jawsurgeryforums.com
General Category => Aesthetics => Topic started by: ben from UK on February 28, 2019, 10:50:50 AM
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Let me tell first that the surgeons that did the work done their ontmost best. Because of previous surgeries, the difficulty was much higher. I had PEEK wrap around implants 3 weeks ago (including jaw angles). The thing that bothers me is that the chin area looks too short. It's all nicely shaped around the chin, I don't think it looks unnatural, but there seems to be lack of vertical height, making the lower third (a bit) too compact. There's still swelling of course, but even then, swelling or no swelling, the chin area has a certain length. The shortness may be partially due to the fact the jaw angles were lowered, but there was also shaving off of the sides of the chin (underneath of it), because after a botched cw, the face was too long. If it stays like this and the chin area is indeed too short, what can be done? Is changing PEEK chin/size easy or difficult, and should it be done quickly in order to prevent ingrowth of tissue or should I wait 2-3 months like with silicone implants?
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I've read of people seeking perfection with jaw/chin implants. They ultimately get a revision, sometimes resulting in even more aesthetic issues or even infection, ruining the whole project. I would think very hard before trying to do 'touch ups' with implants in the jaw/chin. I don't know how PEEK integrates, but generally would not be in a rush to revise this type of procedure.
Heck my chin implant revision, while an aesthetic improvement, did NOT fix my lower lip issue as the doc was so confident of being able to do in the revision.
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I've read of people seeking perfection with jaw/chin implants. They ultimately get a revision, sometimes resulting in even more aesthetic issues or even infection, ruining the whole project. I would think very hard before trying to do 'touch ups' with implants in the jaw/chin. I don't know how PEEK integrates, but generally would not be in a rush to revise this type of procedure.
Heck my chin implant revision, while an aesthetic improvement, did NOT fix my lower lip issue as the doc was so confident of being able to do in the revision.
Thanks. Why did you have chin revision? And did you also had jaw implants? What kind of lower lip issue? Numbness?
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Could the shortness be due to bite issues? I.e. an overbite making it look short? Apart from the shortness how does the rest of it look? Are you happy with it?
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Could the shortness be due to bite issues? I.e. an overbite making it look short? Apart from the shortness how does the rest of it look? Are you happy with it?
I have no bite issues. My bite is okay. I don't know how the rest will look like as I'm still a bit swollen at the jaw areas tbh.
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Well happy healing and keep us updated. Maybe when the swelling goes down things will start to look more balanced. That’s what happened after my genioplasty.
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Well happy healing and keep us updated. Maybe when the swelling goes down things will start to look more balanced. That’s what happened after my genioplasty.
Thank you. How long did it take before the swelling of your genio went away?
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Let me tell first that the surgeons that did the work done their ontmost best. Because of previous surgeries, the difficulty was much higher. I had PEEK wrap around implants 3 weeks ago (including jaw angles). The thing that bothers me is that the chin area looks too short. It's all nicely shaped around the chin, I don't think it looks unnatural, but there seems to be lack of vertical height, making the lower third (a bit) too compact. There's still swelling of course, but even then, swelling or no swelling, the chin area has a certain length. The shortness may be partially due to the fact the jaw angles were lowered, but there was also shaving off of the sides of the chin (underneath of it), because after a botched cw, the face was too long. If it stays like this and the chin area is indeed too short, what can be done? Is changing PEEK chin/size easy or difficult, and should it be done quickly in order to prevent ingrowth of tissue or should I wait 2-3 months like with silicone implants?
Here's what can be done:
You can stop getting surgeries that 'chase' after a 2mm differential.
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Here's what can be done:
You can stop getting surgeries that 'chase' after a 2mm differential.
Well, technically 2 mm is the considered the minimum noticeable change (at least with regards to jaw surgery)... Some say it can be as little as 1 mm, if the features are small. IMO, one needs a s**tload of luck with aesthetic surgery. If the first one is NQR, the revision is harder, the revision of the revision is harder still and so on.
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Ben,
Are you sure you're trying to change the right things in the first place? The midface and the ratio between midface length and the distance between the eyes pretty much dominate the facial proportions. And if your midface is too long or too short, you may never be quite satisfied with changes to other parts of your face. I hope that makes sense and I have not offended you.
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Ben,
Are you sure you're trying to change the right things in the first place? The midface and the ratio between midface length and the distance between the eyes pretty much dominate the facial proportions. And if your midface is too long or too short, you may never be quite satisfied with changes to other parts of your face. I hope that makes sense and I have not offended you.
Yeah, my midface is slightly too long, that's true. I also had a bit of oval shaped face. That makes it difficult compared to someone with square face without long midface but short lower third. He only has to lengthen his lower third to bring it back in proportions. With me, it's changing the oval to square a bit + lengthening lower third, which can easily give an overdone look or be too short in the end. Shortening midface is not an option for me and too tricky.
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Well, technically 2 mm is the considered the minimum noticeable change (at least with regards to jaw surgery)... Some say it can be as little as 1 mm, if the features are small. IMO, one needs a s**tload of luck with aesthetic surgery. If the first one is NQR, the revision is harder, the revision of the revision is harder still and so on.
Assuming 'NQR' means 'not quite right', your statement is consistent with my advice which was to stop getting surgeries to chase a 2mm differential. It just puts you on REVISION TREADMILL where you get the law of diminishing returns.
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Assuming 'NQR' means 'not quite right', your statement is consistent with my advice which was to stop getting surgeries to chase a 2mm differential. It just puts you on REVISION TREADMILL where you get the law of diminishing returns.
Yes, that's what I meant.
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How’s it going? Is the swelling coming down?
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Ben,
tl;dr - Why not just grow a beard?
I've been looking through NHL player mugshots. It seems like athleticism is no guarantee of a handsome face. Most players don't look like Tom Wilson (I don't understand why he's risking his face fighting so much).
In NHL, many players grow beards during playoffs. The difference, at least to me, can be striking:
(http://www.hockeydb.com/ihdb/photos/nikita-kucherov-2014-55.jpg)
(http://www.hockeydb.com/ihdb/photos/nikita-kucherov-2018-55.jpg)
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Most Caps players are actually pretty good looking, Tom Wilson is exceptional though.
Growing a beard isn’t necessarily an option for everyone. For example I CAN grow one but it looks pretty bad imo. My best look is 1-2mm of stubble.
Pre jaw surgery I actually looked best clean shaven but now stubble actually compliments my jaw and helps mask the upper lip a bit.
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How’s it going? Is the swelling coming down?
I think it's looking better day by day. Just have to wait till final swelling is gone.
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Good news, I hope you’re happy with it .
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Ha I think most guys here have thought about growing a beard. If I could grow a decent one i’d already have one. I actually applied rogaine to my beard area for over a year after reading a thread on a beard forum but I still didn’t get great results.
I think at this point I’d only consider injectibles. Be that fat grafting or some new substance I don’t know yet.
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One thing is for sure though: PEEK is absolutely the superior material from all materials. Forget about Medpor and silicone. All results I saw from PEEK were natural. I don't know precisely why this is, but maybe it's because the skin attaches better to PEEK and it's hard material unlike silicone, which is soft. PEEK replicates bone better than silicone. The soft tissue never really attaches to silicone, silicone doesn't blend well into the face. Also, because silicone is soft, screws get loose after a while and with ageing it will look bad. Silicone is really outdated and in 10 years, chances are nobody will use it anymore. It's not yet approved in the US, only for the skull.
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One thing is for sure though: PEEK is absolutely the superior material from all materials. Forget about Medpor and silicone. All results I saw from PEEK were natural. I don't know precisely why this is, but maybe it's because the skin attaches better to PEEK and it's hard material unlike silicone, which is soft. PEEK replicates bone better than silicone. The soft tissue never really attaches to silicone, silicone doesn't blend well into the face. Also, because silicone is soft, screws get loose after a while and with ageing it will look bad. Silicone is really outdated and in 10 years, chances are nobody will use it anymore. It's not yet approved in the US, only for the skull.
PEEK is done for cheekbones in the US. Is it as hard to remove as Medpor? What are the main advantages of PEEK over Medpor besides lower infection rate?
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Sorry, I shouldnt be so absolute in my statement. Some people with silicone, even on this site, were happy with their results.
I don't know if peek can be taken out easily. According to a post on this site, it can.
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Ben,
tl;dr - Why not just grow a beard?
I've been looking through NHL player mugshots. It seems like athleticism is no guarantee of a handsome face. Most players don't look like Tom Wilson (I don't understand why he's risking his face fighting so much).
In NHL, many players grow beards during playoffs. The difference, at least to me, can be striking:
(http://www.hockeydb.com/ihdb/photos/nikita-kucherov-2014-55.jpg)
(http://www.hockeydb.com/ihdb/photos/nikita-kucherov-2018-55.jpg)
what the hell that hockey player is handsome as f**k with or without the beard.
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Looking at the first pic I don’t see how he could have grown such an epic beard in the 2nd pic. Did he get s hair transplant on his face ;D
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How’s the swelling coming down Ben? Are you able to give more details on your surgery? Cost, surgeon etc?
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Looking at the first pic I don’t see how he could have grown such an epic beard in the 2nd pic. Did he get s hair transplant on his face ;D
My guess is that his beard is not dense, but coarse. So it has to be a certain length to work. Mine is similar.
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How’s the swelling coming down Ben? Are you able to give more details on your surgery? Cost, surgeon etc?
I think it looks okay. I'm quite happy with the results tbh. It certainly looks much better than after the botched cw. Reactions from the environment are positive too, that's always a good sign as well.
I won't do invasive surgeries anymore (unless there's infection or something like that), maybe some touch ups with a bit of temporary filler here and there but no more than that.
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Do you know if Medpor can be custom 3D modeled/fitted? Or are all medpor implants 'off the shelf'
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Do you know if Medpor can be custom 3D modeled/fitted? Or are all medpor implants 'off the shelf'
It can be customized and also be shaved during surgery or after surgery if needed for revision. All implants can be custom made I think.
Implants can be tricky because it's about millimeters, sometimes 1 millimeter makes a difference. It's difficult to calculate the right amount of millimeters, especially because most surgeons don't use simulation with soft tissue on face. The best surgeons know it's about 1 or 1.5 millimeter horizontally or vertically, etc. If a surgeon says 'one or two millimeters more or less doesn't matter' you better watch out. Facial harmony is very important.
There is this notion when it comes to jaw angles, wrap around or chinimplant, that more is better, which is, in most cases, not true. Doing less than needed though, sometimes doesn't give significant improvement. I know that yamarshuk takes time to design the implant, but i don't know how good he is technically. The design is crucial. The surgeon is able to shave parts of the implant during surgery, but this is not always ideal, and even if he thinks it's better to do it, he doesn't know if the client wants that. It's a very difficult procedure when it comes to creating the right aestethics, especially if your face is already harmonious or when you don't have the angular phenotype naturally. Technically, it's not that difficult from my understanding.
Preserving the ogee line is very important (the reason that manipulating the jaw and chin on photoshop looks good is because the shadows and ogee line are preserved, leaving the face 'lean' and not bloated like you see with some implants). One of the problems is, most jawangle implants go high up on the mandible, cause they need to be fixed, while you only need the angle in most cases. But when you look at the implant(designs), you see there is implant material at places where it's not needed. This is done to fix it and make it stable, but aestethically, something like 30-40 percent of the wrap around implant is aestehtically useless, I guess.
In the end, luck probably plays a big role as well (although all surgeons will say it's not about luck).
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Do you know if Medpor can be custom 3D modeled/fitted? Or are all medpor implants 'off the shelf'
Yes. I can. But if covers a broad area, it has to be put in in pieces because it can't be squeeze collapsed in the hand as to introduce through a small incision.