General Category > Aesthetics

Thoughts on this BiMax?

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valhalar:
I know this surgeon is controversial due to his previous use of this forum and alleged involvement with SJ. I am only interested in the male case for the first 60 seconds of this video:

https://www.youtube.com/watch?v=pdahHJUXeJg

Created an 11% increase in mandible width from BiMax? I didn't know that was even possible. What do you think of Coceancig's work vs. other maxillofacial surgeons as his pricing runs into the tens of thousands... is his work better than others?

Lefortitude:

--- Quote from: valhalar on May 20, 2019, 04:36:54 AM ---I know this surgeon is controversial due to his previous use of this forum and alleged involvement with SJ. I am only interested in the male case for the first 60 seconds of this video:

https://www.youtube.com/watch?v=pdahHJUXeJg

Created an 11% increase in mandible width from BiMax? I didn't know that was even possible. What do you think of Coceancig's work vs. other maxillofacial surgeons as his pricing runs into the tens of thousands... is his work better than others?

--- End quote ---

Im not sure how hes allowed to say he got an 11% increase in width from a bimax, since its really just an 11% perceived width increase, which results from the BSSO bringing the jaw forward and making it LOOK bigger. Perhaps its because the reference lines are fixed in space around the skull from front view, and so the points on the mandible are 11% wider with respect to those fixed reference points? that appears to be the case, but im sure he did not do any physical widening of the mandible.

I dont like the guy because he acts like a child on social media, talking s**t, advertising his work on discussion groups etc. He got comically defensive when I asked to see some B&As of his IMDO ("I dont need to prove anything to you, youre a nobody!" type response)

That said, the result you're looking at appears to be a pretty good one. SUPER bimax is a stupid juvenile sounding phrase that he appears to be trying to coin. figures.

Ive seen a few really good results from him, IMDO , Bimax etc.  but his arrogance and immaturity made me drop him as an option immediately on contact. 

kavan:

--- Quote from: Lefortitude on May 20, 2019, 12:29:31 PM ---Im not sure how hes allowed to say he got an 11% increase in width from a bimax, since its really just an 11% perceived width increase, which results from the BSSO bringing the jaw forward and making it LOOK bigger. Perhaps its because the reference lines are fixed in space around the skull from front view, and so the points on the mandible are 11% wider with respect to those fixed reference points? that appears to be the case, but im sure he did not do any physical widening of the mandible.

I dont like the guy because he acts like a child on social media, talking s**t, advertising his work on discussion groups etc. He got comically defensive when I asked to see some B&As of his IMDO ("I dont need to prove anything to you, youre a nobody!" type response)

That said, the result you're looking at appears to be a pretty good one. SUPER bimax is a stupid juvenile sounding phrase that he appears to be trying to coin. figures.

Ive seen a few really good results from him, IMDO , Bimax etc.  but his arrogance and immaturity made me drop him as an option immediately on contact.

--- End quote ---

Dr. Conceded, Concealing, what ever way he spells his name is another one who uses a lot of SUBTERFUGE where one really has to be really good at the 'forensics of bulls**t' to 'read between the lines' as to his presentation.

Let's take a closer look here. He states the 'SUPER bimax' combines IMDO, SARME and counter clockwise BIMAX surgery (LeFort and BSSO), with GenioPaully... to produce a super advancement of the lower face, in order to overcome severely short jaws.

Well, since the IMDO is something that works when one is STILL in the GROWING stage--as in kid or young adolescent--his examples of final results would be of patients who STARTED a series of procedures with him when they were YOUNG and go through multiple STAGES of other things before they get to the actual bi-max surgery when they are OLDER. Yet, he uses the after photos of patients he started at an EARLY AGE and went through a series of different types of 'expansion' along the way before they got to the final bimax surgery to appeal to an audience (adults) who are WELL PAST the age of when he STARTS his 'series of events'.

april:
I haven't met or consulted with him, but he probably has a better aesthetic sense than the rest of the surgeons here in Australia. Like 95% of surgeons here don't give a damn about aesthetic outcomes and see no qualms whatsoever giving you the chimp lip or making your face longer, etc. I think he does CCW too. So it's a serious shame about the online persona and attitude.



--- Quote from: Lefortitude on May 20, 2019, 12:29:31 PM ---Im not sure how hes allowed to say he got an 11% increase in width from a bimax, since its really just an 11% perceived width increase, which results from the BSSO bringing the jaw forward and making it LOOK bigger. Perhaps its because the reference lines are fixed in space around the skull from front view, and so the points on the mandible are 11% wider with respect to those fixed reference points? that appears to be the case, but im sure he did not do any physical widening of the mandible
--- End quote ---


I think they can make the back of your jaw wider by bowing out the posterior segments of the BSSO. I've seen it done in a couple of VSP videos. I don't know if that was done here though.

ETA: Actually yeah, looking at this image the back of the jaw (the ramus section) does look bowed out.

Dogmatix:

--- Quote from: april on May 20, 2019, 02:21:00 PM ---I think they can make the back of your jaw wider by bowing out the posterior segments of the BSSO. I've seen it done in a couple of VSP videos. I don't know if that was done here though.

--- End quote ---

The ramus bone can be angled outward to some extent while doing a bsso. I was told it's done to balance so the advancement get less pointy, and that it's something they can play around with to make the face slightly more square in this area.

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