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⚠️ 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. 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. ========================= 🎙️ Ep. 89 In this episode, I sit down with Dr. Newaz and Dr. Jaffari — the providers with the most FME experience in the world. With nearly 100 FME cases under their belts, they share unfiltered insights about what actually works, what doesn't, and the real-world complications they've encountered. We dive deep into the data: success rates, failure-to-split cases, asymmetry management, and how FME compares to custom MARPE. Dr. Newaz opens up about his own 8-9mm FME expansion journey, showing his before-and-after CBCT superimpositions (courtesy of Shuikai) with detailed analysis of maxillary advancement, zygomatic widening, and soft palate changes. We also get hands-on with the brand new FME Protraction device (FMA), explore post-jaw-surgery expansion challenges, discuss the controversial topic of pricing and healthcare access, and tackle the question: when should you expand before jaw surgery versus doing a segmental LeFort? ========================= 💬 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/ ========================= Dr. Newaz & Dr. Jaffari Social Media / @airwayortho / dr.jaffari.dds / drnewazzz All GIFs courtesy of Shuikai / uarsnew ========================= 00:00:00 - Dr. Newaz's 9mm expansion results and facial changes 00:00:31 - Ron introduces FME technology and episode overview 00:04:10 - Defining success and failure across 98 FME cases 00:13:03 - How many failures to split? 00:21:01 - Who benefits aesthetically from midface expansion? 00:26:30 - FME vs custom MARPE clinical comparison 00:31:23 - Septum avoidance and preventing asymmetry with guide rods 00:38:19 - Lab planning process and final doctor approval 00:47:17 - Why turning protocols have slowed down dramatically 00:53:51 - 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 asymmetry 01:17:55 - Dr. Newaz's CBCT analysis and superimposition walkthrough 01:29:22 - True cheekbone enhancement without implants 01:33:03 - How long did 9mm expansion actually take? 01:44:35 - Nasal resistance spectrum and empty nose syndrome risk 01:57:11 - Segmental LeFort vs midface expansion 02:09:39 - Can you do MARPE after jaw surgery? 02:14:22 - Soft tissue aesthetic improvement 02:22:27 - Plan for the mandible and considerations on condyle stability 02:31:37 - Why did Dr. Newaz go this far with expansion? 02:34:48 - Pushing boundaries in the expansion space 02:42:11 - Listening to educated patients as part of the treatment team 02:47:39 - First look at the FMA protraction device 02:52:37 - MRI results show Dr. Newaz's jaw joint is healing 03:00:34 - FMA Device Deep Dive: Components and Mechanics 03:07:58 - Patients building their own DIY protraction devices 03:08:47 - Clinical potential and workflow for the FMA device 03:14:42 - A discussion on the cost of FME appliance 03:22:46 - US healthcare frustrations and goal of making treatment accessible 03:27:02 - Ron shares his personal story of being priced out of jaw surgery 03:32:45 - The major risks and challenges of expanding after jaw surgery 03:40:25 - Where to find Dr. Newaz and Dr. Jaffari online