#89 – Dr. Newaz and Dr. Jaffari – This Orthodontist Expanded His Maxilla 9mm with FME

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 Media

https://www.youtube.com/@airwayortho

https://www.instagram.com/dr.jaffari.dds

https://www.instagram.com/drnewazzz

All GIFs courtesy of Shuikai

https://www.reddit.com/r/UARSnew/

1:1 Coaching with Ron — Now Inside The Joint

https://jawhacks.com/coaching

JawHacks Newsletter (Substack)

https://substack.com/@jawhacks

And More on the Website

https://jawhacks.com/

Timestamps

00:00:00 - Dr. Newaz's 9mm expansion results and facial changes

00:00:31 - Ron introduces FME technology and episode overview

00:04:10 - Defining success and failure across 98 FME cases

00:13:03 - How many failures to split?

00:21:01 - Who benefits aesthetically from midface expansion?

00:26:30 - FME vs custom MARPE clinical comparison

00:31:23 - Septum avoidance and preventing asymmetry with guide rods

00:38:19 - Lab planning process and final doctor approval

00:47:17 - Why turning protocols have slowed down dramatically

00:53:51 - 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 asymmetry

01:17:55 - Dr. Newaz's CBCT analysis and superimposition walkthrough

01:29:22 - True cheekbone enhancement without implants

01:33:03 - How long did 9mm expansion actually take?

01:44:35 - Nasal resistance spectrum and empty nose syndrome risk

01:57:11 - Segmental LeFort vs midface expansion

02:09:39 - Can you do MARPE after jaw surgery?

02:14:22 - Soft tissue aesthetic improvement

02:22:27 - Plan for the mandible and considerations on condyle stability

02:31:37 - Why did Dr. Newaz go this far with expansion?

02:34:48 - Pushing boundaries in the expansion space

02:42:11 - Listening to educated patients as part of the treatment team

02:47:39 - First look at the FMA protraction device

02:52:37 - MRI results show Dr. Newaz's jaw joint is healing

03:00:34 - FMA Device Deep Dive: Components and Mechanics

03:07:58 - Patients building their own DIY protraction devices

03:08:47 - Clinical potential and workflow for the FMA device

03:14:42 - A discussion on the cost of FME appliance

03:22:46 - US healthcare frustrations and goal of making treatment accessible

03:27:02 - Ron shares his personal story of being priced out of jaw surgery

03:32:45 - The major risks and challenges of expanding after jaw surgery

03:40:25 - Where to find Dr. Newaz and Dr. Jaffari online

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