IMDO™ is a revolutionary jaw surgery solution to fix a small lower jaw and big overbite for teenagers.
Small jaws and a collapsing airway are a major cause of sleep apnea in teenagers – and can be rationally assessed and potentially treated using the IMDO system Dr Paul helped develop.
IMDO™surgery is accessible, may be medical-insurance funded and a potential permanent cure to snoring and sleep apnea in adolescents and young adults.
BiMax (or Double Jaw surgery / DJS) surgery can dramatically improve your breathing, eliminate snoring and treat sleep apnea. It eliminates airway obstruction and gives an overall sense of improved facial proportionality.
BiMax is a surgical procedure where both jaws are significantly advanced using custom-engineered titanium plates together with GenioPaully to augment the chin. Both jaws are brought forward using LeFort for the upper and BSSO for the lower jaw.
Conditions we use BiMax treatment for:
Custom BiMax means jaw surgery can be performed without the need for braces, in combination with simpler orthodontic solutions such as Invisalign, or as a “surgery-first” bite solution matched to aesthetic dentistry planning with the cosmetic dentist.
Designing towards the ideal facial skeleton and smile for a patient combines full facial 3D scanning, digital bite records, surgical planning software, orthodontic ambitions, and precise airway analysis to help us determine the best treatment options that gives a maximum baseline to both aesthetic and functional long-term outcomes.
Remedial BiMax is scientifically proven as a curative therapy for Obstructive Sleep Apnea.
Remedial BiMax or double jaw surgery (DJS – using custom titanium) is the answer to the high number of patients we see who have endured everything that life has thrown at them – and who are still having issues with their breathing, smile or facial balance. Technologies have advanced that limit and reduce the reliance on repeat orthodontics, jaw wiring, or prolonged recovery.
Remedial BiMax follows previous camouflage orthodontics, and includes the counter-clockwise rotation made famous by Bill Arnett.
SuperBiMax combines all of our treatments: IMDO™, SARME, BiMax, and GenioPaully – in an innovative surgical approach to support the dramatic change required to overcome snoring and sleep apnea, or achieve maximum facial balance.
We offer customised facial implants to people who have undergone remedial BiMax to help achieve balanced facial symmetry where we have reached the limit of what BiMax can offer.
Remember… we are not changing your face to look better. We are changing your face to work better – and to become what nature and life had always intended for you.
Your face is YOU. You own it. It’s unique and it’s beautiful. It’s still your face. Surgery does not change who you are… but it does aim to positively change your health.
The single biggest effect of a small lower jaw is that it causes the upper jaw to become a little, or a lot, smaller.
In younger teens, a small upper jaw can be corrected with expert orthodontic treatment that allows for the small lower jaw to be corrected with IMDO™ surgery.
In older teens, the upper jaw may also be corrected with LeFort surgery. Setting the position and shape of the upper jaw (with custom titanium LeFort plates) allows for the planning of the ideal dimensions of the lower jaw – through IMDO™.
Lefort for underbite
LeFort jaw surgery advances your upper jaw to a position that complements your lower jaw.
It normalises your bite, opening up your airway to improve breathing and encourage better sleep patterns, and establishing ideal facial proportion.
It also offers better sleeping patterns by diminishing the effects of snoring and sleep apnea. It also provides balance to the middle aspects of your face, and refines the contour of your lips and overall facial profile.
LEfort for gummy smiles
LeFort for gummy smile surgery is designed to improve nasal airflow. Together with advancing your lower jaw, breathing can be greatly enhanced by removing airway obstruction within both jaws – and compromised by the combined architecture of both.
The cheekbone implant is used to restore cheekbone projection and symmetry most commonly after BiMax double jaw surgery.
The chin implant is used to centralise and project the central chin button in those who do not want surgical chin advancement with the GenioPaully technique.
The orbital floor and cheekbone implant is used to to restore the mid face elements that failed to develop due to silent sinus syndrome.
The lateral nasal implant is used to support the nasal base, nasal valves, and underlying columella base.
BiMax is an extraordinary and life-changing operation that can improve your bite or airway. However, the commitment to such dramatic facial change can exacerbate or disclose other problems that BiMax cannot correct.
Fortunately, we have custom PEEK jawline design and manufacturing technology to address abnormalities in jaw and facial development, especially for facial asymmetry of cheekbones and jawlines.
The process for facial implant design revolves around your personal needs from start to finish. From your first consultation, where we carefully work with you to understand your concerns, to the design phase where we access CT medical scanning to custom design your implants, through to surgery led by Dr Paul and his team, you will receive the very best pre-during-and post care and professional support.
GenioPaully is the evolution of the original Genioplasty procedure. Instead of focusing purely on achieving facial balance – by moving a small chin forward – we are also super-stretching the tongue to help overcome airway blockage and improve breathing, and in a fundamentally clever way.
In addition to improving aesthetics, GenioPaully maximises the effects on airway opening and breathing. The further forward your chin is positioned, the greater the increase in airway opening and improvement in breathing.
SARME (also called MARPE or MARME) jaw widening surgery is a highly effective procedure that widens your upper jaw to improve breathing and make room for complete dental alignment without needing to remove teeth.
SARME widens the nasal airway and stretches out the soft palate to help prevent upper airway collapse when sleeping. It also helps eliminate sleep apnea
The Jaw surgery solution
This website provides general advice only. Always consult with your GP first to discuss your medical history and symptoms and always gain a second specialist opinion. Every person is different, and specialist assessments are key to understanding the risks associated with any treatment and whether a particular treatment is right – or not right – for you.