Glowup Trimax jaw surgery with Dr Valerio Ramieri + 8 years of lifting

[PerryThePlatypus]

Today I'll be sharing my Before and After with Valerio Ramieri. At the beginning of 2024 I had a trimax surgery with this well-known surgeon. It was a great success. This is his Instagram for anyone interested: https://www.instagram.com/Dr.maxilloroma/ At the same time I also went to the gym consistently for 8 whole years and properly got lean, took care of myself in every way possible: skincare, hygiene, diets. The surgery + getting lean changed my life for the better - I get validation, admiration and interest from people I don't even know.


BEFORE THE SURGERY

For as long as I can remember, my jaw and overall facial profile were something that held me back. From the side, my chin looked recessed, my jawline was weak, and my face felt unbalanced. I became extremely conscious of how I looked in photos and around other people.

Dating was probably where I noticed it the most. I hated taking photos from the side, avoided certain angles, and constantly compared myself to other guys. I felt like I could improve everything else such as my body, hair, skin, clothes, groomin, but my facial structure was something I couldn't fix naturally.

I'd see guys with strong jawlines getting attention and I'd wonder why I wasn't getting the same kind of interest. It really got into my head. Even when someone was interested in me, I'd question whether they actually found me attractive or were just being nice. With friends, I was also much more withdrawn than people probably realized. I didn't like being photographed unexpectedly, and in group pictures I'd either position myself carefully or try to avoid being in them altogether. I was constantly aware of my appearance instead of actually enjoying the moment.


AFTER THE SURGERY

Deciding to get trimax surgery was one of the hardest decisions I've ever made. I spent months researching it, watching videos, reading experiences and trying to understand exactly what I was getting myself into. It's major facial surgery, so obviously there were risks and plenty of reasons to be scared.

The night before surgery I barely slept. I kept thinking about whether I was making the right decision and what I'd look like afterwards. And also how painful it all would be. And then came the recovery. The first couple of weeks were by far the hardest. I had significant swelling, numbness and discomfort, and eating was extremely difficult. I was basically living on liquids and very soft foods while my face recovered.

At around 2–3 months I could start seeing major changes, but I still had to be patient. The face continued changing as the swelling went down and everything settled. Felt like the longest transformation ever, but I saw results so I was extremely optimistic.

Now, looking back, I genuinely feel like I'm a completely different person. My social life improved because I became more outgoing. Dating life changed for the better since I'm much more comfortable approaching people and putting myself out there. I get more attention than I used to, and I'm not constantly questioning whether someone actually finds me attractive.

For me, it was about changing something that had bothered me for years and that I genuinely felt was holding me back. The gym, getting lean, skincare, grooming and dressing well all helped me but surgery addressed the one thing none of those could change: my underlying facial structure.

I paid total of 15k euros base price + 6k euros for custom plates for precision and less risk.
It was the most difficult thing mentally and physically but it was 1000% worth it.

 

[Hammy]

Damn, did you also get jaw implants?

 

[Sebix]

What was your routine to also get into such good shape?

 

[PerryThePlatypus]

Damn, did you also get jaw implants?

Nope

 

[PerryThePlatypus]

What was your routine to also get into such good shape?

I’ve mainly been doing a 5–6 day split and sticking with it consistently. Usually something like:

Monday - chest + triceps
Tuesday - back + biceps
Wednesday - legs
Thursday - shoulders + arms
Friday - chest + back
Saturday - legs + shoulders
Sunday - rest

High protein, enough calories to actually grow, plenty of water, and I try to get 7–9 hours of sleep. Biggest thing that grew my body was just keeping it consistent for the past 3 years.

 

[Luc]

Hey man, congrats that is insane result.

I’m getting segmental djs next week. My lower third is just like yours, before surgery. I feel like it makes my face short, like people say (short face syndrome). I was wondering if the genioplasty that u got was also done vertically ? I’m getting between 10-15mm lower jaw advancement, ~6mm maxilla advancement, 4mm segmental cut in my palate (to make my upper teeth fit my lower teeth, Wich will make my maxilla a little bit wider). My surgeon told me she could do genio for aesthetic purposes and it’s free for me. Should I ask her for a ‘sliding genioplasty’ or just a regular one ? And do you know your movement ?
This surgery is completely covered by assurance where I live cause it’s mainly for sleep apnea and orthotics reason.
She told me that for sleep apnea she always do advancements of at least 10mm for lower jaw and that she could advance mine up to 15mm. The custom plan will descide what it will be but I don’t see my surgeon til op, Wich is next week.
Really appreciate any feedback

 

[PerryThePlatypus]

Hey man, congrats that is insane result.

I’m getting segmental djs next week. My lower third is just like yours, before surgery. I feel like it makes my face short, like people say (short face syndrome). I was wondering if the genioplasty that u got was also done vertically ? I’m getting between 10-15mm lower jaw advancement, ~6mm maxilla advancement, 4mm segmental cut in my palate (to make my upper teeth fit my lower teeth, Wich will make my maxilla a little bit wider). My surgeon told me she could do genio for aesthetic purposes and it’s free for me. Should I ask her for a ‘sliding genioplasty’ or just a regular one ? And do you know your movement ?
This surgery is completely covered by assurance where I live cause it’s mainly for sleep apnea and orthotics reason.
She told me that for sleep apnea she always do advancements of at least 10mm for lower jaw and that she could advance mine up to 15mm. The custom plan will descide what it will be but I don’t see my surgeon til op, Wich is next week.
Really appreciate any feedback

My movements:
Maxilla 4.5mm downgraft, and ~4.4mm advancement but there were some last minute changes so I am not certain on the advancement.

Mandible approximately 9mm and 11mm (correcting asymmetry)

Genioplasty I think like 6mm down and 2mm forward (I’m looking at screenshots from one of my consultations to figure this out and the numbers are all pasted on top of each other)

The maxilla downgraft and mandible advancement are the numbers I’m certain on.

I did have some ramus widening but very little I believe about 1-2mm or so based on what he said in the consultation.

As for your sliding genio, I can't really say much unless you post your pics here.

 

[nerdybuilder]

In your case can you elaborate on whether it was a clockwise or a counterclockwise movement? Usually SFS entails a CW movement but just to understand. Also in your post scans, was there a mention of the actual vertical genioplasty and by how much? It seems impressive for a 6 mm downgraft.

 

[PerryThePlatypus]

In your case can you elaborate on whether it was a clockwise or a counterclockwise movement?

No rotation. I previously thought I had a tiny bit of clockwise but I was mistaken.
As for the genioplasty, not sure, I think he did tell me at one point.
I was under the impression it was linear advancement not CW, but I might be mistaken.
On the pictures are my pre-op and post-op CBCT.

 

[Bitunix OVER]

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