#105 – Luke The Documentary – Sleep Apnea Not Cured After Jaw Surgery - Why?

#105 – Luke The Documentary – Sleep Apnea Not Cured After Jaw Surgery - Why?

At 25, Luke has already had a nice double jaw surgery and a nasal surgery, but is still sleeping poorly. In this episode he shares his full journey, including the diagnosis nobody expected, the medication that did nothing, and the experimental next step he's betting on. Luke The Documentary https://www.instagram.com/lukethedocumentary [https://www.instagram.com/lukethedocumentary] https://www.youtube.com/@LukeTheDocumentary [https://www.youtube.com/@LukeTheDocumentary]  1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching [https://jawhacks.com/coaching] JawHacks Newsletter (Substack) https://substack.com/@jawhacks [https://substack.com/@jawhacks] And More on the Website https://jawhacks.com/ [https://jawhacks.com/] Chapters 00:00:00 - Intro 00:00:56 - Who is Luke and why his channel stands out 00:03:12 - The jaw surgery experience and what $20K actually buys you 00:07:05 - The bombshell reveal and why he just had his plates removed 00:11:52 - When the sleep data looks fine but you still feel terrible 00:17:10 - UARS or narcolepsy and why nobody can give him a clear answer 00:22:48 - Why he is afraid to fully commit to a narcolepsy diagnosis 00:25:21 - Every medication he has tried and why almost none of it worked 00:28:00 - Taking 25mg Adderall and falling asleep four hours later 00:32:09 - Why nobody told him to do MARPE before jaw surgery 00:36:20 - Tongue scalloping dismissed by every provider until one finally looked 00:43:29 - The Lefort re-fracture risk and why post-DJS expansion is uncharted territory 00:49:42 - Before and after photos on screen including the CT cross-section that stopped Ron 00:54:11 - What Ken Hooks found when he re-scored the PSG data 00:56:27 - Why most expanders cannot reach the part of the palate that matters for his case 01:04:20 - The nasal surgery breakdown and what actually changed afterward 01:08:00 - Live Oura Ring review and what Xyrem is doing to his sleep architecture 01:12:25 - A lifetime of only dreaming in nightmares and why that is finally changing 01:17:38 - Why he almost became a Buddhist monk and what it taught him about his airway 01:24:19 - Chronic illness, Jordan Peterson, and letting go of the CEO standard 01:26:59 - Why JawHacks is basically the Viagra of airway health 01:30:31 - What separates honest creators from grifters in this space 01:33:22 - The looksmaxxer who Photoshopped his CBCT and told people to eat 500g of sugar NO 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.

#104 – Daniel Grafton – Choosing the Right Airway Treatment Without Guesswork (CFD Explained)

Daniel Grafton is a public health specialist with the UN who taught himself computational fluid dynamics (CFD) after 9 soft tissue surgeries failed to fix his sleep-disordered breathing. In this episode, Daniel runs CFD on Ron's pre and post-MSE CBCTs, revealing pressure maps, velocity data, wall shear stress, and turbulence patterns a standard CBCT cannot show. Daniel Grafton https://www.remetrics.org/ [https://www.remetrics.org/] https://www.instagram.com/rem_rebel [https://www.instagram.com/rem_rebel] https://www.youtube.com/@REMRebel [https://www.youtube.com/@REMRebel]  1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching [https://jawhacks.com/coaching] JawHacks Newsletter (Substack) https://substack.com/@jawhacks [https://substack.com/@jawhacks] And More on the Website https://jawhacks.com/ [https://jawhacks.com/] Chapters 00:00:00 - Intro 00:00:48 - UARS since childhood, 9 surgeries: How desperation led him to CFD 00:05:25 - Why patients who shop for their own treatment often out-know their doctors 00:06:36 - What CFD actually is and what it reveals that CBCT, rhinomanometry, and DICE can't 00:13:01 - CFD origins: aerospace, nuclear reactors, and the Navier-Stokes equation 00:17:33 - How CFD entered sleep medicine and where it stands clinically today 00:20:44 - CFD variables explained: pressure, velocity, turbulence, wall shear stress, and heat flux 00:26:54 - Wall shear stress as a degenerative force: why airway soft tissue relapse after surgery 00:30:53 - Heat flux and Empty Nose Syndrome: the thermal neurons that tell your brain you're breathing 00:35:21 - Case overview: Ron's CBCT anatomy and why head posture corrupts scan data 00:47:21 - Superimposition reveal: Ron's pre vs. post-MSE skeletal changes side by side 00:55:05 - Posterior expansion: does MSE actually widen the back of the nose near the PNS? 00:58:18 - The pterygomaxillary disjunction problem: how some surgical cuts eliminate posterior expansion 01:03:02 - Nasal aperture numbers and why that single metric misleads 01:07:32 - CFD results revealed: Ron's airway pressure maps before and after MSE 01:15:19 - Nasal slice analysis: exactly where in the nose the pressure drops most 01:20:11 - Velocity findings: airspeed dropped from 3.6 to 2.7 m/s post-expansion 01:26:37 - Turbulence analysis: the tongue-off-palate dead space that mimics snoring mechanics 01:32:43 - What Ron's CFD actually prescribes: his single highest-yield remaining intervention 01:35:19 - Poiseuille's Law: airflow improves to the fourth power of tube radius (2mm) 01:41:04 - ENS risk from over-expanding: can too much nasal volume become a new problem? 01:46:01 - Options for Ron's retropalatal constriction: soft palate surgery vs. maxillary advancement 01:48:57 - Why MMA alone may not pull the soft palate forward 01:50:57 - FME + FMA protraction as the theoretically optimal path forward 01:54:04 - Facemask compliance reality and why Ron is waiting for the field to mature 01:58:31 - Physical exhaustion as underrated sleep medicine 02:00:28 - Mental health, nervous system activation, and PTSD's 80% UARS co-occurrence rate 02:06:15 - Ron's sleep wind-down routine: why prayer beats seated meditation for his anatomy 02:10:53 - Counting back from 900 by 7s: the mental arithmetic trick that slows your breathing (from Lisa Kush) 02:14:22 - Diaphragm training with IMST/EMST: is the breathing muscle itself maladapted? 02:17:33 - How to reach Daniel: Remetrics.org, @REMRebel on YouTube, and the JawHacks Joint Q&A NO 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.

#103 – Dr. Mandelaris, Dr. Newaz & Dr. Jaffari – Can SFOT + MARPE Replace Jaw Surgery?

Ron sits down live at the Winds of Change conference in Chicago with Dr. George Mandelaris (periodontist & SFOT specialist), Dr. Newaz (orthodontist & leading MARPE/FME provider), and Dr. Jaffari (GP & restorative specialist). They break down how SFOT and MARPE work together to expand both jaws, why restorative is the most overlooked step in jaw treatment, and whether MARPE + SFOT can replace jaw surgery for underbites. Dr. Mandelaris https://www.periodontalmedicine.org [https://www.periodontalmedicine.org] https://www.instagram.com/periomedicine [https://www.instagram.com/periomedicine] Dr. Newaz & Dr. Jaffari https://www.youtube.com/@airwayortho [https://www.youtube.com/@airwayortho] https://www.instagram.com/airway.ortho [https://www.instagram.com/airway.ortho] https://www.instagram.com/drnewazzz [https://www.instagram.com/drnewazzz] https://www.instagram.com/dr.jaffari.dds [https://www.instagram.com/dr.jaffari.dds] 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching [https://jawhacks.com/coaching] JawHacks Newsletter (Substack) https://substack.com/@jawhacks [https://substack.com/@jawhacks] And More on the Website https://jawhacks.com/ [https://jawhacks.com/] Chapters 0:00:00 Intro 0:00:46 Setting the Scene at Winds of Change 0:01:33 What Is SFOT 0:02:36 What Is MARPE and Nasomaxillary Expansion 0:03:46 How SFOT and MARPE Work Together 0:06:05 SFOT for Root Resorption and Implant Site Development 0:08:20 AGGA, MSDO and When SFOT Comes First 0:13:11 Dr. Newaz's MSDO Case (Two-Piece Mandible) 0:15:25 The New Mandibular Distractor Design 0:18:56 All-on-4 and Why Airway Gets Overlooked 0:21:51 Restorative Dentistry: The Overlooked Step 0:22:18 Vertical Dimension, GERD and Airway 0:23:54 Ron's Teeth Were Examined Two Days Ago 0:24:36 Why You Need to Fix Your Teeth Before Jaw Surgery 0:26:21 Provisionals, Post-Surgical Settling and a Case Study 0:29:06 Symptoms of Lost Vertical Dimension 0:30:16 Is the Field Too Lazy for Interdisciplinary Planning 0:31:23 SFOT Cuts Treatment Time in Half 0:33:40 Does Every Patient Need This and How Teams Actually Plan 0:37:23 Expanding Before Implants: The Airway Question Nobody Asks 0:40:34 Airway Arches: A New Concept (You Heard It Here First) 0:41:42 SFOT Stability, Keys to Success and What Can Go Wrong 0:44:46 Ron Did SFOT Awake and His Wife Cried Filming It 0:45:19 Wrong SFOT Technique and Why It Causes Complications 0:48:43 Is Dentistry Being Commoditized 0:50:51 The Numbers: How Much Can SFOT and MARPE Actually Do 0:52:50 No-Diastema, MASPE and the Aesthetics of Slower Expansion 0:57:55 FME vs Custom MARPE 1:00:01 The Mayo Clinic Analogy 1:01:03 Outro NO 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.

#102 – Johan Drumev – Looksmaxxing Explained: Mewing, Surgery, and What Actually Works

Ron sits down with Johan (Sthetics), a 21-year-old looksmaxxing coach from Sweden who went from casual mewer to full-on hardmaxxing. They break down the real limits of softmaxxing, why mewing won't change your bones after puberty, and Johan's full surgical ascension plan (MARPE, BiMax with maxillary rotation, rhinoplasty, orbital fat grafting, and iris depigmentation). They also get into Clavicular's surgery plans (and why he might be backing out), the problems with Giant's implant designs, how camera focal length distorts your face, choosing between Italian jaw surgeons, and what happens when looks eventually fail you. The conversation takes a turn into family, fatherhood, and whether traditional life is the real ascension. Johan Drumev (Sthetics) https://linktr.ee/sthetics0 [https://linktr.ee/sthetics0] 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching [https://jawhacks.com/coaching] JawHacks Newsletter (Substack) https://substack.com/@jawhacks [https://substack.com/@jawhacks] And More on the Website https://jawhacks.com/ [https://jawhacks.com/] Chapters 0:00:00 Intro 0:00:54 How Johan Got Into Looksmaxxing at 19 0:04:10 Softmaxxing vs Hardmaxxing Explained 0:08:05 Peptides, Testosterone & Pharmaceutical Looksmaxxing 0:10:27 Recreational Drugs in the Looksmaxxing Community 0:10:58 Johan's Transformation: From Average Kid to Coach 0:13:22 Does Mewing Actually Work? The Honest Answer 0:14:33 Frauded Before & Afters: Angles, Lighting & Jutting 0:16:12 "Mewing Is Cope" - When Tongue Posture Stops Mattering 0:17:47 Every Facial Surgery in Looksmaxxing Explained 0:19:33 Clavicular's Jaw Surgery Plan (LeFort, BSSO, Implants) 0:22:16 The Looksmaxxing Community & Mewing Influencer Problem 0:25:32 Is Clavicular Backing Out of Surgery? 0:26:53 Jaw Surgery Millimeters: How Much Movement Is Safe? 0:30:37 Giant Implants: Genius Designer or Too Extreme? 0:35:54 How Johan Analyzes Faces for Surgical Recommendations 0:37:52 Facial Harmony Metrics: ESR, Canthal Tilt & Frankfort Plane 0:40:48 Why Camera Focal Length Changes How Your Face Looks 0:46:43 iPhone Lenses Explained for Content Creators 0:51:49 Johan's Full Hardmaxxing Ascension Plan 0:59:11 Iris Depigmentation: Eye Color Change Surgery 1:01:03 Italian Jaw Surgeons: Ramieri, Pagnoni & Raffaini 1:02:49 Ron's Honest Concerns About Italian Jaw Surgery 1:05:21 MARPE vs FME: Which Palatal Expander to Choose 1:08:36 10% Body Fat Physique Review 1:09:23 Diet, Nutrition & Staying Lean 1:11:28 Why Long Hair Is a Looksmaxxing Law 1:14:09 Buddhist Monks, Wigs & the Psychology of Hair 1:18:39 Death, Aging & What Happens When Looks Fade 1:20:57 The Black Pill on Attractiveness, Status & Money 1:23:50 What to Look for in a Partner at 21 1:24:36 The Modern Dating Market & Traditional Values 1:28:14 Why Stay-at-Home Moms Deserve More Respect 1:30:11 Ron: Why Family Is the Key to Happiness 1:30:45 The Camping Analogy - Why Harder Lives Feel Better 1:37:20 Outro & Where to Find Johan NO 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.

#101 – Dr. Svitlana Koval – MARPE or FME? Doctor With 800 Cases Gives Her Answer

Dr. Svitlana Koval is an airway orthodontist with nearly 800 MARPE and FME cases, inventor of a patented 3D guided piezocorticotomy technique, and creator of the MARPE F.A.C.E. protocol. In this episode we cover the real cosmetic effects of MARPE (and when it can hurt facial harmony), FME vs custom MARPE from a provider who does both, her extended palatine bone corticotomy technique, shape memory aligners, expansion differences between males and females, class II vs class III outcomes. Dr. Svitlana Koval's Social Media https://www.youtube.com/@drsvitlanakoval [https://www.youtube.com/@drsvitlanakoval] https://www.instagram.com/drsvitlanakoval [https://www.instagram.com/drsvitlanakoval] https://www.facebook.com/svitlana.koval.dmd [https://www.facebook.com/svitlana.koval.dmd] 1:1 Coaching with Ron (Now Inside The Joint) https://jawhacks.com/coaching [https://jawhacks.com/coaching] JawHacks Newsletter (Substack) https://substack.com/@jawhacks [https://substack.com/@jawhacks] And More on the Website https://jawhacks.com/ [https://jawhacks.com/] Chapters 00:00:00 - Intro  00:00:36 - 800 expansion cases and the looksmaxxing question  00:06:11 - Does expansion always improve cosmetics, or can it destroy harmony?  00:09:09 - The 3D guided piezocorticotomy - Koval's patented technique  00:12:22 - Cosmetic lessons from 800 cases - expansion sweet spots for males vs females  00:15:40 - What happens AFTER MARPE matters more than the expansion itself  00:17:06 - The MARPEFACE Protocol explained  00:20:18 - "The maxilla is a runway, the mandible is a plane landing"  00:21:53 - Class III patients get the best results. Class II? The highest risk.  00:28:05 - "MARPE is the easy part. Its aftermath - that's the hard part"  00:32:35 - "A masculine profile is about moving the mandible forward, not the top"  00:37:20 - Dr. Koval expanded her own jaw - TMJ clicking resolved  00:40:30 - Asymmetry - what MARPE does and doesn't fix  00:43:55 - Shape memory aligners - stronger than Invisalign, zero attachments  00:54:43 - The zygomatic-maxillary suture - fracture risks and resistance  00:57:09 - FME vs Custom MARPE - why Koval introduced FME to her practice  00:59:40 - "The most challenging group is males in their 20s"  01:03:25 - MARPE pros and cons - center of resistance, molar tipping, discomfort  01:11:29 - FME is 4-5x more expensive - and not for every palate  01:18:08 - Parallel vs V-shaped splits - the palatine bone breakthrough  01:24:47 - "You literally increase the airway by moving bones apart"  01:40:08 - Mandibular skeletal expansion - the missing piece in the field  01:41:44 - "Sacrifice the pawn to get the queen" - the philosophical divide  01:46:54 - Closing thoughts NO 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.