JawHacks

Ron sits down with Johan (Sthetics), a 21-year-old looksmaxxing coach from Sweden who went from casual mewer to full-on hardmaxxing. They break down the real limits of softmaxxing, why mewing won't change your bones after puberty, and Johan's full surgical ascension plan (MARPE, BiMax with maxillary rotation, rhinoplasty, orbital fat grafting, and iris depigmentation). They also get into Clavicular's surgery plans (and why he might be backing out), the problems with Giant's implant designs, how camera focal length distorts your face, choosing between Italian jaw surgeons, and what happens when looks eventually fail you. The conversation takes a turn into family, fatherhood, and whether traditional life is the real ascension.Johan Drumev (Sthetics)https://linktr.ee/sthetics01:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters0:00:00 Intro0:00:54 How Johan Got Into Looksmaxxing at 190:04:10 Softmaxxing vs Hardmaxxing Explained0:08:05 Peptides, Testosterone & Pharmaceutical Looksmaxxing0:10:27 Recreational Drugs in the Looksmaxxing Community0:10:58 Johan's Transformation: From Average Kid to Coach0:13:22 Does Mewing Actually Work? The Honest Answer0:14:33 Frauded Before & Afters: Angles, Lighting & Jutting0:16:12 "Mewing Is Cope" - When Tongue Posture Stops Mattering0:17:47 Every Facial Surgery in Looksmaxxing Explained0:19:33 Clavicular's Jaw Surgery Plan (LeFort, BSSO, Implants)0:22:16 The Looksmaxxing Community & Mewing Influencer Problem0:25:32 Is Clavicular Backing Out of Surgery?0:26:53 Jaw Surgery Millimeters: How Much Movement Is Safe?0:30:37 Giant Implants: Genius Designer or Too Extreme?0:35:54 How Johan Analyzes Faces for Surgical Recommendations0:37:52 Facial Harmony Metrics: ESR, Canthal Tilt & Frankfort Plane0:40:48 Why Camera Focal Length Changes How Your Face Looks0:46:43 iPhone Lenses Explained for Content Creators0:51:49 Johan's Full Hardmaxxing Ascension Plan0:59:11 Iris Depigmentation: Eye Color Change Surgery1:01:03 Italian Jaw Surgeons: Ramieri, Pagnoni & Raffaini1:02:49 Ron's Honest Concerns About Italian Jaw Surgery1:05:21 MARPE vs FME: Which Palatal Expander to Choose1:08:36 10% Body Fat Physique Review1:09:23 Diet, Nutrition & Staying Lean1:11:28 Why Long Hair Is a Looksmaxxing Law1:14:09 Buddhist Monks, Wigs & the Psychology of Hair1:18:39 Death, Aging & What Happens When Looks Fade1:20:57 The Black Pill on Attractiveness, Status & Money1:23:50 What to Look for in a Partner at 211:24:36 The Modern Dating Market & Traditional Values1:28:14 Why Stay-at-Home Moms Deserve More Respect1:30:11 Ron: Why Family Is the Key to Happiness1:30:45 The Camping Analogy - Why Harder Lives Feel Better1:37:20 Outro & Where to Find JohanNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a...

Dr. Svitlana Koval is an airway orthodontist with nearly 800 MARPE and FME cases, inventor of a patented 3D guided piezocorticotomy technique, and creator of the MARPE F.A.C.E. protocol. In this episode we cover the real cosmetic effects of MARPE (and when it can hurt facial harmony), FME vs custom MARPE from a provider who does both, her extended palatine bone corticotomy technique, shape memory aligners, expansion differences between males and females, class II vs class III outcomes.Dr. Svitlana Koval's Social Mediahttps://www.youtube.com/@drsvitlanakovalhttps://www.instagram.com/drsvitlanakovalhttps://www.facebook.com/svitlana.koval.dmd1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Intro 00:00:36 - 800 expansion cases and the looksmaxxing question 00:06:11 - Does expansion always improve cosmetics, or can it destroy harmony? 00:09:09 - The 3D guided piezocorticotomy - Koval's patented technique 00:12:22 - Cosmetic lessons from 800 cases - expansion sweet spots for males vs females 00:15:40 - What happens AFTER MARPE matters more than the expansion itself 00:17:06 - The MARPEFACE Protocol explained 00:20:18 - "The maxilla is a runway, the mandible is a plane landing" 00:21:53 - Class III patients get the best results. Class II? The highest risk. 00:28:05 - "MARPE is the easy part. Its aftermath - that's the hard part" 00:32:35 - "A masculine profile is about moving the mandible forward, not the top" 00:37:20 - Dr. Koval expanded her own jaw - TMJ clicking resolved 00:40:30 - Asymmetry - what MARPE does and doesn't fix 00:43:55 - Shape memory aligners - stronger than Invisalign, zero attachments 00:54:43 - The zygomatic-maxillary suture - fracture risks and resistance 00:57:09 - FME vs Custom MARPE - why Koval introduced FME to her practice 00:59:40 - "The most challenging group is males in their 20s" 01:03:25 - MARPE pros and cons - center of resistance, molar tipping, discomfort 01:11:29 - FME is 4-5x more expensive - and not for every palate 01:18:08 - Parallel vs V-shaped splits - the palatine bone breakthrough 01:24:47 - "You literally increase the airway by moving bones apart" 01:40:08 - Mandibular skeletal expansion - the missing piece in the field 01:41:44 - "Sacrifice the pawn to get the queen" - the philosophical divide 01:46:54 - Closing thoughtsNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

The world's first FME Pro was placed on ‪@vegasorthodoc‬ by Dr. Stuart Frost. New features of the FME Pro: 1) all TADs now diagonal 2) new FMA protraction attachment 3) dimensional stability improved with added lateral flanges.Connect with Dr. Manuelehttps://www.youtube.com/@vegasorthodochttps://www.instagram.com/hm_orthohttps://www.facebook.com/hamiltonortho/https://vegasorthodoc.comPre-order Dr. Manuele's bookhttps://amzn.to/4oQXY4e1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

Ron interviews Hexumlite, a rising creator in the looksmaxxing space known for his dramatic physical transformation. They go deep into the reality behind his "glow up," including the use of experimental weight loss peptides (Retatrutide), hair loss protocols (Dutasteride), and the dopamine traps of modern society. Hexumlite opens up about wasting $6,000 on two failed MARPE expansion attempts, his struggle with nasal breathing due to drug use, and why Ron advises him against jaw surgery.MediaGuest's Social Mediahttps://www.youtube.com/@hexumliteehttps://www.instagram.com/hexumlite1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Intro00:00:30 - Hexumlite’s Physical Transformation & High IQ Looksmaxxing00:01:23 - The Asymmetry Issue: Correcting Midline Shifts & Mandibular Shifts00:02:10 - The $6,000 Mistake: Deep Regret Over Failed Expansion Attempts00:02:55 - Two Failed MARPEs with Dr. Marianna Evans00:03:26 - Complications: Molar Flaring & Metal Digging into the Soft Palate00:05:01 - Severe Breathing Issues & Lightheadedness During Exercise00:05:46 - Nasal Damage: The Impact of Recreational Drug Use on Breathing00:06:35 - Accutane Side Effects: Destroying the Mucosal Lining00:08:23 - Using Retatrutide (GLP-1) for Weight Loss & Hunger Signaling00:09:41 - The Psychology of Gluttony: Food as a Dopamine Reward00:12:06 - How Retatrutide Differs from Ozempic (Appetite Suppression)00:14:10 - MK-677 & Growth Hormone Protocols for Height00:16:57 - Ron’s Natty Approach: Low Carb, Time-Restricted Eating & Fat Burning00:20:12 - How Drug Use Rewires the Dopamine Reward System00:24:18 - The Toxicity of Stimulants: Why Chronic Illness Patients Can’t Abuse Drugs00:29:54 - Looksmaxxing as a Reflection of Gen Z Stimulant Use00:34:00 - The Feedback Loop of Physical Rejection vs. Personality00:43:56 - Social Skills Maxxing: The Parallel Between “The Game” and Looksmaxxing00:51:15 - Reviewing Hexumlite’s Transformation Photos (Softmaxxing Success)01:09:20 - The “No Shampoo” Theory: Hair Health & Natural Oils01:15:40 - Hair Loss Drugs: Dutasteride/Finasteride vs. Fertility Risks01:30:24 - Dealing with a Lisp and Narrow Maxilla Concerns01:32:50 - Upcoming Surgery: Septoplasty & Permanent Turbinate Reduction01:45:00 - Florida Expansion Providers01:45:22 - Why Ron Advises Against Jaw Surgery for Hexumlite01:47:08 - The “Jutting” Problem in Mewing Before & Afters01:53:00 - The Ethics of Medical Referrals and “Selling Out”02:18:14 - Final Verdict: Why a Surgical Cut Was NecessaryNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

Ron sits down with Karim Hachem, co-founder of Suade Health. Karim shares his personal battle of getting reimbursed for out-of-network surgery and reveals the specific strategies patients need to use to avoid financial ruin when financing jaw surgery. They cover network gap exceptions, how to navigate denials for "experimental" airway expanders, and why an authorization letter doesn't guarantee you'll get a single penny back.Karim's Website (Suade Health)https://www.suade.health/about-us1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Intro00:00:30 - Can You Get Insurance for Out-of-Network Surgeons?00:04:23 - How Insurance Turned $7,500 Into Zero (Karim's Story)00:09:30 - The "Allowed Amount" Scam Explained00:24:03 - Timeline: When to Start Your Insurance Strategy (60-90 Days)00:27:57 - Network Gap Exceptions and Single Case Agreements00:34:50 - Does Surgeon Choice Affect Approval? (Out-of-State Benefits)00:37:49 - Open Enrollment Strategy: How to Pick the Right Plan00:42:48 - Plan Challenges: Why Medicaid/HMO Plans Are Difficult00:46:05 - Choosing Between PPO, EPO, and HMO Plans00:56:11 - How Suede Health Works With Patients and Surgeons01:16:24 - Medical Necessity Pathways: OSA and Malocclusion01:26:49 - Getting Coverage for MARPE and Nasal-Maxillary Expanders01:37:00 - Karim's Jaw Surgery Results: 21mm Advancement01:41:20 - Life After Surgery: Cortisol, Sleep, Migraines, and ADHD Gone01:45:50 - Final Thoughts: Is Jaw Surgery Worth It?NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

A coaching call from The Joint. What comes next for ‪Cannon Maumus‬ now that he has finished expanding his Custom MARPE? Will he use braces or Invisalign? How will he deal with the maxillary cant? How does jaw surgery factor into situations like this? And more.1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters0:00 Intro clips1:45 Podcast start6:53 Haters on social media10:11 MARPE Risk vs. Reward graphs13:41 Post-MARPE orthodontics14:35 Braces vs Invisalign19:15 Cannon’s MARPE asymmetry27:07 Jaw surgery and MARPE asymmetry34:00 Video lighting for facial aestheticsNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

Oscar interviews Ron on "Looksmaxxing" and what actually makes faces attractive. From evolutionary basis of jaw structure, MARPE expansion risks, hunter vs prey eyes, John & Mike Mew controversies, jaw surgery complications (crocodile matching), and how plant-based diets cause facial deterioration through chronic inflammation.1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Follow Oscar on Instagramhttps://www.instagram.com/oscarvore/Chapters00:00:00 - Introduction: What Makes a Face Attractive?00:00:32 - Evolutionary Function Behind Attractive Faces00:02:38 - How Jaw Size Affects Breathing and Sleep Apnea00:03:14 - Facial Harmony: Why Balance Matters More Than Isolated Features00:04:50 - Jaw Surgery Gone Wrong: Crocodile Matching Explained00:05:25 - MARPE Expansion: The Balloon Face Problem00:06:43 - Beyond Jaws: Hair and Eye Area in Looksmaxxing00:07:30 - Hunter Eyes vs Prey Eyes: What's the Difference?00:14:36 - Big Nose or Small Jaws?00:15:35 - What Makes a Good Smile?00:17:40 - Thumbpulling and Mewing for Adults00:19:14 - Are Mewing Before/After Photos Photoshopped?00:20:45 - Jutting00:21:32 - Camera Focal Length and Aesthetics00:22:15 - Role of Mewing for Adults00:24:00 - Bonesmashing00:26:20 - Clavicular's Jaw Surgery00:27:06 - John Mew vs. Mike Mew00:28:47 - Why Western Civilization Led to Worse Facial Development00:29:19 - Ron's Disagreements with John Mew on MARPE00:30:27 - Mike Mew's Different Approach: Skeletal Expanders and Jaw Surgery00:30:40 - How Plant-Based Diets Destroy Facial Structure00:32:05 - Chronic Inflammation, Mouth Breathing, and Facial CollapseNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

Conor underwent MMA (maxillomandibular advancement) surgery to treat his sleep apnea, but experienced a devastating outcome: his breathing and sleep quality worsened post-surgery. In this episode, we explore his case with insights from other surgeons. Topics include the over-advancement hypothesis, nasal tissue elasticity, tongue positioning challenges, post-surgery recovery, and planning custom MARPE after MMA. We also discuss jaw surgery planning considerations and important warnings about cosmetic-driven procedures.1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Introduction00:01:07 - When Jaw Surgery Makes Breathing Worse00:01:59 - First Signs: Waking Up Gasping After MMA00:04:28 - Multiple Top Surgeons React to This Rare Case00:06:11 - The Over-Advancement Hypothesis: Nasal Tissue Theory00:07:47 - Nasal Breathing 40-50% Harder After Surgery00:09:49 - The Tongue Position Problem No One Talks About00:10:25 - Analyzing Before & After Photos00:13:40 - Surgery Details: 12mm Advancement Explained00:20:48 - Choosing Surgeons: In-Network vs. Top Specialists00:28:06 - Recovery Reality: "Like Being Waterboarding"00:38:29 - Why "Bigger is Better" Isn't Always True00:44:09 - Planning Custom MARPE After Failed MMA00:53:24 - When Medicine Can't Guarantee Outcomes00:55:21 - Software & AI: The Future of Surgical Planning01:01:07 - Mandibular Expansion: The Missing Piece01:05:21 - Does MMA Really Create Tongue Space?01:12:11 - Warning: The Dangers of Cosmetic Jaw Surgery TourismNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.

Anthony Grigoryan is a 22-year-old powerlifter who could deadlift 600lbs but couldn't breathe through his nose. Despite having a six-pack and elite lifting numbers, he felt lethargic, congested, and held back—until he got an 8-screw custom MARPE from Dr. Audrey Yoon. In this episode, he breaks down his transformation, showing CT scans, before/after photos, and explaining how fixing his airway changed everything from his energy to his face structure.We dive deep into the looksmaxxing phenomenon, discussing Clavicular's influence, and when looksmaxxing goes too far. He also shares his plans for double jaw surgery with Dr. Tehrany through Kaiser, getting stabbed and paradoxically feeling the healthiest ever, and why gym bros with breathing issues need to hear this perspective.Anthony on Instagramhttps://www.instagram.com/anthonygrigoryan_/1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters0:00 - MARPE: Night & Day Breathing Change0:50 - 8-Screw Custom MARPE Revealed1:54 - Before & After CT Scans4:43 - When Gains Don't Match Your Face9:40 - Powerlifter Guy Who Couldn't Breathe12:43 - Turbinate Inflammation Stealing Airway18:11 - Durability Over Aesthetics23:48 - Clavicular: Extreme Looksmaxing29:54 - When Looksmaxing Goes Too Far42:42 - The Free Kaiser Jaw Surgery Loophole47:18 - Getting Stabbed, Feeling Healthiest53:31 - Swelling vs. Bone Structure with MARPE1:01:39 - The Gym Bro Who Fixed The RootNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

In this episode, I sit down with ‪Cannon Maumus‬ , a 22-year-old member of The Joint who's 30 turns into his custom MARPE journey with Dr. Marianna Evans. His confirmed palatal split and dramatic facial changes are remarkable, but the real story is his life-changing breathing improvements.We discuss his $12-16K total treatment cost, managing asymmetry as he continues expanding, and the critical question: when to stop? Plus, breaking news that Dr. Evans is exploring FME.Cannon's case shows how Custom MARPE can deliver exceptional results if working with a top provider.Cannon Maumus on YouTubehttps://www.youtube.com/@CannonMaumus1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00 - Cannon's Stunning Facial Transformation02:00 - MARPE Cost Breakdown ($12-16K Total)04:12 - First CBCT Scan Reveal - The Split is Confirmed06:06 - Examining the Diastema and Midline07:31 - Full Custom MARPE with 6 TADs Reveal08:42 - Facial Angularity and "Bony" Structure Discussion11:21 - Life-Changing Breathing Improvements13:48 - Should Cannon Keep Expanding? Future Plans16:15 - Thick Bone Density and Extreme Facial Changes18:00 - Occlusion Concerns and Cosmetic Considerations22:12 - Zygomaticomaxillary Sutures - What to Watch For29:03 - "Why Fix What's Not Broken?" - The Cautious Approach30:54 - BREAKING: Dr. Evans Considering FME33:18 - MARPE vs FME: Dimensional Stability Comparison42:18 - Cannon's YouTube Channel and Health Optimization JourneyNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

In this episode, Dr. Jeremy Manuele breaks down the quality of adult maxillary expansion beyond just "did it split?" We compare FME, custom MARPE, and MSE Type 2, explore surgical assists, preview FME Pro, and analyze a rare complication case. Dr. Manuele did not disclose the actual number of FME cases he has performed, but he has been working with adult non-surgical skeletal expansion and other TAD-anchored appliances since 2016, and in that time he’s helped many hundreds of patients.In this podcast, Dr. Manuele delivers unique, never-before-seen visual demonstrations showing key differences between FME, Custom MARPE, and MSE, which are 3 top skeletal expander brands.Essential viewing for anyone considering adult palatal expansion or airway treatment.1:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Pre-order Dr. Manuele's bookhttps://amzn.to/4oQXY4eConnect with Dr. Manuele‪https://www.youtube.com/@vegasorthodochttps://www.instagram.com/hm_orthohttps://www.facebook.com/hamiltonortho/https://vegasorthodoc.com TImestamps00:00:00 - Introduction: How Different Expanders Work00:02:08 - The Three Types of Expansion Explained00:03:16 - Why Dental Expansion Is Dangerous for Adults00:05:46 - Why Airway Cross-Sections Can Mislead You00:08:41 - Case Study: 3D Superimposition Reveals Only Dental Tipping00:10:30 - Dento-Alveolar Expansion: The Middle Ground00:12:16 - Fast vs. Slow Turning: How to Shock the Suture into Splitting00:16:24 - Age Ranges for Tooth-Borne Expander Success (and Why They Fail in Adults)00:19:24 - Case Study: When Dento-Alveolar Expansion Goes Wrong00:23:40 - Bonded RPEs: Using 360° Grip for Better Stability in Kids00:25:31 - Why Not Just Use MARPE on a Child? (Risk vs. Reward)00:30:00 - When Tooth-Borne Expanders Become Inappropriate00:31:20 - Expanding Toddlers (Ages 2-4): Is It Worth It?00:32:57 - True Skeletal (Orthopedic) Expansion Fundamentals00:34:30 - SARPE, DOME, and Why Surgical Assists Have Limitations00:39:48 - Top 3 Reasons for MARPE (and When Expansion Isn't the Answer)00:40:20 - Case Study: 10mm Skeletal Split in a Teenager00:44:31 - The 5 Factors of Jaw Growth (and ChatGPT's Shocking Ranking)00:56:42 - Case Study: How an Adult Got 4mm of Forward Growth (FME + Chewing)00:58:12 - The Key: Mobilizing Circum-Maxillary Sutures01:00:43 - How to Loosen Adult Sutures: FCPC, Osteopathy, and Chewing01:09:26 - Case Study: Patient X and the Wisdom Tooth Debate01:13:17 - Wisdom Teeth and Premolar Extractions Impact on Jaw Growth01:17:00 - Why Age 5-7 is Dr. Manuele's "Sweet Spot" for Expansion01:20:48 - Does Expanding the Maxilla Make the Mandible Grow?01:23:43 - Patient X's Journey: The EASE Procedure01:26:45 - Why The Field is Moving Away from Surgical Assists (EASE & Piezo)01:30:44 - Chewing, Clenching, and TMJD Risks During Expansion01:32:08 - Who Needs a Piezo? Thick Bone or Thin...

In this episode, I reconnect with Dr. Reza Movahed, an oral and maxillofacial surgeon based in St. Louis, MO, who performs 90 to 100 total TMJ joint replacement surgeries per year, ranking among the most experienced joint surgeons worldwide. He shares his personal journey through three jaw surgeries that transformed his approach to patient care and surgical planning. We discuss idiopathic condylar resorption (ICR), why certain patients are at higher risk for double jaw surgery failure, and when total joint replacement becomes essential. Dr. Movahed details his bone grafting methods, collaboration with top orthodontists, and how counterclockwise rotation with joint replacement achieves superior esthetic and functional results. He also highlights his MCO mandibular expansion device, the role of DISE in planning, and long-term joint data proving decades of success.Contact Dr. Reza Movahedhttps://www.instagram.com/movahedomshttps://movahedoms.com/1:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Introduction00:05:00 - What Is Total TMJ Joint Replacement Surgery?00:11:42 - The Joint as Your Foundation: ICR Explained00:15:35 - Which Patients Are at High Risk for Relapse00:22:25 - Dr. Movahed's Personal Story: Three Jaw Surgeries for OSA00:30:46 - Why Most Surgeons Avoid Joint Surgery00:33:39 - Case Study: Two Failed Double Jaw Surgeries00:40:03 - Grafting Techniques: Using the Patient's Own Bone00:46:12 - Extreme Reconstruction: Goldenhar Syndrome Case00:55:31 - Esthetics and Function: PEEK Implants and Facial Harmony01:02:14 - Segmental Surgery and Counterclockwise Rotation01:10:51 - The Critical Orthodontist-Surgeon Relationship01:20:28 - Custom Plating and Locking Screw Technology01:30:02 - Post-Op Protocol: Nutrition, Steroids, and Minimal Swelling01:38:34 - History of Jaw Surgery: Dr. Wolford's Legacy01:46:25 - The Art of Surgical Planning: Precision and Collaboration01:54:31 - Why Counterclockwise Rotation Was Revolutionary02:05:01 - DISE: Predicting Surgical Outcomes with Sleep Endoscopy02:18:45 - Surgical Planning: Frankfurt Horizontal and Neck Posture02:26:30 - Joint Longevity: 38 Years of Data and Minimal Wear02:40:30 - Virtual Surgical Planning: From CT Scan to Custom Joint02:51:24 - MCO Device: Patent-Pending Mandibular Expansion03:03:29 - Patient Collaboration: Avoiding Surgical Planning Mistakes03:20:18 - Maxillomandibular Expansion Before MMA SurgeryNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You

In this episode, I reconnect with Dr. Aişe Cemile, an orthodontist based in Istanbul, Turkey, who has treated between 500 and 1,000 MARPE cases over the years. She shares updates on her custom MARPE appliance designs, face mask protocols, and innovative methods for managing asymmetry. Dr. Cemile explains how she collaborates with a local lab to create fully customized devices tailored to each patient’s bone anatomy, achieving consistent split success by carefully planning TAD placement. She also discusses her use of face mask protraction, even in adult males, the role of cranial osteopathy and manual therapy in enhancing results, and practical techniques for preventing and correcting asymmetry through exercises, heat, and targeted pressure. A standout case features an 18-year-old male with severe skeletal Class III who achieved jaw-surgery-level changes through two rounds of MARPE and face mask therapy, making this episode essential viewing for anyone seeking advanced and affordable MARPE treatment outside the United State.Contact Dr. Cemilehttps://www.aisecemilecansiz.comhttps://www.instagram.com/aise_cemileaisecemilecansiz@gmail.com(Find her in The Joint for a Q&A session on Saturday, Nov 1, 2025)1:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Timestamps0:00 Intro3:41 MARPE Treatment in Children4:56 Age Considerations for MARPE6:15 Custom MARPE for Children10:58 Laboratory Collaboration17:57 Cranial Osteopathy and MARPE27:17 Face Mask Techniques34:33 Surgical Considerations39:20 FME device44:24 Innovative Approaches and Techniques48:23 No Diastema protocol50:58 Managing Asymmetry in Patients51:32 Exercises and Techniques for Symmetry52:59 Placing and Aligning the Appliance55:17 Sharing Examples and Workflow1:08:05 Working with International Patients1:20:11 Case Study: MARPE and Face Mask1:31:02 ClosingNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

In this episode, I talk with Dr. Newaz and Dr. Jaffari — the world’s most experienced FME providers — about what really works, what fails, and the complications they’ve seen across nearly 100 cases. We look at success rates, asymmetry, and how FME compares to custom MARPE, with Dr. Newaz sharing his own 8–9mm expansion results and CBCT analysis. We also explore the new FMA Protraction device, post-surgery expansion challenges, pricing debates, and the key question: when should you expand before jaw surgery versus doing a segmental LeFort?Dr. Newaz & Dr. Jaffari Social Mediahttps://www.youtube.com/@airwayorthohttps://www.instagram.com/dr.jaffari.ddshttps://www.instagram.com/drnewazzzAll GIFs courtesy of Shuikai https://www.reddit.com/r/UARSnew/1:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Dr. Newaz's 9mm expansion results and facial changes00:00:31 - Ron introduces FME technology and episode overview00:04:10 - Defining success and failure across 98 FME cases00:13:03 - How many failures to split?00:21:01 - Who benefits aesthetically from midface expansion?00:26:30 - FME vs custom MARPE clinical comparison00:31:23 - Septum avoidance and preventing asymmetry with guide rods00:38:19 - Lab planning process and final doctor approval00:47:17 - Why turning protocols have slowed down dramatically00:53:51 - How many cases had no corticotomy at all?01:01:18 - Is pterygoid maxillary release necessary with FME?01:06:41 - Using another MARPE to correct prior asymmetry01:17:55 - Dr. Newaz's CBCT analysis and superimposition walkthrough01:29:22 - True cheekbone enhancement without implants01:33:03 - How long did 9mm expansion actually take?01:44:35 - Nasal resistance spectrum and empty nose syndrome risk01:57:11 - Segmental LeFort vs midface expansion02:09:39 - Can you do MARPE after jaw surgery?02:14:22 - Soft tissue aesthetic improvement02:22:27 - Plan for the mandible and considerations on condyle stability02:31:37 - Why did Dr. Newaz go this far with expansion?02:34:48 - Pushing boundaries in the expansion space02:42:11 - Listening to educated patients as part of the treatment team02:47:39 - First look at the FMA protraction device02:52:37 - MRI results show Dr. Newaz's jaw joint is healing03:00:34 - FMA Device Deep Dive: Components and Mechanics03:07:58 - Patients building their own DIY protraction devices03:08:47 - Clinical potential and workflow for the FMA device03:14:42 - A discussion on the cost of FME appliance03:22:46 - US healthcare frustrations and goal of making treatment accessible03:27:02 - Ron shares his personal story of being priced out of jaw surgery03:32:45 - The major risks and challenges of expanding after jaw surgery03:40:25 - Where to find Dr. Newaz and Dr. Jaffari onlineNO...

In this episode, I sit down with Evan Lavizadeh — a former YouTube creator who overcame severe sleep apnea through MARPE expansion with Dr. Audrey Yun and double jaw surgery with Dr. Benjamin Walin in Los Angeles. Evan shares his full journey, from surgical planning and a 20mm advancement to the challenges of recovery and TMJ complications. Beyond the medical side, he opens up about how fixing his airway transformed his sleep, confidence, relationships, and outlook on life, as well as how therapy supported his recovery and inspired him to return to creating educational content in the airway health space.Evan's YouTube Channelhttps://www.youtube.com/@evanlavizadeh40321:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Introduction and initial questions about Evan's journey00:03:26 - Evan explains he's cured and why he stopped making YouTube videos00:06:01 - Discussion about returning to YouTube content creation00:06:56 - Revealing Evan's surgical team (Dr. Audrey Yoon, Dr. Benjamin Walline)00:08:11 - Evan's surgical movements and measurements (20mm at the pogonion)00:10:56 - Discussion of Dr. Walline's reputation and conservative approach00:13:51 - Genioplasty details and comparison with other surgeons00:17:56 - Surgical planning timeline and patient involvement00:19:06 - Surgeon selection process and considerations00:22:21 - Orthodontist-surgeon relationship and communication00:23:16 - Dr. Walline's attitude toward MARPE and airway focus00:25:31 - Evan's satisfaction with surgical results00:26:36 - Before/after appearance discussion and aesthetic results00:29:46 - Discussion of "pretty privilege" and confidence changes00:33:46 - Personal growth and self-acceptance philosophy00:35:51 - MARPE experience and expansion details00:42:16 - Discussion of MSE vs custom expanders and evolution of techniques00:42:56 - Evan's advice on the "less invasive fallacy"00:48:31 - Key advice for patients and avoiding analysis paralysis00:50:41 - Role of therapy in surgical journey00:56:56 - Family dynamics and generational trauma discussion01:09:31 - Religious and philosophical discussion on wealth and ethics01:18:46 - Christianity, Judaism, and religious exclusivity01:20:01 - Spiritual effects of improved health post-surgery01:21:06 - Recovery timeline and gradual improvement01:22:46 - Skateboarding and physical activities post-surgery01:26:36 - TMJ pressure complications from surgery01:30:16 - Technical explanation of BSSO complications01:32:46 - Career discussion (AI/machine learning engineer)01:33:46 - AI-assisted surgical planning possibilities01:38:11 - Other surgical complications and mouth opening limitations01:41:01 - Condylar resorption risks and TMJ complications01:45:11 - Joint replacement surgery considerations01:47:56 - Closing thoughts and future YouTube content plansNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for...

Dr. Kimberly Santiago returns to share her raw, unfiltered jaw surgery recovery experience. She reveals her post-op survival tips, the emotional and physical challenges she faced, and how the surgery impacted her nasal breathing, for better and for worse.Connect with Dr. Kimberly Santiagohttps://www.instagram.com/dr.kimberly.airsyncwellness/https://www.airsyncwellness.com/1:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Intro00:01:05 - Numbness, swallowing & the challenge of staying hydrated00:06:35 - Post-op cheat sheet: what every patient needs00:09:20 - Did Spicy Food Irritate the Wounds?00:11:27 - Fasting after surgery for autophagy: is it a good idea?00:17:31 - The emotional toll & psychological low point of recovery00:24:59 - How Dr. Santiago mentally prepared for surgery day00:31:18 - Recovery tools: lasers, photobiomodulation, hyperbaric oxygen00:36:20 - Why she chose her surgeon without shopping around00:45:29 - Did jaw surgery fix her nasal breathing? (shocking result)00:53:49 - The unexpected post-op nasal congestion01:01:35 - Can you get MARPE after jaw surgery?01:10:43 - How jaw surgery changed her approach as a clinician01:14:11 - An overlooked aspect: aligning the cranial base before surgeryNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

In this episode, Ron chats with Dr. Gabriella Tehrany, a maxillofacial surgeon at Kaiser Permanente in Southern California. She shares what it’s like to work as a salaried surgeon in a system focused on function and patient care. Dr. Tehrany also expresses her passion for integrative medicine, explaining how diet, lifestyle, and supplements can make a big difference in recovery.Dr. Gabriella Tehrany at Kaiser Permanentehttps://healthy.kaiserpermanente.org/southern-california/physicians/gabriella-tehrany-2329453JawHacks Official eBookhttps://substack.com/@jawhacks1-on-1 Chat with Ronhttps://jawhacks.com/chatsAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Introduction00:05:17 - Salaried Surgeon: A Different Approach to Jaw Surgery  00:08:28 - Kaiser’s Functional vs. Aesthetic Jaw Surgery Coverage  00:13:35 - How Instagram Has Changed Patient Expectations  00:20:41 - Why I Don’t Give Patients Detailed Surgical Plans Upfront  00:25:36 - Patient Trust vs. Taking Marketing Claims at Face Value  00:31:01 - Integrative Medicine for Jaw Surgery  00:33:34 - How a Bad Diet Can Wreck Your Surgical Outcome  00:39:32 - Biohacking Your Jaw Surgery: Supplements, Light & Grounding  00:43:41 - The Vitamin D Deficiency Epidemic in Southern California  00:46:36 - The Optimal Pre-Jaw Surgery Diet  00:51:34 - How to Mentally Prepare for Jaw Surgery Recovery  00:57:49 - 3-Week Pre- and Post-Op Healing Cheat Sheet  01:09:18 - Are Environmental Toxins Making Gen Z Sicker?  01:14:13 - The Great Debate: Surgical Expansion (SARPE) vs. MARPE  01:18:59 - Do Custom Plates & Implants Make Surgery Better?  01:31:01 - Final Warning to Patients Seeking PerfectionNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Ron sits down with sleep medicine specialist Dr. Anil Rama and medical speech therapist Jenny Opalinski from Aspire Respiratory Products. They explore Respiratory Muscle Strength Training (RMST), a non-invasive therapy using the EMST150 device to strengthen airway muscles, improve nasal flow, and potentially reverse sleep apnea.Connect with Dr. Ramahttps://www.sleepandbrain.com/anil-rama-mdEMST150 Expiratory Muscle Trainer (no commission or affiliate relationship)https://emst150.com/product/emst150/JawHacks Official eBookhttps://substack.com/@jawhacks1-on-1 Chat with Ronhttps://jawhacks.com/chatsAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Introduction00:04:41 - A Non-Surgical Sleep Apnea Treatment Alternative00:06:50 - Unboxing & Assembling the EMST15000:08:10 - The "5x5" Weekly Training Protocol00:09:10 - Why Pressure Threshold Trainers are Superior00:11:54 - MEP & MIP: How We Measure Breath Strength00:15:54 - The Anatomy of a Powerful Breath00:17:51 - Does Mouthpiece Training Ruin Nasal Breathing?00:19:52 - Training at 75% vs. 100% of Max Pressure00:23:33 - Expiratory vs. Inspiratory: AHI Reduction vs. Fatigue00:27:11 - LIVE DEMO: Mastering the Expiratory Rep00:34:42 - Finding Ron's Max Expiratory Pressure00:38:43 - "This Hurts My Neck": Avoiding Muscle Compensation00:42:52 - Is This Just a High-Tech Didgeridoo?00:52:16 - Normative Data: How Ron Stacks Up to the Average Male00:56:43 - Why Study Results Seem Unattainable01:02:59 - How Long to Train for Lasting Brain Changes (BDNF Study)01:07:56 - LIVE DEMO: Inspiratory Muscle Strength Training (IMST)01:13:33 - Endoscopy Reveals Airway Expansion01:15:40 - Ron's Inspiratory Strength Test: The Diaphragm Burn01:21:34 - Fast-Twitch vs. Slow-Twitch: Building Powerful Breath Muscles01:29:55 - Does Pre-Bed Training Keep the Airway Open All Night?01:39:44 - How RMST Can Make CPAP Therapy Tolerable01:42:17 - The 5 Reasons for Poor Nasal Flow01:46:34 - CASE STUDY: Jaw-Dropping Nasal Flow Increase from RMST Alone01:49:56 - Who Should NOT Use This Device01:55:09 - Ron's 12-Week Public Experiment BeginsNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Ron interviews Dr. Ilya Lipkin, an orthodontist with extensive MARPE experience. They discuss the nuances of Custom MARPE versus FME, including design considerations, TAD stability, and innovations like "Lipkin Wings." The conversation also covers the role of surgical assist, strategies to address and prevent asymmetry, and the importance of jackscrew orientation. Additionally, Dr. Lipkin shares insights on Facemask protraction therapy and offers perspectives on MMA surgery and selecting a surgeon.Connect with Dr. Lipkinhttps://www.instagram.com/drlipkinsmileshttps://www.gotbraces.com/JawHacks Official eBookhttps://substack.com/@jawhacks1-on-1 Chat with Ronhttps://jawhacks.com/chatsAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Intro00:00:40 - Dr. Lipkin's Custom MARPE Experience & Course00:02:33 - The FME Appliance: Dr. Lipkin's Unbiased Impressions00:05:10 - FME Design Flaws? TAD Tipping & Force Vectors00:10:24 - Armless Expanders: A True Skeletal Solution or Marketing Hype?00:13:06 - MARPE Arms to Prevent Pinching of Soft Tissue00:15:49 - FME's Locking TADs To Prevent Tissue Pinching00:17:06 - Why Lateral TADs Are NON-NEGOTIABLE for Predictable Expansion00:18:46 - The "High Palate" Myth & Problems with Distant Force Application00:22:06 - The Disadvantage of Stock Appliances: Not Assessing Bone Thickness00:24:59 - Surgical Assist (Piezo): Does It Always Guarantee a Midline Split?00:29:44 - Revisiting Locking TADs (and 2-Piece Design): Are They the Future for All Expanders?00:32:25 - Introducing "Lipkin Wings": A Custom Solution for TAD Locking00:33:16 - Facegenics Cephalometric Analysis vs. Dr. Lipkin's Asymmetry Prevention Protocol00:43:08 - Aligning the Expander to Avoid Exacerbating Asymmetries00:45:50 - Expansion Sweet Spot: How Many Millimeters on Average?00:47:12 - Can the Lab Catch a Orthodontist's Design Mistakes?00:49:05 - The Imperative of MARPE Courses for Aspiring Practitioners00:51:08 - Why MARPE Post-Jaw Surgery is NOT a Good Idea00:54:29 - Do Different Surgical Plates Impact Post-Op MARPE Expansion?00:56:45 - MARPE's Downward & Forward Vector: Is It to Be Expected?00:58:21 - Is a Gummy Smile (Vertical Maxillary Excess) a Disqualifier for MARPE?00:59:45 - Small Teeth Post-Expansion: Restorative Dentistry or Orthodontic Solution?01:00:53 - Diastema Closure: Sliding Teeth Forward vs. Retracting Front Teeth01:03:39 - Dr. Lipkin's Unfiltered Opinion on AGGA (Anterior Growth Guidance Appliance)01:06:35 - SFOT Planning & Lower Dental Tipping Mechanics: A MUST for Predictability01:12:46 - The Critical Role of a Skilled Periodontal Partner for SFOT01:14:31 - Ron's Transformation & Traumatic Memory: From "Humpty Dumpty" to Facial Harmony01:16:00 - Maxillary Protraction: Is it the Facemask's Merit or MARPE's Mechanics Alone?01:17:50 - Case Studies: What Happens When You DON'T Wear Your Facemask?01:20:04 - Facemask Indications: Is It Only for Class III Patients?01:23:03 - Adult Facemask Use: Viable Option? How Many Hours Per Day?01:24:45 - Facemask vs. Bollard Plates: Weighing TMJ Problems & Force Vectors01:27:43 - The Future of Facemasks: Innovations from Partners Dental Labs & Facegenics (FMA)?01:28:08 - Does Facemask Cause Undesirable Dental...

Orthodontist and sleep medicine specialist Dr. Joseph Yousefian explains why Maxillomandibular Advancement (MMA) doesn't always resolve sleep apnea. Drawing on case studies and clinical experience, he highlights the procedure’s limitations and the importance of addressing nasal anatomy and TMJ health. Dr. Yousefian also introduces his patented expansion techniques—MANE, DAME, and MAPES—which have shown strong results in improving airway health. This conversation explores airway dynamics, skeletal development, and the value of a personalized, multi-faceted treatment approach.Dr. Yousefian's book: Pediatric Treatment of Sleep Apneahttps://a.co/d/aNsKjulHear from Dr. Yousefian's Patientshttps://youtube.com/shorts/EvOC51YXxREhttps://youtu.be/fYMy1Acnlwkhttps://youtu.be/uyRm7fTOF2wJawHacks Official eBookhttps://substack.com/@jawhacks1-on-1 Chat with Ronhttps://jawhacks.com/chatsAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Intro & Airway Mechanics00:01:10 - Why MMA Doesn’t Always Cure Sleep Apnea00:03:40 - When MMA Surgery Isn't Enough (19.9 AHI Case Study)00:05:35 - The Critical Role of Turbinate Reduction in Airway Health00:07:03 - Empty Nose Syndrome Risks & Turbinate Management00:08:24 - Why Significant Expansion (7-10mm) Outperforms Minimal Expansion00:10:50 - Nasal Cavity Architecture: Height, Width & Airflow Dynamics00:12:00 - When Counterclockwise Rotation Isn't Possible00:14:20 - TMJ Complications After Surgery: Revision Challenges00:15:25 - Challenges of MARPE After LeFort I Surgery00:17:45 - Removing Plates for Successful Post-Surgical Expansion00:19:34 - DOME Procedure (DANE): Preventing Unilateral Cheekbone Distraction00:22:08 - MSDO to Expand Narrow Arch vs. Tongue Reduction Surgery00:28:12 - 53.6 AHI & Mandibular Tori (Case Study)00:32:10 - Tooth-Borne (with SARPE) vs. Bone-Borne Expansion Debate00:35:05 - TMJ Health & MSDO Mandibular Expansion (Osteoarthritis Case)00:40:34 - Why MMA Can Put Stress on the TMJ (Condylar Resorption)00:46:40 - Airway Changes After MMA Surgery: Temporary Feeling of Constriction00:48:28 - Distraction Technique After MMA (Unique Case Study)00:50:01 - 38% Cure Rate from MMA vs. 92% from TTP (Teledontic-Telegnathic Protocol)00:51:33 - MANE (Micro-implant Assisted Nasomaxillary Expansion) & DAME (Distraction Assisted Mandibular Expansion) aka MARPE & MSDO00:53:42 - Lip Competence & Auto-Rotation of Mandible Through Orthodontic Treatment (Case Study)00:58:52 - Protecting & Supporting Front Teeth: Importance of Arms in Expanders01:01:00 - Managing Asymmetric Expansion & the Purpose of Molar Arms01:05:00 - Severe Complications: Mid-Facial Asymmetry Case Study01:09:05 - Double Vision Complication After Expansion01:12:08 - Benefits of Tooth-Borne Combined with Bone-Borne Anchorage01:13:10 - FME (Facegenics Mid-facial Expander) & Armless Expanders Discussion01:19:54 - Dentoalveolar vs. Skeletal Changes & Why They Are Both Important01:29:45 - Prof. Won Moon: The Originator of MARPE01:31:45 - Proportional Expansion Between...