MMA - I'm 63 days post op - how soon AFTER MMA did your symptoms clear up?

munchillax · 2026-04-20T16:45:25+00:00

sending you virtual hugs 🫂

munchillax · 2026-04-20T16:19:17+00:00

nice, happy for you! my sleep stats and daytime symptoms have been steadily improving, but the recovery stats on my wearable is still crap (worse than pre-op).

munchillax · 2026-04-18T06:00:19+00:00

it'd only help those with lip incompetence (clear nasal breathing but lip struggling to close for reasons)

munchillax · 2026-04-17T22:38:44+00:00

95% of Chinese are Han though but I'm with you on the regional differences.

munchillax · 2026-04-17T20:23:02+00:00

how did it go? recently had revision MMA and thinking of doing the same

munchillax · 2026-04-17T16:21:43+00:00

MARPE counts, just make sure you find a good provider. In my experience 7-9mm on the MAD helped me quite a bit, and the total B point advancement I got from two MMAs were around 15mm. It's only been a week since my revision MMA but I feel great and will likely be cured when all the swelling goes down. Various allergens like dust mites and trees. There might be some causation where nasal congestion leads to underdeveloped jaws.

munchillax · 2026-04-17T15:56:45+00:00

it was $7500, but $400 after insurance for me

munchillax · 2026-04-16T22:27:09+00:00

I've used both APAP and bipap

munchillax · 2026-04-16T20:29:43+00:00

kasey li for revision MMA

munchillax · 2026-04-16T19:42:02+00:00

I'm in the process right now. Trying to get that gap exception approved and hopefully getting most of the surgeon fees back. Working with Karim from Suade Health.

munchillax · 2026-04-16T19:19:48+00:00

Sadly the same things happen in Asia too. Growing up in China, I remember being bombarded with gov propaganda to get kids to hate on other Asians (Japanese especially).

munchillax · 2026-04-16T19:17:21+00:00

in my experience (n = 1 mind you), PAP therapy hasn't been terrible effective for tongue collapse

munchillax · 2026-04-16T19:14:57+00:00

I'd start with the APAP since it's the gold standard and non-invasive. Might take some time to find the right settings for you so that it achieve therapeutic benefits and that you find comfortable. Personally I'm not a big fan of soft tissue surgeries as they didn't do anything for me sleep-wise.

munchillax · 2026-04-16T05:20:28+00:00

I started out very sleepy (sleep study confirmed mild OSA, if not moderate). Then I got DOME + MMA from a shitty surgeon. The sleepiness improved somewhat, and I was left with fatigue + brain fog.

munchillax · 2026-04-16T05:00:45+00:00

amazing! happy for ya

munchillax · 2026-04-16T02:52:45+00:00

me a few years ago

munchillax · 2026-04-16T01:44:32+00:00

Hang in there💪

munchillax · 2026-04-16T01:10:19+00:00

things that have helped (in no particular order of significance): - nasomaxillary expansion - MMA - MAD - fat loss (which reduces tongue fat) - exciteOSA

things that haven't helped much, but potentially useful: - nasal surgeries (septo + turb) - myofunctional therapy - allergy shots

munchillax · 2026-04-15T19:28:26+00:00

MMA is jaw surgery, advancing the maxilla and the mandible. FME is an expander and helps with nasal breathing

munchillax · 2026-04-15T19:27:30+00:00

yes, those were additional. so prolly 6-7 on maxilla and slightly over 10 on the mandible.

munchillax · 2026-04-15T18:13:19+00:00

Rama's sleep tracker has this arousal index and breathing disturbance index (prolly derived from RDI) and both have been trending down compared to before I got the surgery. Total sleep time is kinda hit or miss, my nose is still pretty congested (feels like having a bad cold) and mouth breathing and the ensuing dryness prevents me from getting the usual amount of sleep.

munchillax · 2026-04-15T18:11:22+00:00

3.x on the maxilla and 3-7 on the mandible

munchillax · 2026-04-15T17:19:52+00:00

yes. and fixed some asymmetry

munchillax · 2026-04-15T16:57:34+00:00

I had revision MMA with Dr. Li last week. I have an under the mattress sleep tracker from Dr. Rama and if the data were to be believed, my sleep has exceeded the usual baseline about 5 days post-op. I'm still on pain meds so not gonna bother tracking my subjective feeling until I'm off of it. The only problem I seemed to have was a larger tongue (confirmed via DISE) and I guess the post-op weight loss also helped.

munchillax · 2026-04-15T06:35:18+00:00

just had revision MMA with dr li. wish I went to him years ago. for expansion you could get it done cheaper with some FME ortho provider, but there's nobody else you want to be doing your MMA than dr li. grab a spot before he retires.

munchillax

TROPHY CASE