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Sleep surgeon Dr. Kasey Li returns to JawHacks three years after his first appearance for an in-depth update on nasomaxillary expansion and maxillomandibular advancement (MMA). Dr. Li developed EASE, a minimally invasive surgical split of the midpalatal suture used alongside an expander. He explains why he now uses the FME in about 95% of his EASE cases, the risks of overexpansion, how FME compares with custom MARPE, and why he sees no value in sleep endoscopy (DISE). The conversation also covers expansion after MMA, the origin of the 10 mm advancement guideline, custom plates, and how MMA affects nasal breathing and aesthetics. Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 0:00:00 - Intro 0:01:01 - Dr. Li's training and Dr. Guilleminault's legacy 0:07:34 - Misconceptions and treatments he doesn't believe in 0:13:09 - Can MMA replace nasomaxillary expansion? 0:17:06 - Why he now uses FME in 95% of EASE cases 0:23:26 - Overexpansion risks and when to stop 0:36:20 - Cheekbone changes with FME vs custom MARPE 0:40:14 - When he still uses MARPE and an FME failure case 0:47:33 - Stretching turns and the case for EASE 0:55:52 - Expansion after MMA and why to keep your plates 1:10:38 - Where the 10 mm MMA rule came from 1:14:52 - MMA success rates and long-term decline 1:17:08 - Pharyngoplasty and the only 3 surgeries he does 1:22:14 - Small advancements and why revision MMA is hard 1:26:58 - Septoplasty before MMA and the subspinal LeFort 1:36:27 - The patient who got worse after MMA 1:41:41 - Why he calls piriformplasty bogus 1:43:06 - MMA complications in 200 consecutive cases 1:47:50 - Why he doesn't believe in DISE 2:00:42 - How he diagnoses sleep apnea without DISE 2:08:40 - Sleep apnea, anxiety and hard-to-read symptoms 2:13:42 - The septum during expansion and how he performs EASE 2:26:21 - Pterygomaxillary release and adult MARPE protraction 2:29:51 - Stronger expanders and EASE after MMA 2:36:10 - How a pterygomaxillary release is done 2:41:26 - Asymmetry and rigidity with FME vs custom MARPE 2:53:28 - When one expander isn't enough and the future of FME 2:59:36 - Custom plates and mandible-first MMA 3:10:33 - How he seats the condyle and the limits of VSP 3:23:04 - Total joint replacement and condylar resorption 3:25:45 - Presurgical ortho and why he avoids segmentals 3:28:11 - How MMA changes the nose and nasal breathing 3:36:36 - Posterior maxilla downgrafting and nasal breathing 3:41:27 - Surgeons who dismiss expansion 3:44:17 - Aesthetics and expectations in MMA DISCLAIMER 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.

Alex is a 22-year-old custom MARPE patient of Dr. Jeremy Manuele who started protracting three months after his split, wore a facemask up to 23 hours and 45 minutes a day, and pulled 5.5 to 6mm before going past the point where his bite still worked. He now has to jut his mandible forward to occlude, which makes him a live case study in why the mandible does not automatically follow the maxilla. Ron's usual asterisk applies: this is the frontier and nobody knows yet what adult protraction reliably does. Alex's Full Protraction Protocol & Log https://drive.google.com/file/d/1Px8fPl9Pchy4v-OFr-wGayl2doZB3twQ/view?usp=drive_link This is for information and documentary purposes only. JawHacks does not recommend or endorse this protocol to anyone. Please consult a dental or medical professional before attempting any expansion or protraction. Dr. Jeremy Manuele (Alex's Provider) https://www.youtube.com/@vegasorthodoc https://www.instagram.com/vegasorthodoc/ https://vegasorthodoc.com/ Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 00:00:00 - Intro 00:00:48 - The Worst MARPE Reaction Dr. Manuele Had Ever Seen 00:02:11 - Urgent Care at 2AM and a Nerve Block That Made It Worse 00:05:50 - Why MARPE Wrecks Some People and Barely Touches Others 00:07:00 - One Turn a Day That Was Really Two 00:08:23 - The Split: "It Felt Like My Incisors Were Ripping Apart" 00:09:56 - Before and After: The Whole Midface Came Forward 00:11:32 - Reading the Photos: Lip Competence, Under-Eye Support, Cheek Shadow 00:13:19 - "You Were a Normal Looking Kid" - Ron vs the Black Pill 00:16:10 - The Girl Who Ignored Him, Then Messaged After MARPE 00:17:12 - Wearing a Protraction Facemask Through Whole Foods 00:19:00 - He Had the Money, the Physique, the Personality - It Still Didn't Work 00:22:31 - Direct Print Aligners vs Invisalign 00:24:38 - The Protocol: 23 Hours 45 Minutes a Day in a Facemask 00:25:12 - The Minute-by-Minute Protraction Log 00:26:40 - He Started Protracting 3 Months After the Split 00:27:30 - Stretch Turns Under 10 Pounds of Facemask Force 00:28:40 - One Pterygomaxillary Suture Split, the Other Refused 00:30:03 - Why 1 Pound of Force Did More Than 12 00:32:09 - The Scan: No Fracture, But the Left Suture Was Gone 00:33:10 - Mewing Alone Now Generates Protraction Force 00:34:19 - The Overjet on Camera: He Has to Jut to Bite 00:35:07 - Proof the Mandible Does Not Just Follow 00:36:56 - Brain Freeze From Breathing: Protraction vs Transverse Gain 00:37:24 - How Protraction Stretches the Turbinates 00:40:02 - IMDO vs BSSO vs Double Jaw: What Ron Would Do 00:42:34 - Is a Genioplasty Just a Cope? 00:48:22 - The CBCT Experiment: Facemask On vs 5 Minutes Off 00:52:08 - Hooks Behind the Second Molars and a Glued-On Overlay 00:55:34 - The Protraction Angle and an Absurd Number of Elastics 00:57:34 - Glue, a Hook, and "DIY Arts and Crafts" 01:00:03 - Pulling Down First, Then Up: An Accidental Trick? 01:02:08 - Down to One TAD, Then Re-Screwing the Dead Ones 01:03:26 - The Christian Case for Looksmaxxing 01:05:43 - Acid Reflux, PPIs, and Losing His Voice for 4 Months 01:07:00 - Cathedrals, Brutalism, and the Body as a Temple 01:10:46 - $16,000 Total, and the Friend Who Wouldn't Spend $2,000 01:11:35 - Where Looksmaxxing Crosses Into Vanity DISCLAIMER 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.

Dr. Jay Neugarten is an oral and maxillofacial with around 3,500 jaw surgeries behind him, 100% custom since 2019. In this episode, he answers Dr. Steven Sullivan's case against custom plates, covering condylar seating, the digital surgical disconnect, and why he uses four plates instead of one. Plus MARPE complications, expansion vs advancement for the airway, and why he does more revision jaw surgery today than ever. Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 00:00:00 - Intro 00:00:55 - 4 jaw surgeries a week, and a practice gone international 00:03:58 - Sleep, the 8 hour rule and why oxygen matters more than hours 00:10:56 - What CBCT and sleep studies can and cannot tell you about the airway 00:19:13 - Why jaw surgery is an art, movement limits and the bullseye problem 00:22:02 - The simulated video patients see, and how soft tissue is predicted 00:27:31 - Airway versus aesthetics and the patients who struggle with the change 00:33:41 - Revision jaw surgery and why it is never the plate 00:37:15 - Why so few surgeons actually do orthognathic surgery 00:44:03 - Looksmaxxing, Reddit and orthodontic camouflage 00:46:16 - MARPE, SARPE and the complications he has to repair 00:52:43 - SFOT and the real limits of segmental expansion 00:59:48 - Wanting MARPE for nasal breathing, and why surgery does not flip a switch 01:04:44 - Expansion or advancement, what actually opens the nasal airway 01:12:16 - The MARPE smile, the soft palate and the revision LeFort 01:17:01 - Hypermobility, EDS and what it changes about recovery 01:22:32 - Inside NYCOMS, 3,500 jaw surgeries and the speed question 01:30:20 - From stone models to Gen 3 custom titanium 01:33:12 - Guides, plates and splints, where custom workflows go wrong 01:43:22 - Answering Dr. Sullivan on custom plates and condylar seating 01:55:14 - Accepting the debate and the mandible fudge nobody admits 02:02:22 - Plate companies, titanium and why plate removal is worse than you think 02:12:33 - Segmental maxilla and correcting asymmetry with custom plates 02:19:02 - Aligner based surgery, Botox and bite force monitoring 02:22:39 - Clenching, splints and morning headaches 02:28:57 - Wrapping up and what is coming in part 2 CONNECT WITH GUEST https://www.nycoms.com/jay-neugarten-dds-md/ https://www.instagram.com/drneugarten/ DISCLAIMER 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.

Ethan (Origin Of Styx) returns 13 months after revision double jaw surgery with Dr. Michael Gunson. His first MMA rotated the occlusal plane the wrong way and coped with an oversized genioplasty. We cover the DISE findings, airway change, leftover hardware, myofunctional therapy, tongue posture, and why he's massively better but not cured. Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 00:00:00 - Intro 00:01:44 - Ethan 13 Months After The Revision 00:06:21 - Recovery With Dr. Gunson 00:12:47 - What Went Wrong The First Time 00:15:57 - Bite, Tooth Show And Cheekbones 00:19:51 - Before And After X Rays 00:25:06 - Why He Still Is Not Cured 00:27:05 - Didgeridoo And Circular Breathing 00:32:00 - Meditation And Life Before The Revision 00:35:24 - Work, The Body And Physical Jobs 00:38:52 - AI, Music And The Internet 00:52:56 - Attention Span After Jaw Surgery 00:54:31 - Tongue Posture And Myofunctional Therapy 01:01:21 - Goals And The Music Project (Origin Of Styx) 01:07:59 - Advice For Anyone Considering Jaw Surgery CONNECT WITH GUEST https://linktr.ee/originofstyx https://originofstyx.com/ DISCLAIMER 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.

Dr. Steven Sullivan (DDS, FACS, FACD), current professor and Chair of Oral and Maxillofacial Surgery at the University of Oklahoma, with 5,000+ double jaw and TMJ surgeries, on why he refuses custom plates. Mandible-first sequencing, condylar seating, segmental LeFort, chimp lip, MIOS, genioplasty design, and his 90-90-90-10-10 rule for vetting your own surgical plan. Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 00:00:00 Intro 00:03:11 Who Is Dr. Steven Sullivan 00:03:56 Maxilla First or Mandible First? 00:05:06 Wire Fixation to Rigid Fixation 00:09:51 What "Seating the Condyle" Means 00:13:10 Why VSP Can't Predict Condyle Position 00:16:35 The Custom Plate Workflow Explained 00:19:14 Sullivan's Splint Workflow 00:20:29 Custom Plates Aren't More Accurate 00:21:39 "It Makes an Inadequate Surgeon Adequate" 00:23:05 The Upper Lip Drape Problem 00:25:55 When the Bite Doesn't Come Together 00:29:30 Condylar Resorption Explained 00:32:24 Plan Around the Incisor, Execute Around the Joint 00:34:48 Is Non-Custom Surgery Obsolete? 00:35:47 Why Jaw Surgery Isn't a Rolex 00:39:49 The Economics of Jaw Surgery 00:41:42 How Insurance Nearly Killed Jaw Surgery 00:45:44 DRGs and Economic Credentialing 00:52:39 The 60-Minute Double Jaw Surgery 00:56:06 "I Save 2.5 Hours on a Jaw Surgery" 00:58:02 Why 90% of His LeForts Are Segmental 01:05:23 Over-Advancing the Maxilla 01:10:11 Airway Volume: 3.5% Per Millimeter 01:13:04 The Traditional LeFort and the Wolford Step 01:17:40 Why He Calls MIOS Nonsense 01:21:17 Steroids, Speed, and Recovery 01:23:18 The Sullivan LeFort Cut 01:30:43 Jaw Surgery and the Soft Palate 01:33:06 Genioplasty and Custom Plates 01:38:51 Treatment Planning: Garbage In, Garbage Out 01:40:06 Reading Your Own Lateral Ceph 01:45:24 Advancement Without Chimp Lip 01:47:25 The 90-90-90-10-10 Rule 01:49:16 When You Need a Total Joint Replacement 01:53:17 Inverted L vs Inverted Z CONNECT WITH GUEST https://profilesofs.com/steven-sullivan/ DISCLAIMER 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.

Grab some popcorn, NYC orthodontist Dr. Luke Shapiro joins Ron for a technical, no-BS conversation on airway orthodontics — MARPE vs. FME, DOME Zero, choosing a jaw surgeon, the custom lower-jaw debate, and why bites come out unpredictable after surgery.  Plus the controversies: Vivos/DNA appliances, ALF, AGGA, and the "epigenetic" growth claims that never show up on a CBCT. Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 00:00 – Intro: 03:15 – How an orthodontist ended up on TikTok 06:35 – Getting into airway & MARPE 11:53 – Why the term "DOME" is now so confusing 14:00 – Inside the DOME Zero / MASPE Zero story 16:22 – Is DOME Zero special, or just marketing? 18:22 – FME vs custom MARPE & bonding to teeth 24:17 – Expansion for looks vs. function 27:25 – Headaches, TMJ & psychosomatic patients 32:04 – A 14-chair multidisciplinary practice 35:03 – The Wall Street patients who don't care 38:06 – Obsessing over your own airway 40:00 – Boython, jaw surgery & the real risks 42:56 – How to actually choose a jaw surgeon 45:15 – The NYC surgeon roster 48:11 – The custom lower-jaw debate 52:50 – "Just do the MARPE first" 54:26 – Bobeck, MSDO & mandibular expansion 59:29 – Can't expand your way out of surgery 1:04:15 – What actually makes FME interesting 1:06:39 – The extraction question 1:09:38 – Raising his daughter to prevent all this 1:16:31 – Skeletal expanders in little kids? 1:23:19 – Curve of Spee & curve of Wilson 101 1:27:11 – ALF & AGGA: does any of it work? 1:29:40 – Vivos, the DNA appliance & the $50k problem 1:37:45 – "Epigenetics" & marketing sleight of hand 1:40:33 – The CBCT proof that isn't there 1:43:50 – Giving general dentists their due 1:53:29 – Jaw surgery setup: the "tripod" 1:55:18 – Decompensating a Class II, explained 1:58:39 – Segmental surgery & Gunson 2:01:03 – Why the bite is unpredictable after surgery 2:05:33 – Gunson's no-splint segmental 2:08:02 – Centric relation & seating the condyle 2:11:07 – Wrap-up & member Q&A CONNECT WITH GUEST https://www.instagram.com/dr_lukeshapiro/ https://www.youtube.com/@UChXHl6Rbw8V2wM3UbOpPzXg  https://www.wallstreetortho.com/ DISCLAIMER 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.

Dr. Svitlana Koval updates us on current trends in MARPE, FME, facemask, mandibular skeletal expansion, and more. Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ TIMESTAMPS 00:00 - Introduction and the growing role of FME in orthodontics 02:21 - Addressing patient questions: Why choose FME over MARPE? 03:57 - Differences in activation and separation patterns between MARPE and FME 04:25 - Soft tissue and airway changes post-expansion 05:41 - Design elements of FME enabling deeper posterior expansion 06:46 - Use of multi-screw designs for greater rigidity in MARPE 07:40 - Patents and design innovations in MARPE technology 10:10 - Future of protraction appliances and ongoing research 12:21 - Patterns of suture separation and predictability of expansion 13:45 - Combining FME with protraction mini plates 17:17 - CBCT-based analysis of sutural response patterns 20:42 - Managing mandibular support and late-stage expansion risks 23:23 - Special considerations for downward rotated and long face syndrome cases 25:00 - Impact of septal anatomy on nasal breathing outcomes 28:18 - Techniques for septal manipulation during expansion 31:58 - Use of 3D-guided piezo corticotomy for septal preservation 34:45 - Surgical innovations: mandibular widening during orthognathic surgery 54:53 - The future of skeletal expansion in the mandibular arch 1:00:13 - Research directions and insights into sleep apnea treatment potential 1:02:52 - Advances in direct print aligners and digital orthodontics 1:05:16 - Personal interests: Horse riding and leisure in South Florida CONNECT WITH GUEST https://www.youtube.com/@drsvitlanakoval https://www.instagram.com/drsvitlanakoval https://www.facebook.com/svitlana.koval.dmd DISCLAIMER 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.

At 25, Luke has already had a nice double jaw surgery and a nasal surgery, but is still sleeping poorly. In this episode he shares his full journey, including the diagnosis nobody expected, the medication that did nothing, and the experimental next step he's betting on. Luke The Documentary https://www.instagram.com/lukethedocumentary https://www.youtube.com/@LukeTheDocumentary  1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 00:00:00 - Intro 00:00:56 - Who is Luke and why his channel stands out 00:03:12 - The jaw surgery experience and what $20K actually buys you 00:07:05 - The bombshell reveal and why he just had his plates removed 00:11:52 - When the sleep data looks fine but you still feel terrible 00:17:10 - UARS or narcolepsy and why nobody can give him a clear answer 00:22:48 - Why he is afraid to fully commit to a narcolepsy diagnosis 00:25:21 - Every medication he has tried and why almost none of it worked 00:28:00 - Taking 25mg Adderall and falling asleep four hours later 00:32:09 - Why nobody told him to do MARPE before jaw surgery 00:36:20 - Tongue scalloping dismissed by every provider until one finally looked 00:43:29 - The Lefort re-fracture risk and why post-DJS expansion is uncharted territory 00:49:42 - Before and after photos on screen including the CT cross-section that stopped Ron 00:54:11 - What Ken Hooks found when he re-scored the PSG data 00:56:27 - Why most expanders cannot reach the part of the palate that matters for his case 01:04:20 - The nasal surgery breakdown and what actually changed afterward 01:08:00 - Live Oura Ring review and what Xyrem is doing to his sleep architecture 01:12:25 - A lifetime of only dreaming in nightmares and why that is finally changing 01:17:38 - Why he almost became a Buddhist monk and what it taught him about his airway 01:24:19 - Chronic illness, Jordan Peterson, and letting go of the CEO standard 01:26:59 - Why JawHacks is basically the Viagra of airway health 01:30:31 - What separates honest creators from grifters in this space 01:33:22 - The looksmaxxer who Photoshopped his CBCT and told people to eat 500g of sugar 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.

Daniel Grafton is a public health specialist with the UN who taught himself computational fluid dynamics (CFD) after 9 soft tissue surgeries failed to fix his sleep-disordered breathing. In this episode, Daniel runs CFD on Ron's pre and post-MSE CBCTs, revealing pressure maps, velocity data, wall shear stress, and turbulence patterns a standard CBCT cannot show. Daniel Grafton https://www.remetrics.org/ https://www.instagram.com/rem_rebel https://www.youtube.com/@REMRebel  1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 00:00:00 - Intro 00:00:48 - UARS since childhood, 9 surgeries: How desperation led him to CFD 00:05:25 - Why patients who shop for their own treatment often out-know their doctors 00:06:36 - What CFD actually is and what it reveals that CBCT, rhinomanometry, and DICE can't 00:13:01 - CFD origins: aerospace, nuclear reactors, and the Navier-Stokes equation 00:17:33 - How CFD entered sleep medicine and where it stands clinically today 00:20:44 - CFD variables explained: pressure, velocity, turbulence, wall shear stress, and heat flux 00:26:54 - Wall shear stress as a degenerative force: why airway soft tissue relapse after surgery 00:30:53 - Heat flux and Empty Nose Syndrome: the thermal neurons that tell your brain you're breathing 00:35:21 - Case overview: Ron's CBCT anatomy and why head posture corrupts scan data 00:47:21 - Superimposition reveal: Ron's pre vs. post-MSE skeletal changes side by side 00:55:05 - Posterior expansion: does MSE actually widen the back of the nose near the PNS? 00:58:18 - The pterygomaxillary disjunction problem: how some surgical cuts eliminate posterior expansion 01:03:02 - Nasal aperture numbers and why that single metric misleads 01:07:32 - CFD results revealed: Ron's airway pressure maps before and after MSE 01:15:19 - Nasal slice analysis: exactly where in the nose the pressure drops most 01:20:11 - Velocity findings: airspeed dropped from 3.6 to 2.7 m/s post-expansion 01:26:37 - Turbulence analysis: the tongue-off-palate dead space that mimics snoring mechanics 01:32:43 - What Ron's CFD actually prescribes: his single highest-yield remaining intervention 01:35:19 - Poiseuille's Law: airflow improves to the fourth power of tube radius (2mm) 01:41:04 - ENS risk from over-expanding: can too much nasal volume become a new problem? 01:46:01 - Options for Ron's retropalatal constriction: soft palate surgery vs. maxillary advancement 01:48:57 - Why MMA alone may not pull the soft palate forward 01:50:57 - FME + FMA protraction as the theoretically optimal path forward 01:54:04 - Facemask compliance reality and why Ron is waiting for the field to mature 01:58:31 - Physical exhaustion as underrated sleep medicine 02:00:28 - Mental health, nervous system activation, and PTSD's 80% UARS co-occurrence rate 02:06:15 - Ron's sleep wind-down routine: why prayer beats seated meditation for his anatomy 02:10:53 - Counting back from 900 by 7s: the mental arithmetic trick that slows your breathing (from Lisa Kush) 02:14:22 - Diaphragm training with IMST/EMST: is the breathing muscle itself maladapted? 02:17:33 - How to reach Daniel: Remetrics.org, @REMRebel on YouTube, and the JawHacks Joint Q&A 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 sits down live at the Winds of Change conference in Chicago with Dr. George Mandelaris (periodontist & SFOT specialist), Dr. Newaz (orthodontist & leading MARPE/FME provider), and Dr. Jaffari (GP & restorative specialist). They break down how SFOT and MARPE work together to expand both jaws, why restorative is the most overlooked step in jaw treatment, and whether MARPE + SFOT can replace jaw surgery for underbites. Dr. Mandelaris https://www.periodontalmedicine.org https://www.instagram.com/periomedicine Dr. Newaz & Dr. Jaffari https://www.youtube.com/@airwayortho https://www.instagram.com/airway.ortho https://www.instagram.com/drnewazzz https://www.instagram.com/dr.jaffari.dds 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 0:00:00 Intro 0:00:46 Setting the Scene at Winds of Change 0:01:33 What Is SFOT 0:02:36 What Is MARPE and Nasomaxillary Expansion 0:03:46 How SFOT and MARPE Work Together 0:06:05 SFOT for Root Resorption and Implant Site Development 0:08:20 AGGA, MSDO and When SFOT Comes First 0:13:11 Dr. Newaz's MSDO Case (Two-Piece Mandible) 0:15:25 The New Mandibular Distractor Design 0:18:56 All-on-4 and Why Airway Gets Overlooked 0:21:51 Restorative Dentistry: The Overlooked Step 0:22:18 Vertical Dimension, GERD and Airway 0:23:54 Ron's Teeth Were Examined Two Days Ago 0:24:36 Why You Need to Fix Your Teeth Before Jaw Surgery 0:26:21 Provisionals, Post-Surgical Settling and a Case Study 0:29:06 Symptoms of Lost Vertical Dimension 0:30:16 Is the Field Too Lazy for Interdisciplinary Planning 0:31:23 SFOT Cuts Treatment Time in Half 0:33:40 Does Every Patient Need This and How Teams Actually Plan 0:37:23 Expanding Before Implants: The Airway Question Nobody Asks 0:40:34 Airway Arches: A New Concept (You Heard It Here First) 0:41:42 SFOT Stability, Keys to Success and What Can Go Wrong 0:44:46 Ron Did SFOT Awake and His Wife Cried Filming It 0:45:19 Wrong SFOT Technique and Why It Causes Complications 0:48:43 Is Dentistry Being Commoditized 0:50:51 The Numbers: How Much Can SFOT and MARPE Actually Do 0:52:50 No-Diastema, MASPE and the Aesthetics of Slower Expansion 0:57:55 FME vs Custom MARPE 1:00:01 The Mayo Clinic Analogy 1:01:03 Outro 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 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/sthetics0 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 0:00:00 Intro 0:00:54 How Johan Got Into Looksmaxxing at 19 0:04:10 Softmaxxing vs Hardmaxxing Explained 0:08:05 Peptides, Testosterone & Pharmaceutical Looksmaxxing 0:10:27 Recreational Drugs in the Looksmaxxing Community 0:10:58 Johan's Transformation: From Average Kid to Coach 0:13:22 Does Mewing Actually Work? The Honest Answer 0:14:33 Frauded Before & Afters: Angles, Lighting & Jutting 0:16:12 "Mewing Is Cope" - When Tongue Posture Stops Mattering 0:17:47 Every Facial Surgery in Looksmaxxing Explained 0:19:33 Clavicular's Jaw Surgery Plan (LeFort, BSSO, Implants) 0:22:16 The Looksmaxxing Community & Mewing Influencer Problem 0:25:32 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 Recommendations 0:37:52 Facial Harmony Metrics: ESR, Canthal Tilt & Frankfort Plane 0:40:48 Why Camera Focal Length Changes How Your Face Looks 0:46:43 iPhone Lenses Explained for Content Creators 0:51:49 Johan's Full Hardmaxxing Ascension Plan 0:59:11 Iris Depigmentation: Eye Color Change Surgery 1:01:03 Italian Jaw Surgeons: Ramieri, Pagnoni & Raffaini 1:02:49 Ron's Honest Concerns About Italian Jaw Surgery 1:05:21 MARPE vs FME: Which Palatal Expander to Choose 1:08:36 10% Body Fat Physique Review 1:09:23 Diet, Nutrition & Staying Lean 1:11:28 Why Long Hair Is a Looksmaxxing Law 1:14:09 Buddhist Monks, Wigs & the Psychology of Hair 1:18:39 Death, Aging & What Happens When Looks Fade 1:20:57 The Black Pill on Attractiveness, Status & Money 1:23:50 What to Look for in a Partner at 21 1:24:36 The Modern Dating Market & Traditional Values 1:28:14 Why Stay-at-Home Moms Deserve More Respect 1:30:11 Ron: Why Family Is the Key to Happiness 1:30:45 The Camping Analogy - Why Harder Lives Feel Better 1:37:20 Outro & Where to Find Johan 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.

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 Media https://www.youtube.com/@drsvitlanakoval https://www.instagram.com/drsvitlanakoval https://www.facebook.com/svitlana.koval.dmd 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 00:00:00 - 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 thoughts 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.

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. Manuele https://www.youtube.com/@vegasorthodoc https://www.instagram.com/hm_ortho https://www.facebook.com/hamiltonortho/ https://vegasorthodoc.com Pre-order Dr. Manuele's book https://amzn.to/4oQXY4e 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://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. Media Guest's Social Media https://www.youtube.com/@hexumlitee https://www.instagram.com/hexumlite 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 00:00:00 - Intro 00:00:30 - Hexumlite’s Physical Transformation & High IQ Looksmaxxing 00:01:23 - The Asymmetry Issue: Correcting Midline Shifts & Mandibular Shifts 00:02:10 - The $6,000 Mistake: Deep Regret Over Failed Expansion Attempts 00:02:55 - Two Failed MARPEs with Dr. Marianna Evans 00:03:26 - Complications: Molar Flaring & Metal Digging into the Soft Palate 00:05:01 - Severe Breathing Issues & Lightheadedness During Exercise 00:05:46 - Nasal Damage: The Impact of Recreational Drug Use on Breathing 00:06:35 - Accutane Side Effects: Destroying the Mucosal Lining 00:08:23 - Using Retatrutide (GLP-1) for Weight Loss & Hunger Signaling 00:09:41 - The Psychology of Gluttony: Food as a Dopamine Reward 00:12:06 - How Retatrutide Differs from Ozempic (Appetite Suppression) 00:14:10 - MK-677 & Growth Hormone Protocols for Height 00:16:57 - Ron’s Natty Approach: Low Carb, Time-Restricted Eating & Fat Burning 00:20:12 - How Drug Use Rewires the Dopamine Reward System 00:24:18 - The Toxicity of Stimulants: Why Chronic Illness Patients Can’t Abuse Drugs 00:29:54 - Looksmaxxing as a Reflection of Gen Z Stimulant Use 00:34:00 - The Feedback Loop of Physical Rejection vs. Personality 00:43:56 - Social Skills Maxxing: The Parallel Between “The Game” and Looksmaxxing 00:51:15 - Reviewing Hexumlite’s Transformation Photos (Softmaxxing Success) 01:09:20 - The “No Shampoo” Theory: Hair Health & Natural Oils 01:15:40 - Hair Loss Drugs: Dutasteride/Finasteride vs. Fertility Risks 01:30:24 - Dealing with a Lisp and Narrow Maxilla Concerns 01:32:50 - Upcoming Surgery: Septoplasty & Permanent Turbinate Reduction 01:45:00 - Florida Expansion Providers 01:45:22 - Why Ron Advises Against Jaw Surgery for Hexumlite 01:47:08 - The “Jutting” Problem in Mewing Before & Afters 01:53:00 - The Ethics of Medical Referrals and “Selling Out” 02:18:14 - Final Verdict: Why a Surgical Cut Was Necessary 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 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-us 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Chapters 00:00:00 - Intro 00:00:30 - 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 Explained 00:24:03 - Timeline: When to Start Your Insurance Strategy (60-90 Days) 00:27:57 - Network Gap Exceptions and Single Case Agreements 00:34:50 - Does Surgeon Choice Affect Approval? (Out-of-State Benefits) 00:37:49 - Open Enrollment Strategy: How to Pick the Right Plan 00:42:48 - Plan Challenges: Why Medicaid/HMO Plans Are Difficult 00:46:05 - Choosing Between PPO, EPO, and HMO Plans 00:56:11 - How Suede Health Works With Patients and Surgeons 01:16:24 - Medical Necessity Pathways: OSA and Malocclusion 01:26:49 - Getting Coverage for MARPE and Nasal-Maxillary Expanders 01:37:00 - Karim's Jaw Surgery Results: 21mm Advancement 01:41:20 - Life After Surgery: Cortisol, Sleep, Migraines, and ADHD Gone 01:45:50 - 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.