Patient’s perception of the facial appearance after maxillomandibular advancement for obstructive sleep apnea syndrome

Sona Pillow® Classic & Sona Pillow® O model - Anti-snore, Anti-wrinkle, Anti-aging pillows.

Facial Appearance Abstract


The goal of this study was to evaluate the patient’s perception of the facial appearance after maxillomandibular advancement (MMA) surgery for obstructive sleep apnea syndrome (OSAS).


During a 14-month period, 58 patients underwent MMA for OSAS. As well as all of the patients underwent preoperative and postoperative cephalometric analysis. Between 6 and 12 months after surgery, a questionnaire was mailed to each patient.  Also, The questionnaire asked the patient to evaluate subjectively their postoperative facial appearance. Visual analog scale ([VAS] 0 to 10) was used to assess the extent of the facial changes.


Forty-four (76%) patients (39 men, 6 women) responded to the questionnaire. Also, Cephalometric analysis revealed that 40 patients had maxillomandibular protrusion postoperatively. Forty-two (96%) of the 44 patients reported changes in their facial appearance (VAS, 4.8 +/- 2.5). Twenty-four (55%) patients reported favorable facial changes (ie, they were more attractive [15 patients] and/or more youthful).  Also, Fourteen patients gave neutral responses (ie, they were no more or no less attractive). Four patients gave unfavorable responses (ie, they were less attractive after surgery).

facial appearance - The Most Comfortable Pillow In The World - Sona Pillow® O Model

Improve your facial appearance with a Sona Pillow® O Model Anti-Aging Anti-Wrinkle, Anti-Snore pillow


The results suggest that most patients who underwent MMA for OSAS noted moderate changes in their facial appearance.  Because, despite significant maxillomandibular protrusion based on the postoperative cephalometric analysis, more than 90% of the patients gave either positive or neutral responses to the changes in their appearance of their face.

Li KK1Riley RWPowell NBGuilleminault C.

Author information

Compare Sona Pillow®Classic with Sona Pillow® O

As well as currently there is a popular TV commercial pillow that is horrible for your skin and it encourages wrinkles vs discouraging wrinkles and millions of people are happily buying them because they solely see them on TV.  Also, don’t fall for those commercials that have the broken up pieces of foam inside the pillow.  Their pillows will advance wrinkling not fight it.