I Spent 4 Days with JAW Surgeon Dr. David Alfi

[@user-nv2wt4hi8t]

Ron Eade continuing to stand at the forefront of oral and orthotropic focused development and improvement.

[@JawHacks]

Thank you bro, trying.

[@user-nv2wt4hi8t]

@@JawHacks Been watching you for over 4 years, bro. You've succeeded!

[@HohnDoe-j6h]

@@JawHacks hey quick question bro does MSE expander help expand lower jaw by any chance, cause my upper jaw is a little wider than my lower jaw. And my lower molar teeth face a little inwards. Thx man

[@thePTCstudios]

Ron, despite not having any actual footage of your shadowing experience itself, this is my favorite video of yours so far. Well done. PLEASE go do the same with Dr. Gunson as you mentioned, maybe even Raffanini or Alfaro some time. Very very proud to be a subscriber right now

[@JawHacks]

Damn Robby thanks bro

[@darthnihilus777]

Would also love to hear from Gunson and Raffaini! Would be legendary!

[@cursedswordsman]

@@JawHacks We NEED Gunson or Walline content bro

[@chloec4500]

Thanks for this one of the best videos you made so far. I had double jaw surgery with a 2cm advancement and CCW rotation myself. I did not understand the nose-septum slicing thing until you explained it. My surgeon (not Alfi) had mentioned it but I didn't get it. Now I do and i can confirm the breathing is just on a whole different level. Life changing! Would love to see more of this type of content.

[@Jawz_Man]

I’m getting my surgery done with Alfi on august 15th to treat facial pain and TMJ issues primarily. I was just there to get my scans done for custom plates. His office is awesome and I’m really excited to get the procedure done with him.

[@JawHacks]

Good luck bro!

[@christinal434]

Good luck!! Do you have an overbite? Did you have to get your premolars taken out for the surgery during braces? Thanks

[@caryphillips8929]

How did you get your scans done? I was supposed to get them done last week and was canceled because of the hurricane and now my surgery was pushed back from August to November.

[@Jawz_Man]

@@christinal434 I actually have pretty well aligned teeth with a good arch, so I didn’t need to get braces for surgery luckily. Only have had my wisdom teeth removed.

[@Jawz_Man]

@@caryphillips8929 sorry to here that, I’ve been waiting for this for a long time and would be devastated if mine got postponed any further. To get the scans done they just do a CT scan in office.

[@coolwinder]

Amazing! We need more doctors like this and you need to become one as well!!

[@JawHacks]

Absolutely bro, I have completed a postbac premed program and would love to go to dental school but the price is scary. Still, I'm collecting as many shadowing experiences as possible, making sure I am ready if the day comes.

[@coolwinder]

@JawHacks no bro, think outside of the box. Come to Serbia and do it cheap, or whatever other possible means :) I saw u have kids, so that might be your new dedication, i could imagine :)

[@JawHacks]

Haha awesome positivity brother really appreciate that kinda spirit here

[@sambro7796]

Man again such quality content, I’m keen for the takeaways 🙌

[@JawHacks]

Absolutely, big podcast dropping soon.

[@LaughinLoneStar]

I did a consultation with his side kick, Dr. Carrillo, back in February. Switching to BCBS insurance for 2025, that way I won't need to spend 50k out of pocket to get my MMAG done. I live in Houston, kudos on missing the hurricane.

[@JawHacks]

I just missed it! Good thinking on the insurance side.

[@katiehogan5727]

Great to watch this. I have BCBS PPO and am scheduled to meet Dr. Alfi on August 9th. Driving out of state. He’ll be the 10th surgeon I’ll have consulted with and I hope he’s the last!

[@tjam4229]

I am with you, Ron. If you are going through all this time/money/pain/risk to get advancement, the last thing I want is “under advancement”… especially if you are trying to treat something as significant as sleep apnea. Thank you once again for bringing all this valuable information to us !!

[@aimhigherthanever]

You are exceptionally brave!

[@JawHacks]

Just doing my best bro.

[@joshloeffert1581]

Hey Ron, love your work! I read your comment that you will be having more interviews with other surgeons in the coming months. I will likely be going for jaw surgery in the coming year but suffer from a pre-existing TMJ issue, namely anteriorly dislocated discs. This is actually a quite common thing in the general population. It would be interesting to know how other surgeons handle this issue as the surgeon that I consulted has surprisingly no worry about this, but I am not quite sure. I definitely do not want to worsen the TMJ as this is akin to playing with fire. Maybe you could collect some questions from the community that you ask at the interviews. Thanks so much for this content.. I really needed this :)

[@Anglo-EgyptianMan]

Great video! I'd like to see you shadow some of the other big names in this space like Dr. Coceancig (when he finally gets his license back).

[@anishtheone]

Awesome work brother. Thank you for expanding our collective knowledge of this space

[@ianadriansw206]

Ur the best channel that talks about this good facial development

[@JawHacks]

Thank you.

[@crates12]

Thanks for the content! I have been thinking about what type of treatment might be best. I hope you can expand your network and look at different procedure and treatment providers. Will put Dr. Alfi at the top of the list for double jaw surgery providers.

[@JawHacks]

Absolutely bro, some other jaw surgeon interviews coming up in August and September. Stay tuned.

[@bumba8154]

@@JawHackscheck out Dr. movahed

[@ericcamarda3534]

I had surgery with Dr Alfi in 2023. Was fortunate enough to get referred to a good orthodontist for Invisalign and then on to Dr Alfi after asking my dentist about overbite correction. It’s something I’ve been thinking about for many years and glad I finally did it

[@darthnihilus777]

Thanks again Ron, your channel just gets better and better. Definitely interesting to learn how Alfi literally shaves bone to expand the nasal way; I was almost certain that I’d have to get some sort of MARPE before jaw surgery but that was before I knew this. Keep the vids coming man! Would love to hear from other surgeons as well if you can, i.e. Gunson, Walline, Movahed, Raffaini, or Kasey Li.

[@MegaLeoben]

Great production.

[@d.n.8919]

Dude, I know you’re busy with being a dad and such, but you should really try getting into dental school again. Apply to state schools in a state with multiple options. California and Texas both have 3+ options. California is more expensive to live in and the schools are more competitive, so I’d go for Texas. You can establish in-state residency in only 1 year in most states. Just change your drivers license the second you move there and a year from that date is when you can establish residency. Or just pay out of state for the first year and establish residency in the subsequent years. It’s never too late to follow your passion. I’m going to grad school now after graduating college four years ago. For you, you will enjoy dental school. You won’t just be trying to “get it done and over with” to then start your “real life.” Going to school for something you’re truly interested in IS “real life,” and every day of learning new things is rewarding.

[@zainnaseemashraf3793]

Respect

[@JawHacks]

My guy 🙌🏼

[@waveypizza]

Thanks Ron, appreciate you

[@Chocolate-Bean]

Can’t wait for dr afli to come to nyc I need to get a consultation with him

[@Jyrogyro1199]

I was there in Houston when you were and was gonna try to do a meeting with you but didnt know your email. Getting MMA+Genio this month with Alfi

[@Jasonasked1233]

Thank you Ron, You should definitely check out Dr. Svitlana Koval, she specializes in MSE and focuses on airway. She has a ton of videos on MSE

[@trevorvirga5888]

Got my surgery done a month ago with him, after I saw your first interview with him, i knew right away I Wanted him to fix my face.

[@JawHacks]

Awesome thanks for sharing.

[@josiemaromi6981]

What were your movements?

[@nemonemo8430]

Is he better than giant implants?

[@easy8figure]

9:55 smashing dr alfi keeping you big as hell

[@JawHacks]

Facts

[@jamiewalters7869]

Looking forward to the footage from the OR.

[@adhyak2652]

The thing about segmental lefort over MARPE, does it improve the condyle position?, with MARPE you can control the expansion for a healthy condyle position, eliminating TMJD can the same happen with segmental lefort or SARPE cause that's usually dentoalveolar

[@BrynieB]

Absolutely, good to do this surgical follow through. I’m curious. Is the healing time with a DJS with Dr Alfi cause less swelling and quicker recovery since the surgery is 60-90 min as apposed to 6hrs? What has Dr Alfi said about the recovery time? Also, for patients out of state, would you say the hotel you stayed at was comfortable to be in if you were recovering from surgery? What is the average hotel stay time post surgery for DJS? I’m sure there are a lot of factors involved such as pre existing conditions.

[@elijhv]

New type of video nice

[@blastdrome829]

Yo, I saw that “Mewcon” thing and it sounds awesome, I really wish I was able to go but I’m 15 and gonna have school and my parents definitely wouldn’t want to fly me from the bottom of Texas to manhattan, is there any chance you could post some videos of you answering questions there or of how the event went? It would be very helpful if you could!

[@JawHacks]

Yes I will certainly try to do so.

[@burtnation1357]

U need to interview other surgeons such as wolford and movahead on jaw surgery including treating tmj

[@JawHacks]

I have Dr. Gunson and Dr. David Bell coming up later this summer.

[@d.n.8919]

Hey Ron. I'd love to knw your thoughts on the "hygiene hypothesis" of allergies, especially since allergies are one of the most common causes of blocked airways. If you aren't aware of the hygiene hypothesis, it's essentially the idea that food and seasonal allergies are a product of the overly-sterile environments of industrialized societies. Seasonal/food allergies are less prevalent in pre-industrial societies. The hygiene hypothesis asserts that exposure to common "allergens" in the first year of life can prevent/lessen the develop of an allergy to those substances as a child grows up by getting the immune system "used to" those substances. Babies in indsutrailized societies are often kept inside in homes that have filtered air systems and very clean homes, so when they get older and are suddenly exposed to things like pollen, animals, peanuts, etc., and start going outside more often/ entering environments besides the home, their immune systems overreact, resulting in allergies. There is a good amount of research backing this theory, and also many practical examples. For instance, peanut allergies are super common in the U.S., which leads many parents to avoid exposing their babies and young children to peanuts like the plague, and then when those kids end up actually trying peanuts, they have a severe reaction to them. However, in other countries where peanuts are a major part of the cuisine and babies are exposed to peanuts early and regularly, peanut allergies are almost unheard of. It also applies to things like pets--babies who are exposed to a dog or cat in the home from birth are less likely to develop an allergy to them compared to babies who don't grow up with a pet in the home and then get one when they're older. Breastfeeding is also considered prevenatitve because it exposes babies to a variety of microbes through the mother's breast milk. Even some major medical organizations have updated their guidelines now to reccomend the safe introduction of allergens at the age of 4-6 months. Of course, there are conflicting opinions about this topic, and some individuals develop allergies anyway. But research like the LEAP study (Learning about peanuts) seem quite promising. Would love to hear your thoughts about this or watch a video about your thoughts.

[@maalikserebryakov]

A major hole in ur theory is school. when kids go to school they mix bacteria, viruses, play in grassy soil outside etc.

[@d.n.8919]

@@maalikserebryakovit’s not a hole because exposure has to occur in the first year of life. It’s not my theory by the way. It’s a pretty prevalent theory among many different experts at the moment.

[@clareeeeee1]

Hey Ron, I hear you speaking about being reclusive. I’m much the same, it’s part of being neurodivergent not sure if that’s you but is the case for me. That’s another interesting topic how many people with ADHD and Autism have airway issues and how there’s a correlation there.

[@Jolluxbbx]

What do you think about damon braces

[@woollyacres]

I’d love to have the opportunity to shadow Dr Alfi. Also I understand what you mean by being a recluse I’m kinda the same way.

[@JackTN678]

When do we get to see more of the Alfi footage??

[@macmccloud8171]

let's go!

[@JawHacks]

🙌🏼

[@MA-dm4xy]

I had an online consult with dr alfi last year. He is accomodating and patient. At that time he told me his record for MMA was 47mins. Im from australia so will be a logistical nightmare but if i were in the states wouldnt think twice about proceeding with him. I would assume the patient you mentioned that went straight to surgery and avoided marpe, as well as others that do similar, would not reap the benefits of a widened maxilla.

[@JawHacks]

Indeed, it may be the case that skipping the marpe first might leave some patients yearning for a bit more tongue space and nasal breathing gains, but it could also be the case that surgery is sufficient for many patients too, sans marpe. Especially for patients that want to save time and get their "jaw hacking" over with.

[@SayCheeseAndDie01]

Just had a consultation with him two months ago. I unfortunately have to get my wisdom teeth removed prior to the surgery.

[@JawHacks]

Indeed, everyone does! I have yet to meet any dentist or surgeon who has ever seen a double jaw surgery done on someone with 32 teeth.

[@connorford7402]

Yes that aspect sucks. However I hear Dr Julian Wilson at Kaiser can possibly do it without pulling any teeth. It just makes it easier to do it without them. So you’d need to be 100% on JS if you’re gona do it

[@cakeprincess7756]

Is your eventual goal to get surgery or implants? Love how much investigation and information you're able to obtain and deliver on your channel. Ive yet to see this type of content anywhere else! Also how do i purchase your book??! Kinda thought i was gonna see some surgical footage lol

[@JawHacks]

There will be a separate video with surgical footage. KZbin will flag it so I will be doing it separately. I would love a DJS but mostly I am doing this from a journalistic perspective for my audience.

[@cakeprincess7756]

@@JawHacks amazing!! I can't wait to see it and thank you for the reply! 🙏🏽

[@enteniarafaelerickdeeh.778]

Ron, can you do a video about impacted wisdom tooth and what effects does it do when removing it and recommend some ways to save it? idk haha.. as I have an impacted lower wisdom tooth and Im starting to decide if i need to remove it or no.

[@tjam4229]

I was really leaning toward Dr Alfi for my MMA surgery, but I thought his website was lacking before and after photos from these types of surgeries

[@Mjeesteezy]

They’re all on his Instagram account

[@maalikserebryakov]

@@Mjeesteezystill shows lack of organisation.

[@StarkKiller007]

Hey I love your videos! Wanted to ask you on your opinion about my situation. I sadly got one of my lower wisdom teeth pulled all others are intact. How should i proceed? Simply continue mewing in order to preserve the current bone structure?

[@leomuller4653]

@Jawhacks please respond I might have the same issue upcoming so I'd love to see a response on this

[@adam29334]

After seeing this process, what are your thoughts on having a surgery through the traditional way? (so without pre-planned & printed cutting guides and plates) I have an opportunity to either have the surgery covered by insurance but without the guides, or I can pay out of pocket & travel to a more internationally recognized surgeon that uses the guides... what do you think?

[@JawHacks]

Really good question bro! I would say hang on for a few more months because I have a few more jaw surgeon interviews coming soon, including with excellent surgeons who use traditional plate bending methods.

[@bunb8541]

3:50 I'm not sure that you need ccw rotation for your face.

[@gabriellameattray9778]

I need to get with Dr. Alfi

[@JawHacks]

Considering a jaw surgery?

[@waveypizza]

@@JawHacks lol

[@jjjones9072]

What do you know about Dr. Robin Yang?

[@kobejva]

You are a very handsome man. Like SUPER handsome with beautiful hair

[@maalikserebryakov]

He is low MTN

[@LegsON]

Hi mate! What are your thought on invisalign? Grinding plastic for 2 years 24/7 sounds awful to me, when I think of hormonal health. Also, what are your thoughts on badly positioned 8th teeth on the lower jaw? I don't want to remove them as I'm afraid that will badly affect my face structure in the long run. I'm 29.

[@JawHacks]

I hate Invisalign for some of the reasons you describe and more. It causes me to clench and grind like a son of a gun. Then again, regular braces, BRIUS and every other teeth-moving system sucks too.

[@LegsON]

@@JawHacks Thanks for replying! So what can we do to correct lower jaw molar position?

[@Frenk33]

Could you make separate videos on philosophy and religion? you seem very knowledgeable on this too

[@JawHacks]

I'd love that, will consider it.

[@PhysicsBallArt]

​@@JawHacksplease do! I dig the philosophy/religion. I'm Catholic so I like hearing different perspectives

[@kichki777]

How much maxilla advancement did he do ? I feel like the maxillary advancement is trickier to determine compared to the lower.

[@JawHacks]

It's different for every patient but Dr. Alfi is able to do larger advancements than average for sure as the custom plates make that possible.

[@kichki777]

@@JawHacks ron after mse can you mew proparly even at night?

[@josiemaromi6981]

Mr. Ead, does Alfi require lower premolar extractions for MMA? 🤔

[@JawHacks]

Didn't hear him request premolar extractions once, so I'd say definitely not. Wisdom teeth though, yes.

[@swagpeach9850]

This guy is giving himself dental school education

[@JawHacks]

Wish I could get that cert!

[@swagpeach9850]

@@JawHacks I have friends in dental school and they are not even half of knowledgeable as you are about airway dentistry. Most of them don't even know of Mike Mew

[@maalikserebryakov]

@@swagpeach9850 Lol Random Blackpill kids on forums are more knowledgeable than dentists

[@sonyagosain3409]

So Dr Alfi used you to let the world know that he never skips leg day are you kidding meeeeee 😂😂😂😂😂😂

[@jesseshaver2262]

I just had jaw surgery with Dr Gunson

[@darthnihilus777]

How was it? He’s my first choice from my research

[@jesseshaver2262]

@@darthnihilus777 it went really well. Pretty big movements: 10mm lefort 1 with CCW, 13mm bsso at pogonion with 7 deg CCW, and a genio which i need to ask how much movement it was. Recovery kind of sucks. I’m still very swollen. I’m not recessed from my profile anymore. I was secretly hoping to have a “chad” face afterwards but I don’t think that will happen, and is just down to one’s original bones. And I think any more advancement would have been too much, likely giving me that “dog” or “crocodile” look that some Alfaro patients have. I definitely recommend a consult.

[@JackTN678]

Nice. I have mine scheduled for Feb 2025 with Gunson. How’s recovery? Did you have a catheter? And how do you feel you look now?

[@jesseshaver2262]

@@JackTN678 nice! Recovery was rough the first 4-6 days, but it’s a lot better now. I’m happy with the results, I definitely look better. Yes, a catheter is necessary

[@JackTN678]

@@jesseshaver2262 Thanks for sharing! do they take it out before you wake up...? and if not, does it hurt? lol for some reason that has me the most nervous

[@SneakoV2]

hopefully I will have MMA with him in a few years

[@mqrkusbrand5494]

I need mogger anteface

[@BasicGestalt]

🫡

[@waveypizza]

proverbial blood splashing

[@no89lan3]

His ig results don’t look anything special, they do look natural and functional but I don’t see the forward growth some mew-ers are after. Am I missing something?

[@JawHacks]

Lol Mewers are getting 2cm mandibular advancements?

[@maxaffe3195]

@@JawHacks he means the lefort 3 looksmaxxers that want 8cm advancement

[@no89lan3]

@@JawHacks Didn't say what mew-ers are getting but what they after.

[@no89lan3]

@@maxaffe3195 No reason to make fun of my comment. But for the price you're paying you'd expect the best results... anyways.

[@clareeeeee1]

It depends what your starting point is