Author Topic: cheekbone/malar osteotomy  (Read 34920 times)

Lazlo

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Lazlo

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Re: cheekbone/malar osteotomy
« Reply #1 on: April 16, 2013, 11:39:34 PM »
it's weird if you read this guy's bio he's a plastic surgeon, but also was a senior craniofacial surgeon/fellow or something
at the mayo clinic and he does jaw surgery too but is not actually a maxillofacial surgeon. i guess craniofacial surgeons are trained
in jaw surgery too? i don't understand it.....

pekay

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Re: cheekbone/malar osteotomy
« Reply #2 on: April 17, 2013, 06:18:07 AM »
this guy had bi-max + rhino and a cheekbone osteotomy done


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Re: cheekbone/malar osteotomy
« Reply #3 on: April 17, 2013, 08:01:33 AM »
this guy had bi-max + rhino and a cheekbone osteotomy done



What options does that guy have to make his tear trough depression less pronounced?

Lazlo

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Re: cheekbone/malar osteotomy
« Reply #4 on: April 17, 2013, 01:16:27 PM »
I can see that his ckeebones look better. As for tear troughs I think HA grafting could have improved the area, but his results all around are fantastic.

He seriously lucked out with a great rhino. But he had a narrow bridge and relatively think skin before hand so that helps with results. Also his surgeon clearly opted for a less "done" look. Honestly rhino is such a crapshoot I wound't "expect" such natural looking results. Like if you look at the few examples on Dr. bailey's site, his rhinos are f**kING HORRIBLE.

falcao

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Re: cheekbone/malar osteotomy
« Reply #5 on: April 19, 2013, 04:12:04 AM »
I don't know about that...I mean his rhinoplasty. I read your thread on mid-face shortening and found it very interesting. This is something I have been studying for a long time, long before I saw your thread. Notice how this guy's upper lip was elongated dramatically post-op - look at the profile pic especially. Nowadays the really good rhinoplasty specialists consider this as a sign of bad rhinoplasty. I understand why most people we'll disagree with me on this, but to me he looks better pre-op overall. His cheeks were fine before, flat, which is a very desirable quality in men. After surgery, I think his soft tissue changed somewhat unfavorably, and the tear troughs combined with his much longer upper lip almost offsets the aesthetic benefits of the jaw surgery. Besides, honestly, I think his nose was fine before surgery. Strong, masculine nose, even if not perfectly straight. Go to Paris on a men's fashion show, and you'll see so many fashion models with that or similar type of nose. I'm not saying they are the norm, far from it, but you'll see this type of nose on some very beautiful men. We're not in the 1980s anymore, aesthetic has changed for male noses (and female as well).

His face looked wider and more masculine before as well. It's almost like he had reduction malar osteotomy, and not augmentation. His nasolabial folds improved though, because of the forward movement of the upper jaw, I guess.

Who was the doctor in this case? By the way, who's Bailey?

And by all means guys, please post other pictures of malar osteotomy. I have been thinking about it as they told me it's a simple 20-min procedure and will not take the surgeon's attention away from my jaw, but this is the first and only case I've seen. Of course, if grafts are used, then it will take longer...And I was told recovery is simple. So if it adds 20 minutes to my jaw surgery, I may be willing to do it. But not before I see any picture evidence that it is worth it.
« Last Edit: April 19, 2013, 04:36:11 AM by falcao »

pekay

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Re: cheekbone/malar osteotomy
« Reply #6 on: April 19, 2013, 07:14:15 AM »
surgeon was Dr Augusto Pary

I keep trying to find his CV online but no luck plus I don't even think he is a plastic surgeon only an oral and maxillofacial surgeon. He also does otoplasty and rhinos which is questionable practice (assuming he is only a DMD)
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Lazlo

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Re: cheekbone/malar osteotomy
« Reply #7 on: April 19, 2013, 11:46:47 AM »
I don't know about that...I mean his rhinoplasty. I read your thread on mid-face shortening and found it very interesting. This is something I have been studying for a long time, long before I saw your thread. Notice how this guy's upper lip was elongated dramatically post-op - look at the profile pic especially. Nowadays the really good rhinoplasty specialists consider this as a sign of bad rhinoplasty. I understand why most people we'll disagree with me on this, but to me he looks better pre-op overall. His cheeks were fine before, flat, which is a very desirable quality in men. After surgery, I think his soft tissue changed somewhat unfavorably, and the tear troughs combined with his much longer upper lip almost offsets the aesthetic benefits of the jaw surgery. Besides, honestly, I think his nose was fine before surgery. Strong, masculine nose, even if not perfectly straight. Go to Paris on a men's fashion show, and you'll see so many fashion models with that or similar type of nose. I'm not saying they are the norm, far from it, but you'll see this type of nose on some very beautiful men. We're not in the 1980s anymore, aesthetic has changed for male noses (and female as well).

His face looked wider and more masculine before as well. It's almost like he had reduction malar osteotomy, and not augmentation. His nasolabial folds improved though, because of the forward movement of the upper jaw, I guess.

Who was the doctor in this case? By the way, who's Bailey?

And by all means guys, please post other pictures of malar osteotomy. I have been thinking about it as they told me it's a simple 20-min procedure and will not take the surgeon's attention away from my jaw, but this is the first and only case I've seen. Of course, if grafts are used, then it will take longer...And I was told recovery is simple. So if it adds 20 minutes to my jaw surgery, I may be willing to do it. But not before I see any picture evidence that it is worth it.


hi falcao, thanks a lot for your post. you sound like you know quite a bit about what you're talking about. feel free to PM me and I'll send you my pics for advice. Bailey is Dr.Bailey in the original post of this thread. I agree the upper lip elongation is bad, but I believe that has occurred due to the maxillary advancement, but perhaps you're right, it's a result of the rhino. Could you list the rhino doctors you consider to be experts? I have heard a couple of things about Malar osteotomy. If you go to dr. mommaerts site you will see one that is supposedly a malar osteotomy case. I've seen another patient who had it done, it can look good and very dramatic. But it also seems to frequently have complications and slight asymmetries etc. When the cut is made the bone will remodel in places and there might be slight discrepancies.

Which doctors have you consulted with that are willing to do it? Could you give their names?

And also the names of top rhino docs. Thank you.

falcao

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Re: cheekbone/malar osteotomy
« Reply #8 on: April 19, 2013, 05:52:45 PM »
Talking about cheekbones, what do you think of this?
http://www.sailerclinic.com/en/aesthetische_chirurgie/jochbeinaufbau.html
It's one of the most dramatic results I've seen and not even implants were used. More example from the same surgeon (who I hear is very controversial) here
http://www.sailerclinic.com/en/aesthetische_chirurgie/facelift.html

He seems to be augmenting the cheekbones where they need to be augmented especially in men to get that chiseled look - the third lateral part of the zygomatic bone (very high and very outside).

x

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Re: cheekbone/malar osteotomy
« Reply #9 on: April 19, 2013, 05:56:07 PM »
Talking about cheekbones, what do you think of this?
http://www.sailerclinic.com/en/aesthetische_chirurgie/jochbeinaufbau.html
It's one of the most dramatic results I've seen and not even implants were used. More example from the same surgeon (who I hear is very controversial) here
http://www.sailerclinic.com/en/aesthetische_chirurgie/facelift.html

He seems to be augmenting the cheekbones where they need to be augmented especially in men to get that chiseled look - the third lateral part of the zygomatic bone (very high and very outside).
Very fake/plastic looking.  Sailer's looking pretty unethical with the head tilt camera trick

stupidjaws

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Re: cheekbone/malar osteotomy
« Reply #10 on: April 19, 2013, 05:57:40 PM »
ugly, ugly ugly unnatural stuff.


stupidjaws

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Re: cheekbone/malar osteotomy
« Reply #11 on: April 19, 2013, 05:59:00 PM »
ps. how does the karma work? who's the "karma police" (ahaaa i made a reference here, im smart).
no really, how does the karma thing work ? i wanna be the king of karma.

Nobody shall stop me.

falcao

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Re: cheekbone/malar osteotomy
« Reply #12 on: April 19, 2013, 06:10:55 PM »
Well, yes, unnatural, but all I'm saying the technique has potentials in the right hands. You don't even need autologous bone graft (hip or rib) as you normally would in malar osteotomy (at least if you want it to matter at all)..

stupidjaws

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Re: cheekbone/malar osteotomy
« Reply #13 on: April 19, 2013, 06:11:27 PM »
yes but....i really don't want to exageraete

Lazlo

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Re: cheekbone/malar osteotomy
« Reply #14 on: April 19, 2013, 08:36:32 PM »
Well, yes, unnatural, but all I'm saying the technique has potentials in the right hands. You don't even need autologous bone graft (hip or rib) as you normally would in malar osteotomy (at least if you want it to matter at all)..

dude, he does use implants, he uses "lyocartiledge" to augment cheekbones which is f**king cadaver bone (i.e. dead people'es bones) it doesn't form to your own bone or become your own bone, it's the worse f**king option. sailer sucks s**t, i'm sorry, he's the worst.