3 months after jaw angle implant. Thinking about removing it. In need of experts and honest opinions here

stressftw

stressftw

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Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months
1708559098350
1708559002326
1708560464876
1708560542190
1708559201445


before

1708559293473




before / after: this photo is like 2.5 months after
1708559366016
1708559535100


before / after
1708559920555
1708559986522




before 3/4
1708561503582
1708561631516
 
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@RealSurgerymax
 
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I think you do look after the implants, your side profile is better looking. Imo, implants have a tendency of making your face look smaller, but since you blurred it out and didnt talk about it, im going to assume you dont have that problem. The implants do look natural.

I do think you should wait about 6-8 months before making a decision, and "skin" sag can be fixed easily
 
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I think you do look after the implants, your side profile is better looking. Imo, implants have a tendency of making your face look smaller, but since you blurred it out and didnt talk about it, im going to assume you dont have that problem. The implants do look natural.

I do think you should wait about 6-8 months before making a decision, and "skin" sag can be fixed easily
No my face looks longer actually and the problem is that i have relatively long midface already, so it looks even longer now.

My side and 3/4 are undeniably better, the problem is the front and dehiscence. The issue of the face looking smaller didnt happened.

I didnt understood if you think it looks better or worse in the first phrase, but thank you for your input.

I feel that if dehiscence wasnt an issue in jaw angles my final result would be more robust and looking more like the photo on the left of cavill jaw, i also didnt knew the absurd amount of volume that masseter muscle add to the lower third


1708566795557
1708566839370
 
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No my face looks longer actually and the problem is that i have relatively long midface already, so it looks even longer now.

My side and 3/4 are undeniably better, the problem is the front and dehiscence. The issue of the face looking smaller didnt happened.

I didnt understood if you think it looks better or worse in the first phrase, but thank you for your input.
oh sorry, my stupid keyboard blanked out. Yes, you do look better, your side profile and everything.
I looked more into your pictures, (because this is one of the first high iq threads in a while), and you did lose some width. I still think your face largely looks very handsome despite the lost width.
Though you lost width, your face doesn't look "narrow"



BTW, i like your hair, how can I grow my hair out like you?
 
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oh sorry, my stupid keyboard blanked out. Yes, you do look better, your side profile and everything.
I looked more into your pictures, (because this is one of the first high iq threads in a while), and you did lose some width. I still think your face largely looks very handsome despite the lost width.
Though you lost width, your face doesn't look "narrow"



BTW, i like your hair, how can I grow my hair out like you?

My hair is straight /wavy it will look like shit while growing and there are days it looks terrible but i think letting it dry in a claw clip or elastic made the difference in the daily basis. If i let it dry normally it looks terrible
 
@RealSurgerymax is around the forums lately?
 
Bro idk whats ur problem, you ascended. It doesnt look bad. Are you already lean ?
 
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It looks good fr dont remove them, nice nose btw
 
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It’s going to take a while to gain width. I took me about a year for my face to adjust maybe the tearing the massetor apart or something.
 
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It looks good fr dont remove them, nice nose btw
Yes im lean, im 4 months out now. still some areas that are "puffy" specially the buccal corridor area where the incision were made inside my mouth. But i think they will subside as the time passes.

this is my jaw at 4 months, im slowly starting to see alot of hollowing as the time passes

1711274298118
 
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Your jaw was already good though.
 
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No my face looks longer actually and the problem is that i have relatively long midface already, so it looks even longer now.

My side and 3/4 are undeniably better, the problem is the front and dehiscence. The issue of the face looking smaller didnt happened.

I didnt understood if you think it looks better or worse in the first phrase, but thank you for your input.

I feel that if dehiscence wasnt an issue in jaw angles my final result would be more robust and looking more like the photo on the left of cavill jaw, i also didnt knew the absurd amount of volume that masseter muscle add to the lower third


View attachment 2760289View attachment 2760291

Well cavill has a wider lateral cheek mass that causes his look of a wider fwhr you need not another jaw implant you need zygomatic arch implants
 
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Yes im lean, im 4 months out now. still some areas that are "puffy" specially the buccal corridor area where the incision were made inside my mouth. But i think they will subside as the time passes.

this is my jaw at 4 months, im slowly starting to see alot of hollowing as the time passes

View attachment 2816863
You look insanely good on this picture
 
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first picture looks like jared leto
my man you look good, and you seem to have awesome beard / hair genetics
i'm confused how can someone lose width by getting implants? the angle got moved so now its lower (so bigger ramus i guess) but closer to the center of the face?
 
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U are right jaw is narrow
 
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what happens to the implants when you get punched?
 
first picture looks like jared leto
my man you look good, and you seem to have awesome beard / hair genetics
i'm confused how can someone lose width by getting implants? the angle got moved so now its lower (so bigger ramus i guess) but closer to the center of the face?
Yeah alot of people say i resemble Jared Leto

well, when u add ramus height if the masseter muscle remain on the original spot because of dehiscence/implante reveal u will lose bigonial width, because now your gonions will not have the volume from masseters anymore. It's not intuitive but it is was happened in my case. I had big masseters that remained on the original spot and now my gonions are lower and without the coverage from the masseter muscle, making my gonions look narrow.
The face width narrowed overall because i did one round of masseter botox, it will return to the original size in few months, but the gonions will remain narrow because there is no soft tissue coverage there, unless i have some type of filler.
 
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Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months
View attachment 2760009View attachment 2760005View attachment 2760079View attachment 2760090View attachment 2760022

before

View attachment 2760024



before / after: this photo is like 2.5 months after
View attachment 2760026View attachment 2760032

before / after
View attachment 2760056View attachment 2760057



before 3/4
View attachment 2760135View attachment 2760144
it looks good nigga dont remove it
 
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u went too far with the vertical augmentation

Now ur face looks more narrow and longer imo

Front looks worse side looks better
 
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1712424970445
1712424909780
Front update shaven vs heavy stubble - 4 months now
 
Bruh it looks good relax
 
Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months
View attachment 2760009View attachment 2760005View attachment 2760079View attachment 2760090View attachment 2760022

before

View attachment 2760024



before / after: this photo is like 2.5 months after
View attachment 2760026View attachment 2760032

before / after
View attachment 2760056View attachment 2760057



before 3/4
View attachment 2760135View attachment 2760144
how much did it cost?
 
I think you should do some jaw filler with Juvederm Volux to make the front a little wider and pointy. I am the only user in this forum who transformed his jaw with only fillers and this is my current result after 4 years of filler. I do plan on getting implants like you but I’m still saving up money while I let the filler dissolve naturally which I know will take many years but that’s ok

 
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Wide jaw is a meme if your proportions can't handle it. Do you have a wide mouth? Wide lips also are they full or thin? Mouth to bigonial width is super important and most people they don't know about this aspect.

You will end up like this JFL

1714990241025


Your before jaw is what I want my jaw to look like(from front)

You want your gonials to be on lips level not lower, not higher.


1714990356157
 
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1715008331509
Original

1715008532512
My morph

maybe you've lowered them a bit too much. I also gave you more chin forward projection since your chin is on the shorter side. Your profile looks better afterwards though
 
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1715911103904
1715911141698


1715911700841


Update 6 months. I can still se improvement on skin tightening and somehow residual swelling every month. The area where incision was made still very thick and not completely mobile inside my mouth. Hope it keep improving because i still feel that in some areas i lack definition because of how thick the gengival area of the incision is.
 
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it looks better not worth it imo
is the implant reveal still happening or did it improve?
 
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it looks better not worth it imo
is the implant reveal still happening or did it improve?
Implant reveal still happens but is only visible when i clench. I was a permaclencher, in the before photos i was clenching my jaw wasnt like that at rest, it was and still is kinda hard to deal with it, clenching was a unconscious process to me
 
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Wide jaw is a meme if your proportions can't handle it. Do you have a wide mouth? Wide lips also are they full or thin? Mouth to bigonial width is super important and most people they don't know about this aspect.

You will end up like this JFL

View attachment 2900845

Your before jaw is what I want my jaw to look like(from front)

You want your gonials to be on lips level not lower, not higher.


View attachment 2900849
before it was above mouth and now in frankfurt position its on lip level and leaning abit to lower lip
 
How are your facial sensations? can you "feel" something foreign touching your jawbone or is it seamless?

Also you should read about implant induced bone resorption. Basically, you start losing bone on the site of the implant's bond with your bone. I don't know how severe the effect will be in your case but if you take it out, you could end up looking worse than your presurgery pics lol.
 
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How are your facial sensations? can you "feel" something foreign touching your jawbone or is it seamless?

Also you should read about implant induced bone resorption. Basically, you start losing bone on the site of the implant's bond with your bone. I don't know how severe the effect will be in your case but if you take it out, you could end up looking worse than your presurgery pics lol.
In regards to the implants, i dont feel weird sensations of foreign object, but i still lack mobility on the mouth mostly because of the scar tissue and fibrosis inside the mouth. It is still very thick and annoying, im still doing facial exercises in order to improve that. I have talked with a guy that had the same implant with the same surgeon and he said it took more than a year in his case to this thickness and mouth mobility to return to normal. I certainly can see slow improvement, 3 months ago it was way worse. But still is a very slow process, initially i thought that at 4 months mark everything would be back to normal, it really doesnt work like that, at 6 months mark swelling is mostly down, but skin still adapting and fibrosis and incision scar in the mouth is still in process of remodeling and diminishing
 
In regards to the implants, i dont feel weird sensations of foreign object, but i still lack mobility on the mouth mostly because of the scar tissue and fibrosis inside the mouth. It is still very thick and annoying, im still doing facial exercises in order to improve that. I have talked with a guy that had the same implant with the same surgeon and he said it took more than a year in his case to this thickness and mouth mobility to return to normal. I certainly can see slow improvement, 3 months ago it was way worse. But still is a very slow process, initially i thought that at 4 months mark everything would be back to normal, it really doesnt work like that, at 6 months mark swelling is mostly down, but skin still adapting and fibrosis and incision scar in the mouth is still in process of remodeling and diminishing
Brutal
You should've looked into the use of Verteporfin. Many surgeons are already using this. It completely prevents the formation of scar tissue.
Its a neat hack that could've saved you a lot of post op annoyance. There are some hair transplant surgeons who have started using this, but its not commonly known.
 
Brutal
You should've looked into the use of Verteporfin. Many surgeons are already using this. It completely prevents the formation of scar tissue.
Its a neat hack that could've saved you a lot of post op annoyance. There are some hair transplant surgeons who have started using this, but its not commonly known.
Yeah i know about verteporfin, but its very expensive and there are very few doctors that use it, and the scar tissue is inside the mouth, on gengivae, it´s not a aesthetic concerning scar in the long-term because its inside the mouth that heals almost scarlessly in the long run. But i hold alot of hopes with verteporfin, i think it has alot of potential to revolutionize things when they set up the right protocols and prices went down
 
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Yeah i know about verteporfin, but its very expensive and there are very few doctors that use it, and the scar tissue is inside the mouth, on gengivae, it´s not a aesthetic concerning scar in the long-term because its inside the mouth that heals almost scarlessly in the long run. But i hold alot of hopes with verteporfin, i think it has alot of potential to revolutionize things when they set up the right protocols and prices went down
Brutal I thought i was the only one who knew about this niche drug on this Forum jfl.

I also have high hopes for robotic surgery in the near future. automated equipment already manufacture nearly every machine. So surely CNC tech can be used for surgery too.
 
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No my face looks longer actually and the problem is that i have relatively long midface already, so it looks even longer now.

My side and 3/4 are undeniably better, the problem is the front and dehiscence. The issue of the face looking smaller didnt happened.

I didnt understood if you think it looks better or worse in the first phrase, but thank you for your input.

I feel that if dehiscence wasnt an issue in jaw angles my final result would be more robust and looking more like the photo on the left of cavill jaw, i also didnt knew the absurd amount of volume that masseter muscle add to the lower third


View attachment 2760289View attachment 2760291

Honestly, I personally don't see anything wrong. If you didn't tell me it was an implant, I wouldn't have known.
 
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Looks good man. I also got angle implants a year ago and I have the same issue you described. I’m leaning towards getting filler to address it.
 
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In regards to the implants, i dont feel weird sensations of foreign object, but i still lack mobility on the mouth mostly because of the scar tissue and fibrosis inside the mouth. It is still very thick and annoying, im still doing facial exercises in order to improve that. I have talked with a guy that had the same implant with the same surgeon and he said it took more than a year in his case to this thickness and mouth mobility to return to normal. I certainly can see slow improvement, 3 months ago it was way worse. But still is a very slow process, initially i thought that at 4 months mark everything would be back to normal, it really doesnt work like that, at 6 months mark swelling is mostly down, but skin still adapting and fibrosis and incision scar in the mouth is still in process of remodeling and diminishing
You need to be patient. I had jaw angle implants with Pagnoni last July and it's only now that I'm starting to see the full effects with definition and angularity.

I can barely feel the dcar tissues and fibrosis.
 
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Looks good man. I also got angle implants a year ago and I have the same issue you described. I’m leaning towards getting filler to address it.
Same here, the lower you go, the higher the risk of covering the masseters

However it was for the best since I corrected an assymetry as well as antegonial notches and lowered the angle as well.

I'm getting minimal fillers as soon as I reach 10% bodyfat. 1,5 or 2ml per side wille be more than enough. Without the implants it would have way more.
 
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You need to be patient. I had jaw angle implants with Pagnoni last July and it's only now that I'm starting to see the full effects with definition and angularity.

I can barely feel the dcar tissues and fibrosis.
Good to know that definition keep improving. Thanks.
 
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Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months
View attachment 2760009View attachment 2760005View attachment 2760079View attachment 2760090View attachment 2760022

before

View attachment 2760024



before / after: this photo is like 2.5 months after
View attachment 2760026View attachment 2760032

before / after
View attachment 2760056View attachment 2760057



before 3/4
View attachment 2760135View attachment 2760144
they look bettter but i think you just lack forward growth making your face look short doesnt lok bad though maybe midface implants for fw growth?
 
How much lowering did you get?
 
they look bettter but i think you just lack forward growth making your face look short doesnt lok bad though maybe midface implants for fw growth?
I think i have decent forward growth specially in maxilla. I always thought i could benefit from genio though. But the surgeon refused to do genio on me and said that i wouldnt have any aesthetic benefit from it and it wasnt needed so i ended up giving up from the idea of it.
Im done with surgeries. Shit is too scary.

1715932769695
 

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