# #84 – Dr. Ilya Lipkin – The Midface Expander Debate: Why FME Falls Short

Page: https://stenobird.com/podcast/jawhacks-7095416/84-dr-ilya-lipkin-the-midface-expander-debate-why-fme-falls-short
Text version: https://stenobird.com/podcast/jawhacks-7095416/84-dr-ilya-lipkin-the-midface-expander-debate-why-fme-falls-short.md
Podcast: [JawHacks](https://stenobird.com/podcast/jawhacks-7095416)
Published: 2025-06-02T13:00:00+00:00
Episode link: http://jawhacks.local/episode/84-ilya-lipkin
Audio file: https://episodes.captivate.fm/episode/996d31db-33ca-4e59-93a9-e02438a6ac71.mp3
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JSON: https://stenobird.com/v1/public/podcasts/jawhacks-7095416/episodes/84-dr-ilya-lipkin-the-midface-expander-debate-why-fme-falls-short
Duration seconds: 6752

## Resource

Ron interviews Dr. Ilya Lipkin, an orthodontist with extensive MARPE experience. They discuss the nuances of Custom MARPE versus FME, including design considerations, TAD stability, and innovations like "Lipkin Wings." The conversation also covers the role of surgical assist, strategies to address and prevent asymmetry, and the importance of jackscrew orientation. Additionally, Dr. Lipkin shares insights on Facemask protraction therapy and offers perspectives on MMA surgery and selecting a surgeon. Connect with Dr. Lipkin https://www.instagram.com/drlipkinsmiles https://www.gotbraces.com/ JawHacks Official eBook https://substack.com/@jawhacks 1-on-1 Chat with Ron https://jawhacks.com/chats And More on the Website https://jawhacks.com/ Timestamps 00:00:00 - Intro 00:00:40 - Dr. Lipkin's Custom MARPE Experience & Course 00:02:33 - The FME Appliance: Dr. Lipkin's Unbiased Impressions 00:05:10 - FME Design Flaws? TAD Tipping & Force Vectors 00:10:24 - Armless Expanders: A True Skeletal Solution or Marketing Hype? 00:13:06 - MARPE Arms to Prevent Pinching of Soft Tissue 00:15:49 - FME's Locking TADs To Prevent Tissue Pinching 00:17:06 - Why Lateral TADs Are NON-NEGOTIABLE for Predictable Expansion 00:18:46 - The "High Palate" Myth & Problems with Distant Force Application 00:22:06 - The Disadvantage of Stock Appliances: Not Assessing Bone Thickness 00:24:59 - Surgical Assist (Piezo): Does It Always Guarantee a Midline Split? 00:29:44 - Revisiting Locking TADs (and 2-Piece Design): Are They the Future for All Expanders? 00:32:25 - Introducing "Lipkin Wings": A Custom Solution for TAD Locking 00:33:16 - Facegenics Cephalometric Analysis vs. Dr. Lipkin's Asymmetry Prevention Protocol 00:43:08 - Aligning the Expander to Avoid Exacerbating Asymmetries 00:45:50 - Expa…

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