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General Category => Aesthetics => Topic started by: David_D on July 27, 2017, 04:45:48 PM

Title: HA Paste Result
Post by: David_D on July 27, 2017, 04:45:48 PM
What are your thoughts on this result from MSLF1, BSSO, genioplasty, malar and nasal base HA grafts?

This is from the Arnett Gunson Facebook page.  I think the result looks good.

(http://i.imgur.com/LY14SlI.jpg)

I find it striking how, in the after photo, there is very different contour to the midface.

Title: Re: HA Paste Result
Post by: Lazlo on July 27, 2017, 05:18:20 PM
the result is f**king awesome. why i'm getting a gunson revision in the future when I can afford it.
Title: Re: HA Paste Result
Post by: ditterbo on July 27, 2017, 05:42:08 PM
I saw this too, but on his website he seems to be slowly updating with new pics.   Thing is it's hard to tell how much of this was from Gunson's big bimax movements vs the HA by itself.  The HA result sure looks great but maybe he's still swollen from it? Heard that can take years to subside, that and Gunson's own page said the HA will reduce 10-20% from what you see in the image there.

Something about his face looks off though.  Maybe his orbital rims now look left behind? I dono too much to read into one image.
Title: Re: HA Paste Result
Post by: PloskoPlus on July 27, 2017, 06:29:01 PM
IMO only, don't think he needed ha and I think it was too low as well. Nostrils have widened.
Title: Re: HA Paste Result
Post by: A-V-P on July 27, 2017, 10:33:21 PM
What are your thoughts on this result from MSLF1, BSSO, genioplasty, malar and nasal base HA grafts?

This is from the Arnett Gunson Facebook page.  I think the result looks good.

(http://i.imgur.com/LY14SlI.jpg)

I find it striking how, in the after photo, there is very different contour to the midface.

Looks ok. But he did not need it... I think it would be the duty for my ps to pay for the surgery to restore my looks like this since he flattened my face without my consent..... LOL - that won't ever happen and won't be askin that greedy unskilled man a refund since that would never happen...

Wonder how costly are these paste implantations? Just curious since I need back my feminine structures to my face.
Title: Re: HA Paste Result
Post by: UKMaxfac on July 28, 2017, 07:27:17 AM
He looks terrible
Title: Re: HA Paste Result
Post by: Jilkster on July 28, 2017, 07:30:26 AM
Looks a bit uncanny to me, not digging it.
Title: Re: HA Paste Result
Post by: The Quest for Aesthetics on July 28, 2017, 10:55:54 AM
Looks amazing afterwards, incredible result if this before and after is telling the whole story
Title: Re: HA Paste Result
Post by: Bowie on July 28, 2017, 12:57:29 PM
He looks terrible
Seriously I don't think you should pursue jaw surgery, you also think Alfaro's results look artificial, you are destined to be unhappy, irrespective of the outcome or the surgeon responsible for it.

There are some results that garner polarizing opinions, I wouldn't have thought this would be one of them.
Title: Re: HA Paste Result
Post by: David_D on July 28, 2017, 01:07:46 PM
Something about his face looks off though.  Maybe his orbital rims now look left behind? I dono too much to read into one image.

So, I actually had the same thought before I created the post, for a moment.  For a moment, his eyes somehow looked "too far back."  The thing is, I think that the initial impression I had more relates to the interorbital distance.  I think that this is an excellent result.  There are trade-offs with anything done cosmetically, to some degree; in this case, I think that the benefit is clear.  I think he looks well-balanced.

Title: Re: HA Paste Result
Post by: MyTimeIsNow on July 28, 2017, 01:24:08 PM
Genioplasty accounts for 90% of improvement in this case. Given how expensive Gunson is this whole combo has terrible benefits: risk and costs ratio.
Title: Re: HA Paste Result
Post by: PloskoPlus on July 28, 2017, 02:39:11 PM
The result is thrown off by his very long midface, close set eyes. The ha patties seem to be placed over the plates. I wonder if that makes it impossible to take them out afterwards (and maybe make the surgery unrevisable).
Title: Re: HA Paste Result
Post by: Lefortitude on July 28, 2017, 03:58:23 PM
This is an amazing result.  The nasal base has likely widened from the MSLF1.  The Malar HA grafts will consolidate further, which should be considered if you think he looks overdone.  Anyone who thinks he looks "terrible" dosnt understand the limits of modern cosmetic and facial surgery. I can agree the malar grafts look a little low, and the inferior orbital rims could use some fillers.  However if you consider his starting point, this guys got a whole new life now. 
Title: Re: HA Paste Result
Post by: Wheatsnax on July 28, 2017, 04:43:50 PM
think his lower jaw width look off in relation to projection. the way the ha paste was sculptured to harmonise with his genio
Title: Re: HA Paste Result
Post by: ppsk on July 29, 2017, 07:23:42 AM
This is an amazing result.  The nasal base has likely widened from the MSLF1.  The Malar HA grafts will consolidate further, which should be considered if you think he looks overdone.  Anyone who thinks he looks "terrible" dosnt understand the limits of modern cosmetic and facial surgery. I can agree the malar grafts look a little low, and the inferior orbital rims could use some fillers.  However if you consider his starting point, this guys got a whole new life now.

i understand the limits, i just dont think it looks good. Its too low and this seems to be one of those very "limitations" of cheekbone augmentation. Surgeons aren't idiots, surely there must be a reason no one ever seems to place augmentations up high near the orbital rim instead way down low on the base of the malar.
Title: Re: HA Paste Result
Post by: Lefortitude on July 29, 2017, 08:09:49 AM
i understand the limits, i just dont think it looks good. Its too low and this seems to be one of those very "limitations" of cheekbone augmentation. Surgeons aren't idiots, surely there must be a reason no one ever seems to place augmentations up high near the orbital rim instead way down low on the base of the malar.

I think its positive to have differing opinions, and polarizing viewpoints on subjective topics such as facial cosmetics.  I think once the grafts fully consolidate and he gets some fillers for touch up, itl look great.  Maybe if the augmentation had the same upper endpoint but a higher lower endpoint it would look more "chisled". Idk im not an expert.  I do know you have to avoid the nerve formen. At the inferior orbital rim.
Title: Re: HA Paste Result
Post by: ditterbo on July 29, 2017, 10:17:12 AM
The dudes got a s**t starting point - long and narrow midface and close set eyes, like myself.  I'd say it's probably still an amazing improvement for him, so long as he's not suffering new TMJ or what have you. We don't have a head-on shot to consider here either. The slightly awkward augmentation from this angle probably look great head-on.
Title: Re: HA Paste Result
Post by: ExtractionsRuinFaces on July 29, 2017, 12:05:43 PM
Looks good for the current surgeries that are possible. Looks a little uncanny overall though, the lower two thirds of the face protrude too much relative to the forehead and eyes.
Title: Re: HA Paste Result
Post by: ditterbo on July 29, 2017, 02:02:35 PM
Looks good for the current surgeries that are possible. Looks a little uncanny overall though, the lower two thirds of the face protrude too much relative to the forehead and eyes.

Exactly but that's Gunson's style I believe.  His TVL goes past the forehead, and instead down the middle of your nose.
Title: Re: HA Paste Result
Post by: needadvancement on July 29, 2017, 03:44:25 PM
If you block out the eye and brow area it is a spectacular result.
Title: Re: HA Paste Result
Post by: PloskoPlus on July 29, 2017, 06:30:20 PM
If you block out the eye and brow area it is a spectacular result.
Very much this.  But I'm still not convinced by ha at all.
Title: Re: HA Paste Result
Post by: slysurfz on July 29, 2017, 06:30:45 PM
I think he looks amazing! Nitpickers will nitpick
Title: Re: HA Paste Result
Post by: ppsk on July 30, 2017, 12:34:55 AM
It's the eye area and nose that takes away from this fantastic result and makes you not notice how fantastic this result actually is. And the cheek paste is a bit too feminine positioned for my taste.

But look at the jawline!
Amazing.
If I had anything close to such a result with my costly chinwing I would have been thrilled.

I don't understand that everyone here keeps recommending chinwing. This result again makes me believe that if you need forward movement in the chin you're much better off  with bimax + genio. Unfortunately I'm really disappointed now if I compare the deep fold under my lower lip and the recession in that entire area to a perfect chin result as this result.
People here have touted the chinwing as cure all. I jumped on that bandwagon and now I regret it. How on earth am I going to solve this recession under the lip. And then I see such a result. Bimax + modest genio that is the way to go.

Splendid result this Gunson result.

the recommendation of the chin wing here has its genesis in stupidjaw's excellent results..

that was not the chin wing as it is normally performed (forward advancement) but rather vertical lengthening and lateral widening (however limited it may be).

It remains a good option for people with vertically short mandibles who dont want to use implants.
Title: Re: HA Paste Result
Post by: Lestat on July 30, 2017, 03:35:33 AM
It remains a good option for people with vertically short mandibles who dont want to use implants.

And for people with perfect bite it is the only option.
Title: Re: HA Paste Result
Post by: CCW on July 30, 2017, 03:52:20 AM
And for people with perfect bite it is the only option.
No, it's not. You can do CCW bimax even if your bite is fine. You just rotate the maxillo-mandibular complex as much as is necessary to achieve a Class I skeletal relationship, but the bite stays the same. Many sleep apnea patients have a seemingly perfect bite.
Title: Re: HA Paste Result
Post by: PloskoPlus on July 30, 2017, 04:07:44 AM
No, it's not. You can do CCW bimax even if your bite is fine. You just rotate the maxillo-mandibular complex as much as is necessary to achieve a Class I skeletal relationship, but the bite stays the same. Many sleep apnea patients have a seemingly perfect bite.
If your starting point is a normal bite, if the chin wing relapses/resorbs, you have largely aesthetic issues. If your CCW relapses, you have a bad bite. Having had a bad bite to begin with and now a good one, I would never go back to a bad bite. I can only imagine how it would feel to have a messed up bite coming from a good one.
Title: Re: HA Paste Result
Post by: Lestat on July 30, 2017, 04:14:49 AM
If your starting point is a normal bite, if the chin wing relapses/resorbs, you have largely aesthetic issues. If your CCW relapses, you have a bad bite. Having had a bad bite to begin with and now a good one, I would never go back to a bad bite. I can only imagine how it would feel to have a messed up bite coming from a good one.

I understand what you mean but why should a chin wing relapse or resorb? Have you ever heard about that?
Title: Re: HA Paste Result
Post by: needadvancement on July 30, 2017, 04:28:06 AM
It's the eye area and nose that takes away from this fantastic result and makes you not notice how fantastic this result actually is. And the cheek paste is a bit too feminine positioned for my taste.

But look at the jawline!
Amazing.
If I had anything close to such a result with my costly chinwing I would have been thrilled.

I don't understand that everyone here keeps recommending chinwing. This result again makes me believe that if you need forward movement in the chin you're much better off  with bimax + genio. Unfortunately I'm really disappointed now if I compare the deep fold under my lower lip and the recession in that entire area to a perfect chin result as this result.
People here have touted the chinwing as cure all. I jumped on that bandwagon and now I regret it. How on earth am I going to solve this recession under the lip. And then I see such a result. Bimax + modest genio that is the way to go.

Splendid result this Gunson result.

Have you tried filler in that area below your lower lip? I understand you would want something more permanent but it seems like a very easy solution and I'm curious.
Title: Re: HA Paste Result
Post by: Lestat on July 30, 2017, 10:28:10 AM
And what did your surgeon say? Can he fix it or not? What does he recommend?

For God's sake get to the point!
Title: Re: HA Paste Result
Post by: The Quest for Aesthetics on July 30, 2017, 10:46:19 AM
And what did your surgeon say? Can he fix it or not? What does he recommend?

For God's sake get to the point!

 ;D ;D ;D ;D
Title: Re: HA Paste Result
Post by: UKMaxfac on July 30, 2017, 10:54:58 AM
Seriously I don't think you should pursue jaw surgery, you also think Alfaro's results look artificial, you are destined to be unhappy, irrespective of the outcome or the surgeon responsible for it.

There are some results that garner polarizing opinions, I wouldn't have thought this would be one of them.

Nah I just know what looks good. That guy looks overdone and unnatural but then again it's not long post op
Title: Re: HA Paste Result
Post by: PloskoPlus on July 30, 2017, 03:44:53 PM
Vampires have no empathy by definition. They just use people and give nothing back.
Title: Re: HA Paste Result
Post by: PloskoPlus on August 01, 2017, 02:51:37 AM
Unless I'm seeing something else, the HA seems to be placed right over the plates. 

https://www.arnettgunson.com/facial-contour-grafting/

We had a forum member who had a botched jaw surgery by a certain Belgian butcher.  He had HA over his BSSO plates which according to Gunson made it "unrevisable".  Yet here we have HA slopped right over the plates.  What if the plates get infected?  What if the jaws relapse?  (Jaw surgeries need revision far more often than surgeons want you to believe.)
Title: Re: HA Paste Result
Post by: David_D on August 01, 2017, 07:16:38 AM
Unless I'm seeing something else, the HA seems to be placed right over the plates. 

https://www.arnettgunson.com/facial-contour-grafting/

We had a forum member who had a botched jaw surgery by a certain Belgian butcher.  He had HA over his BSSO plates which according to Gunson made it "unrevisable".  Yet here we have HA slopped right over the plates.  What if the plates get infected?  What if the jaws relapse?  (Jaw surgeries need revision far more often than surgeons want you to believe.)

I'm not sure why placement of HA paste over plates would make a jaw surgery unrevisable.  I'm not saying that anyone said or didn't say that's the case.  I just don't understand why that would be the case, and wonder if a surgeon would publicly comment on such.
Title: Re: HA Paste Result
Post by: PloskoPlus on August 01, 2017, 01:11:55 PM
I'm not sure why placement of HA paste over plates would make a jaw surgery unrevisable.  I'm not saying that anyone said or didn't say that's the case.  I just don't understand why that would be the case, and wonder if a surgeon would publicly comment on such.
The person I mentioned saw a&g in person. Ha is a b*tch to remove. It would have to be removed to remove the plates.
Title: Re: HA Paste Result
Post by: Lefortitude on August 01, 2017, 03:03:10 PM
The person I mentioned saw a&g in person. Ha is a b*tch to remove. It would have to be removed to remove the plates.

HA is more than a b*tch to remove, AFAIK ITS A f**kIN NIGHTMARE.  pardon my french.  Its the only downside i see to using it for cosmetic augmentation.
Title: Re: HA Paste Result
Post by: ditterbo on August 01, 2017, 03:18:12 PM
Ya I would not pay Gunson prices to have the screws and plates encapsulated in HA. If I ever get sinus problems from the screws, I'm literally screwed.
Title: Re: HA Paste Result
Post by: Lestat on August 01, 2017, 09:04:10 PM
Ya I would not pay Gunson prices to have the screws and plates encapsulated in HA. If I ever get sinus problems from the screws, I'm literally screwed.

I think thats not true, you can remove your plates and screws f.e. also 8 years after your operation when they are completely osseointegrated. The method is called en-bloc surgery.
Title: Re: HA Paste Result
Post by: PloskoPlus on August 05, 2017, 04:45:25 PM
I just believe the guy never got an impaction on the uppermaxilla. That's why his face still looks long even with the advancement.
Jaw surgery has no effect on nose length.
Title: Re: HA Paste Result
Post by: PloskoPlus on August 05, 2017, 06:19:25 PM
Read again
Impaction can only affect the area below the nose, which in his case is of normal length.  Most of the mid face is the nose.  It cannot be shortened. 
Title: Re: HA Paste Result
Post by: MyTimeIsNow on August 06, 2017, 02:18:14 AM
I saw significantly more impressive results in Zarrinbal's and Raffaini's consults.
Title: Re: HA Paste Result
Post by: Lestat on August 06, 2017, 03:23:49 AM
I saw significantly more impressive results in Zarrinbal's and Raffaini's consults.

Regarding what? Cheekbone augmentation? Please tell us more!
Title: Re: HA Paste Result
Post by: MyTimeIsNow on August 06, 2017, 09:58:46 AM
Regarding what? Cheekbone augmentation? Please tell us more!

Regarding overall improvement.
Title: Re: HA Paste Result
Post by: ahamis on August 13, 2017, 04:02:02 PM
Many people in this forum have irrealistic expectation regarding plastic surgery. They think if the final result looks less than a model it is a failure. Most of the patients, even after many surgical interventions, won't look like a model.

I am really curious to see the post- surgery pics from those who keep criticizing the results of others...

Lots of criticism and very few members that self-disclose their results....
Title: Re: HA Paste Result
Post by: UKMaxfac on August 14, 2017, 07:15:17 AM
Many people in this forum have irrealistic expectation regarding plastic surgery. They think if the final result looks less than a model it is a failure. Most of the patients, even after many surgical interventions, won't look like a model.

I am really curious to see the post- surgery pics from those who keep criticizing the results of others...

Lots of criticism and very few members that self-disclose their results....

I have very low expectations for surgery. Most people seem to come out looking marginally better at best, and often worse or the same.

I am often the first to attack people for having too high expectations. But in this case I just think the guy looks bad, period. Whether he's been overadvanced I dont know, maybe its his nose being far far too long, it just looks unnatural.
Title: Re: HA Paste Result
Post by: Bowie on August 14, 2017, 07:24:45 AM
I think the eye area doesn't gel with the new jaw position and fuller cheekbones so that's what makes it look slightly unnatural, still I think it's a fantastic result in terms of the jaw surgery, you couldn't hope for more.

The jawline looks slightly blurred on both photos, maybe it is photoshopped.
Title: Re: HA Paste Result
Post by: ahamis on August 14, 2017, 08:15:51 AM
"I think the eye area doesn't gel with the new jaw position and fuller cheekbones so that's what makes it look slightly unnatural, still I think it's a fantastic result in terms of the jaw surgery, you couldn't hope for more.

The jawline looks slightly blurred on both photos, maybe it is photoshopped."

The doctor moved the jaws. He can't move the eyes.. Or make the eyes more distant from each other. Unfortunately, some people even think that this is safely possible...Maybe in 50 years from now...

Maybe, a filler in the infra orbital area would help; just a guess. I am now a plastic surgeon. But regarding the jaws per si, the focus of the treatment, they look pretty nice.

Unfortunately, cheek augmentation in men does not have good results, in general. I have searched MANY BEFORE/AFTER pictures from different plastic surgeons and the final results look like kind of feminine. That's apparently a  limitation of the technique.
It seems that there are anatomical limitations in putting the cheek implant/HA paste too high (at the border of the lower infraorbital bone). Correct me if I am wrong.

Hope it is not photoshopped. That would be so unethical!!!

Title: Re: HA Paste Result
Post by: ppsk on August 14, 2017, 08:26:09 AM
"I think the eye area doesn't gel with the new jaw position and fuller cheekbones so that's what makes it look slightly unnatural, still I think it's a fantastic result in terms of the jaw surgery, you couldn't hope for more.

The jawline looks slightly blurred on both photos, maybe it is photoshopped."

The doctor moved the jaws. He can't move the eyes.. Or make the eyes more distant from each other. Unfortunately, some people even think that this is safely possible...Maybe in 50 years from now...

Maybe, a filler in the infra orbital area would help; just a guess. I am now a plastic surgeon. But regarding the jaws per si, the focus of the treatment, they look pretty nice.

Unfortunately, cheek augmentation in men does not have good results, in general. I have searched MANY BEFORE/AFTER pictures from different plastic surgeons and the final results look like kind of feminine. That's apparently a  limitation of the technique.
It seems that there are anatomical limitations in putting the cheek implant/HA paste too high (at the border of the lower infraorbital bone). Correct me if I am wrong.

Hope it is not photoshopped. That would be so unethical!!!


I believe cheek augmentation often look subpar because until recently, only off the shelf implants were used, and the off-the-shelf implant designs are all for the malar and submalar area.... chiefly they have too much augmentation in the submalar area.

To achieve good results you would have to have an implant custom made that wraps around the zygomatic arch and importantly augments the halfway point between the arch and the malar area. This is what would create an angular result as opposed to the typical "apple cheeks" result most silastic implants result in.

This can also be achieved via osteotomy, example:
(http://drsheftall.com/wp-content/uploads/2014/10/BACosmetic-Face-Slide08.jpg)

Title: Re: HA Paste Result
Post by: Milli_Meters on August 14, 2017, 09:37:44 AM
Hi PPSK

Are you sure the pic of the  lady you posted , that is a ZSO?
Title: Re: HA Paste Result
Post by: ppsk on August 14, 2017, 01:19:03 PM
Hi PPSK

Are you sure the pic of the  lady you posted , that is a ZSO?

not sure at all. I've emailed the doctor, waiting on a response.
Title: Re: HA Paste Result
Post by: Lazlo on August 14, 2017, 01:36:02 PM

I believe cheek augmentation often look subpar because until recently, only off the shelf implants were used, and the off-the-shelf implant designs are all for the malar and submalar area.... chiefly they have too much augmentation in the submalar area.

To achieve good results you would have to have an implant custom made that wraps around the zygomatic arch and importantly augments the halfway point between the arch and the malar area. This is what would create an angular result as opposed to the typical "apple cheeks" result most silastic implants result in.

This can also be achieved via osteotomy, example:
(http://drsheftall.com/wp-content/uploads/2014/10/BACosmetic-Face-Slide08.jpg)

who is the doctor here? and what is this procedure?
Title: Re: HA Paste Result
Post by: kavan on August 14, 2017, 02:15:39 PM
http://drsheftall.com/galleries-videos/before-after-cosmetic/before-after-cosmetic-face_3/

http://drsheftall.com/about/dr-sheftall/
Title: Re: HA Paste Result
Post by: ditterbo on August 14, 2017, 03:27:43 PM
Good link, but I don't think his description really tells us what he did yet.  Would sure be interesting to know.
Title: Re: HA Paste Result
Post by: Bowie on August 14, 2017, 03:30:58 PM
He's a plastic surgeon, probably filler.
Title: Re: HA Paste Result
Post by: Freeways on August 14, 2017, 03:32:51 PM
The result in the OP is amazing. I see some say that he looks a bit weird, but I bet he looks great in motion.


This can also be achieved via osteotomy, example:
(http://drsheftall.com/wp-content/uploads/2014/10/BACosmetic-Face-Slide08.jpg)

Different angles and open mouth in the after (which stretches the skin and improves zygoma angularity).
Title: Re: HA Paste Result
Post by: kavan on August 14, 2017, 03:34:45 PM
Good link, but I don't think his description really tells us what he did yet.  Would sure be interesting to know.

Correct. Not enough info to conclude zyg osteotomy.
Title: Re: HA Paste Result
Post by: Lazlo on August 14, 2017, 04:09:02 PM
Correct. Not enough info to conclude zyg osteotomy.

yeah doubt this was ostoetomy. but would be awesome if it were.
Title: Re: HA Paste Result
Post by: kavan on August 14, 2017, 04:17:00 PM
yeah doubt this was ostoetomy. but would be awesome if it were.

I'll shoot him an e mail from an MIT edu account to ask.  Will post if he responds.
Title: Re: HA Paste Result
Post by: ditterbo on August 14, 2017, 04:32:48 PM
He's a plastic surgeon, probably filler.

I bet you're right.  If she was having an actual ZO wouldn't she be in a gown and s**t in the OR or recovery area.  This looks like she's in the doctor's big reclining chair grimacing from all the filler injections she just sat through.
Title: Re: HA Paste Result
Post by: kavan on August 14, 2017, 05:00:38 PM
I bet you're right.  If she was having an actual ZO wouldn't she be in a gown and s**t in the OR or recovery area.  This looks like she's in the doctor's big reclining chair grimacing from all the filler injections she just sat through.

The text below the photo, mentions she had surgery. Maybe the photo was taken when she was having something else done but after all healed from cheek surgery.
Title: Re: HA Paste Result
Post by: Milli_Meters on August 14, 2017, 05:18:01 PM
The text below the photo, mentions she had surgery. Maybe the photo was taken when she was having something else done but after all healed from cheek surgery.

Text also states she apparently called the doc the same night saying he handnt done enough. Any bone cracking would have her swollen.
Title: Re: HA Paste Result
Post by: Lazlo on August 14, 2017, 05:54:12 PM
Text also states she apparently called the doc the same night saying he handnt done enough. Any bone cracking would have her swollen.

Okay my question to everyone --anyone seen a ZSO that achieved this type of result? If not, ZSO is pretty useless.
Title: Re: HA Paste Result
Post by: Milli_Meters on August 14, 2017, 06:05:28 PM
Okay my question to everyone --anyone seen a ZSO that achieved this type of result? If not, ZSO is pretty useless.

I have seen 2 very good results with zso hard to say "this type" . They were on males. But they had  decent starting points zygo wise.
Title: Re: HA Paste Result
Post by: Lazlo on August 14, 2017, 06:28:00 PM
I have seen 2 very good results with zso hard to say "this type" . They were on males. But they had  decent starting points zygo wise.

do you think you could do a drawing to show us what you're talking about. Like just the outline of a face to give us an idea.
Title: Re: HA Paste Result
Post by: kavan on August 16, 2017, 07:44:33 AM
I'll shoot him an e mail from an MIT edu account to ask.  Will post if he responds.

Reid got back to me. He relays it is an implant.
Title: Re: HA Paste Result
Post by: Lefortitude on August 17, 2017, 08:13:59 PM
Reid got back to me. He relays it is an implant.

strange she wasnt swollen to s**t from intraoral dissection to place that.   often surgeons mention at implant consults that the first few days patients freak out saying its too big when they look at the swelling.
Title: Re: HA Paste Result
Post by: kavan on August 17, 2017, 09:02:25 PM
strange she wasnt swollen to s**t from intraoral dissection to place that.   often surgeons mention at implant consults that the first few days patients freak out saying its too big when they look at the swelling.

Swelling kicks in some hours after the surgery. 2ncd to 3rd day is worst. But immediately afterwards, before it sets in, it can be seen how it looks.
Title: Re: HA Paste Result
Post by: ITALIA on August 18, 2017, 02:31:49 PM
http://drsheftall.com/galleries-videos/before-after-cosmetic/before-after-cosmetic-face_3/

http://drsheftall.com/about/dr-sheftall/

Its an implant not bone cutting.
Title: Re: HA Paste Result
Post by: kavan on August 18, 2017, 03:01:19 PM
Its an implant not bone cutting.

Tell it to the poster who introduced it as an example of bone cutting. I already confirmed it was not bone cutting.
Title: Re: HA Paste Result
Post by: ITALIA on August 18, 2017, 04:52:32 PM
Tell it to the poster who introduced it as an example of bone cutting. I already confirmed it was not bone cutting.

The surgeon posted on another forum confirming its an implant with his philosophy behind implant placement.
Title: Re: HA Paste Result
Post by: ppsk on August 28, 2017, 08:58:27 AM
Reid got back to me. He relays it is an implant.

that being the case, tis still better than all the other implant results ive seen in the cheek region. So many doctors seemed obsessed with mounting implants over the sub-malar region which leads to too much midface fullness. This might be the only example I can recall from memory where the prominence is high between the malar and zygomatic arch.
Title: Re: HA Paste Result
Post by: kavan on August 28, 2017, 10:44:56 AM
that being the case, tis still better than all the other implant results ive seen in the cheek region. So many doctors seemed obsessed with mounting implants over the sub-malar region which leads to too much midface fullness. This might be the only example I can recall from memory where the prominence is high between the malar and zygomatic arch.

Well, yes. I agree it's much better. I look at it in terms of so few doctors are MIT grads with a good aesthetic eye.
Title: Re: HA Paste Result
Post by: Framboise on September 18, 2017, 11:49:28 PM
I saw good results on Dr D. website, using HA paste for high cheek bone augmmentation

This girl has bicuspids extracted and I guess because of that, an aging face. With HA paste, she has now less wrinkles. But her face looks a little Botoxed .. No ?
http://www.facialsculptureclinic.com/en/case/all-cases/231/


She looks more feminine after. But I think more HA paste should have been use on the highest area. The augmentation is maybe too uniform.
http://www.facialsculptureclinic.com/en/case/all-cases/227/


Best case ever :
http://www.facialsculptureclinic.com/en/case/jaw-surgery/cheekbone-augmentation/211/




Title: Re: HA Paste Result
Post by: Lazlo on September 19, 2017, 01:23:26 AM
i understand the limits, i just dont think it looks good. Its too low and this seems to be one of those very "limitations" of cheekbone augmentation. Surgeons aren't idiots, surely there must be a reason no one ever seems to place augmentations up high near the orbital rim instead way down low on the base of the malar.

you're actually TOTALLY ON TO SOMETHING WITH THAT COMMENT!!!!! Plus 1!!!

So here's the thing I've noticed. I went out with this girl on a date and she's really hot (bodywise, a ballerina) but has a long midface and I can tell she gets fillers cause (well you can just tell and her lip looks off) and then I realized what made her look so off to me facially and it was that she had cheekbone fillers but had a slightly long midface. And as we all know here the long-midface is a f**king CURSE and not curable no matter what you do. And getting high up (or any really) cheek implants makes you look even more FACKED up.

Once I realized this I went and checked out a bunch of other women, especially older ones who have gotten fat grafting and s**t to their cheekbones. Why aren't they pretty? They have no lines everything seems to be great eyes, slender nose and then I realized it was the combination of big cheekbones with long face --it just makes the long face worse.

I still think this guys results are awesome but hey is he gonna be a model? Obviously no. No surgery short of cloning another head and stitching it on is gonna get him that, but he looks better sure.

I'd love a counter example of my theory. But I think I'm right.









Title: Re: HA Paste Result
Post by: Bowie on September 19, 2017, 01:50:55 AM
Adding width to the cheekbones and jawline can make a long face appear shorter.
Title: Re: HA Paste Result
Post by: Lazlo on September 19, 2017, 02:10:12 AM
Adding width to the cheekbones and jawline can make a long face appear shorter.

mmmm....I'm not so sure. Pics supporting your theory please. This guys cheekbones and jaws were augmented and it didn't make his face seem shorter at all. Moreover, unless you have unnaturally far apart eyes you'll look WAY WAY worse widening your cheekbones and jawline. So you're f**ked.

Sorry Bowie. You're just wrong. Show me some pics.
Title: Re: HA Paste Result
Post by: Bowie on September 19, 2017, 02:24:13 AM
mmmm....I'm not so sure. Pics supporting your theory please. This guys cheekbones and jaws were augmented and it didn't make his face seem shorter at all. Moreover, unless you have unnaturally far apart eyes you'll look WAY WAY worse widening your cheekbones and jawline. So you're f**ked.

Sorry Bowie. You're just wrong. Show me some pics.
Ok hold on I will fin some, yes if your eyes aren't far apart enough then it would look awful.
Title: Re: HA Paste Result
Post by: Milli_Meters on September 19, 2017, 02:29:55 AM
Adding width will make a face look more squarish and less rectangular.  Bowie is right. But a long midface on a square is still a long midface. Its just damage control.


Title: Re: HA Paste Result
Post by: Milli_Meters on September 19, 2017, 02:34:23 AM
https://imgur.com/BUwFpgv

Not cheek or jaw widening but just bitempolar width improves his face so much (ofc he had hollowing) and does not hurt his ipd.
Title: Re: HA Paste Result
Post by: Bowie on September 19, 2017, 02:36:36 AM
Ok so obviously not an example of great surgery but I think Joan Rivers' surgery made her mid face APPEAR less long.
(http://www.plasticsurgeryhits.com/wp-content/uploads/2014/09/joan-rivers-before-and-after-plastic-surgery.jpg)
(http://styleslum.com/images/plastic_surgery/joan-rivers/joan-rivers-before-and-after.jpg)
(https://i.pinimg.com/originals/b0/09/28/b00928217e7d302191cde55372b66781.jpg)
Title: Re: HA Paste Result
Post by: kavan on September 19, 2017, 08:14:56 AM
Well, adding width will make the face wider and less narrow . But a determination needs to be made whether the face is narrow or long.



Title: Re: HA Paste Result
Post by: Lazlo on September 19, 2017, 06:59:53 PM
Well, adding width will make the face wider and less narrow . But a determination needs to be made whether the face is narrow or long.

correct, Rivers has a moderately long mid-face but her face is narrow, not that long really. And come-on what am i supposed to determine from those afters. She looks frightening in both examples. Let me find you an example of what I'm talking about.
Title: Re: HA Paste Result
Post by: Lazlo on September 19, 2017, 07:22:05 PM
Okay, here's what I'm talking about. This is Dr. Melanie Palm herself a dermatologist who advocates fillers for
cheekbones. She's likely had implants AND fillers for her cheekbones. I'm not saying she looks like a f**king
witch, but she looks f**king weird. Her midface is the definition of LONG MIDFACE, long upper lip/philltrum
She has augmented the f**k out of her cheekbones. To my mind this looks horrible. Cheekbones like that
don't harmonize well with a long midface. We have seen many results of cheekbone augmentation on too many
people on this board but you'll see the problem right off --see her profile and how much filler is there, like a tennis ball.

And she's clearly augmented her jaws and stuff too. A long mid face is a long midface and you can't do ANYTHING to improve that.

to my mind, the cheekbones have exacerbated her problem and they just look weird on such a long face. Those kind of
cheekbones look good on a face that is squatter and squarer and shorter. Nuff said.






Title: Re: HA Paste Result
Post by: kavan on September 19, 2017, 07:31:11 PM
Okay, here's what I'm talking about. This is Dr. Melanie Palm herself a dermatologist who advocates fillers for
cheekbones. She's likely had implants AND fillers for her cheekbones. I'm not saying she looks like a f**king
witch, but she looks f**king weird. Her midface is the definition of LONG MIDFACE, long upper lip/philltrum
She has augmented the f**k out of her cheekbones. To my mind this looks horrible. Cheekbones like that
don't harmonize well with a long midface. We have seen many results of cheekbone augmentation on too many
people on this board but you'll see the problem right off --see her profile and how much filler is there, like a tennis ball.

And she's clearly augmented her jaws and stuff too. A long mid face is a long midface and you can't do ANYTHING to improve that.

to my mind, the cheekbones have exacerbated her problem and they just look weird on such a long face. Those kind of
cheekbones look good on a face that is squatter and squarer and shorter. Nuff said.

Would you kick her out of bed for eating crackers?
Title: Re: HA Paste Result
Post by: Lazlo on September 19, 2017, 07:42:42 PM
Would you kick her out of bed for eating crackers?

Dude I think she looks nasty. I get your point she's not hideous but yeah maybe i'm neurotic but that kind of facial augmentation that looks so fake (as fillers done to that extent always do) would freak me the f**k out.

Also I dated a girl a few weeks ago who looks basically exactly like this and the whole time I was just thinking f**k she's  playdough face and it wasn't attractive in real life --and this girl was a f**king ballerina. She was a bit old though for my taste like late 30s, I could have f**ked her but the cheekbones kept freaking me out.

I dunno, but i'm thinking that ZSO's and modified lefort 3s seem to look WAY more natural. Look at the cheekbones of people like that swedish soccer player (you know calvin klein model) or mad mikkelsen who have huge exaggerated cheekbones --they look awesome cause it still looks natural. If they had tennis ball cheeks it would look like s**t and that's what fillers seem to do.

Long faces suck. They can't be fixed.




Title: Re: HA Paste Result
Post by: GJ on September 19, 2017, 07:54:02 PM
Okay, here's what I'm talking about. This is Dr. Melanie Palm

Cute in the 1st and 2nd photos.
Title: Re: HA Paste Result
Post by: kavan on September 19, 2017, 07:58:13 PM
Dude I think she looks nasty. I get your point she's not hideous but yeah maybe i'm neurotic but that kind of facial augmentation that looks so fake (as fillers done to that extent always do) would freak me the f**k out.

Also I dated a girl a few weeks ago who looks basically exactly like this and the whole time I was just thinking f**k she's  playdough face and it wasn't attractive in real life --and this girl was a f**king ballerina. She was a bit old though for my taste like late 30s, I could have f**ked her but the cheekbones kept freaking me out.

I dunno, but i'm thinking that ZSO's and modified lefort 3s seem to look WAY more natural. Look at the cheekbones of people like that swedish soccer player (you know calvin klein model) or mad mikkelsen who have huge exaggerated cheekbones --they look awesome cause it still looks natural. If they had tennis ball cheeks it would look like s**t and that's what fillers seem to do.

Long faces suck. They can't be fixed.

I think she's attractive but not 'universally' so. I would tend to use Sarah Jessica Parker as more of example of the long face. But yeah, long face is hard to really fix.

This is an old one:  A horse walks into a bar and the bar tender says; 'Why such a long face?'
Title: Re: HA Paste Result
Post by: Framboise on September 19, 2017, 11:55:36 PM
His face looks shorter, no ?

He had both cheeks and jaw line augmentation but also a maxillary impaction.
Title: Re: HA Paste Result
Post by: Milli_Meters on September 20, 2017, 03:49:08 AM
His face looks healthier/balanced
Title: Re: HA Paste Result
Post by: Bowie on September 20, 2017, 12:46:26 PM
His face looks shorter, no ?

He had both cheeks and jaw line augmentation but also a maxillary impaction.
I agree his face does look shorter, and thus my theory is proved correct.  ;D
Title: Re: HA Paste Result
Post by: Lazlo on September 20, 2017, 02:28:23 PM
he had VERY wide eyes so his face could accommodate it. he's lucky there.


also different lenses. but whatever i have no real skin in this discussion. go ahead do what you will let us know how it works out.
Title: Re: HA Paste Result
Post by: Bowie on September 20, 2017, 03:00:11 PM
Well I don't have a long mid face so I don't care either
Title: Re: HA Paste Result
Post by: girl on September 21, 2017, 12:57:20 AM
That Dr Melanie doesn't have a long midface. But the placement of her fillers has given it that impression and has probably pulled her face down as well.

The same thing happened to the wife of Dr Hochstein, Lisa (Real Housewives of Miami). And she was a beauty before.
 
Title: Re: HA Paste Result
Post by: Lazlo on September 21, 2017, 02:50:49 PM
Difference between long and short midface right here. It's all about the proportion between the distance of eyes and length to lips. That's Lisa Hochstein whom you mentioned on the left. The woman on the right has a much shorter midface. And Hochstein doesn't look overfilled.
Title: Re: HA Paste Result
Post by: girl on September 21, 2017, 05:49:37 PM
She definitely didn't have a long mid face before the fillers pulled her face down. It was definitely longer than the co-star's face but she was so pretty. The space between her nose/lips has lengthened and the fillers are too high and bulky on the cheek. Also she's had a big chin implant it seems, which has lengthened her face and widened it at the bottom.

She's a good example of how the typical "American style" plastic surgeries out there (done principally in places like California and Miami) can make attractive women look much less so.

(http://news.makemeheal.com/wp-content/uploads/2014/06/Real-Housewives-Miami-Plastic-Surgery-Before-After-Photos-Lisa-Hochstein.jpg)
Title: Re: HA Paste Result
Post by: Lazlo on September 21, 2017, 07:02:14 PM
She definitely didn't have a long mid face before the fillers pulled her face down. It was definitely longer than the co-star's face but she was so pretty. The space between her nose/lips has lengthened and the fillers are too high and bulky on the cheek. Also she's had a big chin implant it seems, which has lengthened her face and widened it at the bottom.

She's a good example of how the typical "American style" plastic surgeries out there (done principally in places like California and Miami) can make attractive women look much less so.

(http://news.makemeheal.com/wp-content/uploads/2014/06/Real-Housewives-Miami-Plastic-Surgery-Before-After-Photos-Lisa-Hochstein.jpg)


Different lens and just younger in the before (we're all beautiful when we're young). She's doable but not drop dead attractive in the before.  But yeah I agree these plastic surgeries just exacerbated what she didn't have going for her. That other housewife is a stunner though and clearly mostly natural.
Title: Re: HA Paste Result
Post by: A-V-P on September 27, 2017, 08:38:05 AM
Difference between long and short midface right here. It's all about the proportion between the distance of eyes and length to lips. That's Lisa Hochstein whom you mentioned on the left. The woman on the right has a much shorter midface. And Hochstein doesn't look overfilled.

They have different bone structures. If someone shaved of high cheekbones and jaw angle from the lady on right (and maybe de-fattened her face a bit), then her face would appear also longer.
Tiny changes can make a huge difference...
Title: Re: HA Paste Result
Post by: Bowie on September 29, 2017, 01:05:42 PM
On one thread I said that I'd post a 3d X-ray of the calcification (or lack of) of my cartilage implants.
I only have these 2 3d x ray results so here they are.



It looks like my whole skull is really asymmetrical which is pretty shocking, look at the orbital rims, weird because my eyes don't look asymmetrical.
Title: Re: HA Paste Result
Post by: kavan on September 29, 2017, 02:59:51 PM
On one thread I said that I'd post a 3d X-ray of the calcification (or lack of) of my cartilage implants.
I only have these 2 3d x ray results so here they are.



It looks like my whole skull is really asymmetrical which is pretty shocking, look at the orbital rims, weird because my eyes don't look asymmetrical.

Your photos were excessively LARGE so I reduced the size..
Title: Re: HA Paste Result
Post by: GJ on September 29, 2017, 03:08:27 PM
Your photos were excessively LARGE so I reduced the size..

Thank you. Didn't even look at them b/c of how big they were.
Title: Re: HA Paste Result
Post by: kavan on September 29, 2017, 03:16:26 PM
Thank you. Didn't even look at them b/c of how big they were.

Now to find which thread he said he would post them on.
Title: Re: HA Paste Result
Post by: Bowie on September 29, 2017, 03:26:08 PM
Now to find which thread he said he would post them on.
Sorry about the size, I don't know which thread it was and don't care, my photos don't warrant a new thread and the subject of cartilage calcifying is close to HA paste so whatever...

I don't HAVE to share anything
Title: Re: HA Paste Result
Post by: Bowie on September 29, 2017, 03:46:16 PM
In case you think that I'm making it up, this is the thread http://jawsurgeryforums.com/index.php?topic=6962.msg59548#msg59548
Title: Re: HA Paste Result
Post by: PloskoPlus on September 29, 2017, 04:05:52 PM
In case you think that I'm making it up, this is the thread http://jawsurgeryforums.com/index.php?topic=6962.msg59548#msg59548
Thank you for sharing this. Did you go through this without straightening your teeth (no braces before or after)?
Title: Re: HA Paste Result
Post by: Bowie on September 29, 2017, 04:16:12 PM
Thank you for sharing this. Did you go through this without straightening your teeth (no braces before or after)?
Yeah I didn't have braces, I think my surgeon just wants to get the people to commit to surgery with him and get the money, if they have a year in braces they could change their mind.
Sounds pretty crazy but yeah he has some vultures pushing him.

Of course I need braces but can't afford them at the moment.
Title: Re: HA Paste Result
Post by: kavan on September 29, 2017, 05:10:37 PM
In case you think that I'm making it up, this is the thread http://jawsurgeryforums.com/index.php?topic=6962.msg59548#msg59548

ok. thanx. i put a link to here on that thread where you mentioned your 3d xray thing you would find for someone.