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A structural, risk-weighted, accessibility-aware breakdown of plastic surgeries — explained like you're a smart beginner with average income.
Tiering Criteria
Factor
Weight
Aesthetic ROI (how much it improves overall looks)
Frequency of need (how common the structural problem is)
Surgical risk/botch rate
Accessibility/price (UK avg. salary: ~£35k)
Clarity of diagnosis (how easy it is to tell if you need it)
TIER S – Structural Master Keys
High-ROI, treat extremely common foundational problems, relatively safe
Sliding Genioplasty
Fixes: Weak chin, short lower third, poor jawline
Mechanism: Bone of the chin is cut, advanced forward/down, and fixed with titanium plates
Price (UK): £6,000–£10,000
Risk: Low to moderate (numbness/swelling), very low botch rate
Signs You Might Need It:
Chin is behind lower lip in profile
Lower third of your face is short
Chin is small even at a healthy body weight
Why It Works:
Unlike implants, genioplasty uses your actual bone, meaning the projection is seamless and adapts to facial movement and tissue over time. It can also correct vertical height — crucial in people with short lower thirds (a major masculine/feminine trait divider).
Best For:
Men with “soft jawlines” despite being lean
Faces with convex profiles (chin too far back relative to nose/lips)
Orthognathic Surgery (Lefort I / Bimax / Double Jaw)
Mechanism: Surgeon repositions the upper jaw (Lefort I) and/or lower jaw (BSSO) to restore harmony, bite, and projection
Price (UK): £10,000–£20,000 (can be NHS covered for medical issues)
Risk: Moderate, major surgery with long recovery
Signs You Might Need It:
Smile shows lots of gums or lips don’t meet when relaxed
Flat midface/undereye area
Severe overbite or underbite
Why It Works:
Your midface determines the center of harmony. Recession here pulls everything back — eyes look tired, lips strain, nose appears large. Jaw surgery rebuilds your entire facial scaffolding, making this the most powerful surgery outside of reconstructive fields.
Best For:
Flat-faced men who “don’t look bad” but have 0 side profile
Anyone with skeletal malocclusion or Class II/Class III profiles
Submentoplasty / Chin + Neck Liposuction
Fixes: Blurred jawline from fat or loose muscle
Mechanism: Removes fat under chin and may tighten platysma muscle
Price (UK): £3,000–£6,000
Risk: Low (if conservative), short recovery
Signs You Might Need It:
Double chin despite healthy body fat
Good bone structure hidden under soft tissue
Why It Works:
A clean jawline is one of the strongest youth and masculinity signals. This low-risk surgery unmasks existing structure. Particularly useful for meso/endo body types who carry facial fat first.
Best For:
Rounder faces with good underlying jaw
Men who have “fat face” even when lean
TIER A – Targeted Power Moves
High aesthetic potential, but only for certain face types or needs
Mechanism: Implants are placed over cheekbones for volume and projection
Price (UK): £6,000–£10,000
Risk: Medium — correct positioning is critical
Signs You Might Need It:
Undereyes are sunken
Cheeks are flat when looking front-facing or from 45°
Why It Works:
High cheekbones elevate the visual center of gravity. When missing, your face sags visually even if young. Implants are often better than fillers long-term, as they don’t migrate and give sharp, structural volume.
Best For:
Flat or sloping cheekbone ethnotypes (some South Asian, Northern Euro, East Asian)
People whose eyes look “tired” even after rest
Rhinoplasty
Fixes: Nose imbalance — hump, bulbous tip, width
Mechanism: Surgeon reshapes cartilage and nasal bone
Price (UK): £6,000–£12,000
Risk: Medium-high botch rate, long recovery
Signs You Might Need It:
Nose clearly dominates face or breaks harmony from front/profile
Trauma altered nose shape
Why It Works (When It Does):
Your nose isn’t meant to be “perfect” — it’s meant to blend. Rhinoplasty is powerful only when the nose disrupts facial harmony. However, many “big noses” appear so because of receded chins or midfaces. If you don’t fix those first, you’re chasing symptoms.
Best For:
Mediterranean and Middle Eastern phenotypes with bulbous tips or dorsal humps
Those with otherwise balanced facial thirds
TIER B – Moderate ROI / Conditional Use
Can refine a face well but often not game-changing
Lip Lift
Fixes: Long philtrum, thin lips, aged or droopy mouth
Mechanism: Removes skin between nose and upper lip, shortening the philtrum
Price (UK): £2,500–£4,000
Risk: Moderate — risk of visible scar, especially in men
Signs You Might Need It:
Upper lip disappears when smiling
Philtrum is >15mm in men, >13mm in women
Why It Works:
Shorter philtrums signal youth and vitality. A visible, rolled upper lip enhances the “center” of the face. But the effect is subtle, and often lost if lower third is recessed — making it more of a finishing touch than a foundational change.
Best For:
Men with good bone structure but long midface
Feminine looksmaxxing for a softer mouth center
Blepharoplasty (Upper or Lower Eyelids)
Fixes: Sagging eyelids, fat pads, “tired” look
Mechanism: Removes excess skin/fat in upper or lower eyelid
Price (UK): £3,000–£6,000
Risk: Moderate — skilled hand needed, esp. for lower
Signs You Might Need It:
Eyes look tired 24/7
Hooded lids or eye bags that persist even when rested
Why It Works:
The eye area dominates perceived age. Removing heavy upper lids or fat from under-eyes restores openness and symmetry. However, the frame (brow + cheek + orbit) often plays a bigger role — making this more useful for aging than pure looksmaxxing.
Best For:
Aging faces (30s+)
Northern European and Asian phenotypes prone to puffiness
TIER C – High Risk / Situational ROI
Not commonly needed or useful, often misunderstood
Buccal Fat Removal
Fixes: Overly full cheeks
Mechanism: Buccal fat pads removed via incisions inside the mouth
Price (UK): £2,000–£3,500
Risk: High — can hollow face permanently
Signs You Might Need It:
Face looks “babyish” even at very low body fat
Cheek fullness obscures otherwise angular bone
Why It's Risky:
Buccal fat loss is inevitable with age. If removed too early, you lose midface volume and may age poorly. High bone structure is required to make the result look sculpted rather than deflated. Best avoided unless truly needed.
Best For:
Endomorphic faces with hypertrophied buccal fat
Short, wide skulls where contour is completely lost
Canthoplasty / Cat Eye Surgery
Fixes: Drooping lower lids, eye tilt correction
Mechanism: Tightens and repositions outer eye corner
Price (UK): £5,000–£7,000
Risk: High — risk of lid distortion, dry eye, asymmetry
Signs You Might Need It:
Lower lid has visible laxity or slant
You’ve had orbital trauma or severe asymmetry
Why C-tier:
It’s a surgical fix for a very niche issue. Most eye problems stem from midface lack of support, not eyelid shape. When done unnecessarily, can create a weird, stretched appearance.
TIER D – Low ROI / High Risk / Overhyped
Rarely worth it, especially for cosmetic purposes alone
Commissuroplasty
Fixes: Downturned mouth corners
Mechanism: Alters vermillion border and oral commissure angle
Price (UK): £2,000–£4,000
Risk: High — visible scarring, poor healing, artificial look
Why It’s D-tier:
Low ROI — corner mouth lift rarely improves overall aesthetics unless mouth angle is drastically off. Mouth expressions are dynamic and hard to “sculpt.” Most botched smiles stem from jaw or lip imbalance, not mouth corners.
Orbital Box Osteotomy
Fixes: Eyes too close together, boxy orbits
Mechanism: Orbital bones are cut and restructured to widen eye placement
Price (UK): £25,000+
Risk: Very high — close to brain, optic nerve, sinuses
Why It’s Here:
Essentially craniofacial surgery. Cosmetic-only cases are almost never worth the risk. Used for major congenital deformities, not micro-adjustments.
Leg Lengthening Surgery
Fixes: Short stature
Mechanism: Bones are broken and slowly distracted with external fixators
Price (UK): £50,000+
Risk: Extremely high — chronic pain, nerve damage, immobility
Why It’s Here:
Only useful for those with extreme height dysphoria. Otherwise, it's not a looksmaxxing procedure — it's a life-altering one.
A structural, risk-weighted, accessibility-aware breakdown of plastic surgeries — explained like you're a smart beginner with average income.
Tiering Criteria
Factor
Weight
Aesthetic ROI (how much it improves overall looks)
Frequency of need (how common the structural problem is)
Surgical risk/botch rate
Accessibility/price (UK avg. salary: ~£35k)
Clarity of diagnosis (how easy it is to tell if you need it)
TIER S – Structural Master Keys
High-ROI, treat extremely common foundational problems, relatively safe
Sliding Genioplasty
Fixes: Weak chin, short lower third, poor jawline
Mechanism: Bone of the chin is cut, advanced forward/down, and fixed with titanium plates
Price (UK): £6,000–£10,000
Risk: Low to moderate (numbness/swelling), very low botch rate
Signs You Might Need It:
Chin is behind lower lip in profile
Lower third of your face is short
Chin is small even at a healthy body weight
Why It Works:
Unlike implants, genioplasty uses your actual bone, meaning the projection is seamless and adapts to facial movement and tissue over time. It can also correct vertical height — crucial in people with short lower thirds (a major masculine/feminine trait divider).
Best For:
Men with “soft jawlines” despite being lean
Faces with convex profiles (chin too far back relative to nose/lips)
Orthognathic Surgery (Lefort I / Bimax / Double Jaw)
Mechanism: Surgeon repositions the upper jaw (Lefort I) and/or lower jaw (BSSO) to restore harmony, bite, and projection
Price (UK): £10,000–£20,000 (can be NHS covered for medical issues)
Risk: Moderate, major surgery with long recovery
Signs You Might Need It:
Smile shows lots of gums or lips don’t meet when relaxed
Flat midface/undereye area
Severe overbite or underbite
Why It Works:
Your midface determines the center of harmony. Recession here pulls everything back — eyes look tired, lips strain, nose appears large. Jaw surgery rebuilds your entire facial scaffolding, making this the most powerful surgery outside of reconstructive fields.
Best For:
Flat-faced men who “don’t look bad” but have 0 side profile
Anyone with skeletal malocclusion or Class II/Class III profiles
Submentoplasty / Chin + Neck Liposuction
Fixes: Blurred jawline from fat or loose muscle
Mechanism: Removes fat under chin and may tighten platysma muscle
Price (UK): £3,000–£6,000
Risk: Low (if conservative), short recovery
Signs You Might Need It:
Double chin despite healthy body fat
Good bone structure hidden under soft tissue
Why It Works:
A clean jawline is one of the strongest youth and masculinity signals. This low-risk surgery unmasks existing structure. Particularly useful for meso/endo body types who carry facial fat first.
Best For:
Rounder faces with good underlying jaw
Men who have “fat face” even when lean
TIER A – Targeted Power Moves
High aesthetic potential, but only for certain face types or needs
Mechanism: Implants are placed over cheekbones for volume and projection
Price (UK): £6,000–£10,000
Risk: Medium — correct positioning is critical
Signs You Might Need It:
Undereyes are sunken
Cheeks are flat when looking front-facing or from 45°
Why It Works:
High cheekbones elevate the visual center of gravity. When missing, your face sags visually even if young. Implants are often better than fillers long-term, as they don’t migrate and give sharp, structural volume.
Best For:
Flat or sloping cheekbone ethnotypes (some South Asian, Northern Euro, East Asian)
People whose eyes look “tired” even after rest
Rhinoplasty
Fixes: Nose imbalance — hump, bulbous tip, width
Mechanism: Surgeon reshapes cartilage and nasal bone
Price (UK): £6,000–£12,000
Risk: Medium-high botch rate, long recovery
Signs You Might Need It:
Nose clearly dominates face or breaks harmony from front/profile
Trauma altered nose shape
Why It Works (When It Does):
Your nose isn’t meant to be “perfect” — it’s meant to blend. Rhinoplasty is powerful only when the nose disrupts facial harmony. However, many “big noses” appear so because of receded chins or midfaces. If you don’t fix those first, you’re chasing symptoms.
Best For:
Mediterranean and Middle Eastern phenotypes with bulbous tips or dorsal humps
Those with otherwise balanced facial thirds
TIER B – Moderate ROI / Conditional Use
Can refine a face well but often not game-changing
Lip Lift
Fixes: Long philtrum, thin lips, aged or droopy mouth
Mechanism: Removes skin between nose and upper lip, shortening the philtrum
Price (UK): £2,500–£4,000
Risk: Moderate — risk of visible scar, especially in men
Signs You Might Need It:
Upper lip disappears when smiling
Philtrum is >15mm in men, >13mm in women
Why It Works:
Shorter philtrums signal youth and vitality. A visible, rolled upper lip enhances the “center” of the face. But the effect is subtle, and often lost if lower third is recessed — making it more of a finishing touch than a foundational change.
Best For:
Men with good bone structure but long midface
Feminine looksmaxxing for a softer mouth center
Blepharoplasty (Upper or Lower Eyelids)
Fixes: Sagging eyelids, fat pads, “tired” look
Mechanism: Removes excess skin/fat in upper or lower eyelid
Price (UK): £3,000–£6,000
Risk: Moderate — skilled hand needed, esp. for lower
Signs You Might Need It:
Eyes look tired 24/7
Hooded lids or eye bags that persist even when rested
Why It Works:
The eye area dominates perceived age. Removing heavy upper lids or fat from under-eyes restores openness and symmetry. However, the frame (brow + cheek + orbit) often plays a bigger role — making this more useful for aging than pure looksmaxxing.
Best For:
Aging faces (30s+)
Northern European and Asian phenotypes prone to puffiness
TIER C – High Risk / Situational ROI
Not commonly needed or useful, often misunderstood
Buccal Fat Removal
Fixes: Overly full cheeks
Mechanism: Buccal fat pads removed via incisions inside the mouth
Price (UK): £2,000–£3,500
Risk: High — can hollow face permanently
Signs You Might Need It:
Face looks “babyish” even at very low body fat
Cheek fullness obscures otherwise angular bone
Why It's Risky:
Buccal fat loss is inevitable with age. If removed too early, you lose midface volume and may age poorly. High bone structure is required to make the result look sculpted rather than deflated. Best avoided unless truly needed.
Best For:
Endomorphic faces with hypertrophied buccal fat
Short, wide skulls where contour is completely lost
Canthoplasty / Cat Eye Surgery
Fixes: Drooping lower lids, eye tilt correction
Mechanism: Tightens and repositions outer eye corner
Price (UK): £5,000–£7,000
Risk: High — risk of lid distortion, dry eye, asymmetry
Signs You Might Need It:
Lower lid has visible laxity or slant
You’ve had orbital trauma or severe asymmetry
Why C-tier:
It’s a surgical fix for a very niche issue. Most eye problems stem from midface lack of support, not eyelid shape. When done unnecessarily, can create a weird, stretched appearance.
TIER D – Low ROI / High Risk / Overhyped
Rarely worth it, especially for cosmetic purposes alone
Commissuroplasty
Fixes: Downturned mouth corners
Mechanism: Alters vermillion border and oral commissure angle
Price (UK): £2,000–£4,000
Risk: High — visible scarring, poor healing, artificial look
Why It’s D-tier:
Low ROI — corner mouth lift rarely improves overall aesthetics unless mouth angle is drastically off. Mouth expressions are dynamic and hard to “sculpt.” Most botched smiles stem from jaw or lip imbalance, not mouth corners.
Orbital Box Osteotomy
Fixes: Eyes too close together, boxy orbits
Mechanism: Orbital bones are cut and restructured to widen eye placement
Price (UK): £25,000+
Risk: Very high — close to brain, optic nerve, sinuses
Why It’s Here:
Essentially craniofacial surgery. Cosmetic-only cases are almost never worth the risk. Used for major congenital deformities, not micro-adjustments.
Leg Lengthening Surgery
Fixes: Short stature
Mechanism: Bones are broken and slowly distracted with external fixators
Price (UK): £50,000+
Risk: Extremely high — chronic pain, nerve damage, immobility
Why It’s Here:
Only useful for those with extreme height dysphoria. Otherwise, it's not a looksmaxxing procedure — it's a life-altering one.
after that he'll say how squats will actually make you taller by not just muscle breakdown but also breaking down your ligaments making it more prone to growth
after that he'll say how squats will actually make you taller by not just muscle breakdown but also breaking down your ligaments making it more prone to growth
A structural, risk-weighted, accessibility-aware breakdown of plastic surgeries — explained like you're a smart beginner with average income.
Tiering Criteria
Factor
Weight
Aesthetic ROI (how much it improves overall looks)
Frequency of need (how common the structural problem is)
Surgical risk/botch rate
Accessibility/price (UK avg. salary: ~£35k)
Clarity of diagnosis (how easy it is to tell if you need it)
TIER S – Structural Master Keys
High-ROI, treat extremely common foundational problems, relatively safe
Sliding Genioplasty
Fixes: Weak chin, short lower third, poor jawline
Mechanism: Bone of the chin is cut, advanced forward/down, and fixed with titanium plates
Price (UK): £6,000–£10,000
Risk: Low to moderate (numbness/swelling), very low botch rate
Signs You Might Need It:
Chin is behind lower lip in profile
Lower third of your face is short
Chin is small even at a healthy body weight
Why It Works:
Unlike implants, genioplasty uses your actual bone, meaning the projection is seamless and adapts to facial movement and tissue over time. It can also correct vertical height — crucial in people with short lower thirds (a major masculine/feminine trait divider).
Best For:
Men with “soft jawlines” despite being lean
Faces with convex profiles (chin too far back relative to nose/lips)
Orthognathic Surgery (Lefort I / Bimax / Double Jaw)
Mechanism: Surgeon repositions the upper jaw (Lefort I) and/or lower jaw (BSSO) to restore harmony, bite, and projection
Price (UK): £10,000–£20,000 (can be NHS covered for medical issues)
Risk: Moderate, major surgery with long recovery
Signs You Might Need It:
Smile shows lots of gums or lips don’t meet when relaxed
Flat midface/undereye area
Severe overbite or underbite
Why It Works:
Your midface determines the center of harmony. Recession here pulls everything back — eyes look tired, lips strain, nose appears large. Jaw surgery rebuilds your entire facial scaffolding, making this the most powerful surgery outside of reconstructive fields.
Best For:
Flat-faced men who “don’t look bad” but have 0 side profile
Anyone with skeletal malocclusion or Class II/Class III profiles
Submentoplasty / Chin + Neck Liposuction
Fixes: Blurred jawline from fat or loose muscle
Mechanism: Removes fat under chin and may tighten platysma muscle
Price (UK): £3,000–£6,000
Risk: Low (if conservative), short recovery
Signs You Might Need It:
Double chin despite healthy body fat
Good bone structure hidden under soft tissue
Why It Works:
A clean jawline is one of the strongest youth and masculinity signals. This low-risk surgery unmasks existing structure. Particularly useful for meso/endo body types who carry facial fat first.
Best For:
Rounder faces with good underlying jaw
Men who have “fat face” even when lean
TIER A – Targeted Power Moves
High aesthetic potential, but only for certain face types or needs
Mechanism: Implants are placed over cheekbones for volume and projection
Price (UK): £6,000–£10,000
Risk: Medium — correct positioning is critical
Signs You Might Need It:
Undereyes are sunken
Cheeks are flat when looking front-facing or from 45°
Why It Works:
High cheekbones elevate the visual center of gravity. When missing, your face sags visually even if young. Implants are often better than fillers long-term, as they don’t migrate and give sharp, structural volume.
Best For:
Flat or sloping cheekbone ethnotypes (some South Asian, Northern Euro, East Asian)
People whose eyes look “tired” even after rest
Rhinoplasty
Fixes: Nose imbalance — hump, bulbous tip, width
Mechanism: Surgeon reshapes cartilage and nasal bone
Price (UK): £6,000–£12,000
Risk: Medium-high botch rate, long recovery
Signs You Might Need It:
Nose clearly dominates face or breaks harmony from front/profile
Trauma altered nose shape
Why It Works (When It Does):
Your nose isn’t meant to be “perfect” — it’s meant to blend. Rhinoplasty is powerful only when the nose disrupts facial harmony. However, many “big noses” appear so because of receded chins or midfaces. If you don’t fix those first, you’re chasing symptoms.
Best For:
Mediterranean and Middle Eastern phenotypes with bulbous tips or dorsal humps
Those with otherwise balanced facial thirds
TIER B – Moderate ROI / Conditional Use
Can refine a face well but often not game-changing
Lip Lift
Fixes: Long philtrum, thin lips, aged or droopy mouth
Mechanism: Removes skin between nose and upper lip, shortening the philtrum
Price (UK): £2,500–£4,000
Risk: Moderate — risk of visible scar, especially in men
Signs You Might Need It:
Upper lip disappears when smiling
Philtrum is >15mm in men, >13mm in women
Why It Works:
Shorter philtrums signal youth and vitality. A visible, rolled upper lip enhances the “center” of the face. But the effect is subtle, and often lost if lower third is recessed — making it more of a finishing touch than a foundational change.
Best For:
Men with good bone structure but long midface
Feminine looksmaxxing for a softer mouth center
Blepharoplasty (Upper or Lower Eyelids)
Fixes: Sagging eyelids, fat pads, “tired” look
Mechanism: Removes excess skin/fat in upper or lower eyelid
Price (UK): £3,000–£6,000
Risk: Moderate — skilled hand needed, esp. for lower
Signs You Might Need It:
Eyes look tired 24/7
Hooded lids or eye bags that persist even when rested
Why It Works:
The eye area dominates perceived age. Removing heavy upper lids or fat from under-eyes restores openness and symmetry. However, the frame (brow + cheek + orbit) often plays a bigger role — making this more useful for aging than pure looksmaxxing.
Best For:
Aging faces (30s+)
Northern European and Asian phenotypes prone to puffiness
TIER C – High Risk / Situational ROI
Not commonly needed or useful, often misunderstood
Buccal Fat Removal
Fixes: Overly full cheeks
Mechanism: Buccal fat pads removed via incisions inside the mouth
Price (UK): £2,000–£3,500
Risk: High — can hollow face permanently
Signs You Might Need It:
Face looks “babyish” even at very low body fat
Cheek fullness obscures otherwise angular bone
Why It's Risky:
Buccal fat loss is inevitable with age. If removed too early, you lose midface volume and may age poorly. High bone structure is required to make the result look sculpted rather than deflated. Best avoided unless truly needed.
Best For:
Endomorphic faces with hypertrophied buccal fat
Short, wide skulls where contour is completely lost
Canthoplasty / Cat Eye Surgery
Fixes: Drooping lower lids, eye tilt correction
Mechanism: Tightens and repositions outer eye corner
Price (UK): £5,000–£7,000
Risk: High — risk of lid distortion, dry eye, asymmetry
Signs You Might Need It:
Lower lid has visible laxity or slant
You’ve had orbital trauma or severe asymmetry
Why C-tier:
It’s a surgical fix for a very niche issue. Most eye problems stem from midface lack of support, not eyelid shape. When done unnecessarily, can create a weird, stretched appearance.
TIER D – Low ROI / High Risk / Overhyped
Rarely worth it, especially for cosmetic purposes alone
Commissuroplasty
Fixes: Downturned mouth corners
Mechanism: Alters vermillion border and oral commissure angle
Price (UK): £2,000–£4,000
Risk: High — visible scarring, poor healing, artificial look
Why It’s D-tier:
Low ROI — corner mouth lift rarely improves overall aesthetics unless mouth angle is drastically off. Mouth expressions are dynamic and hard to “sculpt.” Most botched smiles stem from jaw or lip imbalance, not mouth corners.
Orbital Box Osteotomy
Fixes: Eyes too close together, boxy orbits
Mechanism: Orbital bones are cut and restructured to widen eye placement
Price (UK): £25,000+
Risk: Very high — close to brain, optic nerve, sinuses
Why It’s Here:
Essentially craniofacial surgery. Cosmetic-only cases are almost never worth the risk. Used for major congenital deformities, not micro-adjustments.
Leg Lengthening Surgery
Fixes: Short stature
Mechanism: Bones are broken and slowly distracted with external fixators
Price (UK): £50,000+
Risk: Extremely high — chronic pain, nerve damage, immobility
Why It’s Here:
Only useful for those with extreme height dysphoria. Otherwise, it's not a looksmaxxing procedure — it's a life-altering one.
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High IQ Plastic Surgery Tier List
Tiering Criteria
TIER S – Structural Master Keys
High-ROI, treat extremely common foundational problems, relatively safe
Sliding Genioplasty
Why It Works:
Best For:
TIER A – Targeted Power Moves
TIER B – Moderate ROI / Conditional Use
Can refine a face well but often not game-changing
TIER C – High Risk / Situational ROI
Not commonly needed or useful, often misunderstood
TIER D – Low ROI / High Risk / Overhyped
Rarely worth it, especially for cosmetic purposes alone
