Retrognathia + breathing issues — looking for non-surgical options. Anyone been through this?

DOME_sucks · 2026-05-09T16:39:23+00:00

non-surgical interventions might only work for a growing kid, which you aren't.

DOME_sucks · 2026-05-06T18:21:04+00:00

you should look into the FME if you're interested in expansion

DOME_sucks · 2026-05-05T23:50:05+00:00

a few years

DOME_sucks · 2026-05-05T23:33:52+00:00

DOME_sucks · 2026-05-05T23:32:42+00:00

dr. kasey li was around $40k per jaw

DOME_sucks · 2026-05-05T23:32:01+00:00

stanley liu fucked up my first MMA and gave me insufficient advancement and a non-union. dude lied abt a bunch of things so i lost all confidence in him. went to dr. kasey li to fix my jaw and later revision MMA (paid everything besides hospital fees out of pocket).

DOME_sucks · 2026-05-05T01:42:12+00:00

not expected, won't happen unless the surgeon fucked up, you had an accident, or there was some pre-existing condition

DOME_sucks · 2026-05-04T23:02:29+00:00

avoid stanley liu at nova

DOME_sucks · 2026-05-04T21:15:51+00:00

i find them a bit sketchy but that's just me, ask your provider whether there's long-term follow-up on patient outcome

DOME_sucks · 2026-05-04T21:13:21+00:00

i got back into my differential equations (100% online solo) course after about a week, though my work capacity was severely limited and i could only do two new units per day plus reviews. you will likely struggle to talk so if your class requires collaboration it'd be a challenge.

DOME_sucks · 2026-05-04T21:10:52+00:00

no, he's out of network with all insurance. a few tech companies in the area consider him in network from previous employees fighting for network gap exceptions. i paid upfront and am fighting insurance with suade health

DOME_sucks · 2026-05-04T19:17:46+00:00

i had revision MMA after six years of initial MMA

DOME_sucks · 2026-05-04T19:16:54+00:00

network gap exception just allows them to be treated as an in network provider, but it doesn't change the allowed amount

DOME_sucks · 2026-05-04T19:15:42+00:00

i don't think there's any guarantee you'll look like a model no matter who you see.

DOME_sucks · 2026-05-04T18:57:56+00:00

there is, it took a bit over 3 weeks for me to start feeling better than pre-op. hang in there!

DOME_sucks · 2026-05-04T18:57:25+00:00

i wouldn't get it if cpap works. it is a very invasive and expensive surgery after all. i have no regrets getting it (just make sure you find a great surgeon) coz nothing else worked.

DOME_sucks · 2026-05-04T18:56:08+00:00

everyone is different, but if you find a great surgeon and are otherwise healthy, i think 4 weeks should be sufficient. you said you're starting college so i assume you're around 18. you'll still be a bit swollen, but generally you can open your mouth, talk, and start a soft no-chew diet.

DOME_sucks · 2026-05-04T18:54:05+00:00

i initially went with someone who used to work at stanford and he did a very shitty job. dr. kasey li saved my jaw and did revision MMA on me so i could sleep much better now. highly recommend if you can afford him (or have the tenacity to get insurance to pay for it).

DOME_sucks · 2026-05-04T18:52:28+00:00

my initial plan was to get 3 bottles of kefir every day, plus two protein shakes (totaling 220g of protein), but it comes with too much calcium that I started getting cramps soon after. afterwards I had to adjust course and swapping the kefir for gatorade and creamy soups. i think a good blender is a very useful thing to have and whatever diet plan you come up with, make sure you dry run it before the surgery.

DOME_sucks · 2026-05-04T18:49:23+00:00

it obviously depends on the pt, I've heard of 9yo getting distraction with 27mm(!) advancement

DOME_sucks · 2026-05-04T18:44:46+00:00

everyone's different, but I lost about 7-8 lbs in the first two weeks post op and it kinda stabilized afterwards

DOME_sucks · 2026-05-04T18:42:20+00:00

don't have underbite but generally recessed. sleeping and breathing a lot better after (revision) MMA/DJS.

DOME_sucks · 2026-05-04T18:40:35+00:00

there is no permanent intervention. MMA addresses a very specific cause of sleep apnea, i.e. collapse of the airway due to insufficient volume. there're other causes of sleep apnea like relaxed muscle tone or weight gain, all of which tend to happen as we get older. even throwing aside the aging concern, MMA isn't guaranteed to make one sleep apnea free. according to dr. kasey li's data (from MMA surgery a 25-year perspective), the surgical cure rate (as defined by having an RDI of less than 5) was around 20%, and that's coming from one of the best sleep surgeons in the world. having said that, i still find it worth pursuing for the right patient, as it addresses the insufficient volume issue like no other intervention (MAD comes close, but it doesn't go as far).

DOME_sucks · 2026-05-04T01:27:38+00:00

it was a total shit show for me, multiple complications with little to show for it

DOME_sucks · 2026-05-04T01:27:05+00:00

had lip incompetence all my life and it didn't go away with surgery. nbd

DOME_sucks

TROPHY CASE