Conor underwent MMA (maxillomandibular advancement) surgery to treat his sleep apnea, but experienced a devastating outcome: his breathing and sleep quality worsened post-surgery. In this episode, we explore his case with insights from other surgeons. Topics include the over-advancement hypothesis, nasal tissue elasticity, tongue positioning challenges, post-surgery recovery, and planning custom MARPE after MMA. We also discuss jaw surgery planning considerations and important warnings about cosmetic-driven procedures.1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Introduction00:01:07 - When Jaw Surgery Makes Breathing Worse00:01:59 - First Signs: Waking Up Gasping After MMA00:04:28 - Multiple Top Surgeons React to This Rare Case00:06:11 - The Over-Advancement Hypothesis: Nasal Tissue Theory00:07:47 - Nasal Breathing 40-50% Harder After Surgery00:09:49 - The Tongue Position Problem No One Talks About00:10:25 - Analyzing Before & After Photos00:13:40 - Surgery Details: 12mm Advancement Explained00:20:48 - Choosing Surgeons: In-Network vs. Top Specialists00:28:06 - Recovery Reality: "Like Being Waterboarding"00:38:29 - Why "Bigger is Better" Isn't Always True00:44:09 - Planning Custom MARPE After Failed MMA00:53:24 - When Medicine Can't Guarantee Outcomes00:55:21 - Software & AI: The Future of Surgical Planning01:01:07 - Mandibular Expansion: The Missing Piece01:05:21 - Does MMA Really Create Tongue Space?01:12:11 - Warning: The Dangers of Cosmetic Jaw Surgery TourismNO 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.