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Breathe Well Institute
Airway Medicine, Reimagined
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Airway Medicine · Reimagined · Amarillo

The art & science
of breathing well.

A multidisciplinary airway institute — uniting surgery, orthodontics, plastic surgery, myofunctional therapy, and metabolic medicine beneath a single roof. One practice, one integrated team, one coordinated plan for every patient.

Partnering with: Pediatricians Dentists Lactation Consultants Speech Pathologists Sleep Physicians Orthodontists
Evidence-based, peer-reviewed research
European Journal of Orthodontics
Oxford Academic
Orthodontics & Craniofacial Research
Wiley
BMC Oral Health
Springer Nature
Journal of Oral & Maxillofacial Surgery
AAOMS
The Angle Orthodontist
Allen Press
Our Philosophy
Breathing is not a single system. It is an entire life.

Airway dysfunction is rarely a single problem. It is a cascade — anatomy, habit, and development compounding over years. A narrow palate shaped by a tethered tongue. A deviated septum that became a mouth-breathing habit. Enlarged tonsils that fragmented a child's sleep. Each condition feeds the next.

Treating one piece in isolation almost always fails. That is why the Breathe Well Institute exists — to bring the surgeon, the orthodontist, the plastic surgeon, the myofunctional therapist, and the physician under one roof, into one conversation, around one coordinated plan.

"You cannot fix airway by chance. It takes the whole team — together, in one room, at one time." Dr. William E. Graves · Founding Director
G
— Portrait forthcoming —
Meet the Founder

Dr. William E. Graves.

DMD Board-Certified · ABOMS Fellow · AAOMS Diplomate · ADSA Faculty · TTUHSC

Dr. Graves is a board-certified oral and maxillofacial surgeon, founder of Amarillo Oral & Maxillofacial Surgery, and founding director of the Breathe Well Institute. He has practiced full-scope oral and maxillofacial surgery in Amarillo since 2008 and maintains a faculty position at the Texas Tech University Health Sciences Center School of Medicine.

He earned his DMD from the University of Louisville in 2004 and completed his oral and maxillofacial surgical residency at the University of Tennessee–Memphis. He is a Diplomate of the American Dental Society of Anesthesiology and a Fellow of both the American Association of Oral and Maxillofacial Surgeons and the American College of Oral and Maxillofacial Surgeons.

Dr. Graves founded the Institute after a decade of seeing airway patients fall through the cracks between specialties. "The surgeon did the release. The orthodontist did the expansion. The therapist did the retraining. But no one was doing them together." The Breathe Well Institute was built to finally change that.

Read the full biography →
What We Treat

Conditions we address.

Eight interrelated areas of airway care — each a piece of the same underlying anatomy. Addressed together, not separately.

Services & Technology

The tools of modern airway care.

Every procedure is performed with the precision instruments and imaging the discipline demands — on site, by the specialists who use them every day.

— The Breathe Well Doctrine —
Expand the palate first. Release the tongue second.
Retrain the function third. Skip a step, and the treatment fails.
The Integrated Team

Six disciplines.
One institute.

Each specialty exists on staff — not by referral, not on call. This allows patients to move seamlessly between experts without ever leaving the building, without conflicting advice, and without being the one carrying the treatment plan between providers.

I.

Oral & Maxillofacial Surgery

Frenectomy, palatal expansion surgery, and hard- and soft-tissue work of the airway complex. The foundational surgical discipline.

Surgical Core
II.

Orthodontics

RPE, MARPE, and skeletal correction — airway-first treatment planning for patients of every age.

Structural
III.

Plastic Surgery

Board-certified plastic surgeon performing septoplasty, functional rhinoplasty, and turbinate reduction on site.

Reconstructive
IV.

Myofunctional Therapy

Tongue posture and swallow retraining — the behavioral counterpart that makes every surgical result durable.

Therapeutic
V.

Metabolic & Weight Medicine

Integrated weight management and metabolic evaluation — recognizing airway as a whole-body condition.

Medical
VI.

Pediatric & Lactation Liaison

Close collaboration with pediatricians, pediatric dentists, SLPs, and lactation consultants in your community.

Collaborative
The Care Team

Your specialists.

The Institute is growing. Dr. Graves leads the founding clinical team, with additional specialists announced as each discipline joins the Amarillo flagship.

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Founding Director
Dr. William E. Graves
DMD · ABOMS · AAOMS Fellow
Oral & Maxillofacial Surgery — founder and clinical director of the Institute.
O
Airway Orthodontics
Orthodontist
Announcement forthcoming
RPE, MARPE, and airway-focused orthodontic care across all ages.
P
Nasal & Facial Plastic Surgery
Plastic Surgeon
Announcement forthcoming
Septoplasty, functional rhinoplasty, and turbinate reduction on site.
M
Myofunctional Therapy
Myofunctional Therapist
Announcement forthcoming
Tongue posture and swallow retraining — the behavioral foundation.
W
Metabolic & Weight Medicine
Medical Director
Announcement forthcoming
Integrated weight management and metabolic evaluation.
C
Care Coordinator
Patient Coordinator
Announcement forthcoming
Your single point of contact across every provider in the Institute.
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Clinical Nursing
Registered Nurse
Announcement forthcoming
Surgical, anesthesia, and post-operative patient care.
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Join the Team
Now hiring
Amarillo · All disciplines
We are actively recruiting for the Amarillo flagship. Inquiries welcome.
Evidence & Outcomes

What treatment actually changes.

Airway care is measurable. Width. Volume. Range of motion. Every protocol at the Institute is grounded in peer-reviewed literature and documented outcomes.

Study I · Maxillary Expansion
+7mm
mean skeletal widening
Before
27.8 mm
After
34.8 mm
Miniscrew-assisted rapid palatal expansion (MARPE) widens the maxilla in adolescents and adults, creating space for the tongue and opening the nasal airway without requiring conventional orthognathic surgery.
Source: Kapetanović et al., European Journal of Orthodontics, 2021. Systematic review of MARPE outcomes in non-growing patients.
Study II · Nasal Airway
+2.05mm
nasal cavity width gain
Before
23.4 mm
After
25.5 mm
CBCT analysis of MARPE patients demonstrates measurable gains in nasal cavity width and upper airway volume — restoring nasal breathing that is foundational to healthy airway function across the lifespan.
Source: Li et al., BMC Oral Health, 2023. Three-dimensional CBCT evaluation of upper airway changes after MARPE.
Study III · Tongue Mobility
2.1× TRMR
tongue range-of-motion ratio
Before
38 %
After
82 %
Functional frenectomy with laser precision more than doubles tongue range of motion, measured by the Zaghi TRMR scale — restoring the mobility required for proper swallow, speech, and palatal development.
Source: Zaghi et al., Laryngoscope Investigative Otolaryngology, 2019. Clinical outcomes of functional frenuloplasty.

Values reflect means reported in the cited literature. Individual outcomes vary by anatomy, age, suture maturation, compliance with post-operative protocols, and adjunct therapies.

The Patient Journey

How care works here.

I

Consultation

A comprehensive airway evaluation with our coordinating physician — history, imaging, and screening.

II

Team Review

Your case is reviewed together by the full team at weekly conference — not in isolation by one provider.

III

Unified Plan

A single coordinated treatment sequence across disciplines — presented to you together.

IV

Coordinated Care

Treatment happens under one roof, with detailed progress reports to your referring provider.

Locations

A growing network.

In Our Patients' Words

Lives changed.

★★★★★
For years my son was a terrible sleeper, a picky eater, and struggled to keep up in school. After his tongue release and expansion, he sleeps through the night for the first time in his life. It's night and day.
— Mother of a 9-year-old patient
Placeholder testimonial
★★★★★
I was told I'd need jaw surgery or CPAP for life. Dr. Graves offered a different path. The MARPE gave me three more millimeters of airway and my sleep study came back normal. I'm breathing through my nose for the first time since childhood.
— Adult patient, 34
Placeholder testimonial
★★★★★
As a pediatric dentist, I've sent dozens of families to the Breathe Well Institute. What sets them apart is not one doctor — it's that my patients get the orthodontist, the surgeon, and the therapist in one coordinated plan.
— Referring pediatric dentist
Placeholder testimonial
Common Questions

Before you book.

The questions we hear most from new patients and referring providers. If you don't see yours answered here, please reach out — we're happy to have a conversation before you schedule.

No. While many of our patients come to us through referring pediatricians, dentists, and physicians, you do not need a referral to book a consultation. You can request an appointment directly through the form on this site.
We treat patients from infancy through late adulthood. Airway issues manifest at every stage of life — from a newborn struggling to breastfeed, to a school-age child with disrupted sleep, to an adult with obstructive sleep apnea. Our team is equipped for every age.
Coverage depends on your plan and the specific procedure. Many medical insurance plans cover the consultation and surgical components of airway treatment. Our administrative team will verify your benefits before your first visit and provide a clear estimate of any out-of-pocket costs. We also offer flexible payment options.
It depends entirely on what the patient needs. A straightforward laser frenectomy can be completed in a single visit. A full airway reconstruction — expansion, release, myofunctional therapy — may unfold over 6 to 18 months. After your consultation we will give you a clear, sequenced plan with realistic timing for each step.
Most airway problems require multiple specialties — surgery, orthodontics, myofunctional therapy, sometimes plastic surgery. At traditional practices, the patient (or parent) has to coordinate between offices, carry records between providers, and often gets conflicting advice. At the Breathe Well Institute, every specialty is on staff, in one building, meeting together weekly. One plan. One team. One location.
Yes. Families regularly travel from across Texas, the surrounding states, and beyond to be seen at our Amarillo flagship. When appropriate, we can perform the consultation and procedure during a single visit. As we open Dallas, El Paso, Lubbock, and Austin locations, we'll extend that convenience closer to more families.
Providers can refer through our Provider Portal or simply call the Amarillo clinic directly. We accept referrals from pediatricians, pediatric and general dentists, lactation consultants, SLPs, sleep physicians, orthodontists, and ENTs. Detailed reports are returned to you after every visit so you stay informed on your patient's care.
Begin Here

Breathe differently.

Every journey begins with a conversation. We'd be honored to start yours.