i NEED mse but am AFRAID of DESCENSION

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
 
  • Hmm...
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Do you have a narrow pallete?

The descension is through either:

- asymmetry
- bigger nose
- balloon face

FME and careful monitoring minimizes the asymmetry risk. Bigger nose might not be that bad depending on how much you expand and how big your nose currently is. Balloon face is unlikely if your lower facial third is well developed and if you don't expand too much.

Don't forget you can stop expanding when you want. If you expand 4mm and get a nice improvement in breathing you can simply stop there.

Doing it after bimax is less than ideal though. At some point i'm going to get an FME installed, probably early next year, if you haven't got it done by then I'll let you know how it does.
my jaw is a bit assymetric and i got a narrow palate like very narrow should i go for mse?
 

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