't know that HA paste resorbed!?
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Damn I didn't know that HA paste resorbed!?
In some cases, HA may resorb slightly but not a noticeable amount.
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In some cases, HA may resorb slightly but not a noticeable amount.
He says it all resorbed
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He says it all resorbed
Not all. His right side not.
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Not all. His right side not.
Oh well happy days now he has one prominent cheekbone... whatever HA paste was used on him sounds even worse than cartilage for resorption.
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Not all. His right side not.
Have you read his other entries/reviews? Seems like he started with quite a problem (growth asymmetry) had a surgery (in UK) and was happy with it. https://www.realself.com/review/queen-elizabeth-birmingham-uk-orthognathic-surgery-dr-speculand-birmingham
However, unclear as to the timing as to which came first, the surgery he was happy with or the one he was unhappy with.