My personal surgery plan

[FoidSlayer1]

Surgical Plan (After Pharma Optimization, 18+ due to parental restrictions)

Timing: Start ortho now, major surgery after major growth spurt but before full maturity if severe.

• Orthadontics first (Immediate): Braces/Invisalign + possible palate expander (maxillary expansion for better zygos/lip support and airway). 12–24 months. Addresses upper lip, lip width, and sets up for jaw surgery.
• Jaw Surgery (BSSO + Lefort I + Genioplasty):
• Advance mandible (chin/jaw projection for severe recession).
• Maxillary advancement/impaction for lip support, width, and midface.
• Sliding genioplasty for chin length/width.
• Can add 8–15mm projection easily — transforms profile dramatically.
• Zygomatic/Malar Implants or Osteotomy: For flat/bad zygos — custom implants or bone cuts to widen/highlight cheekbones.
• Brow Ridge / Forehead: If still deficient post-hormones, custom brow bossing implant or fat grafting.
• Liposuction / Buccal Fat Removal: For persistent chubby face (after hormones/diet).
• Canthoplasty+Upper eyelid fat graft.
• Subnasal Lip Lift and a Lateral Commissuroplasty
• Infra Orbital Fat graft for under eye support

Staged Approach:

1. Now: Labs + ortho consult + start pharma.
2. 6–12 months: Reassess growth/facial changes.
3. 16–18: Major orthognathic surgery (one-stage or two).
4. Recovery: 4–8 weeks swelling, 6+ months full results. Total transformation in 2–3 years.

 

[Brian]

Surgical Plan (After Pharma Optimization, 18+ due to parental restrictions)

Timing: Start ortho now, major surgery after major growth spurt but before full maturity if severe.

• Orthadontics first (Immediate): Braces/Invisalign + possible palate expander (maxillary expansion for better zygos/lip support and airway). 12–24 months. Addresses upper lip, lip width, and sets up for jaw surgery.
• Jaw Surgery (BSSO + Lefort I + Genioplasty):
• Advance mandible (chin/jaw projection for severe recession).
• Maxillary advancement/impaction for lip support, width, and midface.
• Sliding genioplasty for chin length/width.
• Can add 8–15mm projection easily — transforms profile dramatically.
• Zygomatic/Malar Implants or Osteotomy: For flat/bad zygos — custom implants or bone cuts to widen/highlight cheekbones.
• Brow Ridge / Forehead: If still deficient post-hormones, custom brow bossing implant or fat grafting.
• Liposuction / Buccal Fat Removal: For persistent chubby face (after hormones/diet).
• Canthoplasty+Upper eyelid fat graft.
• Subnasal Lip Lift and a Lateral Commissuroplasty
• Infra Orbital Fat graft for under eye support

Staged Approach:

1. Now: Labs + ortho consult + start pharma.
2. 6–12 months: Reassess growth/facial changes.
3. 16–18: Major orthognathic surgery (one-stage or two).
4. Recovery: 4–8 weeks swelling, 6+ months full results. Total transformation in 2–3 years.

Oh mirin. I've seen a lot of niggas pay for other niggas just to suggest them a surgery and scam them lmao just like faggot implants

 

[FoidSlayer1]

Oh mirin. I've seen a lot of niggas pay for other niggas just to suggest them a surgery and scam them lmao just like faggot implants

jfl. Any suggestions of anything i should add or take away? btw the total price is anywhere from 20k - 60k

 

[Brian]

jfl. Any suggestions of anything i should add or take away? btw the total price is anywhere from 20k - 60k

Well, I'd say ur outline is directionally strong and ok, but it needs to be made more conservative, staged, and anatomy first if ur goal is a stable, peak result rather than a “stacked” look that can age badly the biggest correction is this: prioritize skeletal balance and airway/occlusion first, then only add soft tissue procedures that still make sense after swelling, settling, and orthodontic decompensation etc etc

 

[FoidSlayer1]

Well, I'd say ur outline is directionally strong and ok, but it needs to be made more conservative, staged, and anatomy first if ur goal is a stable, peak result rather than a “stacked” look that can age badly the biggest correction is this: prioritize skeletal balance and airway/occlusion first, then only add soft tissue procedures that still make sense after swelling, settling, and orthodontic decompensation etc etc

imo i think the surgery stack is high iq and a great roi. it will hopefully not get botched or look uncanny

 

[Gonialite]

Surgical Plan (After Pharma Optimization, 18+ due to parental restrictions)

Timing: Start ortho now, major surgery after major growth spurt but before full maturity if severe.

• Orthadontics first (Immediate): Braces/Invisalign + possible palate expander (maxillary expansion for better zygos/lip support and airway). 12–24 months. Addresses upper lip, lip width, and sets up for jaw surgery.
• Jaw Surgery (BSSO + Lefort I + Genioplasty):
• Advance mandible (chin/jaw projection for severe recession).
• Maxillary advancement/impaction for lip support, width, and midface.
• Sliding genioplasty for chin length/width.
• Can add 8–15mm projection easily — transforms profile dramatically.
• Zygomatic/Malar Implants or Osteotomy: For flat/bad zygos — custom implants or bone cuts to widen/highlight cheekbones.
• Brow Ridge / Forehead: If still deficient post-hormones, custom brow bossing implant or fat grafting.
• Liposuction / Buccal Fat Removal: For persistent chubby face (after hormones/diet).
• Canthoplasty+Upper eyelid fat graft.
• Subnasal Lip Lift and a Lateral Commissuroplasty
• Infra Orbital Fat graft for under eye support

Staged Approach:

1. Now: Labs + ortho consult + start pharma.
2. 6–12 months: Reassess growth/facial changes.
3. 16–18: Major orthognathic surgery (one-stage or two).
4. Recovery: 4–8 weeks swelling, 6+ months full results. Total transformation in 2–3 years.

Mirin who r u getting implants with? I can give some recommendations for surgeons and orthodontists... (for example Eppley makes great custom IOM implants but his jaw implants are shit and could be done cheaper by a normie surgeon/designer in turkey)

 

[FoidSlayer1]

Mirin who r u getting implants with? I can give some recommendations for surgeons and orthodontists... (for example Eppley makes great custom IOM implants but his jaw implants are shit and could be done cheaper by a normie surgeon/designer in turkey)

i haven't chose my surgeons yet but i was planning to soon

 

[FoidSlayer1]

Mirin who r u getting implants with? I can give some recommendations for surgeons and orthodontists... (for example Eppley makes great custom IOM implants but his jaw implants are shit and could be done cheaper by a normie surgeon/designer in turkey)

any suggestions of surgeries to add?

 

[Gonialite]

any suggestions of surgeries to add?

u can pm ur face if u want but its hard to know from here i would be careful about choosing the type of impaction you get on the maxilla carefully. Also 15mm is hard to get with normal people i would set the limit at around 8 mm for maxilla max and 12 mm for mandible max. even less with ccw. also needless to say wait until bimax+ genio fully heals before planning implants and soft tissue surgeries (except for fat grafts you can do those at 18) because the earlier you get the fat the better you will age. Also istead of getting a zygo implant i would get an infraorbital-malar implant which encompasses forward projection too, along with the zygomatic width.

 

[Gonialite]

any suggestions of surgeries to add?

also do AAS/roids before surgeries because there can be large bone changes if done before 25.

 

[FoidSlayer1]

u can pm ur face if u want but its hard to know from here i would be careful about choosing the type of impaction you get on the maxilla carefully. Also 15mm is hard to get with normal people i would set the limit at around 8 mm for maxilla max and 12 mm for mandible max. even less with ccw. also needless to say wait until bimax+ genio fully heals before planning implants and soft tissue surgeries (except for fat grafts you can do those at 18) because the earlier you get the fat the better you will age. Also istead of getting a zygo implant i would get an infraorbital-malar implant which encompasses forward projection too, along with the zygomatic width.

thanks bhai

 

[FoidSlayer1]

also do AAS/roids before surgeries because there can be large bone changes if done before 25.

im running a simple cycle.

hgh
anastrozole
reta
i was thinking of adding test

 

[Gonialite]

im running a simple cycle.

hgh
anastrozole
reta
i was thinking of adding test

no treni can pm u a more complex cycle if u want

 

[FoidSlayer1]

no treni can pm u a more complex cycle if u want

i want to have kids. and tren cuts your lifespan in half

 

[Gonialite]

i want to have kids. and tren cuts your lifespan in half

ig bro

 

[normgroid]

• Orthadontics first (Immediate): Braces/Invisalign + possible palate expander (maxillary expansion for better zygos/lip support and airway). 12–24 months. Addresses upper lip, lip width, and sets up for jaw surgery.

Pretty good.

Usually, decompensation is a prerequisite to jaw surgery.

• Jaw Surgery (BSSO + Lefort I + Genioplasty):

Lefort I?

Impaction? Segmental? High Cut? Modified?

Post note: lefort is impacted.

what's the lateral/horizontal change in genio? widening?

Mandbular rotation via SSRO/BSSO? any setback (IVRO)?

• Advance mandible (chin/jaw projection for severe recession).

Are you able to give MM measurements?

• Maxillary advancement/impaction for lip support, width, and midface.
• Sliding genioplasty for chin length/width.

Sounds good, but, how's a lefort I gonna do much for midface (unless really high cut?)

• Can add 8–15mm projection easily — transforms profile dramatically.

Make sure you don't look dogmaxxed.

Nasion must be in front of the mouth corner by a cm or more to avoid dogmax.

• Zygomatic/Malar Implants or Osteotomy: For flat/bad zygos — custom implants or bone cuts to widen/highlight cheekbones.

I don't object.

• Brow Ridge / Forehead: If still deficient post-hormones, custom brow bossing implant or fat grafting.

Unreliable and mostly theoretical, but still applicable.

• Liposuction / Buccal Fat Removal: For persistent chubby face (after hormones/diet).
• Canthoplasty+Upper eyelid fat graft.
• Subnasal Lip Lift and a Lateral Commissuroplasty
• Infra Orbital Fat graft for under eye support

No objections here.

1. Now: Labs + ortho consult + start pharma.
2. 6–12 months: Reassess growth/facial changes.
3. 16–18: Major orthognathic surgery (one-stage or two).
4. Recovery: 4–8 weeks swelling, 6+ months full results. Total transformation in 2–3 years.

Good idea.

First bones then soft tissue

 

[Brian]

imo i think the surgery stack is high iq and a great roi. it will hopefully not get botched or look uncanny

Pretty good.

Usually, decompensation is a prerequisite to jaw surgery.

Lefort I?

Impaction? Segmental? High Cut? Modified?

Post note: lefort is impacted.

what's the lateral/horizontal change in genio? widening?

Mandbular rotation via SSRO/BSSO? any setback (IVRO)?

Are you able to give MM measurements?

Sounds good, but, how's a lefort I gonna do much for midface (unless really high cut?)

Make sure you don't look dogmaxxed.
View attachment 352

Nasion must be in front of the mouth corner by a cm or more to avoid dogmax.

I don't object.

Unreliable and mostly theoretical, but still applicable.

No objections here.

Good idea.

First bones then soft tissue

 

[Brian]

Pretty good.

Usually, decompensation is a prerequisite to jaw surgery.

Lefort I?

Impaction? Segmental? High Cut? Modified?

Post note: lefort is impacted.

what's the lateral/horizontal change in genio? widening?

Mandbular rotation via SSRO/BSSO? any setback (IVRO)?

Are you able to give MM measurements?

Sounds good, but, how's a lefort I gonna do much for midface (unless really high cut?)

Make sure you don't look dogmaxxed.
View attachment 352

Nasion must be in front of the mouth corner by a cm or more to avoid dogmax.

I don't object.

Unreliable and mostly theoretical, but still applicable.

No objections here.

Good idea.

First bones then soft tissue

Yes idk why these dumbass niggers do shit like BFR even tho they're getting osteotomies and ye I'd lowk pay 100k

 

[normgroid]

Yes idk why these dumbass niggers do shit like BFR even tho they're getting osteotomies and ye I'd lowk pay 100k

Agreed.

like, if you get djs and still look bloated that's because you're a fat fuck

 

[foidslayer]

Surgical Plan (After Pharma Optimization, 18+ due to parental restrictions)

Timing: Start ortho now, major surgery after major growth spurt but before full maturity if severe.

• Orthadontics first (Immediate): Braces/Invisalign + possible palate expander (maxillary expansion for better zygos/lip support and airway). 12–24 months. Addresses upper lip, lip width, and sets up for jaw surgery.
• Jaw Surgery (BSSO + Lefort I + Genioplasty):
• Advance mandible (chin/jaw projection for severe recession).
• Maxillary advancement/impaction for lip support, width, and midface.
• Sliding genioplasty for chin length/width.
• Can add 8–15mm projection easily — transforms profile dramatically.
• Zygomatic/Malar Implants or Osteotomy: For flat/bad zygos — custom implants or bone cuts to widen/highlight cheekbones.
• Brow Ridge / Forehead: If still deficient post-hormones, custom brow bossing implant or fat grafting.
• Liposuction / Buccal Fat Removal: For persistent chubby face (after hormones/diet).
• Canthoplasty+Upper eyelid fat graft.
• Subnasal Lip Lift and a Lateral Commissuroplasty
• Infra Orbital Fat graft for under eye support

Staged Approach:

1. Now: Labs + ortho consult + start pharma.
2. 6–12 months: Reassess growth/facial changes.
3. 16–18: Major orthognathic surgery (one-stage or two).
4. Recovery: 4–8 weeks swelling, 6+ months full results. Total transformation in 2–3 years.

lefort 1 over bimax?