jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: confusor on April 21, 2019, 05:30:50 AM
-
Is a malar osteotomy result like this possible or am I just expecting way too much?
before
(http://i.imgur.com/YTzLpGn.jpg)
After
(http://i.imgur.com/7impGFI.jpg)
I know it looks unnatural but is it possible to have the malar popping out that much after the osteotomy? If not then can someone morph and tell me what a realistic result would look like or post zygo osteotomy results as I have seen one so far and it didn’t really look like anything was done to it
-
I don't know, but do you think you look better with those feminine cheekbones? I don't think you look better.
Your eye area and long face are the problem imo. You lack oribtal support, especially at the right side (left for the viewer), which also gives the impression your eyes lie to deep. + Exposed upper eyelids, too much positive canthal tilt and eyes too close.
I don't know if it's lens distortion, but you seem to have a long face as well. Your nose is good. So I don't really know why you want to do cheekbone implants, unless you want to make your face broader to compensate for the long face. But in that case, the jaw should probably be broader as well. But I don't even know if that will solve the problem and you would have to change the whole phenoptype. Tricky stuff.
All in all, you're not repulsive. You have angular jaw, a good nose and good philtrum. I think in theory, to make you more aestethic looking, you will probably need to shorten your face by shortening your chin. This may make your face more compact. Maybe top that off with orbital procedure.
This is only my opinion, but it's backed by numbers: the face is ideally 1/3-1/3-1/3. From top of the forehaed to eyebrows, from eyebrows to lowest part of the nose and from lowest part of the nose to lowest part of the chin. So, if you measure it, you'll see that 1/3rd from lowest part of the nose to lowest part of the chin is longer than the other two parts, causing a long face. Other people will say you hsve a prominent chin, that's good, but it's about facial harmony as well. So, i don't know how cheekbones will solve that problem, I guess it doesn't do the trick on this morph. Maybe you have other pictures.
This is what you might get if you shorten the chin and add a jwaimplant to broaden the face. It will give you a more 'boyish' look, softening out the face (at least on the morph), but I don't know if you like that. maybe the 2nd morph is better: without shirtening the chin + jawimplants + orbital implants + cheekbone implants.
-
I don't know, but do you think you look better with those feminine cheekbones? I don't think you look better.
Your eye area and long face are the problem imo. You lack oribtal support, especially at the right side (left for the viewer), which also gives the impression your eyes lie to deep. + Exposed upper eyelids, too much positive canthal tilt and eyes too close.
I don't know if it's lens distortion, but you seem to have a long face as well. Your nose is good. So I don't really know why you want to do cheekbone implants, unless you want to make your face broader to compensate for the long face. But in that case, the jaw should probably be broader as well. But I don't even know if that will solve the problem and you would have to change the whole phenoptype. Tricky stuff.
All in all, you're not repulsive. You have angular jaw, a good nose and good philtrum. I think in theory, to make you more aestethic looking, you will probably need to shorten your face by shortening your chin. This may make your face more compact. Maybe top that off with orbital procedure.
This is only my opinion, but it's backed by numbers: the face is ideally 1/3-1/3-1/3. From top of the forehaed to eyebrows, from eyebrows to lowest part of the nose and from lowest part of the nose to lowest part of the chin. So, if you measure it, you'll see that 1/3rd from lowest part of the nose to lowest part of the chin is longer than the other two parts, causing a long face. Other people will say you hsve a prominent chin, that's good, but it's about facial harmony as well. So, i don't know how cheekbones will solve that problem, I guess it doesn't do the trick on this morph. Maybe you have other pictures.
This is what you might get if you shorten the chin and add a jwaimplant to broaden the face. It will give you a more 'boyish' look, softening out the face (at least on the morph), but I don't know if you like that.
sorry but that guy is not me in the pic(and i am aware its lens distortion in the pic), I chose his pic because i have a similar middle third to his aka flat malar bones that don't pop out one bit, i want bones that pop out from the side(laterally) tbh, so far i have seen 1 malar osteotomy result and it was like no change was added to the malar bones.
I have asked Dr.Brusco about this and sent him this morph and he said the morph was a bit extreme and that he aimed for natural results(aka less of the bone oozing out laterally which is not ideal for aesthetics, all male models have the malar bone popping out from the side like handsome squidward)
i dont want to go for implants because
A) they get infected and have to pay for them to be removed
B) they move and then i would have to reposition them and moving causes bone erosion
C) osteotomy creates real bone
-
sorry but that guy is not me in the pic(and i am aware its lens distortion in the pic), I chose his pic because i have a similar middle third to his aka flat malar bones that don't pop out one bit, i want bones that pop out from the side(laterally) tbh, so far i have seen 1 malar osteotomy result and it was like no change was added to the malar bones.
I have asked Dr.Brusco about this and sent him this morph and he said the morph was a bit extreme and that he aimed for natural results(aka less of the bone oozing out laterally which is not ideal for aesthetics, all male models have the malar bone popping out from the side like handsome squidward)
O okay, then I have morphed it two times for nothing. You should state that in your opening post. Also, I don't know if this guy wants his pic on this board.
I think it's only possible to have that kind of augmentation with implants. Still you have to figure out if it fits the rest of the face when doing that, cause it could easily be 'too much'.
-
O okay, then I have morphed it two times for nothing. You should state that in your opening post. Also, I don't know if this guy wants his pic on this board.
pic was on an incel rate me thread tbh.
anyways
can you morph the malar bones and tell me what are realistic results going to look like on him if he were to get malar osteotomy?
-
pic was on an incel rate me thread tbh.
anyways
can you morph the malar bones and tell me what are realistic results going to look like on him if he were to get malar osteotomy?
I don't know what is realistic with osteotomy. You should ask people that went for maximum movement.
-
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759662/#!po=1.92308
There is a pretty good cheekbone result in this article as the result of a ZMC repositioning surgery
-
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759662/#!po=1.92308
There is a pretty good cheekbone result in this article as the result of a ZMC repositioning surgery
WOW!! that is an incredible result but
"subperiosteal dissection was extended superiorly over the malar eminence just below infraorbital rim"
touching anything near the eye socket is basically asking to be blind, this is the one thing i don't want to risk, that's why i believe a zigomatic osteotomy is a safer option
-
But the authors go on to conclude the technique is safe and don’t mention blindness anywhere in the article.
-
But the authors go on to conclude the technique is safe and don’t mention blindness anywhere in the article.
It might be safe for that one patient, who's to say the next time they do it then it won't result in blindness? The cut is being made right close to your infraobital rims, you really believe a cut right next to your eye socket is going to be safe and not result in blindness?
-
Zygomaticmaxillary repositioning is not an uncommon surgery. Most of them are done to repair functional fractures. I’ve been looking at a few articles on it the past few days and blindness is not really mentioned. Same thing when I talked to Sinn about it.
-
Zygomaticmaxillary repositioning is not an uncommon surgery. Most of them are done to repair functional fractures. I’ve been looking at a few articles on it the past few days and blindness is not really mentioned. Same thing when I talked to Sinn about it.
surgeons will say anything to make you do the surgery like the surgeons claiming a lefort 3 isn't less dangerous than an implant around the eyes.
(https://i.imgur.com/m0QR9le.gif)
look at this cut in ZMR
the entire support for lower eyeball is cut, along with vital nerves.
-
surgeons will say anything to make you do the surgery like the surgeons claiming a lefort 3 isn't less dangerous than an implant around the eyes.
[img]https://i.imgur.com/m0QR9le.gif[/img
look at this cut in ZMR
the entire support for lower eyeball is cut, along with vital nerves.
DOesn't matter, as long as you stay away from the nerve.
-
If someone has extreme midface deficiency is the best option ZMC repositioning surgery, zygoma osteotomy, or MOD Lefort 3 a combination or multiple of those? Thanks
My goal is to move the zygomatic complex laterally 10mm and forward 10mm
-
Most likely the latter two, considering I've never heard of a ZMC repositioning done purely for aesthetics.
-
I feel like Sinn would take on ZMC ;D the man
-
If someone has extreme midface deficiency is the best option ZMC repositioning surgery, zygoma osteotomy, or MOD Lefort 3 a combination or multiple of those? Thanks
My goal is to move the zygomatic complex laterally 10mm and forward 10mm
I would definitely have a conversation with Sinn about it. You could even hit him up online.
-
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759662/#!po=1.92308
There is a pretty good cheekbone result in this article as the result of a ZMC repositioning surgery
That’s an amazing result. I wonder how he got bone projection got to the sides of the nose/ paranasal area? Or maybe that’s just soft tissue re-draping?
-
That’s an amazing result. I wonder how he got bone projection got to the sides of the nose/ paranasal area? Or maybe that’s just soft tissue re-draping?
I mean if that could be done on both of your cheekbones that is literally the ideal result for a man. Does it say how many mm anterior and lateral was done on this guy?
-
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759662/#!po=1.92308
There is a pretty good cheekbone result in this article as the result of a ZMC repositioning surgery
Although the surgery bumped out his lateral cheek area and corrected his fracture so the broken cheek matched up more with the unbroken one, all I would conclude from this is that it fixed his broken cheek. Kind of but not completely. But as much as possible. I would not conclude this is a great operation for cosmetic reasons.
He's got a double bump on the left side of photo D which can also be seen on left side of photo B. Likewise on the left side of the photo of the CT scan of the correction where it should be obvious why he got the double bump.
Those who would conclude that this would be a great operation for COSMETIC REASONS either:
a: Were not observant enough to have seen the double bump effect with it.
b: Were observant to see it but would actually LIKE or would not mind having a double bump on both sides.
For those who thought these were 'great' results and would entertain this for COSMETICS which one are you; 'a' or 'b'?
Anyone on this string with a CHEEK FRACTURE that dislocated the area?
-
I mean if that could be done on both of your cheekbones that is literally the ideal result for a man. Does it say how many mm anterior and lateral was done on this guy?
Oh, yes, 'ideal' (for cosmetics patients) to have DOUBLE BUMP to the cheek area. See my prior post on this string about that.