Glad to hear you are doing better and thank you for the update. I hope you realize how important your videos are to people and I appreciate you taking the time to make them.
Dude you look so much healthier, like your eyes are brighter/your skin is glowing now compared to before. Just really shows how what MMA and getting proper oxygen can do to the body
You should make more videos to help people that are going through similar journey. For instance, where can someone start, which state has the best surgeons or facilities that treat this issue. People I know went to India to get double jaw surgery done because they couldn't find information about facilities or doctors in the US when they googled. You could literally be a life saver if you post more videos regarding this.
hey Evan, glad your surgery was successful and you are living a better life. Seeing your vid pop up from my feed brings me memories. I started watching you in 2021 about the MARPE/MSE when I started similar treatment. I went through the DJS in mid 2022 and now I can say it's one of the best decision I've made in my life. Cheers!
@@danielboone8256 Depends if you have a under developed upper jaw and the type of DJS you are doing. In my case I have overbite so they need to do Lefort and BSSO to make my under developed upper jaw cover my lower jaw. I underwent MSE to expand it.
@@samhellyeah Let me make sure I'm understanding you correctly. You used MSE to expand your upper jaw and then they expanded it again with DJS? Right, because isn't MSE only for the upper jaw? If that's the case, couldn't you have skipped MSE since DJS allows complete expansion of both jaws in all directions?
@@danielboone8256 I need 3 things to fix my underbite: 1. move my upper jaw forward. 2. move my lower jaw backward. 3. expand my upper jaw. My DJW included 2 procedures: Lefort and BSSO, which achieved #2 and #3 respectively. My DJW did not include a procedure that expands the upper jaw (SARPE), because the Dr think that's way to much movement done in a single operation. Instead, I had MSE prior to the surgery to expand my jaw. My surgeon said if my MSE failed, I would need a separate operation just to expand the upper jaw.
Here by "expand" I mean "widen". Basically if you have underbite AND under developed upper jaw, you may need MSE or other means to widen it. Otherwise you may just have DJW without the expansion.
thanks for the update ! been watching from the beginning because we have similar facial features as in your before and have all the same symptoms. i'm in braces right now for surgery but still waffling on picking a surgeon and plan
@@evanlavizadeh4032 Thanks, but I have a question if you don't mind clearing it up for me. I've heard some people say that DJS messed up their face while others said it made them look better. Do you think it was aesthetically beneficial or harmful for you?
Hi Evan I just wanted to say thank you so much for your content. You were one of the few who gave info about MARPE while I was seeking it out, since then I have had a successful split. Now I’m consulting with jaw surgeons and your info on the matter has helped too. If you do go over more of your surgery plans I (and hopefully others) would find that useful!
Thank you for sharing your journey. Your videos helped me recognize my issues (never having been to an orthodontist) and at 50 years old started my journey with an ENT and ortho. Had extensive nasal surgery and am now in orthodontics with SARPE scheduled for late August. Likely MMA next year. Your video showing the symptoms of narrow palate and airway issues was what inspired me to start this journey. I didn’t understand why I couldn’t breath through my nose and why the edges of my tongue are scalloped. No dentist EVER suggested I had a narrow palate or asked how my air way was. I’m very thankful you chose to share your experience and for your updates.
I didn’t do mse and went straight to mma surgery. My ahi went down from 33 to 13. Not a satisfactory result but cant say i dont feel better than before.
Awesome to hear it's finally all working. I currently have a marpe, expanded a couple mm so far and already feel my nose getting easier. Have gotten skinny intentionally, too. I've slept through the night a couple times already, and I only remember that happening a few times before in my life. I might be too old for MMA, so I hope this is enough for me. Each night I've slept with a pulse-ox, and recently there are longer periods where my pulse stays +- 1 BPM for a really long time, so I must be finally getting more deep sleep. Now that you've escaped hell, it's going to be a bright future.
This is so awesome, thank you for the update! You may have mentioned this in another video, but what were your in-lab AHI and RDI before your MMA surgery? The fact that you got them both down to 0.1 is absolutely incredible! 👏🏼 👏🏼 👏🏼
That's great. I'm about to start on my journey of MSE followed by MMA. How many mms did your jaws get moved forward, and did you get any rotation or any impaction?
You seem happy and not happy at the same time. Would you do it again if you could go back? Are there any lasting side effects? I remember you talked about a popping sound in your jaw.
Must have just been nap time. I am elated. Couldn't be happier with my result. I would do it again, yes. I have some slight jaw pressure in my joints but nothing major.
As someone who suffers from a narrow upper jaw, apnea, and poor breathing, would you recommend opting for MMA+SARPE+MSE all at once? I am concerned about not getting the lateral movement because of the Le Fort I cut with the MSE, but at the same time, I will be able to correct my teeth much sooner and have a normal bite and will be able to do mewing. Alternatively, should I go for DOME or surgical-assisted MSE followed by MMA, which will take much longer but might offer benefits from the expansion without interference from the Le Fort I cut. It seems to me that your breathing got much better after MMA rather than MSE
Did they install hardware during the surgery that will forever be in your face and if so does it have to remain permanently? I'm glad everything worked out for you!
It is in my face permanently. Patients do have the option to remove it if they want but it doesn't bother me. I'd rather not have another surgery to remove it.
It is in my face permanently. Patients do have the option to remove it if they want but it doesn't bother me. I'd rather not have another surgery to remove it.
Sorry that people are commenting on baldness... I have a large birthmark on my face... I get told I should have surgery... So I know how it is. I hope it doesn't discourage you from making more videos.
@@brendalg4 that's very sweet of you to say 🩷 thank you, really. I'm accepting it :) and I'm sorry to hear that people say that to you, that's not right.
@@evanlavizadeh4032 I shouldn't have said surgery. They do it with a laser. One interesting story happened at my eye doctor appointment. One of his workers had a family member that had a baby with a birthmark. He asked me if I would talk to her. It would be nice if the world would accept people as they are. I had a treatment as a child that didn't work. (Not laser... Probably wasn't invented.) The reason I wanted treatment was I thought maybe it would help me make friends. It is wrong for society to make someone feel they need to change their personal appearance. Your video came up because I typed a question into an AI about UARS... I recognized you and wondered if there was an update.
My question is: Has your numbness and pain entirely gone away and is there still clicking at the back of your jaw? Also, you look great. It’s a night and day difference between what you looked like in the past and what you look like now. Really wish I had your side profile but I’ve been a mouth breather my whole life. I’m thinking of getting the surgery done now at 22. I chose braces when I was young instead of jaw advancement surgery since I was scared of surgeries. I regret it. Ended up with 6 missing teeth at the end of my treatment and I still hate the way my side profile looks, always have.
I was told when I was a child, the doctor wanted to break my jaw. Instead, a cap was put on my tooth for a certain amount of time. How would I find out if I needed jaw advancement surgery?
Just curious, did you try a mouthpiece that holds your jaw forward while you sleep before having the surgery done? If so, how did that go? And what was your ahi before having the surgery?
Currently undergoing the same journey as you. RIght now doing invisalign after MSE waiting for jaw surgery. I would like to ask you, how long did it take to stabilize your bite after MSE before it was ready for MMA. i litterally just have to endure shit sleep before my MMA and i dont want to wait to long...
It looks like he had something done with his chin, which looks more longer now comparing with his 2 years ago video. Someone explain pls. I am planning to get MSE but don't want my face longer.
Hi!!! I just had my first ever sleep study done and am new to this whole space. I was diagnosed with mild apnea with an arousal index of 30. The recommendation was to get a CPAP machine. I am not a mouth breather but was wondering if this is the best option? As I would have to use the CPAP forever and am worried about it causing further irritation. It seems that surgery could be a permanent solution. Just looking for honest thoughts here!
It might end up being your best solution, but you have to try CPAP (and/or BiPAP and/or APAP) first. And you should probably try a mandibular advancement device (AKA “oral appliance”) first, too….after the CPAP, that is, assuming CPAP doesn’t do the trick for you. Don’t get discouraged. Take it one step at a time. Know that you might be having more than just mild sleep apnea if your arousal index is 30; not all tests can detect all breathing problems. If you want to learn a lot, check out Evan’s older videos, and listen to the podcast Sleep Apnea Stories (hosted by Emma Cooksey). You have to take the information in Sleep Apnea Stories with a grain of salt (I heard that Vivos appliances don’t work very well, for example), but there is a lot of good stuff to learn in there. I’ve binged the first 55 episodes so far.
Nope. I even went to physical therapy to help with posture. Nothing changed. I think the sleep apnea impacted the way I developed as a child and now it's permanent.
@@evanlavizadeh4032 Evan, I suggest seeing Dr. Joe Cicinelli at All Systems Health Physical Therapy if you're trying to improve your posture post-jaw surgery. He has successfully worked with many jaw surgery patients pre- and post-op. Worth traveling for this kind of outcome. :) Also, congrats on such a positive, life-changing surgical result at the end of a long and difficult journey. I'm truly happy for you.
@@evanlavizadeh4032Posture requires a LOT of work, both a lot of strengthening and stretching muscles, and neuromuscular habit reeducation. You see this a lot with posture issues. It's never easy.
How can we get started on getting with Lancoms? I have read time and time again that you need a referral from your ortho or dentist to even get a consult with them, did you do that? Who did you go to first?
I had MMA only, but it didn’t cure my UARS. Looking at getting expansion within the next year. Do you recommend MARPE with surgical cuts or EASE? I’d prefer to get MARPE since EASE is so expensive.
MARPE or MSE didn't help me too, because my posterior nasal congestion blocks my breathing. I am reverse turning my MSE back and hope I can find a surgeon that can do EASE that I can afford.
i mean if you have the money, EASE for sure. hard to go wrong with Dr. Li. there's also FME, which is a newly released bone borne expander that has been making a lot of waves, but it's still a bit too early to say conclusively what its capabilities are
Hello, I have a question about the MSE you had. Did you have the device in while you were wearing Invisalign to correct the gap? Or was the device taken out by that time already?
@@timwook3437 sort of both. I didn't have Invisalign while I was actively expanding. However, even after you are done expanding, you still need to keep the MSE installed until the bone heals. I got Invisalign after I was done expanding but I didn't get the MSE removed until months later.
@@evanlavizadeh4032 Thank you! Also, another question if you don’t mind, did you need to do any mandible expansion after the MSE? I’ve heard in your other video that you had almost 7mm difference between your maxilla and mandible.
Hey Evan, going undergoing a very similar journey as you. By any chance do you have an email address I could send you over a few questions? I'm a 22m from San Diego, just graduated college now looking to solve my sleep apnea
MMA surgery will be ineffective, and you will continue to have sleep apnea if you continue to mouth breathe instead of nasal breathing when you go to sleep. The benefits of MMA will reverse itself, and mouth breathing will cause your airways to become narrower again even after MMA. If you continue to mouth breathe during sleep after MMA, your AHI will not get down to normal numbers. Mouth tape when you go to sleep, and you will see the AHI numbers get down to normal readings. AHI analysis is good, but alone, it's not the gold standard. Sleep studies at a sleep clinic instead of home studies are better because it breaks down what sleep cycle stages of sleep you achieved and how long you were in these stages. If the highest stage of sleep was 2 and you never got into stage 3 rand 4, then a low AHI means nothing. I speak from personal experience.
@evanlavizadeh4032 Oy vey! You got to be kid'n! You tell people to do the research, but evidently, you haven't and can't seem to back it up with any facts, so I will. A good percentage of sufferers, including myself, developed severe sleep apnea, starting as a toddler as a result of being a mouth breather while awake and during sleep. Biomedical J 2023 Jun 46 (3): 100536 2022 May 10. I dont know the origins of your sleep apnea, genetic or otherwise, but I'm glad MMA helped you. I can cite peer reviewed studies that show mouth breathing in adults causes sleep apnea. In toddlers mouth breathing is even worse because, as they age, it causes underdevelopement of the jaw and reduction of airspace in the oral cavity. In my case, my airspace width in the pharnyx was the size of a baby, 6 mm. The average adult is 12 to 14 mm. It also causes facial abnormalities such as long, narrow face, lack of cheek bones, crooked nose, and crooked teeth. Allergic looking eyes. This happens before your bones harden and grow to a adult. Obviously, sleep apnea increases AHI ( average number of apnea and hypopneas per hour), but it also disrupts sleep cycles mainly in stages 1, 2, and Rem resulting you from getting to stage 3 and 4. That's where deep sleep occurs, which is critical for your brain and body to recover and grow: Front Public Health 2022 10:929165. 2022 Sep. 8. I had UPPP surgery in 2008 and MMA surgery in 2010. After MMA surgery, my sleep apnea was far from being under control. It went from a 77 AHI to 26. After both surgeries, I never got higher than stage 2 sleep. I went back on cpap but that didn't improve my numbers. I started to tape my mouth up before sleeping and the improvement in the quality of my sleep was miraculous. Went for another sleep study this time with no cpap and only taping my mouth and my AHI score was under 5. My sleep doctor couldn't believe it but all the research made sense of it. My UPPP and MMA surgery was done by Dr. Nelson Powell and Dr. Robert Riley of Stanford University. Those 2 surgeons along with Dr. Kasey Li who use to work in the same office are world reknown and have written many peer reviewed research on MMA surgery. They had a 95% success record in this field. Dr. Kasey Li has said recently that after MMA surgery if you continue to mouth breathe during sleep and don't switch to nasal breathing then the MMA expansion will be reversed and the improvement from MMA will be diminished.
@@jefreywith1f924 much respect for the explanation! And citations! I appreciate that. Yeah I think I was responding to how dramatic your statement was but hey, I'm sold. Thanks.
This is likely my case as well. Low AHI but 0% REM and Deep sleep. Almost all of my in lab sleep study was light sleep. I guess that explains the severe lack of sleep I suffer from. But the low AHI complicates things. I know I am suffering from sleep apnea or UARS, and I consulted Dr. Kasey Li who agreed with me after looking at my scan and asking my symptom's, but without a positive sleep study it can be hard to convince doctors. I can't breathe through my nose during sleep almost at all. I am a candidate for expansion. Do you have any tips for me? Do you think I should try to get a diagnosis or just get the treatment that is indicated for me (expansion)?
@UsamaKhan-xs9do You say you mouth breathe during sleep. Do you also do it while awake thruout the day? And also do you mouth breathe out of habit or due to nasal blockage from a medical ailment? This may sound counterintuitive, but it is true that mouth breathing alone can cause nasal blockage. When you breathe thru your mouth, the brain thinks you're releasing carbon dioxide too fast from your nose, which triggers the production of mucus to slow breathing. The mucus blocks the nasal passageway and creates a bad cycle to breathe even more thru your mouth. Before I recommend mouth taping, you need to see an ENT to make sure nothing is preventing you from breathing thru your nose. Also, it's a good idea to get 3d imaging done of your pharnyx( throat)to see if it's of normal size. Also, it needs to be established whether your tongue is falling back during sleep and blocking your throat from getting air. Their are surgical procedures to prevent this from happening. Please address your nasal blockage issues first if any exist before you try mouth taping. A lot of so-called health experts say mouth taping is risky and dangerous, but I beg to differ, plus its a big financial loss for them. It gave me back my life when CPAP and surgery were ineffective. Just look at all the testimonies of sleep sufferers who buy specialized tape they purchase online for this very purpose. This tape was even pitched on the TV show Shark Tank, and it convinced Mark Cuban to be an invester in the product. The presenter produced studies to prove its effectiveness. For me, paper tape you buy in the store works just as well. All you need is one strip of tape over your lips diagonally or vertically, and even so it doesn't sound like much, that's all it takes. Just one single strip like a bandage will do the trick and will not come undone during the night.This is a practice conceived by Dr. Buteyko, who developed the Buteyko Breathing Method. He has healthcare professionals all over the world who teach people effective breathing methods. It's even used by some myrofunctional therapists.
Real opinion you look significantly better after jaw surgery and mse, so good work there As nice as I can say this if you figured out your hair situation your pretty much set dude
Thank you. From what I understand, there are no simultaneously safe and effective treatments for male pattern baldness. I'm going bald and that's ok with me. I did the surgery for my health. And quite honestly, I'm sure I'll look fine bald :)
@@evanlavizadeh4032 no you definitely would look fine bald, but you could do a hair transplant or 1.5mm stainless steel derma rolling 3x weekly with minoxidil too for hair growth and generally speaking for the population there’s really no side effects
@@modernbarbarian tf is wrong with you dude. Guy struggles for years with a life destroying sleep disorder and you zero in on his appearance? He got his health back, that's all that matters.
@@evanlavizadeh4032 may be! who knows. But jaw now looks perfect. Hair procedure is much more easy to do. I actually started with hair. Now i need to fix the jaw and a bit affraid of it. And it will be waaay more expancive. In turkey it's pretty cheap to transplant the hair (but don't use any clinic!)
@@evanlavizadeh4032 and that's funny! i'm having that nose issue. It's a bit difficult to breath. And doctors they said - "are you a boxer? your nose has deformation! Let's drill it or birn it!" But in fact it was a jaw! and nobody told me that! I'm almost 40 years old!
I can't say, because it's a case by case basis. Also, it depends on how your surgeon performs your MMA. Rotation, downgrafting, impaction, nasal floor recontouring. All these MMA options change your nasal breathing for better or worse. If you have a narrow palate and nasal cavity, then MMA alone will provide a suboptimal result. Personally, I feel very lucky that I was able to do both. That's as much as I can say, unfortunately.
@@evanlavizadeh4032 thx for the reply. Could you describe the diffrence in nasal benefits between mse and jaw surgery? In your previous video you mentioned that they both helped, but could you go into more detail on the diffrence between the 2?
@@kichki777 palatal expansion makes the nasal cavity wider and MMA makes the nasal cavity either more deep or more shallow. So they both change the size of the nasal cavity but along different axes.
@@kichki777 UJS surgery is part of MMA, so it all applies. Impaction shallows the nasal cavity which reduces nasal breathing benefits. And sure, that makes sense to me, but I did widening AND deepening. I don't think only one would have been satisfactory. If you have a narrow palate, you're leaving part of the equation out. And for some patients of MMA, you wont have a deepening of the nasal cavity, but a shallowing, which would make nasal breathing worse. You have to look at your virtual surgical plan. Then, you can estimate how much more or less volume your nasal cavity will have. It's a case by case basis.
This is how is should work. You go to the doctor, get better and move on with life. Thank you for sharing the knowledge and the story!
Agreed! Wish we had a better system.
Glad to hear you are doing better and thank you for the update. I hope you realize how important your videos are to people and I appreciate you taking the time to make them.
Thank you for saying that!
Dude you look so much healthier, like your eyes are brighter/your skin is glowing now compared to before. Just really shows how what MMA and getting proper oxygen can do to the body
It's game changing.
You should make more videos to help people that are going through similar journey. For instance, where can someone start, which state has the best surgeons or facilities that treat this issue. People I know went to India to get double jaw surgery done because they couldn't find information about facilities or doctors in the US when they googled. You could literally be a life saver if you post more videos regarding this.
Good motivation, I'll keep it in mind
hey Evan, glad your surgery was successful and you are living a better life. Seeing your vid pop up from my feed brings me memories. I started watching you in 2021 about the MARPE/MSE when I started similar treatment. I went through the DJS in mid 2022 and now I can say it's one of the best decision I've made in my life. Cheers!
Is MARPE/MSE necessary or advisable before DJS or should I just go straight to DJS?
@@danielboone8256 Depends if you have a under developed upper jaw and the type of DJS you are doing. In my case I have overbite so they need to do Lefort and BSSO to make my under developed upper jaw cover my lower jaw. I underwent MSE to expand it.
@@samhellyeah Let me make sure I'm understanding you correctly. You used MSE to expand your upper jaw and then they expanded it again with DJS? Right, because isn't MSE only for the upper jaw? If that's the case, couldn't you have skipped MSE since DJS allows complete expansion of both jaws in all directions?
@@danielboone8256 I need 3 things to fix my underbite:
1. move my upper jaw forward.
2. move my lower jaw backward.
3. expand my upper jaw.
My DJW included 2 procedures: Lefort and BSSO, which achieved #2 and #3 respectively.
My DJW did not include a procedure that expands the upper jaw (SARPE), because the Dr think that's way to much movement done in a single operation.
Instead, I had MSE prior to the surgery to expand my jaw.
My surgeon said if my MSE failed, I would need a separate operation just to expand the upper jaw.
Here by "expand" I mean "widen".
Basically if you have underbite AND under developed upper jaw, you may need MSE or other means to widen it. Otherwise you may just have DJW without the expansion.
Awesome, congratulations! Proof that MSE + MMA can be a powerful combination. And you look good. Enjoy life :)
It really is, thank you!
thanks for the update ! been watching from the beginning because we have similar facial features as in your before and have all the same symptoms. i'm in braces right now for surgery but still waffling on picking a surgeon and plan
it's a tough choice to make. Good luck!
Fantastic! I'm trying to save up money for jaw surgery myself. Sleep apnea sucks!
Good luck! I hope health insurance can help you.
@@evanlavizadeh4032 Thanks, but I have a question if you don't mind clearing it up for me. I've heard some people say that DJS messed up their face while others said it made them look better. Do you think it was aesthetically beneficial or harmful for you?
Found your channel a few days ago and wished you had made another update, nice to see everything's going well.
Hi Evan I just wanted to say thank you so much for your content. You were one of the few who gave info about MARPE while I was seeking it out, since then I have had a successful split. Now I’m consulting with jaw surgeons and your info on the matter has helped too. If you do go over more of your surgery plans I (and hopefully others) would find that useful!
Thanks for the update, glad to hear you're doing well!
Haha you ended up looking like keanu Reeves which is cool
Thank you for sharing your journey. Your videos helped me recognize my issues (never having been to an orthodontist) and at 50 years old started my journey with an ENT and ortho. Had extensive nasal surgery and am now in orthodontics with SARPE scheduled for late August. Likely MMA next year. Your video showing the symptoms of narrow palate and airway issues was what inspired me to start this journey. I didn’t understand why I couldn’t breath through my nose and why the edges of my tongue are scalloped. No dentist EVER suggested I had a narrow palate or asked how my air way was. I’m very thankful you chose to share your experience and for your updates.
Good luck to you! Yeah dentistry is changing for the better.
I didn’t do mse and went straight to mma surgery. My ahi went down from 33 to 13.
Not a satisfactory result but cant say i dont feel better than before.
What were your movements?
@@yourbrain8700 9mm
If it makes sense for you, you can always do palatal expansion after MMA. It's not ideal but it's perfectly fine.
Awesome to hear it's finally all working. I currently have a marpe, expanded a couple mm so far and already feel my nose getting easier. Have gotten skinny intentionally, too. I've slept through the night a couple times already, and I only remember that happening a few times before in my life. I might be too old for MMA, so I hope this is enough for me. Each night I've slept with a pulse-ox, and recently there are longer periods where my pulse stays +- 1 BPM for a really long time, so I must be finally getting more deep sleep. Now that you've escaped hell, it's going to be a bright future.
I've been wondering how you're doing. Good to see you're happy brother
Good job Evan. From Rafa, OG discord member
Rafa!! Been a long time! Hope you're doing well
Congratualtions & thank you for sharing your journey
@@seanthornton3741 thank you!
Thanks for the update. Glad you are cured! That's awesome.
Thanks for the video Evan!!
Roshan!! Thank you my man!
This is so awesome, thank you for the update! You may have mentioned this in another video, but what were your in-lab AHI and RDI before your MMA surgery? The fact that you got them both down to 0.1 is absolutely incredible! 👏🏼 👏🏼 👏🏼
AHI 7, RDI 20.
amazing! my RDI is 9 and im going through with surgery, trying to get insurance to cover some. My surgeon is Dr. Alfi.
Good luck!
Hoping to get the same results, have mine in 2 months
Good luck!
So happy you're enjoying life
Hi
@@evanlavizadeh4032 Hiii
That's great. I'm about to start on my journey of MSE followed by MMA. How many mms did your jaws get moved forward, and did you get any rotation or any impaction?
You seem happy and not happy at the same time. Would you do it again if you could go back? Are there any lasting side effects? I remember you talked about a popping sound in your jaw.
Must have just been nap time. I am elated. Couldn't be happier with my result. I would do it again, yes. I have some slight jaw pressure in my joints but nothing major.
Happy for you man
appreciate the update :)
Looks great, do you wake up refreshed?
As someone who suffers from a narrow upper jaw, apnea, and poor breathing, would you recommend opting for MMA+SARPE+MSE all at once? I am concerned about not getting the lateral movement because of the Le Fort I cut with the MSE, but at the same time, I will be able to correct my teeth much sooner and have a normal bite and will be able to do mewing. Alternatively, should I go for DOME or surgical-assisted MSE followed by MMA, which will take much longer but might offer benefits from the expansion without interference from the Le Fort I cut. It seems to me that your breathing got much better after MMA rather than MSE
Did they install hardware during the surgery that will forever be in your face and if so does it have to remain permanently? I'm glad everything worked out for you!
It is in my face permanently. Patients do have the option to remove it if they want but it doesn't bother me. I'd rather not have another surgery to remove it.
It is in my face permanently. Patients do have the option to remove it if they want but it doesn't bother me. I'd rather not have another surgery to remove it.
We're so back it's not even funny.
Andrew the wise! Thank you!!
So weird I was just watching your vids recently
No way wtf I just found ur channel the other day
Sorry that people are commenting on baldness... I have a large birthmark on my face... I get told I should have surgery... So I know how it is. I hope it doesn't discourage you from making more videos.
@@brendalg4 that's very sweet of you to say 🩷 thank you, really. I'm accepting it :) and I'm sorry to hear that people say that to you, that's not right.
@@evanlavizadeh4032 I shouldn't have said surgery. They do it with a laser.
One interesting story happened at my eye doctor appointment. One of his workers had a family member that had a baby with a birthmark. He asked me if I would talk to her.
It would be nice if the world would accept people as they are. I had a treatment as a child that didn't work. (Not laser... Probably wasn't invented.) The reason I wanted treatment was I thought maybe it would help me make friends. It is wrong for society to make someone feel they need to change their personal appearance.
Your video came up because I typed a question into an AI about UARS... I recognized you and wondered if there was an update.
My question is: Has your numbness and pain entirely gone away and is there still clicking at the back of your jaw?
Also, you look great. It’s a night and day difference between what you looked like in the past and what you look like now. Really wish I had your side profile but I’ve been a mouth breather my whole life. I’m thinking of getting the surgery done now at 22.
I chose braces when I was young instead of jaw advancement surgery since I was scared of surgeries. I regret it. Ended up with 6 missing teeth at the end of my treatment and I still hate the way my side profile looks, always have.
I was told when I was a child, the doctor wanted to break my jaw. Instead, a cap
was put on my tooth for a certain amount of time. How would I find out if I needed jaw advancement surgery?
Just curious, did you try a mouthpiece that holds your jaw forward while you sleep before having the surgery done? If so, how did that go? And what was your ahi before having the surgery?
Glad to hear your doing better. Did you get your plates removed or planning to? Just wondering
@@Sunrise-fr9jb not planning to. They'll most likely stay there for life.
Heyyyyy welcome back
Thanks!
You look great my friend. Did you/do you have any sensory issues after the surgery? That's my biggets worry, losing sensation or motor ability
Some numbness but it went away
Question for you, how many mm did they advance your jaw for upper and lower?
I can't really remember. I think 8mm upper, 21mm lower (pogonion), and like 6 deg ccw rotation. Something like that
Did you have a genio ? if so how much @@evanlavizadeh4032
Currently undergoing the same journey as you. RIght now doing invisalign after MSE waiting for jaw surgery. I would like to ask you, how long did it take to stabilize your bite after MSE before it was ready for MMA. i litterally just have to endure shit sleep before my MMA and i dont want to wait to long...
@@user-ge2jd2ow7y I think 8 months or so. It sucked
It looks like he had something done with his chin, which looks more longer now comparing with his 2 years ago video. Someone explain pls. I am planning to get MSE but don't want my face longer.
What visual effects did you notice in your nose and lips after MMA?
That's amazing. Has the amount of hours of sleep you require reduced too?
I don't know. It did at first. I was down to 8 hours from 11. But lately I have been sleeping at 9-10. So, I would still say yes.
Hi!!! I just had my first ever sleep study done and am new to this whole space. I was diagnosed with mild apnea with an arousal index of 30. The recommendation was to get a CPAP machine.
I am not a mouth breather but was wondering if this is the best option? As I would have to use the CPAP forever and am worried about it causing further irritation. It seems that surgery could be a permanent solution. Just looking for honest thoughts here!
It might end up being your best solution, but you have to try CPAP (and/or BiPAP and/or APAP) first. And you should probably try a mandibular advancement device (AKA “oral appliance”) first, too….after the CPAP, that is, assuming CPAP doesn’t do the trick for you.
Don’t get discouraged. Take it one step at a time. Know that you might be having more than just mild sleep apnea if your arousal index is 30; not all tests can detect all breathing problems.
If you want to learn a lot, check out Evan’s older videos, and listen to the podcast Sleep Apnea Stories (hosted by Emma Cooksey). You have to take the information in Sleep Apnea Stories with a grain of salt (I heard that Vivos appliances don’t work very well, for example), but there is a lot of good stuff to learn in there. I’ve binged the first 55 episodes so far.
Did your posture improved or got better
Nope. I even went to physical therapy to help with posture. Nothing changed. I think the sleep apnea impacted the way I developed as a child and now it's permanent.
@@evanlavizadeh4032 Evan, I suggest seeing Dr. Joe Cicinelli at All Systems Health Physical Therapy if you're trying to improve your posture post-jaw surgery. He has successfully worked with many jaw surgery patients pre- and post-op. Worth traveling for this kind of outcome. :)
Also, congrats on such a positive, life-changing surgical result at the end of a long and difficult journey. I'm truly happy for you.
@@evanlavizadeh4032Posture requires a LOT of work, both a lot of strengthening and stretching muscles, and neuromuscular habit reeducation. You see this a lot with posture issues. It's never easy.
@@evanlavizadeh4032 how ?? That surprise me a lot man most people tell me it cured their forward head posture did you have any cbct scan ?
@@evanlavizadeh4032I wonder if you're a tongue tie release candidate. People say that helps with posture.
How can we get started on getting with Lancoms? I have read time and time again that you need a referral from your ortho or dentist to even get a consult with them, did you do that? Who did you go to first?
Um I don't remember. I think I just called. Maybe things changed.
Wow you look totally different
who did your surgery? thanks
I had MMA only, but it didn’t cure my UARS. Looking at getting expansion within the next year. Do you recommend MARPE with surgical cuts or EASE? I’d prefer to get MARPE since EASE is so expensive.
MARPE or MSE didn't help me too, because my posterior nasal congestion blocks my breathing. I am reverse turning my MSE back and hope I can find a surgeon that can do EASE that I can afford.
i mean if you have the money, EASE for sure. hard to go wrong with Dr. Li. there's also FME, which is a newly released bone borne expander that has been making a lot of waves, but it's still a bit too early to say conclusively what its capabilities are
Can you sleep on your back without a pillow and have no apneas?
Maybe. I'm so used to sleeping on my side my whole life that it still feels weird to even try to sleep on my back.
Hello, I have a question about the MSE you had. Did you have the device in while you were wearing Invisalign to correct the gap? Or was the device taken out by that time already?
@@timwook3437 sort of both. I didn't have Invisalign while I was actively expanding. However, even after you are done expanding, you still need to keep the MSE installed until the bone heals. I got Invisalign after I was done expanding but I didn't get the MSE removed until months later.
@@evanlavizadeh4032 Thank you! Also, another question if you don’t mind, did you need to do any mandible expansion after the MSE? I’ve heard in your other video that you had almost 7mm difference between your maxilla and mandible.
@@timwook3437 no, I compensated orthodontically. I would have pursued mandibular expansion if it was safer
Latke!!!
Hey Evan, going undergoing a very similar journey as you. By any chance do you have an email address I could send you over a few questions? I'm a 22m from San Diego, just graduated college now looking to solve my sleep apnea
@@in-motion6419 sure! elavizadeh@gmail.com
Did you fix the bite before surgery?
Yes
MMA surgery will be ineffective, and you will continue to have sleep apnea if you continue to mouth breathe instead of nasal breathing when you go to sleep. The benefits of MMA will reverse itself, and mouth breathing will cause your airways to become narrower again even after MMA. If you continue to mouth breathe during sleep after MMA, your AHI will not get down to normal numbers. Mouth tape when you go to sleep, and you will see the AHI numbers get down to normal readings. AHI analysis is good, but alone, it's not the gold standard. Sleep studies at a sleep clinic instead of home studies are better because it breaks down what sleep cycle stages of sleep you achieved and how long you were in these stages. If the highest stage of sleep was 2 and you never got into stage 3 rand 4, then a low AHI means nothing. I speak from personal experience.
I'm trying to find one true statement in your comment, but I can't find one.
@evanlavizadeh4032
Oy vey! You got to be kid'n! You tell people to do the research, but evidently, you haven't and can't seem to back it up with any facts, so I will. A good percentage of sufferers, including myself, developed severe sleep apnea, starting as a toddler as a result of being a mouth breather while awake and during sleep. Biomedical J 2023 Jun 46 (3): 100536 2022 May 10. I dont know the origins of your sleep apnea, genetic or otherwise, but I'm glad MMA helped you. I can cite peer reviewed studies that show mouth breathing in adults causes sleep apnea. In toddlers mouth breathing is even worse because, as they age, it causes underdevelopement of the jaw and reduction of airspace in the oral cavity. In my case, my airspace width in the pharnyx was the size of a baby, 6 mm. The average adult is 12 to 14 mm. It also causes facial abnormalities such as long, narrow face, lack of cheek bones, crooked nose, and crooked teeth. Allergic looking eyes. This happens before your bones harden and grow to a adult. Obviously, sleep apnea increases AHI ( average number of apnea and hypopneas per hour), but it also disrupts sleep cycles mainly in stages 1, 2, and Rem resulting you from getting to stage 3 and 4. That's where deep sleep occurs, which is critical for your brain and body to recover and grow: Front Public Health 2022 10:929165. 2022 Sep. 8. I had UPPP surgery in 2008 and MMA surgery in 2010. After MMA surgery, my sleep apnea was far from being under control. It went from a 77 AHI to 26. After both surgeries, I never got higher than stage 2 sleep. I went back on cpap but that didn't improve my numbers. I started to tape my mouth up before sleeping and the improvement in the quality of my sleep was miraculous. Went for another sleep study this time with no cpap and only taping my mouth and my AHI score was under 5. My sleep doctor couldn't believe it but all the research made sense of it. My UPPP and MMA surgery was done by Dr. Nelson Powell and Dr. Robert Riley of Stanford University. Those 2 surgeons along with Dr. Kasey Li who use to work in the same office are world reknown and have written many peer reviewed research on MMA surgery. They had a 95% success record in this field. Dr. Kasey Li has said recently that after MMA surgery if you continue to mouth breathe during sleep and don't switch to nasal breathing then the MMA expansion will be reversed and the improvement from MMA will be diminished.
@@jefreywith1f924 much respect for the explanation! And citations! I appreciate that. Yeah I think I was responding to how dramatic your statement was but hey, I'm sold. Thanks.
This is likely my case as well. Low AHI but 0% REM and Deep sleep. Almost all of my in lab sleep study was light sleep. I guess that explains the severe lack of sleep I suffer from. But the low AHI complicates things. I know I am suffering from sleep apnea or UARS, and I consulted Dr. Kasey Li who agreed with me after looking at my scan and asking my symptom's, but without a positive sleep study it can be hard to convince doctors. I can't breathe through my nose during sleep almost at all. I am a candidate for expansion.
Do you have any tips for me? Do you think I should try to get a diagnosis or just get the treatment that is indicated for me (expansion)?
@UsamaKhan-xs9do
You say you mouth breathe during sleep. Do you also do it while awake thruout the day? And also do you mouth breathe out of habit or due to nasal blockage from a medical ailment? This may sound counterintuitive, but it is true that mouth breathing alone can cause nasal blockage. When you breathe thru your mouth, the brain thinks you're releasing carbon dioxide too fast from your nose, which triggers the production of mucus to slow breathing. The mucus blocks the nasal passageway and creates a bad cycle to breathe even more thru your mouth. Before I recommend mouth taping, you need to see an ENT to make sure nothing is preventing you from breathing thru your nose. Also, it's a good idea to get 3d imaging done of your pharnyx( throat)to see if it's of normal size. Also, it needs to be established whether your tongue is falling back during sleep and blocking your throat from getting air. Their are surgical procedures to prevent this from happening. Please address your nasal blockage issues first if any exist before you try mouth taping. A lot of so-called health experts say mouth taping is risky and dangerous, but I beg to differ, plus its a big financial loss for them. It gave me back my life when CPAP and surgery were ineffective. Just look at all the testimonies of sleep sufferers who buy specialized tape they purchase online for this very purpose. This tape was even pitched on the TV show Shark Tank, and it convinced Mark Cuban to be an invester in the product. The presenter produced studies to prove its effectiveness. For me, paper tape you buy in the store works just as well. All you need is one strip of tape over your lips diagonally or vertically, and even so it doesn't sound like much, that's all it takes. Just one single strip like a bandage will do the trick and will not come undone during the night.This is a practice conceived by Dr. Buteyko, who developed the Buteyko Breathing Method. He has healthcare professionals all over the world who teach people effective breathing methods. It's even used by some myrofunctional therapists.
Who was your surgeon?
@@reapersofchao Dr.Benjamin Walline
Real opinion you look significantly better after jaw surgery and mse, so good work there
As nice as I can say this if you figured out your hair situation your pretty much set dude
Thank you. From what I understand, there are no simultaneously safe and effective treatments for male pattern baldness. I'm going bald and that's ok with me. I did the surgery for my health. And quite honestly, I'm sure I'll look fine bald :)
@@evanlavizadeh4032 no you definitely would look fine bald, but you could do a hair transplant or 1.5mm stainless steel derma rolling 3x weekly with minoxidil too for hair growth and generally speaking for the population there’s really no side effects
@@modernbarbarian tf is wrong with you dude. Guy struggles for years with a life destroying sleep disorder and you zero in on his appearance? He got his health back, that's all that matters.
Please get the proper tongue posture now! If not, you will relapse.
I do have proper tongue posture, thank you :)
@@evanlavizadeh4032 please if you make another video highlight that
Wow, the forward growth of your whole face is how a man should look, well done, if you fix your hairline, you'll be chad
From what I understand, there is no safe and effective hair loss treatment.
@@evanlavizadeh4032 You still look very good.
Did you went to surgery with a proper bite,class 1 bite?
@@user-xd5wf4kx8t thank you! My bite was corrected before surgery :)
@@evanlavizadeh4032
I am in treatment MSE with Aise Chemle in Turkey, I had a split I just wait for her to fix the bite.
perfect! now you need to do a hair transplant!
@@FreeFrag777 need? Am I gonna die if I don't?
@@evanlavizadeh4032 may be! who knows. But jaw now looks perfect. Hair procedure is much more easy to do. I actually started with hair. Now i need to fix the jaw and a bit affraid of it. And it will be waaay more expancive. In turkey it's pretty cheap to transplant the hair (but don't use any clinic!)
@@evanlavizadeh4032 and that's funny! i'm having that nose issue. It's a bit difficult to breath. And doctors they said - "are you a boxer? your nose has deformation! Let's drill it or birn it!" But in fact it was a jaw! and nobody told me that! I'm almost 40 years old!
are you still using retainer?
@@FreeFrag777 ahh I see. Yeah I had similar experiences. Yes, I have to wear a retainer for the rest of my life every night.
I do not have the option of mse. Do you think mma alone can fix my nasal breathing ? Also what where your movement in the upper.
I can't say, because it's a case by case basis. Also, it depends on how your surgeon performs your MMA. Rotation, downgrafting, impaction, nasal floor recontouring. All these MMA options change your nasal breathing for better or worse. If you have a narrow palate and nasal cavity, then MMA alone will provide a suboptimal result. Personally, I feel very lucky that I was able to do both. That's as much as I can say, unfortunately.
@@evanlavizadeh4032 thx for the reply. Could you describe the diffrence in nasal benefits between mse and jaw surgery? In your previous video you mentioned that they both helped, but could you go into more detail on the diffrence between the 2?
@@kichki777 palatal expansion makes the nasal cavity wider and MMA makes the nasal cavity either more deep or more shallow. So they both change the size of the nasal cavity but along different axes.
@evanlavizadeh4032 what would ujs and impaction do ? Wouldn't widening and deepening result in the same effect ? More air inhaled.
@@kichki777 UJS surgery is part of MMA, so it all applies. Impaction shallows the nasal cavity which reduces nasal breathing benefits. And sure, that makes sense to me, but I did widening AND deepening. I don't think only one would have been satisfactory. If you have a narrow palate, you're leaving part of the equation out. And for some patients of MMA, you wont have a deepening of the nasal cavity, but a shallowing, which would make nasal breathing worse. You have to look at your virtual surgical plan. Then, you can estimate how much more or less volume your nasal cavity will have. It's a case by case basis.