i NEED mse but am AFRAID of DESCENSION

[Samiscool234]

PLEASE HELP!

already had a blackpilled bimax with lots of advancement, ccw, genio, but still wake up tired. im desperate and already tried everything including every type of nasal spray, septoplasty, antihistamine, sleeping pills etc.

would rather not live life with a CPAP (which i dont even think will work because the issue is my nose/nasal airways being too narrow/clogged), i believe MSE/MARPE or FME (better version of MSE) is the solution.

the only issue is, i hear that it (specifically MSE or most MARPEs) tend to very often descend people. what should i do? if i do get it, (I will probably get FME) how much MM at most should i expand?

i want to live a good life filled with energy, no longer being sleepy, distracted, and low energy, but i also know looks are law and i value my face card (which is above average, would want to rope if i truly "lost" my looks somehow unless its via natural aging lol) a lot.

How much advancement? Can i see before and after in dms? Please