Had Bimax CCW Genio with Dr Ramieri, AMA

[Deleted member 4797]

@DatGuyYouLike

i don’t need any vertical height for the chin right ?

no

 

[LastHopeForNorman]

thought about t split sliding genio ?
I ask becouse some people say slding genio doesnt widen chin only height and protrusion.
It seems t split sliding genio with jaw angle implant is the best for me

 

[Deleted member 4797]

thought about t split sliding genio ?
I ask becouse some people say slding genio doesnt widen chin only height and protrusion.
It seems t split sliding genio with jaw angle implant is the best for me

Yeah if your chin is narrow do that, much better than a chin implant which adds width

 

[LastHopeForNorman]

What do you think about jaw angle implant ?
I want it becouse it could increase length of jaw and 90 to 110 degree angle will add masculine look to my lower third

 

[Deleted member 4797]

What do you think about jaw angle implant ?
I want it becouse it could increase length of jaw and 90 to 110 degree angle will add masculine look to my lower third

Its a good idea to have just the ramus augmented, but wrap around implants look fake imo.

I'm getting ramus implants next

 

[LastHopeForNorman]

Its a good idea to have just the ramus augmented, but wrap around implants look fake imo.

I'm getting ramus implants next

what name of this blackpilled switzerland old jew surgeon?
On his site is photo that i want to show you

 

[Deleted member 8080]

Wont post pics but will answer all questions honestly and detailed as possible.

Currently 2.5weeks post op.

Hope u ascend bro

 

[Deleted member 4797]

Hope u ascend bro

Thanks a lot brother, I definitely will, even if I'm normie I wont let looks hold me back.

 

[Deleted member 8080]

What would u say was ur PSL prior to the surgery and what would u say is ur psl now?

 

[Deleted member 4797]

what name of this blackpilled switzerland old jew surgeon?
On his site is photo that i want to show you

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this one?

 

[Deleted member 4797]

What would u say was ur PSL prior to the surgery and what would u say is ur psl now?

high tier truecel to low tier normie facially, trying to be accurate as possible.

 

[Deleted member 8080]

high tier truecel to low tier normie facially, trying to be accurate as possible.

Damn. We have similar physical stats below the neck right? Werent u 120lbs and 5 7

 

[Deleted member 4797]

Damn. We have similar physical stats below the neck right? Werent u 120lbs and 5 7

Yeah lol, very small dude which also holds back my SMV.

 

[LastHopeForNorman]

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this one?

no
suregon is really old but have long jet black hair and lot of patients consult surgery with his wife.
He also did reconstrutive surgery in india on kids with cleft lip

 

[MD_Hopeful69]

high tier truecel to low tier normie facially, trying to be accurate as possib

you were not a truecelcbefore at all, I would say maybe low tier tier normie before

 

[Deleted member 8080]

Yeah lol, very small dude which also holds back my SMV.

Im 110 lbs and 5 6 (and a quarter) so there u go. Someone u mog in that aspect
Im a bit above average facially tho

 

[Deleted member 4797]

no
suregon is really old but have long jet black hair and lot of patients consult surgery with his wife.
He also did reconstrutive surgery in india on kids with cleft lip

 

[Deleted member 8080]

you were not a truecelcbefore at all, I would say maybe low tier tier normie before

Has he posted b4?

 

[Deleted member 4797]

you were not a truecelcbefore at all, I would say maybe low tier tier normie before

Thanks man, that would mean I moved up to Normie now then, 1 shift in categories.

 

[LastHopeForNorman]

thanks mate
God may help you ascend bhai

 

[Deleted member 4797]

Im 110 lbs and 5 6 (and a quarter) so there u go. Someone u mog in that aspect
Im a bit above average facially tho

We can still do well tbh, I've had girls attracted to me despite the framecel. Face is more important after all

 

[Deleted member 8080]

Was the pain manageable?

 

[Deleted member 4797]

thanks mate
God may help you ascend bhai

Thanks man you 2, dont go to that overpriced butcher though. He morphs his results and is sleazy af

 

[Deleted member 4797]

Was the pain manageable?

First week is certainly hell but its worth it in the end. After that its only swelling discomfort not pain for a few weeks

 

[LastHopeForNorman]

This i want to use after my genio

 

[Deleted member 4797]

This i want to use after my genio
View attachment 956656

Doesn't he charge ridiculous rates though? And his results are morphed, they dont actually look good as the website in real life

 

[LastHopeForNorman]

Doesn't he charge ridiculous rates though? And his results are morphed, they dont actually look good as the website in real life

I dont wanna even talk to that jew fag JFL but i want this kind of procedure done on me.

 

[CursedOne]

Nope, he's still been delaying to give me the surgical report for quite a while now..

Id love to see before/after

 

[ascentium]

Ramieri gave the surgical report!

View attachment 956164

Looks like it was 4mm upper jaw afterall

I have thin skin. The skin around my jaw is tight around the bone, and looks aesthetic. Should I be concerned about the step-off from a genioplasty?

 

[MD_Hopeful69]

I have thin skin. The skin around my jaw is tight around the bone, and looks aesthetic. Should I be concerned about the step-off from a genioplasty?

there will be a graft i think to address the step off

 

[Deleted member 4797]

I have thin skin. The skin around my jaw is tight around the bone, and looks aesthetic. Should I be concerned about the step-off from a genioplasty?

No, it looks absolutely 100% natural.

There will be a small step-off at the back just before the ramus (where the BSSO cut is), but its small enough to still look natural there too. This is where the ramus implant goes after bimax, then the entire jaw has been augmented.

 

[ascentium]

No, it looks absolutely 100% natural.

There will be a small step-off at the back just before the ramus (where the BSSO cut is), but its small enough to still look natural there too. This is where the ramus implant goes after bimax, then the entire jaw has been augmented.

this would be for a stand alone genio or mini chinwing, which ever the surgeon decides would be best. I have an ante gonial notch, not as severe as chamalets but it’s there especially when I get really lean. Which do you think would be best for my mandible shape? My main concern is improvement of side profile, but i also wouldn’t mind added thickness to the front profile.

please no bluepill about being good enough.

 

[Deleted member 4797]

this would be for a stand alone genio or mini chinwing, which ever the surgeon decides would be best. I have an ante gonial notch, not as severe as chamalets but it’s there especially when I get really lean. Which do you think would be best for my mandible shape? My main concern is improvement of side profile, but i also wouldn’t mind added thickness to the front profile.

please no bluepill about being good enough.

I would get genioplasty over mini chin wing if i was you, not that you would turn into Chamalet. Keep in mind that I believe Chamalet's jaw and Meeks' jaw look good, so I may have a bias towards that look.

 

[ascentium]

I would get genioplasty over mini chin wing if i was you, not that you would turn into Chamalet. Keep in mind that I believe Chamalet's jaw and Meeks' jaw look good, so I may have a bias towards that look.

yeah I’m biased forwards the convex mandibular shape as well. Just trying to avoid looking too striking and or not factoring in the deformity beforehand and ending with an odd looking result.

the step off I’m concerned about is around the chin. Would it be noticeable at low bf%?

 

[Deleted member 4797]

yeah I’m biased forwards the convex mandibular shape as well. Just trying to avoid looking too striking and or not factoring in the deformity beforehand and ending with an odd looking result.

the step off I’m concerned about is around the chin. Would it be noticeable at low bf%?

I dont think so, mine was a decent boost to the chin height and it doesnt look unnatural whatsoever. Im very low bf (skinny guy).

 

[ascentium]

I dont think so, mine was a decent boost to the chin height and it doesnt look unnatural whatsoever. Im very low bf (skinny guy).

any surgeons that can do for under 5k usd?

 

[Deleted member 4797]

any surgeons that can do for under 5k usd?

I would recommend Ramieri since he did such a nice result on me, where i started with a quite short chin. It looks masculine and tall as he could make it, whilst staying in the harmonious range.

He had to improvise on the operating table, just really see which angle and height looked best on my face. So with any genioplasty a surgeons aesthetic eye matters a lot, and Ramieri has proven at least with me to have a very good one.

Its also something not all surgeons have, it cant be taught at med school, and these surgeons arent browsing looksmax to study aesthetics.

He is like 8k euro tho for genio. Idk any other surgeons to recommend for it.

 

[khvirgin]

I also would like to avoid extraoral incisions. Did he mention if it would affect anything surgery wise? I wasn’t sure why exactly he even made the incisions in the first place because Pagnoni does everything intraoral from the get go.

He just said "It would just be more work for me but whatever, I'll do it intraoral"

 

[Deleted member 4797]

I mean he's charging us $5,000 extra for being foreigners. It's the least he could do.

I wish he mentioned I would get scars tbh, now I got them permanently for nothing because he cba lol

 

[.👽.]

Wont post pics but will answer all questions honestly and detailed as possible.

Currently 2.5weeks post op.

How did the ccw change your front? U had gum show?

 

[Deleted member 4797]

How did the ccw change your front? U had gum show?

No i didnt. Most of the CCW was done at the back via downgrafting, only a little bit by impaction at the front (because my smile wasnt gummy).

It rotated my lips to face forward rather than downwards as they did before. It rotated mandibular plame angle to me more forward facing rather than to the ground, same like my lips.

 

[khvirgin]

Ramieri requested a consent form from my psychiatrist before doing anything and my new psychiatrist hates me and laugh at my face everytime I talk about improving myself
fuck my life
it's over

 

[Deleted member 2788]

I have downward growth and i want CCW and Genio, could you pm me your before and after? Please

how painful it was? What changed about how you feel about urself before and after surgery?

 

[Deleted member 4797]

I have downward growth and i want CCW and Genio, could you pm me your before and after? Please

how painful it was? What changed about how you feel about urself before and after surgery?

Sorry bro I've been strict with who I send pics out to, since it only takes 1 scumbag to dox me, people I already trusted before got my pics and thats how it has to be unfortunately.

The first week was awful in terms of pain+discomfort+lack of sleep, just probably going to be the worst week of your life. Its worth the sacrifice still though.

Really I dont feel too different about myself tbh, when I was younger I used to think looks mattered the most, but I dont feel that way anymore. So the surgery was more like a convenient boost than a self-perception changer, and it fixed my sleep apnea which was very bad also.

 

[Deleted member 4430]

 

[MD_Hopeful69]

Sorry bro I've been strict with who I send pics out to, since it only takes 1 scumbag to dox me, people I already trusted before got my pics and thats how it has to be unfortunately.

The first week was awful in terms of pain+discomfort+lack of sleep, just probably going to be the worst week of your life. Its worth the sacrifice still though.

Really I dont feel too different about myself tbh, when I was younger I used to think looks mattered the most, but I dont feel that way anymore. So the surgery was more like a convenient boost than a self-perception changer, and it fixed my sleep apnea which was very bad also.

Other than your lip widening more, did ur lips become more full?

 

[Deleted member 4797]

Other than your lip widening more, did ur lips become more full?

It seems like they're the same fullness, but I've yet to have my screws remove in my philtrum, which could very well lift my upper lip- more once removed.

 

[MD_Hopeful69]

It seems like they're the same fullness, but I've yet to have my screws remove in my philtrum, which could very well lift my upper lip- more once removed.

Aren’t the screws extremely tiny? I doubt it would have an impact

 

[Deleted member 4797]

Aren’t the screws extremely tiny? I doubt it would have an impact

They're quite noticeably on my philtrum, they're big enough to create small nasolabial folds under certain lighting

 

[MD_Hopeful69]

They're quite noticeably on my philtrum, they're big enough to create small nasolabial folds under certain lighting

@PapiMew @RealSurgerymax