In this episode, I talk with Dr. Newaz and Dr. Jaffari — the world’s most experienced FME providers — about what really works, what fails, and the complications they’ve seen across nearly 100 cases. We look at success rates, asymmetry, and how FME compares to custom MARPE, with Dr. Newaz sharing his own 8–9mm expansion results and CBCT analysis. We also explore the new FMA Protraction device, post-surgery expansion challenges, pricing debates, and the key question: when should you expand before jaw surgery versus doing a segmental LeFort?Dr. Newaz & Dr. Jaffari Social Mediahttps://www.youtube.com/@airwayorthohttps://www.instagram.com/dr.jaffari.ddshttps://www.instagram.com/drnewazzzAll GIFs courtesy of Shuikai https://www.reddit.com/r/UARSnew/1:1 Coaching with Ron — Now Inside The Jointhttps://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Timestamps00:00:00 - Dr. Newaz's 9mm expansion results and facial changes00:00:31 - Ron introduces FME technology and episode overview00:04:10 - Defining success and failure across 98 FME cases00:13:03 - How many failures to split?00:21:01 - Who benefits aesthetically from midface expansion?00:26:30 - FME vs custom MARPE clinical comparison00:31:23 - Septum avoidance and preventing asymmetry with guide rods00:38:19 - Lab planning process and final doctor approval00:47:17 - Why turning protocols have slowed down dramatically00:53:51 - 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 asymmetry01:17:55 - Dr. Newaz's CBCT analysis and superimposition walkthrough01:29:22 - True cheekbone enhancement without implants01:33:03 - How long did 9mm expansion actually take?01:44:35 - Nasal resistance spectrum and empty nose syndrome risk01:57:11 - Segmental LeFort vs midface expansion02:09:39 - Can you do MARPE after jaw surgery?02:14:22 - Soft tissue aesthetic improvement02:22:27 - Plan for the mandible and considerations on condyle stability02:31:37 - Why did Dr. Newaz go this far with expansion?02:34:48 - Pushing boundaries in the expansion space02:42:11 - Listening to educated patients as part of the treatment team02:47:39 - First look at the FMA protraction device02:52:37 - MRI results show Dr. Newaz's jaw joint is healing03:00:34 - FMA Device Deep Dive: Components and Mechanics03:07:58 - Patients building their own DIY protraction devices03:08:47 - Clinical potential and workflow for the FMA device03:14:42 - A discussion on the cost of FME appliance03:22:46 - US healthcare frustrations and goal of making treatment accessible03:27:02 - Ron shares his personal story of being priced out of jaw surgery03:32:45 - The major risks and challenges of expanding after jaw surgery03:40:25 - Where to find Dr. Newaz and Dr. Jaffari onlineNO...

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