The ULTIMATE Looksmaxxing Surgery Tier List

Summary

This video presents a comprehensive surgery tier list, ranking procedures by cost, risk, and aesthetic impact. Highlighted S-tier surgeries include autolasty, periorbital fat grafting, geneoplasty (BAX/Bmax/Trimax), and hair transplants, which offer high ROI and transformative results. A-tier procedures like jaw fillers, bugal fat removal, rhinoplasty, and limb lengthening are highly effective but may involve higher costs or moderate risk. B- and C-tier surgeries provide moderate improvements, while D-tier options, such as shoulder lengthening and general liposuction, offer limited benefit relative to cost. The creator emphasizes practical, high-impact procedures and cautions against low-ROI or risky surgeries, offering guidance for effective facial and body aesthetic enhancement.

Takeaways

• 😀 Autolasty is an S-tier surgery that effectively fixes flared ears at a low cost and risk, providing excellent return on investment.
• 😀 Orbital decompression can be life-changing for deep-set eyes but carries a 15–20% risk of complications, placing it at C-tier overall for ROI.
• 😀 Fat grafting, especially around the eyes, is an S-tier, cost-effective procedure that provides permanent aesthetic improvement.
• 😀 Geneoplasty and combined maxillofacial surgeries (Bmax/Trimax) are S-tier due to their transformative impact on facial structure with low risk.
• 😀 Jaw angle implants are A-tier, highly effective, but cheek implants often have lower success rates.
• 😀 Bugal fat removal is A-tier for individuals with puffiness or poor fat distribution in the face, with low risk and high ROI.
• 😀 Limb lengthening surgery, while expensive, is considered A-tier because it is safe and provides permanent height gains.
• 😀 Procedures like liposuction and shoulder lengthening have poor ROI (D-tier) due to high cost and limited aesthetic improvement.
• 😀 Fillers, Botox, and lip lifts generally provide moderate results with varying ROI, placing them in B or C tiers depending on application and area.
• 😀 The creator emphasizes a 'surgery maxing' strategy: prioritize high-ROI surgeries for facial flaws while avoiding low-return procedures.

Q & A

What is Autolasty surgery and why is it considered S-tier?

Autolasty is a procedure that corrects flared ears, costing around $2–3K and lasting approximately 10 years. It is considered S-tier due to its low cost, low risk, and high aesthetic impact, providing excellent return on investment.

Why is orbital decompression placed in C-tier despite its significant results?

Orbital decompression can effectively reposition 'bug eyes' and change lives, but it has a high botch rate of 15–20% and a relatively high cost. These factors reduce its overall ROI, placing it in C-tier.

What are the differences in implant surgery outcomes based on facial zones?

Jaw angle implants are generally A-tier due to consistent, effective results, whereas cheekbone (zygomatic) implants are C-tier because good results are rare and outcomes are less predictable.

Why is fat grafting, particularly in the periorbital region, highly recommended?

Fat grafting in the eye region is inexpensive, permanent, and significantly improves aesthetics by correcting deficient or gaunt areas, making it an S-tier procedure with high ROI.

What factors determine the tier ranking of surgeries in this video?

Tier rankings are based on return on investment, which considers the balance of results, cost, and risk. S-tier represents low cost, low risk, and high impact; lower tiers represent higher risk, lower results, or poor cost-effectiveness.

Why are certain procedures like liposuction and brow lifts placed in D and C tiers respectively?

Liposuction has a poor ROI because similar results can often be achieved naturally through diet and exercise. Brow lifts produce only modest aesthetic improvement, making their overall impact low relative to cost and risk.

What makes Bimax/Trimax surgery (BMAX) an S-tier procedure?

BMAX surgery corrects jaw recession, weak mandibles, and soreface syndrome. It provides significant functional and aesthetic improvement, is safe with modern techniques, and offers excellent long-term results, making it a top-tier surgery.

How does limb lengthening surgery rank and why?

Limb lengthening is considered A-tier. Despite high costs ($80–200K), it is relatively safe with predictable results, allowing a gain of 4–5 inches in height, which has a strong impact on physical presence and aesthetics.

What are some limitations of orbital box osteotomy (OBO)?

OBO is expensive, moderately risky, and can result in complications such as cross-eyes or double vision. Its results are inconsistent, making it suitable only for specific cases with high ESR (external strut ratio) needs.

How does the speaker recommend prioritizing surgeries for improving aesthetics?

The speaker suggests focusing on S-tier surgeries that correct significant flaws like jaw recession, chin protrusion, flared ears, and hair loss. Procedures with low ROI or high risk should be avoided unless specifically necessary.

Why is canthopexy with a forehead incision ranked as A-tier?

Canthopexy with a forehead incision corrects eyelid and canthus issues without visible scarring, lasts around 10 years, is relatively inexpensive, and provides a high-quality aesthetic result, earning it an A-tier ranking.

How does the speaker evaluate procedures like voice deepening and MSE?

Voice deepening surgery and MSE (maxillary skeletal expander) are placed in B-tier because their results are moderate, with mid-level risk and cost. They provide some improvement but are not transformative compared to S-tier procedures.