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General Category => General Chat => Topic started by: Serra on June 04, 2015, 03:34:08 PM

Title: Why does her chin surgery look so terrible?
Post by: Serra on June 04, 2015, 03:34:08 PM
(http://www.plasticsurgeryhits.com/wp-content/uploads/2015/01/Kattie-Cassidy-Plastic-Surgery.jpg)
(http://www.celebrityplasticsurgery.tv/wp-content/uploads/2014/03/katie-cassidy-plastic-surgery-before.jpg)
(http://www.celebrityplasticsurgery.tv/wp-content/uploads/2014/03/katie-cassidy-plastic-surgery-after.jpg)
(http://i2.wp.com/surgeryfeeds.com/wp-content/uploads/2014/04/katie-cassidy-plastic-surgery.jpg?resize=600%2C400)
(http://i.imgur.com/cwN3Ur6.png)
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 04, 2015, 03:58:51 PM
Looks like she had major reduction all over the sides of her jaw while also advancing her chin vertically. What a shame for a gorgeous woman to do that to herself.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 04, 2015, 04:11:11 PM
(http://starity.hu/images/articles/465x245/arrow-igy-fest-laurel-a-fekete-kanarikent-11140600.jpg)
(http://static1.stopklatka.pl/library/8C/11/147667888.jpg/1.0/147667888.jpg)
(http://ia.media-imdb.com/images/M/MV5BMTEyMDY0MTU1MjZeQTJeQWpwZ15BbWU4MDU4OTMyMTEx._V1__SX1537_SY674_.jpg)



Her face looks so long/gaunt now. I had the same thing happen to my face with SG.
It does look like her jawline was minimized, but I wouldn't be surprised if it wasn't.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 04, 2015, 05:05:07 PM
She is still beautiful but yikes.... Why would you want a longer/thinner face?

If her experience is anything like mine and some other people I've met online, it wasn't what she bargained for.
It seems like the chin advancement pulls on the soft tissue of the face or makes it seem a lot less abundant in comparison. Not sure which.
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 04, 2015, 05:13:11 PM
I'm just really sure that she recuded her ramus on both sides, or her jaw size used to made up of mostly masseter muscles. Maybe she was a teeth grinder and had botox to reduce the muscles of her jaw. Either way I highly doubt that this was caused by a simple chin surgery. What is her name?
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 04, 2015, 05:49:14 PM
I'm just really sure that she recuded her ramus on both sides, or her jaw size used to made up of mostly masseter muscles. Maybe she was a teeth grinder and had botox to reduce the muscles of her jaw. Either way I highly doubt that this was caused by a simple chin surgery. What is her name?

Katie Cassidy
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 04, 2015, 06:10:45 PM
This looks like a plausible theory on what she did to her face. Buccal fat removal:
http://www.imdb.com/name/nm1556320/board/nest/225844081?ref_=nm_bd_3
Title: Re: Why does her chin surgery look so terrible?
Post by: terry947 on June 04, 2015, 10:22:54 PM
honestly, every day I'm just shocked at how f**ked up of a time we live in. Seriously.

I wish i was born either 200 years ago or 200 in the future.... We're living in experimental times. No ones knows wtf they're doing....
Title: Re: Why does her chin surgery look so terrible?
Post by: girl on June 05, 2015, 05:39:15 AM
Sliding genio 100%. NOTHING else was done IMO. That's exactly what genioplasty did to my face except my chin was messed up way more than hers and I didn't have her advantageous starting point. It was a drastic change that caused a dished in, shovel shaped face that looked bizarre.

Cut wide and far back, the genio looks partly like a huge manly chin, and partly like an odd looking jaw advancement. The appearance of fat loss is due to several things in my opinion: firstly, the distance between the highest point of the cheekbone and the point of the chin is vertically elongated; secondly, botched genios done on people with pre-existing jaw issues or even relatively flat faces often make the lower face appear more forwardly projecting than the anterior cheek plane which is effectively "left behind" and does not level up with the chin; thirdly, the advancement literally "tents" the soft tissue in the face and drags it forward (see the effect of this guy's large chin implant on the soft tissue: http://www.realself.com/review/melbourne-au-large-centre-protruding-chin-implant)
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 05, 2015, 06:10:51 AM
Still pretty.  Eyes - 80% of looks.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 05, 2015, 06:17:53 AM
This looks like a plausible theory on what she did to her face. Buccal fat removal:
http://www.imdb.com/name/nm1556320/board/nest/225844081?ref_=nm_bd_3

It would seem that way, but I had the same thing happen to my buccal fat with SG. My surgeon said I experienced weight fluctuations, when in fact I had gained weight to the heaviest I've been just to see if it was that, and it's not. My face looks emaciated after SG, whereas before my buccal fat looked a bit chubby with the different bone structure.
If I get my hands on some of my pics, I'll black out my identifying features to show you the difference.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 05, 2015, 06:19:56 AM
honestly, every day I'm just shocked at how f**ked up of a time we live in. Seriously.

I wish i was born either 200 years ago or 200 in the future.... We're living in experimental times. No ones knows wtf they're doing....

Yes. People like ragirl and I are testaments to that fact.
I'd like to know why some people turn out great with SG - what is so different about their osteotomy cuts on their chins? Ragirl said ours are far and wide.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 05, 2015, 06:21:29 AM
Still pretty.  Eyes - 80% of looks.

I don't think she'll like it though when the only roles she gets in 15 years are those of washed up druggies and prostitutes.
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 05, 2015, 06:49:32 AM
It would seem that way, but I had the same thing happen to my buccal fat with SG. My surgeon said I experienced weight fluctuations, when in fact I had gained weight to the heaviest I've been just to see if it was that, and it's not. My face looks emaciated after SG, whereas before my buccal fat looked a bit chubby with the different bone structure.
If I get my hands on some of my pics, I'll black out my identifying features to show you the difference.

If that were the case you should have been able to see proof of this with before and after x-rays. Do you happen to have that?

I just think this is going overboard, I need a bigger sample size to be fully convinced. The most negative reports that I've seen about SG aside from numbness are from women who feel that their new chin makes them look more masculine(this would be great for me as a male who is looking into a SG for the future) but not this issue of somehow losing massive amounts of facial width.

There's also the issue of course that some people are really not good candidates for this surgery for a number of reasons. Irresponsible surgeons would still accept these patients for this surgery.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 05, 2015, 07:09:13 AM
If that were the case you should have been able to see proof of this with before and after x-rays. Do you happen to have that?

I just think this is going overboard, I need a bigger sample size to be fully convinced. The most negative reports that I've seen about SG aside from numbness are from women who feel that their new chin makes them look more masculine(this would be great for me as a male who is looking into a SG for the future) but not this issue of somehow losing massive amounts of facial width.

There's also the issue of course that some people are really not good candidates for this surgery for a number of reasons. Irresponsible surgeons would still accept these patients for this surgery.

How do you see how the soft tissue drapes in the new way with xrays?
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 05, 2015, 07:12:22 AM
How do you see how the soft tissue drapes in the new way with xrays?

In a Ceph from the front of the skull, you can see the outline of the tissue around the head. If you have front ceph x-rays from before and after your surgery, you can see for a fact how the tissue of your face has changed or not.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 05, 2015, 07:51:56 AM
In a Ceph from the front of the skull, you can see the outline of the tissue around the head. If you have front ceph x-rays from before and after your surgery, you can see for a fact how the tissue of your face has changed or not.

Show me how to decipher the tissue around my head in my xrays?

[attachment deleted by admin]
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 05, 2015, 08:22:40 AM
I tried to outline what I mean(let me know if you want this picture deleted)

(http://s15.postimg.org/s3xujtg7f/xrays1.jpg)

I don't see a difference with the width, what you're seeing would then be an optical illusion of the SG.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 05, 2015, 06:15:49 PM
Show me how to decipher the tissue around my head in my xrays?

If you x-rays were taken with a cone beam CT, you can ask who ever took them for a CD-ROM that has the raw DICOM files of the scans.  You can then use a free 3D DICOM file viewer and see your skull from all sorts of angles, tissue depth (bone, skin), etc...
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 05, 2015, 09:18:27 PM
I think she looks great. Yeah she was naturally pretty before but she clearly wanted that sort of "high fashion"/tranny looks and she got it.

I gotta say her work is really f**king good. I'm usually an expert on this s**t but I actually can't f**king tell exactly how it was done but she's had cheekbone augmentation, chin augmentation, the buccal fat removal and some sort of dramatic weight loss OR skin tightening procedure. I'll tell you, her doctor was f**king on point.

If you saw this girl without seeing her before, you'd think she was gorgeous.
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 05, 2015, 09:21:41 PM
the mandible shaving of her gonal angles was a TERRIBLE idea and it was certainly done. Problem is, she didn't have jaw surgery and her mandible is highly diagonal not straight so it just looks like a really steep U now. But you know, she probably took a gamble on hoping for what sh envisioned, it was a risk and didn't pay. We're all in that situation and hey, might happen to any of us. Better to be prepared for the fact things might not turn out how you want. On the other hand, they might also turn much better than you expected. Best of all is to have no expectations. On anything.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 05, 2015, 09:43:50 PM
the mandible shaving of her gonal angles was a TERRIBLE idea and it was certainly done. Problem is, she didn't have jaw surgery and her mandible is highly diagonal not straight so it just looks like a really steep U now. But you know, she probably took a gamble on hoping for what sh envisioned, it was a risk and didn't pay. We're all in that situation and hey, might happen to any of us. Better to be prepared for the fact things might not turn out how you want. On the other hand, they might also turn much better than you expected. Best of all is to have no expectations. On anything.

I remember a mandibular implant before and after of a woman with a nice strong square jaw, who had her jaw angles shaved down.  She reversed it by having jaw angle implants. 
Title: Re: Why does her chin surgery look so terrible?
Post by: terry947 on June 05, 2015, 10:23:44 PM
something is off about her eyes too, looks like they have less support underneath and they also appear bigger/buldge-ier.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 05, 2015, 10:30:34 PM
something is off about her eyes too, looks like they have less support underneath and they also appear bigger/buldge-ier.

Fat loss.
Title: Re: Why does her chin surgery look so terrible?
Post by: terry947 on June 05, 2015, 10:33:23 PM
i man that sucks, I want to lose weight, but apart of me is scared that i'll make my mid face look worse.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 05, 2015, 10:43:00 PM
i man that sucks, I want to lose weight, but apart of me is scared that i'll make my mid face look worse.

Then you will procrastinate less about surgery.  Worked for me.
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 05, 2015, 11:39:28 PM
something is off about her eyes too, looks like they have less support underneath and they also appear bigger/buldge-ier.

it's because of something like malar implants but without the crucial orbital rim enhancement.
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 05, 2015, 11:43:38 PM
Isn't this ultimately what we all want? I mean just imagine too a guy with these features and short hair. He'd be handsome, this woman has all the right angles.

This is what I want basically as far as the jawline, chin, the angle of the lips and the cheekbones. This woman has had some major surgery cause people aren't born with that bone structure, unless you're like a Czech supermodel or something.


But seriously, I'm going to show this to Sinn as a guide for what I want.

[attachment deleted by admin]
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 05, 2015, 11:48:08 PM
I mean there must be silicone implants under the eyes right? She has such a plush positive vector under her eyes. But could that be fillers instead?

Is the jawline natural? Or implants. I don't know, but however she got it I wanna know.

Incidentally I think surgeons are sort of full of s**t. I showed Sinn a pic of Tilda Swinton as an extreme example of someone with great bone structure, and he said she's had surgery. He said that of Johnny Depp (he had buccal fat removal) and other pics so I'm starting to wonder about his eye, but he obviously doesn't watch movies or pays attention to actors cause I don't think any of those people had surgery. He thought Ed Harris had amazing bone structure, which I agree with so at least he has good taste.

Jesus, I gotta tell you guys, I'm starting to get real giddy about all this. I'm about to have some seriously major work done in three stages. I mean whether the results are good or bad one thing is for sure, they're gonna be f**king extreme. I'm gonna look in the mirror when it's over and wonder, who is this person? Well here's to living on the bleeding edge!
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 06, 2015, 01:30:18 AM
Isn't this ultimately what we all want? I mean just imagine too a guy with these features and short hair. He'd be handsome, this woman has all the right angles.
A good looking man can be turned into a good looking woman and vice versa.  I saw on the news that Kardashian tranny.  You know what?  I'd do it.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 06, 2015, 01:58:46 AM
Incidentally I think surgeons are sort of full of s**t. I showed Sinn a pic of Tilda Swinton as an extreme example of someone with great bone structure, and he said she's had surgery. He said that of Johnny Depp (he had buccal fat removal) and other pics so I'm starting to wonder about his eye, but he obviously doesn't watch movies or pays attention to actors cause I don't think any of those people had surgery. He thought Ed Harris had amazing bone structure, which I agree with so at least he has good taste.

What did he say Tilda Swinton had done? What about Depp?  Depp had a chubby face into his late 20s.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 06, 2015, 07:13:30 AM
I think she looks great. Yeah she was naturally pretty before but she clearly wanted that sort of "high fashion"/tranny looks and she got it.

I gotta say her work is really f**king good. I'm usually an expert on this s**t but I actually can't f**king tell exactly how it was done but she's had cheekbone augmentation, chin augmentation, the buccal fat removal and some sort of dramatic weight loss OR skin tightening procedure. I'll tell you, her doctor was f**king on point.

If you saw this girl without seeing her before, you'd think she was gorgeous.

I respectfully disagree. I don't think she looks gorgeous. There are comments about her ruining her face with chin surgery all over the net. No female who identifies as a woman wants to look like a tranny...
I don't see any cheekbone augmentation on her. In fact, her face looks more flat to me now in that area, probably because of the relationship to the chin.

If you think she's had it done because her cheekbone sticks out more on 3/4 view, the exact same thing happened to me with SG/bsso. Remember my post (with pics)about my face looking gaunt, especially on one side? My cheekbone is sticking out and making the rest of my face look emaciated, and I can assure you, I have had no buccal fat removal, no skin tightening procedure, and I've even gained weight.
Title: Re: Why does her chin surgery look so terrible?
Post by: girl on June 06, 2015, 10:04:00 AM

There's also the issue of course that some people are really not good candidates for this surgery for a number of reasons. Irresponsible surgeons would still accept these patients for this surgery.

And what would those reasons be, exactly?

More than irresponsible, it is downright stupid for a maxillofacial surgeon to suggest and perform procedures on patients who - from an orthognathic point of view - are not good candidates for them. Especially with all the diagnostic tools at their disposal. Doing a SG on an overbite or open bite patient is only going to worsen their appearance and cause problems, including functional ones. Particularly, if a recessed lower jaw isn't corrected (i.e. rotated) in advance, pulling the chin out can result in a vertical rather than horizontal bone movement. In my case, this has lead to constant pain and some difficulty speaking.

Since there is very little in the way of academic literature on SGs, especially in comparison to other jaw surgeries, I think it's important to discuss the reasons behind unsuccessful or problematic SGs such as ours.   

"Most of the complaints" aren't gender specific either. Over the past 2-3 years, I've spoken to men and women who've had bad SGs, even if they've had good jaw surgeries at the same time. Almost all of them had nerve damage, pain/discomfort, mentalis muscle damage and soft tissue deformities. Many had undergone multiple revisions.

Had I seen this thread before my surgery, it would have helped me to realise that I was not a candidate for the procedure and that my doctor was only interested in making easy money.
 
If so many people are citing the same concerns - having been to completely different doctors, in different parts of the world - well, it seems to indicate that the procedure demands highly specialised skills and far more up-to-date techniques than are currently being procured by the average maxillofacial doctor and their 'bandwagon' plastic surgeon mates who think they can try their hand at anything they please.
Title: Re: Why does her chin surgery look so terrible?
Post by: girl on June 06, 2015, 10:07:59 AM
I respectfully disagree. I don't think she looks gorgeous. There are comments about her ruining her face with chin surgery all over the net. No female who identifies as a woman wants to look like a tranny...

Yeah. Many transgender women don't want to look like transgender women either. It's an embarrassing outcome to say the least.
Title: Re: Why does her chin surgery look so terrible?
Post by: needadvancement on June 06, 2015, 11:06:46 AM
And what would those reasons be, exactly?

More than irresponsible, it is downright stupid for a maxillofacial surgeon to suggest and perform procedures on patients who - from an orthognathic point of view - are not good candidates for them. Especially with all the diagnostic tools at their disposal. Doing a SG on an overbite or open bite patient is only going to worsen their appearance and cause problems, including functional ones. Particularly, if a recessed lower jaw isn't corrected (i.e. rotated) in advance, pulling the chin out can result in a vertical rather than horizontal bone movement. In my case, this has lead to constant pain and some difficulty speaking.

Since there is very little in the way of academic literature on SGs, especially in comparison to other jaw surgeries, I think it's important to discuss the reasons behind unsuccessful or problematic SGs such as ours.   

"Most of the complaints" aren't gender specific either. Over the past 2-3 years, I've spoken to men and women who've had bad SGs, even if they've had good jaw surgeries at the same time. Almost all of them had nerve damage, pain/discomfort, mentalis muscle damage and soft tissue deformities. Many had undergone multiple revisions.

Had I seen this thread before my surgery, it would have helped me to realise that I was not a candidate for the procedure and that my doctor was only interested in making easy money.
 
If so many people are citing the same concerns - having been to completely different doctors, in different parts of the world - well, it seems to indicate that the procedure demands highly specialised skills and far more up-to-date techniques than are currently being procured by the average maxillofacial doctor and their 'bandwagon' plastic surgeon mates who think they can try their hand at anything they please.

Looking at open-bite's xrays, her chin bone was wide for a female. The surgeon cut the chin bone at a very wide point as well and by advancing it, it caused her chin and whole jaw to become too masculine. I'm not an expert, but I've seen surgeons cut the bone at a much more narrow point, the advancement gave the women a more pointy feminine chin.

I think she probably would have been better off with a chin implant with a shape set to her liking, but there's other issues to think of there as well. I'm basing this all on the front view btw, I haven't seen her profile.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 06, 2015, 11:09:28 AM
Looking at open-bite's xrays, her chin bone was wide for a female. The surgeon cut the chin bone at a very wide point as well and by advancing it, it caused her chin and whole jaw to become too masculine. I'm not an expert, but I've seen surgeons cut the bone at a much more narrow point, the advancement gave the women a more pointy feminine chin.

I think she probably would have been better off with a chin implant with a shape set to her liking, but there's other issues to think of there as well. I'm basing this all on the front view btw, I haven't seen her profile.

You're right that my chin was naturally wide already. Your reasoning about the wide cut is the same as ragirl's and seems on point.
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 06, 2015, 11:31:11 AM
nah Johnny Depp has always had a very angular face. Sinn said he had buccal fat removal. Which is ridiculous and that Swinton had I can't remember like maybe implants or a face lift or something. Also unlikely.

[attachment deleted by admin]
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 06, 2015, 11:45:09 AM
nah Johnny Depp has always had a very angular face. Sinn said he had buccal fat removal. Which is ridiculous and that Swinton had I can't remember like maybe implants or a face lift or something. Also unlikely.

Are you sure you want to have surgery with Sinn if he says things like that?
On ratemds, he has a single review and it's bad. I would be apprehensive.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 06, 2015, 04:28:27 PM
nah Johnny Depp has always had a very angular face. Sinn said he had buccal fat removal. Which is ridiculous and that Swinton had I can't remember like maybe implants or a face lift or something. Also unlikely.
AFAIR, 21 jump Street his face was quite rotund.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 06, 2015, 04:34:27 PM
Are you sure you want to have surgery with Sinn if he says things like that?
On ratemds, he has a single review and it's bad. I would be apprehensive.

Hollywood celebrities have a ton of surgery.  Mostly anti aging.  So Swinton having a face lift is not out of the question.  But there are other cases.  For example, Brad Pitt most definitely had a node job and otoplasty.  Stallone had bad scleral show when he was younger, etc..
Title: Re: Why does her chin surgery look so terrible?
Post by: girl on June 06, 2015, 08:35:30 PM
Looking at open-bite's xrays, her chin bone was wide for a female. The surgeon cut the chin bone at a very wide point as well and by advancing it, it caused her chin and whole jaw to become too masculine. I'm not an expert, but I've seen surgeons cut the bone at a much more narrow point, the advancement gave the women a more pointy feminine chin.

I think she probably would have been better off with a chin implant with a shape set to her liking, but there's other issues to think of there as well. I'm basing this all on the front view btw, I haven't seen her profile.

Yes, I think Open_Bite, Chialatia and me all had that problem. It's the 'woodchopper' approach and risks nerve damage due to the cut being so far back along the lower jaw as well. But a pointy chin can look very odd as well, particularly when the face is long. Lots of women have a roundness or a "curve" from the front. My advancement was way too broad yet distinctly spade like in appearance, which just looked bizarre.

Thing is, if the cut's not right then it can never be rectified through revisional approaches i.e. burring or even partially reversing the chin. Which is why all of us would've probably benefited from an immediate, complete reversal that enabled the bone to reset. Thanks to the general incompetency of the medical profession, a manoeuvre like that is nigh impossible to pull off.
Title: Re: Why does her chin surgery look so terrible?
Post by: terry947 on June 06, 2015, 11:39:03 PM
i think high set cheekbones near the corner of the eyes is something that looks better on men. Lower/rounder set cheekbones is feminine. Also dont forget a big part of the S-Curve is from the lateral growth of the cheekbones/zygos. NOT forward growth. Obviously forward growth is important but, imo i think lateral is better.

http://jawsurgeryforums.com/index.php/topic,857.30.html

~post #39 - describes it perfectly. I've noticed this on all of my best looking friends.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 07, 2015, 02:04:40 AM
Yes, I think Open_Bite, Chialatia and me all had that problem. It's the 'woodchopper' approach and risks nerve damage due to the cut being so far back along the lower jaw as well. But a pointy chin can look very odd as well, particularly when the face is long. Lots of women have a roundness or a "curve" from the front. My advancement was way too broad yet distinctly spade like in appearance, which just looked bizarre.

Thing is, if the cut's not right then it can never be rectified through revisional approaches i.e. burring or even partially reversing the chin. Which is why all of us would've probably benefited from an immediate, complete reversal that enabled the bone to reset. Thanks to the general incompetency of the medical profession, a manoeuvre like that is nigh impossible to pull off.

IMO, genioplasty is a compromise, especially big advancements.  There is almost always some kind of step off.  If one can get a a ching wing, one should.  The whole mandibular plane is involved, and it can be moved in all sorts of driections.  Almost any kind of jawline shape is possible (within limits).
Title: Re: Why does her chin surgery look so terrible?
Post by: Lazlo on June 07, 2015, 02:06:36 PM
IMO, genioplasty is a compromise, especially big advancements.  There is almost always some kind of step off.  If one can get a a ching wing, one should.  The whole mandibular plane is involved, and it can be moved in all sorts of driections.  Almost any kind of jawline shape is possible (within limits).

Hey plosko: two questions. Can chin wing be done AFTER one has had a genioplasty? Sinn proposed to widen as well as advance and lengthen my chin. I actually do wand sort of seperate articulation of the chin to make it stronger looking.

Second, could you rank from your knowledge from best to worst the chinwing surgeons who do the surgery as you know them! I understand your list may not be comprehensive.
Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 07, 2015, 05:11:32 PM
Hey plosko: two questions. Can chin wing be done AFTER one has had a genioplasty? Sinn proposed to widen as well as advance and lengthen my chin. I actually do wand sort of seperate articulation of the chin to make it stronger looking.
Yes, but the hardware and the existing bone cuts will surely complicate things and restrict what the chin wing can accomplish.  The chin wing can be done at the same time as the BSSO, provided the BSSO cut is higher.  But this probably rules out augmenting the ramus significantly.  Chin wing can also be done 12 months after BSSO.

Quote
Second, could you rank from your knowledge from best to worst the chinwing surgeons who do the surgery as you know them! I understand your list may not be comprehensive.
There are only a handful of doctors who do it.  Mostly German and Swiss.

Triaca invented it, so he's numero uno. He's also probably done more of them than anybody else.  He is super expensive, however.  Brusco, who works with Triaca in Pyramide.  Zarrinbal also seems to have done quite a few and he's 2-3 times cheaper.

AFAIR, Cesar A. Guerrero does some kind of chin wing as well.  He also does some kind of orbital osteotomies.
Title: Re: Why does her chin surgery look so terrible?
Post by: Serra on June 10, 2015, 12:30:43 AM
Guys, I have new xrays. I was supposed to have an SG reversal and now one of my notches is small and the other is huge (bigger than it was before). The side of my face with the huge step-off looks very gaunt. My chin is still very strong. Is this normal? Please help.

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Title: Re: Why does her chin surgery look so terrible?
Post by: PloskoPlus on June 10, 2015, 01:39:32 AM
I think it was the botox.  I'm so certain of it.  It's that same look when girls go in for this type of treatment wanting to come out with chiseled cheekbones but, it won't ever happen unless your structure looks good (I think this treatment works best for wide faces, btw...)  Instead, the muscle weakens and the lower jaw doesn't have good support anymore.  Same with the cheeks and everything just kinda slopes down.  If this is truly the cause- she can get her masseters back by chewing a lot to build them up.

You mean botox to the masseter muscles to make the face more heart-shaped?
Title: Re: Why does her chin surgery look so terrible?
Post by: dvfan on January 01, 2019, 04:39:00 AM
An old thread but I see a lot of Asians get surgery wherein their jaw angles are burred off: V-line surgery. It is the opposite of what a lot of patients here aim for, seems. Anyhow, I'm starting to get annoyed with the too exaggerated V-line results I see in a lot of Asian advertisements. This is a popular surgery among Asians and the smaller the chin the better is the credo. It can give awkward results if too much is shaved off, almost comical like a caricature. I get that females often look better with more feminine faces, but it can be too much too!