One team. One plan.
Most airway problems don't have one solution. They need an oral surgeon, an orthodontist, a plastic surgeon, a myofunctional therapist, and a wellness team thinking together. Here is how that actually works in our practice.
Treat the cause, not the loudest symptom.
Crowded teeth, snoring, bedwetting, mouth breathing, fatigue, recurrent ear infections, weight gain — these are not separate problems. They are downstream consequences of an airway that has been working too hard for too long. Our approach is to map the whole picture on day one, then build a plan that addresses the cause.
How a comprehensive evaluation actually unfolds.
Listen first
Every consultation begins with the patient's story. Not a checklist. Not a 12-minute appointment. We want to know what brought you here, what you have already tried, and what you most want to change. The diagnosis comes later. Listening comes first.
Map the airway
3D imaging, airway analysis, take-home sleep study when indicated, oral and nasal examination, growth and development assessment for children. We build a complete picture of the structures and the function before recommending anything.
Convene the team
Findings are reviewed together — oral surgery, plastic surgery, orthodontics, myofunctional therapy, wellness. Each specialist contributes the part of the plan their training is uniquely suited to address. Disagreements are worked out internally. You receive a single coordinated recommendation.
Plan in phases
Most plans unfold over months, occasionally over years — sometimes alongside growth in children, sometimes around life logistics in adults. The phases are sequenced so each step makes the next one easier, with clear checkpoints between phases.
Execute together
Procedures, orthodontics, therapy, and wellness happen under one roof, on a coordinated schedule, with shared records. You are not driving across town to repeat your story to the next specialist. The handoffs happen behind the scenes.
Follow long-term
Airway disease rarely concludes with a single procedure. We follow patients for years — checking on breathing, sleep, weight, orthodontic stability, and quality of life — with adjustments made as the body and life change.
The case for working together.
The traditional path
You see your pediatrician about the snoring. They send you to ENT, who removes the tonsils. The snoring continues. You see the dentist, who notices a tongue tie and refers you to oral surgery. The release helps somewhat. The orthodontist starts braces. Two years in, the airway issues are still there because no one was treating the airway as a whole.
Most of the cost — in time, in money, in patience — comes not from the procedures themselves but from the gaps between them.
The BreatheWell path
You meet a team that has already discussed your case before you sit down. The pediatric oral surgeon, the orthodontist, and the myofunctional therapist are in the same building, on the same record, working from the same evaluation.
The plan is built once, in one room. The execution is sequenced. The follow-up is shared. The handoffs that usually fall through the cracks — don't.
This is craniofacial-style team care, applied to airway medicine.
Five seats. Every patient.
Each comprehensive evaluation includes input from each of these specialties.
Oral & Maxillofacial Surgery
Frenectomy, tonsillectomy, jaw surgery, oral pathology, surgical airway planning
Plastic & Reconstructive Surgery
Septoplasty, functional rhinoplasty, turbinate reduction, submental contouring
Myofunctional Orthodontics
Palatal expansion, airway-focused orthodontics, retention, growth guidance
Myofunctional Therapy
Tongue posture, swallow, breathing pattern, post-procedure rehabilitation
Wellness Nursing
Sleep studies, GLP-1 weight loss, nutrition, sedation, IV therapy, follow-up
What it looks like in practice.
A representative timeline for an adult coming in with snoring, fatigue, and the desire to lose weight. Children, infants, and other adult presentations follow their own coordinated paths.
Initial consultation
One 90-minute appointment. Story, exam, imaging, take-home sleep study sent home. Initial conversation with the team specialists most relevant to your concerns.
Plan presentation
Sleep study results in. Team has met. A unified treatment plan is presented — with phases, timelines, costs, and alternatives clearly laid out. You take it home, ask questions, decide on a pace.
Phase one: structural
Septoplasty paired with submental liposuction, performed in coordinated sessions. Recovery managed by our nursing team. Pre-orthodontic alignment begins if relevant.
Phase two: functional
Myofunctional therapy program begins, retraining breathing pattern and tongue posture. Wellness program (GLP-1, nutrition, follow-up) starts in parallel. Sleep is reassessed.
Phase three: refinement
Orthodontic finishing if needed. Long-term retention plan in place. Sleep, weight, energy, and mood reassessed against baseline. Most patients describe the change as "I forgot how it felt to sleep."
Continuity
Annual or as-needed follow-up across the team. Adjustments made as life and the body change. We stay your team.