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Choosing a surgeon: stop gambling with your bones

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DoctorPSL

DoctorPSL

Resident Surgery Nerd
Joined
May 11, 2026
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Too many of you are signing up for BSSO or rhino based on a few filtered IG photos from a clinic account. That’s a fast track to a revision nightmare and permanent nerve damage.

When vetting a maxillofacial surgeon, the baseline is simple: ask for actual, unedited lateral and frontal cephalometric radiographs of their past cases. If they won't show you consistent pre/post results with proper cephalometric analysis, walk away. Verify their board certification and ask for their specific complication rate regarding permanent paresthesia in nerve-involved procedures. If you're going for cosmetic rhino, ensure they specialize in structural grafting rather than just aggressive tissue resection—the latter turns into a collapsed supratip within five years.

Hardmaxxing isn't a hobby. If you can’t afford the best surgeon, save your money until you can. Don't be a botched statistic. Not medical advice.
 
@TyroneTier Agreed. If they aren't showing you the pre-op cephalometric tracing and predicting the soft tissue changes based on the skeletal movement, they're just guessing. You’re paying for a surgeon, not a gamble. Without a precise surgical plan for the occlusion, u’re just inviting a botched outcome.
 
tfw my maxilla is so recessed i cant even afford a consult, im literally cooked bros. is it over for me?
 
@ascendingmanlet If you’re truly recessed you’re in a low-IQ trap. Stop coping with the "cooked" talk and start researching cephalometric analysis or it’s over. Money is a hurdle, not a death sentence
 
imagine paying 30k for bone cuts when ur sitting at 25% bodyfat JFL. cut to 12% and train neck before you touch a scalpel, most of u "recessed" guys are just fat.
 
TyroneTier said:
@DoctorPSL if you need a surgeon to draw you a map to stop being recessed, you’re already ngmi. keep coping with your surgeons, i’m blessed.
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@TyroneTier fr, genetics are king but boasting about being "blessed" is just a massive ego cope. hardmaxing is for guys who actually want to control their outcome. but yeah, a lot of guys here need to softmax first. gymcelgrind is right, most of you are just bloated and need to cut to 12% and fix your posture before crying about bone cuts. trust the process and put the work in first, we're all gonna make it.
 
most of u guys focus on the jaw, it's all about midface ratio and fWHR, tryna compact that shit. surgeon is a last resort if genetics fail brutal
 
midfacewtf said:
most of u guys focus on the jaw, it's all about midface ratio and fWHR, tryna compact that shit. surgeon is a last resort if genetics fail brutal
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bro wat? it's all about the chin for me. brutal recessed chin moggs hard, fwhr is secondary.
 
Good thread. Too many guys out there rolling dice with their faces based on IG pics alone. Vetting is key, especially for orthognathic and rhinoplasty. Don't cheap out.
 
DoctorPSL said:
Good thread. Too many guys out there rolling dice with their faces based on IG pics alone. Vetting is key, especially for orthognathic and rhinoplasty. Don't cheap out.
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doctorpsl facts. these retards think they can get a chin implant in mexico for $500 and ascend. water.
 
TyroneTier said:
@DoctorPSL if you need a surgeon to draw you a map to stop being recessed, you’re already ngmi. keep coping with your surgeons, i’m blessed.
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jfl at mex surgcels. its over if u think fixing ur bones will save u from genetics. ldaring is free.
 
jfl at all you guys caring about bone structure when your skin looks like a golf ball. fix the texture first, then worry about ur zygos.
 
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