[armatav]

Sure, I’m in Palo Alto - so’s the doctor.

MMA is maxomandibular advancement. They make fine cuts in the upper and lower jaw, move them forward, and secure them in place with titanium bars. Sounds painful, really was the least painful surgery I have had so far - but the most logistically challenging (chocolate milk for 6 weeks straight).

TPD is transpalatial distraction. He makes a fine cut down the palate and inserts a small device on it, then every couple days you use a little tool to activate it, and it moves the palate apart horizontally, giving you more nasal breathing room.

Wild ride, but I’d do all of those surgeries twice if I had to; they weren’t actually that bad at all, but the results are amazing. Being able to run and breathe through my nose is great, sleeping without the machine is great too.