Jaw Surgery Explained: Recovery, Expansion, Braces vs Surgery-First, Airway & What to Expect

Описание: In this episode of The Alfi Podcast, we’re joined in-studio by Drs. Celcines and Halepas from AOS Miami for a practical, no-fluff roadmap to modern jaw surgery built from thousands of cases and the questions patients (and providers) ask every day.

You’ll learn exactly what happens at the first consult (CBCT + airway analysis, team coordination, and when a sleep study matters), plus how surgeons “quarterback” your full plan so you don’t get bounced between providers. The team breaks down the three major patient pathways, surgery-first, expansion-first (MARPE/SARPE/SFOT), and traditional ortho-first decompensation and why there’s no one-size-fits-all approach.

They also cover what recovery really looks like today: swelling peaks, numbness timelines, the no-chew rule (and why breaking it can cause non-union), typical follow-ups, and a common post-op med strategy (pain control, antibiotics, mouthwash, congestion support). Finally, they explain why jaw-first can change the need and outcomes for septoplasty/rhinoplasty, and how custom plates improve predictability, including TMJ outcomes.

Our team can help you get to the ROOT cause — jaw alignment and airway.

Call: 713-489-6984
Email: [email protected]

(Reference “The Alfi Podcast” when you reach out.)

ABOUT THE ALFI PODCAST

Every week, Dr. David Alfi sits down with elite performers — athletes, entrepreneurs, creators and thought leaders — to explore how breathing, sleep, jaw alignment and mindset unlock the highest level of human performance.

Subscribe for more conversations on:
• Elite performance & recovery
• Airway, sleep and jaw health
• Biohacking, discipline and faith
• Raising strong, resilient kids

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00:00 Welcome + who this episode is for
01:30 What happens at your first jaw surgery consult
03:30 Why starting with the jaw surgery team matters
05:30 The 3 jaw surgery paths (surgery-first, expansion-first, ortho-first)
08:30 Surgery-first patients (who qualifies, braces vs aligners)
11:30 Expansion-first explained (MARPE, SARPE, SFOT, airway benefits)
15:00 How expansion affects breathing, face & nose
18:30 Ortho-first & decompensation (why bites get worse before better)
21:00 Wisdom teeth, expansion timing & orthodontic prep
26:00 Septoplasty & rhinoplasty — why jaw surgery comes first
30:30 Pre-planning & pre-op visits (custom plates & surgical planning)
35:30 Myofunctional therapy, nutrition & mindset (non-negotiables)
38:30 Informed consent & real recovery expectations
42:30 Risks, numbness, chewing too early & non-union
47:30 Hardware, TMJ outcomes & long-term expectations
51:30 Week-by-week recovery timeline (week 1 → 3 months)
57:30 Post-op meds, swelling & nasal congestion tips
1:03:30 Jaw surgery vs rhinoplasty (modern recovery reality)
1:04:45 Final takeaways + what to expect next episode
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