Diary of a palatal expander patient

[jfbjfb]

So I eventually got the palatal expander I had been long waiting for. The model is the so-called DS expander. It was custom-made from my CBCT scans and installed just today. I have been bleeding for hours, and so while I would like this thread to be a sophisticated one, I feel like I am too tired to write much.

Things I am expecting:

- Move from a 30 mm IMW to 37.5 mm.
- Enhance the midface by making it wider, thus having a bizygomatic width that is larger than the bigonial width, and not the other way around as of now.
- Improve the undereye support thanks to the lateral expansion of the cheekbones.
- Wider smile, ideally it should be a 10-teeth smile.

I hope to update the forum regularly on the process, like showing the resulting diastema and what effects it has exerted on my face aesthetics. I will be taking any question you may have.

 

[Struggler03]

Tag me on future updates

 

[Deleted member 18582]

Tag me on future updates

 

[Deleted member 18879]

Do you have maloclussion? I notice mamelons on your lower teeth

 

[Saint Casanova]

is this better or MSE or SARPE?

 

[Saint Casanova]

BAME by da Silva (bone anchored maxillary expander)
So a better more beefy mse

Which orthos do this ?

 

[Saint Casanova]

The nomenclature is kinda confusing
Those are done by a few spanish doctors

But there are other types like Custom MARPE which is very similar, a modified custom MSE with more strength and a better screw

So this isn't exclusive to them

More and more good skeletal expanders have been popping up here and there on the recent years

Need to see if I can find some good ones in London. For some reason my ortho said to expand my palate he needs to extract teeth.

 

[Deleted member 28774]

extract teeth.

He is retard

 

[Saint Casanova]

He is retard

Why does he want to ruin my jaw ? Is he sick ? 4 teeth as well

 

[Saint Casanova]

Yea na he definitely meant surgical expansion

The discord I linked in my last post would help u a lot tbh
It's hard finding good specialists

This should be useful:

View attachment 2286701

Thank you for this, I’ll look into them. I’ll try to see what London has to offer first, if I can’t find anything good I’ll go to them.

 

[Saint Casanova]

Yea not sure how good the UK is regarding expansion
there was a guy in that discord getting MSE there tho and I think he found a great ortho
don't remember the name

Send discord link please

 

[Debetro]

Age?

 

[Saint Casanova]

YOU CAN SEND QUESTIONS TO SURGEON DAVID ALFI FOR HIS UPCOMING INTERVIEW (GTFIH)

giga based surgeon will be doing an interview on JawHacks and you can send him questions through the discord server

looksmax.org

Thank you

 

[longjohnmong]

Isn't everything just MARPE, which is miniscrew assisted rapid palatal expansion. MSE is a specific MARPE expander that attaches to your teeth as well. BAME is generic term for MARPE that doesn't attach to teeth.

 

[DelonLover1999]

cost?

 

[depressionmaxxing]

i had sarpe i could make a thread about it too. but its really just your palate expanding idk how you could write so much op

 

[letsdoit]

So I eventually got the palatal expander I had been long waiting for. The model is the so-called DS expander. It was custom-made from my CBCT scans and installed just today. I have been bleeding for hours, and so while I would like this thread to be a sophisticated one, I feel like I am too tired to write much.

View attachment 2286639

Things I am expecting:

- Move from a 30 mm IMW to 37.5 mm.
- Enhance the midface by making it wider, thus having a bizygomatic width that is larger than the bigonial width, and not the other way around as of now.
- Improve the undereye support thanks to the lateral expansion of the cheekbones.
- Wider smile, ideally it should be a 10-teeth smile.

I hope to update the forum regularly on the process, like showing the resulting diastema and what effects it has exerted on my face aesthetics. I will be taking any question you may have.

Incisor chew with this in if you want insane results

 

[jfbjfb]

Do you have maloclussion? I notice mamelons on your lower teeth

Yes, I do, spot on!

To be honest I was never told by my orthodontist that I have mamelons, but you are indeed right. My lower teeth are quite crowded and I have a slight class 3 occlusion. More importantly, I also have a significant open bite which will be fixed by the end of the treatment.

 

[jfbjfb]

What did your ortho say about your aesthetic expectations?

Does he have before afters you could show us

We did not really discuss aesthetics. I already knew what to expect from MSE, and he seemed more concerned with the teeth than the bones of my face. This is why I decided to not go for this route. He showed me some before and afters of patients that were expanded. I recall their smiles were significantly more beautiful, but other than that not much. My main motivation for doing MSE is for widening the bones, while he is more concerned with the open bite.

 

[jfbjfb]

is this better or MSE or SARPE?

Kind of depends on what you are looking for. If you have very wide zygos then SARPE would be the way to go to avoid overexpanding them. If you have a narrowish face, then MSE is the winner in my opinion

 

[jfbjfb]

Age?

Mid 20s

 

[jfbjfb]

cost?

Pm me if interested, I would say that it was cheaper than I expected

 

[malicieusss]

So I eventually got the palatal expander I had been long waiting for. The model is the so-called DS expander. It was custom-made from my CBCT scans and installed just today. I have been bleeding for hours, and so while I would like this thread to be a sophisticated one, I feel like I am too tired to write much.

View attachment 2286639

Things I am expecting:

- Move from a 30 mm IMW to 37.5 mm.
- Enhance the midface by making it wider, thus having a bizygomatic width that is larger than the bigonial width, and not the other way around as of now.
- Improve the undereye support thanks to the lateral expansion of the cheekbones.
- Wider smile, ideally it should be a 10-teeth smile.

I hope to update the forum regularly on the process, like showing the resulting diastema and what effects it has exerted on my face aesthetics. I will be taking any question you may have.

Very nice. Keep us posted.

 

[jfbjfb]

i had sarpe i could make a thread about it too. but its really just your palate expanding idk how you could write so much op

The sole purpose of SARPE is to expand the palate, that is it. With MSE and its variations you can actually improve your midface substantially as the junction between the maxilla and the zygos remains uncut. One of my failos is the lack of cheekbone projection and poor undereye support. I expect an improvement there and this is what I anticipate to detail in this thread

 

[jfbjfb]

Incisor chew with this in if you want insane results

Can you elaborate on this? The first days I am supposed to not chew hard food, so I would like to avoid it. Have you had an MSE installed before?

 

[depressionmaxxing]

The sole purpose of SARPE is to expand the palate, that is it. With MSE and its variations you can actually improve your midface substantially as the junction between the maxilla and the zygos remains uncut. One of my failos is the lack of cheekbone projection and poor undereye support. I expect an improvement there and this is what I anticipate to detail in this thread

explain and send pictures of how mse does anything really difrrent than sarpe does

 

[jfbjfb]

explain and send pictures of how mse does anything really difrrent than sarpe does

This should explain it: https://looksmax.org/threads/new-bo...talled-on-patient.640331/page-2#post-10411693

Basically you have zero zygomatic lateral expansion due to the cuts

 

[jfbjfb]

Alright, so here it comes the first update.

- Day: 4
- Turns: 6
- Expansion: 1 mm
- Comments: a tiny (barely noticeable but visible) diastema is starting to appear. Once I activate the device I feel pressure on the ckeekbones especially, way more than in the maxilla directly. I am starting to notice my cheekbones expand laterally a bit more, although it may be too early to make a proper judgement. Not much of a change has been experienced on my undereye. Despite only having expanded 1 mm, the breathing benefits start taking place. Breathing through my nose has become easier. The nose has gotten a bit wider, yet nothing significant up to this point. The bleeding during the first two days was brutal, I was constantly losing blood and stained my bed sheets like crazy. It now seems to have come to an end. I am and will be on medications (antibiotics and painkillers) for 4 more days.

Spoiler: Tags

@Giorgio @NegativeNorwood @Yassin @Struggler03 @slop slinger @nobodyspecial369 @noprogressno @AscendingHero @malicieusss

 

[Deleted member 18582]

if my upper palate is somewhat small, but my bizigoymatic is wider than bigonial, my face otherwise seems fairly wide, and from my lips i don't have the appearance of a small palate, do i have any need to do this

 

[AscendingHero]

Yea na he definitely meant surgical expansion

The discord I linked in my last post would help u a lot tbh
It's hard finding good specialists

This should be useful:

View attachment 2286701

Would you mind linking me to this server where this is further discussed?

 

[jfbjfb]

if my upper palate is somewhat small, but my bizigoymatic is wider than bigonial, my face otherwise seems fairly wide, and from my lips i don't have the appearance of a small palate, do i have any need to do this

I would say it depends on your current intermolar width or what we categorize under small palate. You could get SARPE or DOME if you just want the palatal expansion without the cheekbone lateral movement. However, the procedure is more invasive than MSE and also more expensive. Another option would be to rely on invisalign or braces with SFOT if the bones are decently sized and you just need some dental movement.

 

[Deleted member 18582]

I would say it depends on your current intermolar width or what we categorize under small palate. You could get SARPE or DOME if you just want the palatal expansion without the cheekbone lateral movement. However, the procedure is more invasive than MSE and also more expensive. Another option would be to rely on invisalign or braces with SFOT if the bones are decently sized and you just need some dental movement.

How exactly does this expand your cheekbones laterally? My face is fairly wide but I have virtually no lateral cheekbone projection so I want it. What is what you are doing called? MSE? I don't know any of these acronyms

Can palate be expanded in Bimax?

 

[AscendingHero]

YOU CAN SEND QUESTIONS TO SURGEON DAVID ALFI FOR HIS UPCOMING INTERVIEW (GTFIH)

giga based surgeon will be doing an interview on JawHacks and you can send him questions through the discord server

looksmax.org

that discord mogs

Are you in any others besides that one?

 

[jfbjfb]

How exactly does this expand your cheekbones laterally? My face is fairly wide but I have virtually no lateral cheekbone projection so I want it. What is what you are doing called? MSE? I don't know any of these acronyms

Can palate be expanded in Bimax?

MSE stands for Maxillary Skeletal Expander. You can view it as a tool consisting of a screw that you daily rotate to transfer that movement into your maxilla. In other words, you are separating the two sides of your maxilla by activating the device. Since your maxilla is connected to your cheekbones through the pterygoid junction, moving the maxilla will push the zygomas outwardly as well.

The maxilla and the zygos connection is marked in red. With regular MSE treatments the surgeon does not cut these two parts, and therefore, you get the cheekbones to flare out a bit. This lateral expansion depends from individual to individual. It is hard to predict but some minor improvements at least are to be expected.

In my case you could say I am getting MSE. It is a variation of the traditional device originally designed by Won Moon, but the working principle remains.

The palate can be expanded with bimax with the so-called segmented lefort. They cut your palate in various pieces, usually 3:

With this they can expand the palate and then teeth are aligned with braces. This procedure will give you a wider palate but no cheekbone expansion because of the cuts involved in doing the lefort 1.

 

[AscendingHero]

Not rly
All other looksmaxxing servers are dogshit
That once actually has good discussion and bunch of ppl undergoing/ who have undergone stuff (MSE, surgery, etc)

Whats your user on that server?

 

[Debetro]

Update?

 

[jfbjfb]

Update?

- Pics:

- Day: 12
- Turns: 13
- Expansion: 2.17 mm
- Comments: The diastema is becoming more apparent, it starts being noticeable when I am talking. The pain is gone, turning the expander screw only causes a slight pressure on my maxilla which is transferred to my cheekbones, but other than that it feels very comfortable. As I expand my open bite is starting to improve a bit, although most of it will be fixed with dental movement (aligners) later on. One of the main reasons I went for the MSE was the expansion of the whole midface, including the cheekbones and with the secondary aim of improving the under eye area. Well, the cheekbones have been widen, they are becoming more beautiful. It is now apparent I have high-set cheekbones, very close to my orbits. They are not much laterally expanded, yet MSE is fixing that. Despite the improvement in the cheekbones, my under eyes are still very recessed. I am now realizing I will have to get infraorbital rim implants without a doubt because there is just not enough bone there.

- Tags:
@Giorgio @NegativeNorwood @Yassin @slop slinger @nobodyspecial369 @noprogressno @AscendingHero @malicieusss

 

[Struggler03]

What are your plans for the diastema

 

[RecessedChinCel]

Yes, I do, spot on!

To be honest I was never told by my orthodontist that I have mamelons, but you are indeed right. My lower teeth are quite crowded and I have a slight class 3 occlusion. More importantly, I also have a significant open bite which will be fixed by the end of the treatment.

Lol you need bimax if you’re over 18

 

[NegativeNorwood]

Wow, mirin' hard!

You got the best expander possible, and the cheekbones widening will definitely be a noticeable improvement for you.

Can't wait to see that future 12 tooth smile and stronger zygos, you got it man!

 

[AscendingHero]

Well, the cheekbones have been widen, they are becoming more beautiful. It is now apparent I have high-set cheekbones, very close to my orbits. They are not much laterally expanded, yet MSE is fixing tha

First and foremost appreciate the tag, secondly are you saying MSE has heightened your cheekbones?

Mirin the progress man!

 

[AscendingHero]

DS Xpander mogs

remember to get these op to hide the diastema https://instantsmileteeth.com/shop/impression-material-custom-fitting-beads/

DS Xpander? What's that?

 

[BrahminBoss]

Lateral projection is not undereye support. Be prepared for a wider nose.

 

[AscendingHero]

But it can be prevented

how? by not over expanding?

The expander he's using

better or worse than FME/EASE?

 

[jfbjfb]

What are your plans for the diastema

I actually had no plans other than expand as much as I have to and then fix it with invisalign. Is there any option to close it during the expansion process? For some reason I assumed I would have to live with it for some months

 

[jfbjfb]

Lol you need bimax if you’re over 18

I do not think so. My class 3 occlusion is very moderate. It was only spotted by one of three orthodontists. So if is just a matter of moving teeth a few millimeters and according to the chosen ortho the open bite would be fixed. We will have to see how I end up, but I have planned to get bimax afterwards to push my jaws a bit forward and especially have a more projected chin. So in case my mouth cannot be fixed orthodontically, then I will get it solved with surgery for sure.

 

[jfbjfb]

Wow, mirin' hard!

You got the best expander possible, and the cheekbones widening will definitely be a noticeable improvement for you.

Can't wait to see that future 12 tooth smile and stronger zygos, you got it man!

Thanks man!

If it was not for you I may have never gotten MSE. You are also part of this transformation <3

 

[jfbjfb]

DS Xpander mogs

remember to get these op to hide the diastema https://instantsmileteeth.com/shop/impression-material-custom-fitting-beads/

How do they work? I never thought it would be possible to close a diastema that easy

 

[NegativeNorwood]

Thanks man!

If it was not for you I may have never gotten MSE. You are also part of this transformation <3

Love to read that

 

[jfbjfb]

First and foremost appreciate the tag, secondly are you saying MSE has heightened your cheekbones?

Mirin the progress man!

I would not go as far as to say the have heightened them, but rather MSE has laterally expanded them a bit. I have inherited naturally high set cheekbones from both my parents but they were sunken due to my narrow midface. Now that my maxilla is being widened they are starting to become more visible.

Thanks!