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White Worshiping Eugenicist Curry Scum
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I know. That's why I excluded him.epply charges 2x the price for a peek implant jfl, wht a jew
do you know why he does that tho?I know. That's why I excluded him.
I'm wiling to go to Europe.Just save for Medpor or settle with silicone. Barely anyone in the US does peek l, and especially with the skill of custom implant surgeons
Why can’t u just save money?I'm wiling to go to Europe.
Its too much money. I don't want to get ripped off like that.Why can’t u just save money?
If you’re going to make any investment in something make it in yourself. It will certainly be more than worth it. The prices will go up every yearIts too much money. I don't want to get ripped off like that.
Just save for Medpor or settle with silicone. Barely anyone in the US does peek l, and especially with the skill of custom implant surgeons
They do look different though.Medpor is a terrible substance, and is frankly outdated. Its advocates tend to be very confused about its supposed benefits.
Barely anyone does PEEK in the US for the same reason barely anyone does titanium: there's no advantages over silicone, and yet they make surgery considerably more difficult, and cost a lot more to manufacture. They are also difficult, if not practically impossible to modify in the operating room if necessary - as is often the case.
The most moronically widespread belief on PSL forums is that of believing that different materials give different looks. They don't. You could sit every one of these morons down with a surgeon on skype and have it explained to them in detail why this isnt the case, and they will still believe that x commonly used substance is a scam and gives shitty results and y moonrock substance gives male model looks. The most unpredictable part of cosmetic surgery, and one surgeons can currently do very little about, is the soft tissues. Look everyone is aware of people who have less than ideal muscular insertions, which give them odd looking and aesthetically unpleasing physiques even when they are at single digit bodyfat percentage, and yet no one seems to put 2 and 2 together and realize this is true about muscles in the face as well, such as the masseters.
Implant surgery is best done conservatively, and conventionally.
PEEK does have advantages over silicone. Silicone can get displaced even with screws and are prone to infection.Barely anyone does PEEK in the US for the same reason barely anyone does titanium: there's no advantages over silicone
Eppley prefers silicone because it makes his job easier. That's all.You can’t skype with Eppley and ask him these questions. He’s a path of least resistance cuck.
Its about the cost, not choice.I think that you can choose with Eppley though, what material you want him to use I mean.
PEEK does have advantages over silicone. Silicone can get displaced even with screws and are prone to infection.
Eppley prefers silicone because it makes his job easier. That's all.
They do look different though.
Silicone is soft, shitty fragile material and that’s why it’s cheap. That’s why you need to wrap it around the nerve and create pockets to place it in because it’s too weak to fixate.
Medpor mogs it to hell and back because the density mimics bone better. Silicone also makes bone erode overtime. It’s garbage
You get tissue in-growth with Medpor that basically makes the implant look one with your face. As silicone looks faker and erodes as the years go by. That’s why silicone chin implant revision and removal rates are so high.
Silicone is just simply the cheap pizza you get at 7/11. Notice how they can be placed ONLY in certain parts of the face..and nowhere else? They’re not practical.
You can’t skype with Eppley and ask him these questions. He’s a path of least resistance cuck. I’ve explained this ad nauseum already. The people who use heroin know more than the doctors who study it.
Many surgeons can't place PEEK properly. PEEK implants need to be placed in pieced like a puzzle rather than as one contiguous whole, even if its custom made according to the patient's bone anatomy. Slight interface space between bone and implant can cause infection. Silicone migrates because its soft, so its more prone to infection and bone resorption unlike PEEK. It is not possible to fixate silicon implants with screws, because the silicone is too soft for it. The silicone would rupture at the position of the screw and the implant would be loose again.PEEK has very little clinical history in cosmetic augmentation and yet already has more than a few case studies of infection outcomes that required removal.
Many surgeons can't place PEEK properly. PEEK implants need to be placed in pieced like a puzzle rather than as one contiguous whole, even if its custom made according to the patient's bone anatomy. Slight interface space between bone and implant can cause infection. Silicone migrates because its soft, so its more prone to infection and bone resorption unlike PEEK. It is not possible to fixate silicon implants with screws, because the silicone is too soft for it. The silicone would rupture at the position of the screw and the implant would be loose again.
Many surgeons can't place PEEK properly. PEEK implants need to be placed in pieced like a puzzle rather than as one contiguous whole, even if its custom made according to the patient's bone anatomy. Slight interface space between bone and implant can cause infection. Silicone migrates because its soft, so its more prone to infection and bone resorption unlike PEEK. It is not possible to fixate silicon implants with screws, because the silicone is too soft for it. The silicone would rupture at the position of the screw and the implant would be loose again.
Give it time. It will move.Actually, I can tell you for a fact that the rumor about silicone implants not being able to be screw-fixated is false, as I have screws in all my silicone implants (bilateral midface implants, chin implant). I can actually feel the ends of the screws poking out of the orbital rim component of the midface implants.
Its more resistant than Titanium. No data for comparison of PEEK and Silicone.I'm still waiting on that evidence that proves PEEK is more resistant to infection.
Give it time. It will move.
Could you share any of your recent thoughts/updates about the materials used in implants since it’s been a year since your initial comment. Thanks
Medpor is a terrible substance, and is frankly outdated. Its advocates tend to be very confused about its supposed benefits.
Barely anyone does PEEK in the US for the same reason barely anyone does titanium: there's no advantages over silicone, and yet they make surgery considerably more difficult, and cost a lot more to manufacture. They are also difficult, if not practically impossible to modify in the operating room if necessary - as is often the case.
The most moronically widespread belief on PSL forums is that of believing that different materials give different looks. They don't. You could sit every one of these morons down with a surgeon on skype and have it explained to them in detail why this isnt the case, and they will still believe that x commonly used substance is a scam and gives shitty results and y moonrock substance gives male model looks. The most unpredictable part of cosmetic surgery, and one surgeons can currently do very little about, is the soft tissues. Look everyone is aware of people who have less than ideal muscular insertions, which give them odd looking and aesthetically unpleasing physiques even when they are at single digit bodyfat percentage, and yet no one seems to put 2 and 2 together and realize this is true about muscles in the face as well, such as the masseters.
Implant surgery is best done conservatively, and conventionally.
"Barely anyone does PEEK in the US for the same reason barely anyone does titanium: there's no advantages over silicone,"
Absolutely not.
They're not doing it because it's hella expensive to produce in the USA relative to Europe.
It has every advantage over silicone.
One major being it doesn't literally eat into and erode your fucking skull over time - PEEK can be fixated correctly and properly while silicone can only be partially secured. Imagine trying to screw a rubbery substance onto bone with titanium screws.
Off the shelf taylor lateral silicone jaw angle implants eroded about 5-7mm into my jaw in just 1 year on my left and right mandibular angles respectively, with bone spurs starting to grow over the top of them. I have the ct scans to prove it.I'm very confident that it costs less to manufacture in the US than it does in Europe. I'd bet my life on it. And the cost would be on the patient, not the surgeon, so its a non-issue.
I've yet to see anyone produce any evidence that PEEK and/or titanium produce better outcomes than silicone. As for the idea that silicone causes erosion:
"In conclusion, the phenomenon of chin implant erosion is a myth. Rather it is the mislabeling of a natural process of tissue adaptation to the presence of an implant. It is neither active, inflammatory or a progressive process. Rather it is a passive tissue remodeling process that is self-limiting and of no aesthetic or biologic concern. It is not exclusive to silicone chin implants and can occur with all chin implant materials."
....
"...
"...interestingly, such tissue remodeling is not seen on any other facial implantation site other than that of the chin."
The Myth of Silicone Chin Implant Erosion - Explore Plastic Surgery
One of the most commonly performed facial augmentation procedures is the placement of a chin implant. Whether it is done for significant microgenia (short chin) or as a complement in rhinoplasty and facelifts for less severe chin deficiencies, chin implants represent an historic and usually...exploreplasticsurgery.com
As for screw fixation, i could very easily imagine trying to fixate a rubbery substance onto bone. Such fixation of rubber (sometimes literally silicone) to metal happens all the time in machinery, especially in concerns where a very hard plastic would fracture or shear off... why do you think it would be different for fixation to bone?
A cursory google search for silicone implant screw fixation reveals plenty of positive affirmation that silicone implants can indeed be easily fixated by screw, and not a single report of inability to be properly secured that I can see.
Do you have any evidence for these claims? If not then this is all just conjecture, and I'm yet to see a surgeon publicly his credibility behind the claim that PEEK (or any other material) is superior to silicone for facial implants.
I would love to see your CT scan showing 5-7 mm of erosion at each of your jaw angles. This is such an absurd claim it's laughable - the average thickness of the ramus in men is around 8 mm.Off the shelf taylor lateral silicone jaw angle implants eroded about 5-7mm into my jaw in just 1 year on my left and right mandibular angles respectively, with bone spurs starting to grow over the top of them. I have the ct scans to prove it.
Also, fwiw Yaremchuk told me in person that even though he mostly uses silicone nowdays, in his opinion medpor yields a harder more defined result in the mandible independent of implant design.
please share it if trueOff the shelf taylor lateral silicone jaw angle implants eroded about 5-7mm into my jaw in just 1 year on my left and right mandibular angles respectively, with bone spurs starting to grow over the top of them. I have the ct scans to prove it.
Also, fwiw Yaremchuk told me in person that even though he mostly uses silicone nowdays, in his opinion medpor yields a harder more defined result in the mandible independent of implant design.
I would love to see your CT scan showing 5-7 mm of erosion at each of your jaw angles. This is such an absurd claim it's laughable - the average thickness of the ramus in men is around 8 mm.
Looks pretty bad, but the bony overgrowth makes it look worse than it actually is. I would not say it is even close to 7mm of resorption. How was it measured? I doubt you have a pre-surgical CT since this your implant appears to have been off the shelf rather than custom.Since you'd love to see it, here's the right side. It eroded and remodeled inward, bone grew over the top, and there was approximately 7mm of resorption at the inferior border of the gonial angle measured with the ct software by the surgeon who fixed it. Two pics with the bone spur intact, and one with it digitally removed so you can see the extent of the erosion better
View attachment 995851View attachment 995852View attachment 995854
so what did you do ? removed ?Since you'd love to see it, here's the right side. It eroded and remodeled inward, bone grew over the top, and there was approximately 7mm of resorption at the inferior border of the gonial angle measured with the ct software by the surgeon who fixed it. Two pics with the bone spur intact, and one with it digitally removed so you can see the extent of the erosion better
View attachment 995851View attachment 995852View attachment 995854
Looks pretty bad, but the bony overgrowth makes it look worse than it actually is. I would not say it is even close to 7mm of resorption. He was it measured? I doubt you have a pre-surgical CT since this your implant appears to have been off the shelf rather than custom.
have your face noticable changed after this happened ?True. Measured from the rear with the software filling in the volume needed to maintain the approximate original contour of the ramus. Yes it's an approximation, but it's in that ballpark. When viewed from the rear you could really see how the bone both eroded and remodeled inward. And to clarify I don't believe this was a direct result of them being silicone, I believe it was a function of them being off the shelf and slightly mobile since they weren't secured properly and don't contour well to the underlying bony anatomy.
have your face noticable changed after this happened ?
wow damn... i was considering going with eppley then find a local surgeon who does lots of succesful implants and thinking i'll get from him in march bu this scared a little bit. so what's your final advice for me, except not using silicone lol ?Not an easy answer since I had the silicone replaced with medpor which looked good, then attempted to revise the medpor like an idiot because a surgeon said it'd be no problem and I wanted custom medpor implants, got completely botched, then had two more surgeries just to remove the residual medpor, then bimax with implants lol. I've been through it all and have quite a bit of masseter and mentalis damage as a result. The resorption was the least of my probs
I have no problem with using silicone if it's custom and affixed with screws. As for the local surgeon I can't advise you one way or another, just do your due diligence, use your better judgement and don't let your desire for the surgery cause you to ignore any red flags.wow damn... i was considering going with eppley then find a local surgeon who does lots of succesful implants and thinking i'll get from him in march bu this scared a little bit. so what's your final advice for me, except not using silicone lol ?
can you link it please ?Read the @Adrenochrome thread too if you haven’t yet had the chance to.
I beg your pardon?@RealSurgerymax @Sergio-OMS
I only use peek or titaniumWithin this thread implant material was discussed. If you could skim through the thread and then give your insight that would be greatly appreciated. If not, hopefully @RealSurgerymax can.
That didn’t really answer my question but that’s alright. However, I have another question.
View attachment 997440
Here is a design for an infraorbital-malar implant from Dr. Eppley. Now my question is, would you be willing/able to do a design similar to this with PEEK? The infraorbital rim is being vertically enhanced by 4-5 mm’s! (I have more pictures if needed.)
is bone resorption from fixated implants common ? i mean how many cases you encounter with itHmmmm no, a rigid implant of that size couldn't be inserted in a safe way. At least I think I couldn't do it. Silicone would be my material of choice for that.
so your implants weren't fixated with screws?I have no problem with using silicone if it's custom and affixed with screws. As for the local surgeon I can't advise you one way or another, just do your due diligence, use your better judgement and don't let your desire for the surgery cause you to ignore any red flags.
The initial ones weren't, no.so your implants weren't fixated with screws?
and they were the cause of resorption right ?The initial ones weren't, no.
i'm asking because i will probably end up with medpor chin implant + lateral silicone jaw implants (fixated)The initial ones weren't, no.
I can’t really give you a serious answer,that would require serious research I am not willing to do.is bone resorption from fixated implants common ? i mean how many cases you encounter with it
I still don't understand the outcome.Since you'd love to see it, here's the right side. It eroded and remodeled inward, bone grew over the top, and there was approximately 7mm of resorption at the inferior border of the gonial angle measured with the ct software by the surgeon who fixed it. Two pics with the bone spur intact, and one with it digitally removed so you can see the extent of the erosion better
View attachment 995851View attachment 995852View attachment 995854
i'm not recessed, my problem is pointy&feminine chin. i need wide chin , genio cannot give that.Why medpor chin implant? Good luck taking it out if you ever decide you don’t like it. Genioplasty mogs in almost every single way.
thats idealpointy