Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # MIOS Academy Next Gen Training ## Sitemaps - [XML Sitemap](https://mios.academy/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Blogs](https://mios.academy/blogs/) - [Why Choose an Online Academy for Orthognathic Surgery Training?](https://mios.academy/online-academy-for-orthognathic-surgery-training/) - In the rapidly evolving field of orthognathic surgery, continuous education is paramount for healthcare professionals aiming to stay abreast of the latest techniques and technologies. Online academies have emerged as a vital resource, offering flexible and comprehensive training programs tailored to the needs of modern surgeons. Advantages of Online Orthognathic Surgery Training Flexibility - [How to Advance Your Career with Online Orthognathic Surgery Courses](https://mios.academy/how-to-advance-your-career-with-online-orthognathic-surgery-courses/) - Advancing your career in orthognathic surgery requires a commitment to continuous learning and skill enhancement. With the rise of online education, surgeons can now access specialized training programs that fit their schedules, helping them stay ahead in this dynamic field. Online courses provide an invaluable opportunity to refine surgical techniques, understand new innovations, and gain - [The Future of Orthognathic Surgery: Minimally Invasive Techniques Explained](https://mios.academy/the-future-of-orthognathic-surgery-minimally-invasive-techniques-explained/) - Orthognathic surgery, traditionally known for its invasive procedures to correct jaw and facial deformities, has undergone significant advancements with the integration of minimally invasive techniques. These modern approaches aim to enhance both functional and aesthetic outcomes while reducing patient recovery time and surgical risks. Understanding Minimally Invasive Orthognathic Surgery Minimally invasive orthognathic surgery ## Pages - [Home](https://mios.academy/) - MIOS Academy offers leading training, research, and innovation in minimally invasive orthognathic surgery for surgeons worldwide. - [Symposiums](https://mios.academy/how-it-works-2/) - [Contact](https://mios.academy/contact/) - [Tutor Certificate Verification](https://mios.academy/tutor-certificate-verification/) - [MIOS Meeting](https://mios.academy/events/) - The flagship international meeting for minimally invasive orthognathic surgery. Join surgeons worldwide for world-class faculty, live surgery and hands-on training. - [Observerships](https://mios.academy/observerships/) - [Dashboard](https://mios.academy/dashboard/) - [Modules & Courses](https://mios.academy/modules-courses/) - [Reuniões e Formação em 2026](https://mios.academy/eventos/) - Conheça os eventos da MIOS Academy: reuniões, formações e sessões educativas em cirurgia ortognática minimamente invasiva. - [How It Works](https://mios.academy/how-it-works/) - Learn how MIOS Academy works. Explore structured modules in minimally invasive orthognathic surgery or choose individual courses and learn at your own pace. - [Pricings](https://mios.academy/pricings/) - [Instructors](https://mios.academy/instructors/) - [Privacy Policy](https://mios.academy/privacy-policy/) - Below is the Privacy Policy (hereinafter, "Website Privacy Policy" or "Policy") governing the Website Platform https://mios.academy/ (hereinafter, "the Platform"), owned by MIOS ACADEMY, S.L. (hereinafter, “MIOS ACADEMY” or “we”), a company registered at Ronda General Mitre 126, 6, Barcelona, 08021, Spain and registered in the Commercial Registry of Barcelona, in Volume 1000443583575, Folio 1, Section - [Terms & Conditions](https://mios.academy/terms-conditions/) - [Legal Notice](https://mios.academy/legal-notice/) - [FAQ](https://mios.academy/faq/) - [Testimonials](https://mios.academy/testimonials/) - [Cart](https://mios.academy/cart/) - [Checkout](https://mios.academy/checkout/) - [Student Registration](https://mios.academy/student-registration/) - [Tutor Login](https://mios.academy/tutor-login/) - [Membership Pricing](https://mios.academy/membership-pricing/) - [Tutor Certificate](https://mios.academy/tutor-certificate-2/) - [Instructor Registration](https://mios.academy/instructor-registration/) ## Courses - [Module 0: Introduction to MIOS](https://mios.academy/courses/module-0/) - Your free entry point into the MIOS Academy method. Module 0 is a curated sampler drawn from across our program, designed to show you exactly how we teach before you commit to a membership plan.Instead of theory alone, you get the full range of formats we use every day: commented articles that break down the - [Module 16](https://mios.academy/courses/module-16/) - The August module continues our celebration of the success of MIOS Meeting São Paulo, bringing more exclusive content recorded during the event directly to MIOS Academy. This month includes several special lectures from the meeting, covering topics such as the IMPLATE technique, facial implants, progressive TMJ resorption, minimally invasive maxillary segmentation, and chin osteotomy design. - [Module 15](https://mios.academy/courses/module-15/) - This July module is a very special one for MIOS Academy. We are still celebrating the huge success of MIOS Meeting São Paulo, and this month we are bringing part of that energy directly to the platform. For the first time, this module includes three lectures recorded during MIOS Meeting São Paulo, with topics that - [Module 14](https://mios.academy/courses/module-14/) - June celebrates the month of our annual event MIOS Meeting. Soon, you will see new material from the meeting here. There is more news to announce. We are super excited. This month’s module connects real-life surgical problem solving with planning mindset. You’ll see a complete sequence involving silicone implant removal combined with asymmetric genioplasty, plus - [Module 13](https://mios.academy/courses/module-13/) - This module connects aesthetic planning, fixation strategy, and real surgical execution — with content that goes from concept to operating room. It opens with Nelson Leon’s Diamond Shape Concept, a practical framework to guide facial analysis and decision-making. From there, the module expands into challenging clinical scenarios, including a case discussion on sleep apnea in - [Module 12](https://mios.academy/courses/module-12/) - Module 12 is a special milestone — it marks 12 months and one full year of MIOS Academy. To celebrate, we prepared a module focused on what matters most: real execution, real decision-making, and complete surgical workflow. The highlight is a full orthognathic advancement with MIOS, presented as a step-by-step sequence across multiple surgical videos - [Module 11](https://mios.academy/courses/module-11/) - Module 11 is built around aesthetic refinement + precision execution. It mixes trend-level concepts with very practical steps you can apply immediately: nasal support strategies during Le Fort I, segmentation combined with soft-tissue sculpting, and the role of PSI and implants in modern MIOS workflows. You’ll also get a full digital component with splint design - [Module 10 – Materialise](https://mios.academy/courses/module-10-materialise/) - This month’s module is centered on digital integration and personalization in orthognathic surgery, with strong educational support from Materialise, our sponsor of the month. You’ll follow a full bimaxillary and genioplasty case using PSI, divided into three step-by-step surgical videos. The program also includes key contributions from Valerio Ramieri, Martijn Orye, and the Materialise planning - [Module 9](https://mios.academy/courses/module-9/) - Module 9 focuses on advanced fixation strategies, joint management, and facial projection — where surgical decisions directly impact long-term stability and aesthetic balance. This month introduces techniques that expand your operative options, including the Implate technique for combined fixation and mandibular angle contouring, biomechanical insights into two-plate maxillary fixation, and strategic approaches to mandibular asymmetry. - [Module 8](https://mios.academy/courses/module-8/) - The final module of the year brings together aesthetic refinement, complex planning, and technical precision. From lip lift techniques to dual-camera surgical recordings, this month’s content focuses on how details impact both form and function. You’ll see challenging case discussions on bimaxillary expansion, PSI, and OSA patients, as well as practical tips — like the - [Module 7](https://mios.academy/courses/module-7/) - This module focuses on virtual planning, segmentation, facial feminization, and advanced neck and mandibular procedures — combining technical depth with aesthetic refinement. You’ll find key lectures on midface volumization strategies, deep neck lift, and planning mandibular reshaping using digital tools. Surgical content includes a 3-piece Le Fort I, a large bilateral mandibular advancement, and updates - [Module 6](https://mios.academy/courses/module-6/) - This module brings together advanced contouring techniques, digital planning, and new MIOS-compatible tools to elevate both facial aesthetics and surgical performance.From lectures on neck liposuction, TMJ non-surgical management, and mandibular reshaping with NemoFab, to surgical videos and tips on maxillary advancement and descending genioplasty, the content is wide-ranging but practical. You’ll also find valuable insights - [Module 5](https://mios.academy/courses/module-5/) - Module 5 builds on the MIOS journey with a focus on refinement, accuracy, and innovation. This month’s lessons highlight both technical mastery and subtle aesthetic enhancement — from precision-driven mandibular osteotomies and advanced nerve protection during BSSO, to the artistry of chin telescopic advancement and lip lift procedures. You’ll dive deep into the science of - [Module 4](https://mios.academy/courses/module-4/) - Module 4 expands the horizon with a blend of innovation, surgical finesse, and patient-centered insight. From cutting-edge approaches in maxillary segmentation and mandibular advancement with nerve protection, to refined lower jaw contouring and maxillary grafting techniques — this module is all about pushing the boundaries of precision and safety. You’ll also explore critical discussions on - [Module 3](https://mios.academy/courses/module-3/) - Module 3 brings a strong mix of advanced planning, aesthetic management, and refined surgical execution. From lectures on antero-posterior positioning and platismaplasty to full bilateral mandibular repositioning with anterior oblique osteotomy, this module goes deep into both strategy and technique. You’ll also find valuable discussions on photographic documentation, 3D planning, and soft tissue refinement — - [Module 2](https://mios.academy/courses/module-2/) - Welcome to Module 2 of MIOS Academy.This module dives deeper into the practical application of MIOS concepts — with a strong focus on chin surgery, maxillary manipulation, and the tools that support a minimally invasive workflow.From surgical videos and detailed lectures to real case discussions and software reviews, each piece is designed to help you - [Module 1](https://mios.academy/courses/module-1/) - Welcome to Module 1 of MIOS Academy.We’ve intentionally designed this module without a strict sequence. The idea is to mix topics — combining foundational concepts with practical insights, from the welcome lecture “Why MIOS”, through discussions on facial analysis and planning, to advanced surgical videos.You’ll find a variety of formats: lectures, tips, case discussions, surgical ## Lessons - [11. Surgical Video – Maxillary Reposition with Fixation](https://mios.academy/courses/module-0/lessons/11-surgical-video-maxillary-reposition-with-fixation/) - Nelson Leon demonstrates maxillary repositioning and fixation using a minimally invasive approach. The video focuses on mobilization control, accurate positioning, and stable fixation of the maxilla. - [10. Lecture – Mandibular Osteotomy Design](https://mios.academy/courses/module-0/lessons/10-lecture-mandibular-osteotomy-design/) - Matheus Spinella explains how to select and design the mandibular osteotomy according to the surgical movement, anatomy, and fixation strategy. A practical lecture focused on planning logic and execution in MIOS. - [09. MIOS Tip – Tips and Tricks for Minimally Invasive Genioplasty](https://mios.academy/courses/module-0/lessons/09-mios-tip-tips-and-tricks-for-minimally-invasive-genioplasty/) - Javier Gutierrez shares practical tips to improve minimally invasive genioplasty. He discusses access, soft tissue handling, osteotomy control, and small technical details that can make the procedure safer and more predictable. - [08. Commented Article – Does the Pterygoid Osteotome Affect Pteygomaxillary Fracture?](https://mios.academy/courses/module-0/lessons/08-commented-article-does-the-pterygoid-osteotome-affect-pteygomaxillary-fracture/) - Jonathas Claus reviews an article discussing the influence of the pterygoid osteotome on pterygomaxillary disjunction and fracture patterns. He comments on the clinical relevance of the findings and how they may influence safer maxillary mobilization in MIOS. - [02. MIOS Tip – How to Enhance Mandibular Lateral Projection](https://mios.academy/courses/module-0/lessons/02-mios-tip-how-to-enhance-mandibular-lateral-projection/) - Daniel Roscher shares a practical tip to optimize lateral projection of the mandible, using subtle adjustments during the fixation phase to improve contour without increasing morbidity. - [01. Commented Article – Maxillary Fixation with 2 Plates](https://mios.academy/courses/module-0/lessons/01-commented-article-maxillary-fixation-with-2-plates/) - Javier Gutiérrez reviews a recent study evaluating the stability and biomechanics of using two plates for maxillary fixation. He discusses when this technique may be preferable over more conventional methods for maxillary repositioning. - [03. Surgical Video – Large Chin Advancement with Live Audio Description](https://mios.academy/courses/module-0/lessons/03-surgical-video-large-chin-advancement-with-live-audio-description/) - Jonathas Claus performs a large sliding genioplasty, with live audio commentary throughout. Focuses include cut design, mobilization, soft tissue preservation, and aesthetic goals for projection and harmony. - [04. Case Discussion – Class II Poor Chin Projection](https://mios.academy/courses/module-0/lessons/04-case-discussion-class-ii-poor-chin-projection/) - Jonathas Claus presents a case of an elderly patient with OSAS and chin deficiency, without dental discrepancies, showing how simultaneous chin advancement and cervicoplasty can improve both airway and facial balance. - [05. Lecture – Deep Neck Lift](https://mios.academy/courses/module-0/lessons/05-lecture-deep-neck-lift/) - Guest speaker Ben Talei presents the deep neck lift concept and the surgical logic behind deeper-plane neck definition. He discusses indications and how this procedure can complement orthognathic outcomes in selected patients. - [07. Case Discussion – Gummy Smile](https://mios.academy/courses/module-0/lessons/07-case-discussion-gummy-smile-2/) - Nelson Leon presents a gummy smile case and discusses how to choose the correct surgical strategy, balancing maxillary movements, smile arc, incisor show, and long-term facial aesthetics. - [06. Lecture – The Diamond Shape Concept](https://mios.academy/courses/module-0/lessons/06-lecture-the-diamond-shape-concept/) - Nelson Leon presents the Diamond Shape Concept and explains how this aesthetic framework helps guide facial analysis and surgical planning, especially when balancing width, projection, and lower facial harmony. - [09. Case Discussion – Stability in Minimally Invasive Orthognathic Surgery](https://mios.academy/courses/module-16/lessons/09-case-discussion-stability-in-minimally-invasive-orthognathic-surgery/) - Jorge Soto presents a case discussion on stability in MIOS, reviewing the factors that influence skeletal maintenance after surgery. He discusses fixation, bone contact, surgical movement, occlusion, and postoperative control. - [08. Lecture – How I Select the Design for the Chin Osteotomy](https://mios.academy/courses/module-16/lessons/08-lecture-how-i-select-the-design-for-the-chin-osteotomy/) - Jonathas Claus shares his masterpiece lecture from MIOS Meeting São Paulo, explaining how he chooses the ideal chin osteotomy design for each patient. The lecture connects facial analysis, movement direction, projection and all cosmetic strategies. - [07. Surgical Video – Minimally Invasive Mini-Wing Genioplasty](https://mios.academy/courses/module-16/lessons/07-surgical-video-minimally-invasive-mini-wing-genioplasty/) - Jonathas Claus performs a minimally invasive mini-wing genioplasty, showing the step-by-step technique. The video highlights incision design, mental nerve safety, osteotomy control, fixation, and contour refinement. - [06. MIOS Tip – Minimally Invasive Maxillary Segmentation](https://mios.academy/courses/module-16/lessons/06-mios-tip-minimally-invasive-maxillary-segmentation/) - Nelson Leon shares a practical MIOS tip from MIOS Meeting São Paulo, focusing on minimally invasive maxillary segmentation. He highlights access, osteotomy control, and key technical details to make segmentation safer and more predictable. - [05. Case Discussion – Progressive TMJ Resorption](https://mios.academy/courses/module-16/lessons/05-case-discussion-progressive-tmj-resorption/) - Guest speaker Simon Bigus presents a case discussion recorded during MIOS Meeting São Paulo, focused on progressive TMJ resorption. He discusses diagnosis, planning challenges, surgical strategy, and how to manage instability risks in complex patients. - [04. Lecture – Facial Implants: From Indication Until Design](https://mios.academy/courses/module-16/lessons/04-lecture-facial-implants-from-indication-until-design/) - Guest speaker Diogo Macedo shares his lecture from MIOS Meeting São Paulo, explaining the full process of facial implant planning — from clinical indication to digital design. He discusses how customized implants can be used to refine facial contour and improve aesthetic outcomes. - [03. Surgical Video – Maxillary Reposition with Fixation](https://mios.academy/courses/module-16/lessons/03-surgical-video-maxillary-reposition-with-fixation/) - Nelson Leon demonstrates maxillary repositioning and fixation using a minimally invasive approach. The video focuses on mobilization control, accurate positioning, and stable fixation of the maxilla. - [02. Commented Article – The IMPLATE Technique](https://mios.academy/courses/module-16/lessons/02-commented-article-the-implate-technique/) - Valerio Ramieri presents content recorded during MIOS Meeting São Paulo, reviewing the IMPLATE technique and discussing its concept, indications, and potential role in modern orthognathic surgery. - [01. MIOS Tip – Mandibular Osteotomy Design](https://mios.academy/courses/module-16/lessons/01-mios-tip-mandibular-osteotomy-design/) - Matheus Spinella explains how to select and design the mandibular osteotomy according to the surgical movement, anatomy, and fixation strategy. A practical lecture focused on planning logic and execution in MIOS. - [03. Surgical Video – Complete MIOS Part I - mandible first](https://mios.academy/courses/module-15/lessons/03-surgical-video-complete-mios-part-i-mandible-first/) - Nelson Leon starts a complete MIOS surgical sequence with the mandibular phase. The video highlights surgical access, osteotomy execution, mobilization, and fixation strategy when performing the mandible first. - [09. Case Discussion – MIOS Meeting: Almost My Worst Case](https://mios.academy/courses/module-15/lessons/09-case-discussion-mios-meeting-almost-my-worst-case/) - Jonathas Claus presents a challenging case discussion recorded during MIOS Meeting São Paulo. He shares the decision-making process, complications, lessons learned, and how difficult cases can shape surgical judgment and improve future protocols. - [08. Lecture – Occlusal Plane Management](https://mios.academy/courses/module-15/lessons/08-lecture-occlusal-plane-management/) - Jorge Soto explains how to evaluate and manage the occlusal plane during orthognathic planning. He discusses its impact on facial aesthetics, occlusion, and surgical stability, with practical insights for daily case planning. - [07. Surgical Video – Complete MIOS Part III: Genioplasty](https://mios.academy/courses/module-15/lessons/07-surgical-video-complete-mios-part-iii-genioplasty/) - Nelson Leon completes the full MIOS surgical sequence with the genioplasty. The video demonstrates the final chin movement, emphasizing aesthetic planning, osteotomy design, fixation, and soft tissue management. - [06. MIOS Tip – Tips and Tricks for Minimally Invasive Genioplasty](https://mios.academy/courses/module-15/lessons/06-mios-tip-tips-and-tricks-for-minimally-invasive-genioplasty/) - Javier Gutierrez shares practical tips to improve minimally invasive genioplasty. He discusses access, soft tissue handling, osteotomy control, and small technical details that can make the procedure safer and more predictable. - [05. Surgical Video – Complete MIOS Part II: Maxilla Underspinal](https://mios.academy/courses/module-15/lessons/05-surgical-video-complete-mios-part-ii-maxilla-underspinal/) - Nelson Leon continues the complete MIOS sequence with the maxillary phase, using an underspinal approach. The video focuses on access, osteotomy design, mobilization, and how to maintain control while respecting the nasal and maxillary anatomy. - [04. Lecture – MIOS Meeting: PSI Solutions in Minimally Invasive Orthognathic Surgery](https://mios.academy/courses/module-15/lessons/04-lecture-mios-meeting-psi-solutions-in-minimally-invasive-orthognathic-surgery/) - Simon Bigus shares his lecture from MIOS Meeting São Paulo, focusing on how PSI solutions can be integrated into minimally invasive orthognathic surgery. He explains planning strategies, design considerations, and how customized systems can increase precision and predictability. - [02. Commented Article – Does the Pterygoid Osteotome Affect Pterygomaxillary Fracture?](https://mios.academy/courses/module-15/lessons/02-commented-article-does-the-pterygoid-osteotome-affect-pterygomaxillary-fracture/) - Jonathas Claus reviews an article discussing the influence of the pterygoid osteotome on pterygomaxillary disjunction and fracture patterns. He comments on the clinical relevance of the findings and how they may influence safer maxillary mobilization in MIOS. - [01. Lecture – MIOS Meeting: How I select the design for the mandibular osteotomy](https://mios.academy/courses/module-15/lessons/01-lecture-mios-meeting-how-i-select-the-design-for-the-mandibular-osteotomy/) - Daniel Roscher presents his lecture recorded during MIOS Meeting São Paulo, explaining how he selects the ideal mandibular osteotomy design according to each clinical situation. He discusses planning logic, anatomical limitations, and how to adapt the technique to improve stability and surgical control. - [09. Lecture – Long Face Stigma](https://mios.academy/courses/module-14/lessons/09-lecture-long-face-stigma/) - Javier Gutierrez addresses the “long face” concept and its stigma, discussing how to analyze these patients correctly and how modern planning can improve both aesthetics and function without oversimplifying the diagnosis. - [08. Surgical Video – Maxillary Advancement for OSA (Part II)](https://mios.academy/courses/module-14/lessons/08-surgical-video-maxillary-advancement-for-osa-part-ii/) - Jonathas Claus continues the same OSA-focused case, highlighting key technical refinements and how to reposition the ANS (anterior nasal spine) in such a large advancement, including the collumelar strut graft to increase projection. - [07. Case Discussion – Gummy Smile](https://mios.academy/courses/module-14/lessons/07-case-discussion-gummy-smile/) - Nelson Leon presents a gummy smile case and discusses how to choose the correct surgical strategy, balancing maxillary movements, smile arc, incisor show, and long-term facial aesthetics. - [06. Surgical Video – Maxillary Advancement for OSA (Part I)](https://mios.academy/courses/module-14/lessons/06-surgical-video-maxillary-advancement-for-osa-part-i/) - Jonathas Claus begins a maxillary advancement case focused on OSA, showing the step-by-step surgical approach with MIOS access, precise mobilization, and fixation planning to support airway improvement. - [05. MIOS Tip – Mandibular Fixation MIOS](https://mios.academy/courses/module-14/lessons/05-mios-tip-mandibular-fixation-mios/) - Nelson Leon shares a practical tip focused on mandibular fixation in MIOS, emphasizing stability, screw strategy, and small details that improve predictability in the early healing phase. - [04. Lecture – Why Some Surgeons Refuse MIOS](https://mios.academy/courses/module-14/lessons/04-lecture-why-some-surgeons-refuse-mios/) - Javier Gutierrez discusses the main reasons surgeons resist adopting MIOS, addressing mindset, training barriers, misconceptions, and what really changes when moving from “exposure-based” surgery to “precision-based” surgery. - [03. Surgical Video – Silicon Implant Removal + Asymmetric Genioplasty](https://mios.academy/courses/module-14/lessons/03-surgical-video-silicon-implant-removal-asymmetric-genioplasty/) - Using the same case discussed previously, Jonathas Claus demonstrates the full surgical procedure, step by step, showing safe implant removal, soft tissue handling, osteotomy design, and fixation strategy for an asymmetric genioplasty. - [02. Case Discussion – Silicon Implant Removal + Asymmetric Genioplasty](https://mios.academy/courses/module-14/lessons/02-case-discussion-silicon-implant-removal-asymmetric-genioplasty/) - Jonathas Claus presents a case combining removal of a silicone implant with an asymmetric genioplasty. He explains the planning logic, chin design, and how to restore harmony while managing soft-tissue behavior after implant removal. - [01. Lecture – Nemo Stories](https://mios.academy/courses/module-14/lessons/01-lecture-nemo-stories/) - Nelson Leon shares practical insights and real workflows using Nemo, highlighting how to streamline planning decisions daily VSP routines and creating good content for your consultations, lectures and marketing. - [Outro by Dr. Nelson León](https://mios.academy/courses/cadaver-lab-sao-paulo/lessons/outro-by-dr-nelson-leon/) - Dr. Nelson León closes the module by connecting what you've seen in the dissection room to real surgical practice. A reflective closing that reinforces the core principles of the MIOS technique, invites you to revisit the videos as a clinical reference, and reminds you what this community is built on: shared standards, continuous learning, and - [03. MIOS Cadaver Lab – Maxilla](https://mios.academy/courses/cadaver-lab-sao-paulo/lessons/03-mios-cadaver-lab-maxilla/) - Prof. Jonathas Claus demonstrates the MIOS approach to maxillary surgery on cadaver dissection, covering incision design, careful flap elevation, and the anatomical landmarks that define safe and effective execution. - [02. MIOS Cadaver Lab – Mandible](https://mios.academy/courses/cadaver-lab-sao-paulo/lessons/02-mios-cadaver-lab-mandible/) - A detailed cadaver walkthrough of the MIOS technique applied to the mandible. Prof. Claus guides you through incision planning, flap elevation, and the key anatomical references that guide every step. - [01. MIOS Cadaver Lab – Genioplasty](https://mios.academy/courses/cadaver-lab-sao-paulo/lessons/01-mios-cadaver-lab-genioplasty/) - Prof. Jonathas Claus walks you through the MIOS approach to genioplasty on cadaver dissection. This video covers incision design and soft tissue management, step-by-step flap elevation, and the anatomical landmarks critical to safe osteotomy placement. - [Introduction by Dr. Gutiérrez](https://mios.academy/courses/cadaver-lab-sao-paulo/lessons/introduction-by-dr-gutierrez/) - Dr. Javier Gutiérrez opens the module by framing the clinical philosophy behind the MIOS approach. Why minimally invasive technique matters, what makes this cadaver-based training unique, and how to get the most out of the three surgical walkthroughs ahead. A concise orientation before you enter the dissection room. - [08. Case Discussion – MIOS + LipoSculpture + Dental Implants](https://mios.academy/courses/module-13/lessons/08-case-discussion-mios-liposculpture-dental-implants/) - Nelson Leon presents a comprehensive case combining MIOS orthognathic surgery with liposculpture and implant rehabilitation. He explains the sequencing strategy and how to integrate skeletal, soft tissue, and dental goals into one plan. - [09. Surgical Video – Inferior repositioining of the maxila with septoplasty with live audio](https://mios.academy/courses/module-13/lessons/09-surgical-video-inferior-repositioining-of-the-maxila-with-septoplasty-with-live-audio/) - Jonathas Claus demonstrates a maxillary inferior repositioning combined with septoplasty, with live audio commentary. The video focuses on septal management, stability concerns, fixation logic, and how to execute a downgraft safely with MIOS access. - [07. Commented Article – Reciprocant Saw x Piezo for Osteotomies](https://mios.academy/courses/module-13/lessons/07-commented-article-reciprocant-saw-x-piezo-for-osteotomies/) - Javier Gutierrez compares the reciprocating saw and piezoelectric devices for facial osteotomies. He reviews advantages, limitations, precision, and how to choose the right tool depending on anatomy and access. - [06. Surgical Video – Ultra Minimally Invasive Genioplasty with Live Audio](https://mios.academy/courses/module-13/lessons/06-surgical-video-ultra-minimally-invasive-genioplasty-with-live-audio/) - Jonathas Claus performs an ultra minimally invasive genioplasty with live audio guidance throughout the procedure. The video highlights access, sequence, positions, osteotomy design, fixation strategy, and aesthetic refinements. - [05. Uncovering the Evolution of the BSSO: A Journey Through Time](https://mios.academy/courses/module-13/lessons/05-uncovering-the-evolution-of-the-bsso-a-journey-through-time/) - Alexandre Borba reviews the historical evolution of the sagittal split osteotomy. He discusses how technique changes over time shaped current BSSO concepts and what lessons still apply today. - [04. Commented Article – PSI with MIOS: Case Series](https://mios.academy/courses/module-13/lessons/04-commented-article-psi-with-mios-case-series/) - Matheus Spinella reviews a case series on patient-specific implants used in MIOS. He highlights the clinical outcomes, the key technical details behind accuracy, and practical takeaways for daily practice. - [03. Lecture – Locking Fixation System for MIOS](https://mios.academy/courses/module-13/lessons/03-lecture-locking-fixation-system-for-mios/) - Luis Bustos explains how locking fixation systems can be adapted to MIOS. He reviews stability concepts, clinical indications, and how locking plates influence predictability in minimally invasive workflows. - [02. Case Discussion – Sleep Apnea with Silicon Prosthesis](https://mios.academy/courses/module-13/lessons/02-case-discussion-sleep-apnea-with-silicon-prosthesis/) - Matheus Spinella presents a challenging sleep apnea case in a patient with a silicone prosthesis. He discusses planning limitations, surgical strategy, and how to adapt MIOS concepts in complex clinical scenarios. - [01. Lecture – The Diamond Shape Concept](https://mios.academy/courses/module-13/lessons/01-lecture-the-diamond-shape-concept/) - Nelson Leon presents the Diamond Shape Concept and explains how this aesthetic framework helps guide facial analysis and surgical planning, especially when balancing width, projection, and lower facial harmony. - [01. Lecture – Multisegment Mandibular Osteotomy](https://mios.academy/courses/module-12/lessons/01-lecture-multisegment-mandibular-osteotomy-2/) - Guest speaker Mike Leung explains the concept and indications for multisegment mandibular osteotomies. He discusses planning logic, execution details, and how to manage stability and soft tissue response in complex mandibular cases. - [02. Commented Article – AI Algorithm to Predict Soft Tissue Changes](https://mios.academy/courses/module-12/lessons/02-commented-article-ai-algorithm-to-predict-soft-tissue-changes/) - Javier Gutierrez reviews an article on AI-based prediction of soft tissue response after facial skeletal movements. He discusses what these tools can really deliver today, their limitations, and how to interpret predictions clinically. - [03. Surgical Video – Full Orthognathic Advancement with MIOS | Chin First](https://mios.academy/courses/module-12/lessons/03-surgical-video-full-orthognathic-advancement-with-mios-chin-first/) - Jonathas Claus starts a complete MIOS orthognathic advancement case, beginning with the chin. Step by step, he shows a trapezoidal osteotomy with key details for safe access and execution. - [04. Case Discussion – Bimax Advancement with MIOS](https://mios.academy/courses/module-12/lessons/04-case-discussion-bimax-advancement-with-mios/) - Nelson Leon presents a bimaxillary advancement case and explains the decision-making process behind movements, sequencing, and stability strategies using MIOS concepts. Great pre and post images. - [05. Surgical Video – Full Orthognathic Advancement with MIOS | Mandible Second](https://mios.academy/courses/module-12/lessons/05-surgical-video-full-orthognathic-advancement-with-mios-mandible-second/) - Jonathas Claus continues the same complete case, moving to the mandibular phase. The video focuses on osteotomy execution using the anterior oblique technique, mobilization, hybrid fixation, and maintaining accuracy with minimal access. - [06. Lecture – Obstructive Sleep Apnea](https://mios.academy/courses/module-12/lessons/06-lecture-obstructive-sleep-apnea/) - Guest speaker Salam Salman discusses the role of orthognathic surgery in managing obstructive sleep apnea. He covers patient selection, planning principles, expected outcomes, and key pitfalls. - [07. Case Discussion – Long Upper Lip: How to Treat?](https://mios.academy/courses/module-12/lessons/07-case-discussion-long-upper-lip-how-to-treat/) - Javier Gutierrez presents a case focused on the challenge of a long upper lip and discusses how to approach treatment planning. He compares orthognathic movements, soft-tissue procedures, and combined strategies, highlighting how to choose the best option based on facial analysis and patient goals. - [08. MIOS TIP – How to Stabilize the Nasal Tube for Orthognathic Surgery](https://mios.academy/courses/module-12/lessons/08-mios-tip-how-to-stabilize-the-nasal-tube-for-orthognathic-surgery/) - Luis Bustos shares a practical tip to stabilize the nasotracheal tube during orthognathic procedures. A simple detail that improves control, reduces intraoperative disturbances, and helps keep the field clean. - [09. Surgical Video – Full Orthognathic Advancement with MIOS | Maxilla Last](https://mios.academy/courses/module-12/lessons/09-surgical-video-full-orthognathic-advancement-with-mios-maxilla-last/) - Jonathas Claus completes the full orthognathic advancement case with the maxillary phase. The focus is on controlled repositioning, fixation strategy, and how to finish with precision while respecting MIOS access. - [01. Lecture – Multisegment Mandibular Osteotomy](https://mios.academy/courses/module-12__trashed/lessons/01-lecture-multisegment-mandibular-osteotomy/) - Guest speaker Mike Leung explains the concept and indications for multisegment mandibular osteotomies. He discusses planning logic, execution details, and how to manage stability and soft tissue response in complex mandibular cases. - [08. Lecture – Splint Design: Step by Step Using Nemofab](https://mios.academy/courses/module-11/lessons/08-lecture-splint-design-step-by-step-using-nemofab/) - Matheus Spinella shows a step-by-step workflow for splint design using Nemofab. He covers practical planning steps, key checks, and common mistakes to avoid when translating VSP into accurate surgical execution. - [09. Surgical Video – Mini-Wing Genioplasty](https://mios.academy/courses/module-11/lessons/09-surgical-video-mini-wing-genioplasty/) - Jonathas Claus performs a mini-wing genioplasty and explains the step-by-step technique. The video highlights the minimally invasive approach, osteotomy design and fixation details for stable aesthetic improvement. - [07. Case Discussion – PEEK Implant to Cover Jaw Defect](https://mios.academy/courses/module-11/lessons/07-case-discussion-peek-implant-to-cover-jaw-defect/) - Javier Gutierrez presents a case using a PEEK implant to restore contour and cover a jaw defect. He explains decision-making, design goals, and how to integrate implant solutions into an aesthetic-driven facial plan. - [06. Lecture – Deep Neck Lift](https://mios.academy/courses/module-11/lessons/06-lecture-deep-neck-lift/) - Guest speaker Ben Talei presents the deep neck lift concept and the surgical logic behind deeper-plane neck definition. He discusses indications and how this procedure can complement orthognathic outcomes in selected patients. - [05. MIOS Tip – Nasal Strut Graft](https://mios.academy/courses/module-11/lessons/05-mios-tip-nasal-strut-graft/) - Jonathas Claus demonstrates the nasal strut graft concept in a practical way, focusing on how to apply it efficiently during orthognathic surgery to improve nasal and upper-lip aesthetics with minimal additional time. - [04. Lecture – PSI in MIOS](https://mios.academy/courses/module-11/lessons/04-lecture-psi-in-mios/) - Guest speaker Simon Bigus explains how patient-specific implants integrate with the MIOS philosophy. He discusses predictability, planning mindset, and key details that make PSI workflows more reliable in real surgical execution. - [03. Case Discussion – MIOS Segmentation and LipoSculpture](https://mios.academy/courses/module-11/lessons/03-case-discussion-mios-segmentation-and-liposculpture/) - Nelson Leon presents a case combining MIOS maxillary segmentation with liposculpture. He explains the planning logic and how combining skeletal and soft tissue strategies can improve facial balance. - [02. Commented Article – Septocolumellar Strut Graft](https://mios.academy/courses/module-11/lessons/02-commented-article-septocolumellar-strut-graft/) - Jonathas Claus reviews an article on the septocolumellar strut graft and explains how this concept can be adapted to orthognathic surgery to improve nasal tip support and prevent postoperative changes. - [01. Lecture – New Trends in Facial Aesthetic](https://mios.academy/courses/module-11/lessons/01-lecture-new-trends-in-facial-aesthetic/) - Javier Gutierrez discusses current trends in facial aesthetics and how they are influencing modern facial surgery. He connects these concepts with orthognathic planning and the aesthetic-driven mindset. - [Mastering MIOS: Clinical Insights, Tips and Tricks, and Real Cases](https://mios.academy/courses/module-10-materialise/lessons/mastering-mios-clinical-insights-tips-and-tricks-and-real-cases/) - An exclusive webinar designed to provide practical, experience-based guidance on implementing Minimally Invasive Orthognathic Surgery in daily practice. Through real clinical cases, expert tips, and strategic workflow insights, this session highlights how advanced 3D planning, patient-specific solutions, and refined surgical techniques enhance precision, efficiency, and predictability in modern orthognathic surgery. - [1.4 Lecture – Insights from a MIOS 3D Planning Session with a Clinical Engineer](https://mios.academy/courses/module-10-materialise/lessons/1-4-lecture-insights-from-a-mios-3d-planning-session-with-a-clinical-engineer/) - Loic Delaere and Dr. Simon Bigus walk us through a real planning session from the clinical engineer’s perspective. Valuable insights into communication, troubleshooting, and refining the digital plan with the surgeon. - [09. Case Discussion – M.A Class II with Poor Chin Projection](https://mios.academy/courses/module-8/lessons/09-case-discussion-m-a-class-ii-with-poor-chin-projection/) - Jonathas Claus presents a Class II patient with weak chin projection and reviews how mandibular and chin planning were coordinated to achieve function and facial balance. - [2.5. Case Discussion – CG OSA Patient with Poor Chin Projection](https://mios.academy/courses/module-10-materialise/lessons/2-5-case-discussion-cg-osa-patient-with-poor-chin-projection/) - Jonathas Claus presents a case of an elderly patient with OSAS and chin deficiency, without dental discrepancies, showing how simultaneous chin advancement and cervicoplasty can improve both airway and facial balance. - [1.3 MIOS Tip – A Surgeon’s Perspective: Tips & Tricks in 3D Planning with Mimics Enlight CMF](https://mios.academy/courses/module-10-materialise/lessons/1-3-mios-tip-a-surgeons-perspective-tips-tricks-in-3d-planning-with-mimics-enlight-cmf/) - Valerio Ramieri offers his own practical tips when planning with Mimics Enlight, highlighting aspects of virtual surgery that impact the real-world outcome. - [1.2 Lecture – A Surgeon’s Perspective: Advantages of Personalized Solutions](https://mios.academy/courses/module-10-materialise/lessons/1-2-lecture-a-surgeons-perspective-advantages-of-personalized-solutions/) - Valerio Ramieri shares his view on the growing role of customized implants and planning systems in modern orthognathic surgery. He highlights clinical benefits, workflow improvements, and how to maximize outcomes using personalized tools. - [1.1 Lecture – Building Predictability in MIOS with an Integrated Ecosystem](https://mios.academy/courses/module-10-materialise/lessons/1-1-lecture-building-predictability-in-mios-with-an-integrated-ecosystem/) - Martijn Orye discusses the Materialise ecosystem and how combining planning, manufacturing, and instrumentation can increase predictability and precision in MIOS procedures. - [2.6. Surgical Video – Bimaxillary and Chin Advancement with PSI – Part III: Mandibular Repositioning](https://mios.academy/courses/module-10-materialise/lessons/2-6-surgical-video-bimaxillary-and-chin-advancement-with-psi-part-iii-mandibular-repositioning/) - The final video in the series shows the mandibular segment mobilization and fixation, emphasizing soft tissue protection and perfect fit of the patient-specific implants. - [2.4. Surgical Video – Bimaxillary and Chin Advancement with PSI – Part II: Maxillary Repositioning](https://mios.academy/courses/module-10-materialise/lessons/2-4-surgical-video-bimaxillary-and-chin-advancement-with-psi-part-ii-maxillary-repositioning/) - In part two of the case, Jonathas Claus performs the maxillary advancement and repositioning using PSI and MIOS access. Key points include control of yaw, pitch, and segmentation. - [2.3. Surgical Video – Bimaxillary and chin advancement with PSI - Part I: Genioplasty](https://mios.academy/courses/module-10-materialise/lessons/2-3-surgical-video-bimaxillary-and-chin-advancement-with-psi-part-i-genioplasty/) - Jonathas Claus begins this multi-part case with a trapezoidal genioplasty, explaining how chin projection and contour were optimized before maxillary and mandibular movement. - [2.2. Case Discussion – Facial Asymmetry](https://mios.academy/courses/module-10-materialise/lessons/2-2-case-discussion-facial-asymmetry/) - Daniel Roscher presents a case involving skeletal and soft-tissue facial asymmetry, discussing diagnostic strategies, planning logic, and surgical tactics with MIOS access. - [2.1 Commented Article – Digital Occlusion](https://mios.academy/courses/module-10-materialise/lessons/2-1-commented-article-digital-occlusion/) - Felix Amarista analyzes a recent article exploring the accuracy and limitations of digital occlusion records. He discusses how they fit into the digital workflow and what to watch out for in planning and execution. - [11. Surgical Video – Mandibular Anterior Oblique Osteotomy [Left Side]](https://mios.academy/courses/mios-foundations-module/lessons/11-surgical-video-mandibular-anterior-oblique-osteotomy-left-side-2/) - Jonathas Claus completes the mandibular repositioning with the anterior oblique osteotomy on the left side. Technical refinements and visualization of anatomical details round out this approach. - [10. Lecture – MISMARPE](https://mios.academy/courses/mios-foundations-module/lessons/10-lecture-mismarpe-2/) - Luis Bustos brings a fresh perspective on the MISMARPE protocol, reviewing its evolution and practical aspects. Ideal for those working with hybrid orthodontic and surgical planning. - [09. Case Discussion – JR](https://mios.academy/courses/mios-foundations-module/lessons/09-case-discussion-jr-2/) - This is a case presentation of biretrusive side profile patient, where Dr. Nelson León will show the virtual plan, some surgery tips and the result in a male bimaxilar advancement using MIOS. - [08. Commented Article – Cupid Lip Lift](https://mios.academy/courses/mios-foundations-module/lessons/08-commented-article-cupid-lip-lift-2/) - Javier Gutiérrez reviews the Cupid lip lift technique through a selected article, sharing insights on indications, execution, and how to achieve a more youthful perioral region. - [07. Lecture – Video Registration | Becoming a Master](https://mios.academy/courses/mios-foundations-module/lessons/07-lecture-video-registration-becoming-a-master-2/) - Nelson Leon highlights the importance of proper video documentation in surgical training and self-improvement. Learn how to use video as a tool to refine your technique and build your case portfolio. - [06. Surgical Video – Mandibular Anterior Oblique Osteotomy [Right Side]](https://mios.academy/courses/mios-foundations-module/lessons/06-surgical-video-mandibular-anterior-oblique-osteotomy-right-side-2/) - Jonathas Claus shows the full execution of an anterior oblique osteotomy on the right side using a minimally invasive approach. Focused on exposure, osteotomy angle, and safety near the mandibular nerve. - [05. MIOS TIP – Nasal Mucosa](https://mios.academy/courses/mios-foundations-module/lessons/05-mios-tip-nasal-mucosa-2/) - Jonathas Claus demonstrates in detail, step by step, how to dissect the nasal mucosa together with the sub-spinal osteotomy in the minimally invasive approach to the maxilla aiming to maintain the mucosa intact providing better recovery in the short-term. - [04. Lecture – Platismaplasty](https://mios.academy/courses/mios-foundations-module/lessons/04-lecture-platismaplasty-2/) - Javier Gutiérrez shares his approach to platismaplasty, explaining how this complementary procedure can enhance neck contour and facial balance in orthognathic and facial aesthetic cases. - [03. Case Discussion – AGM](https://mios.academy/courses/mios-foundations-module/lessons/03-case-discussion-agm-2/) - Jonathas Claus presents a detailed case involving a complex facial asymmetry including condylar hyperplasia and occlusal challenges, discussing how to address the asymmetry during planning and execution of this challenging case. - [02. Commented Article – Horseshoe Osteotomy](https://mios.academy/courses/mios-foundations-module/lessons/02-commented-article-horseshoe-osteotomy-2/) - Nelson Leon reviews the principles, technique, and potential benefits of the horseshoe osteotomy. A solid discussion on when and how this osteotomy can improve maxillary repositioning and reduce complications. - [01. Lecture – How to Define the Antero-Posterior Position](https://mios.academy/courses/mios-foundations-module/lessons/01-lecture-how-to-define-the-antero-posterior-position-2/) - Jonathas Claus explains the reasoning behind defining the ideal antero-posterior position of the maxillomandibular complex, combining aesthetic goals, functional needs, and facial harmony. - [11. Surgical Video – Setback Genioplasty](https://mios.academy/courses/mios-foundations-module/lessons/11-surgical-video-setback-genioplasty-3/) - Jonathas Claus performs a full setback genioplasty, highlighting key steps and anatomical considerations. Observe how to manage bone volume, nerve proximity, and chin contour through a minimally invasive access. - [10. Lecture – Do I Need Specific Instruments for MIOS?](https://mios.academy/courses/mios-foundations-module/lessons/10-lecture-do-i-need-specific-instruments-for-mios-3/) - Matheus Spinella discusses the instrument set needed to apply MIOS principles in your daily practice. Do you need a custom kit? Or can you adapt with standard tools? - [09. Case Discussion – Maxillary Posterior Impaction](https://mios.academy/courses/mios-foundations-module/lessons/09-case-discussion-maxillary-posterior-impaction-3/) - Nelson Leon presents a case involving isolated maxillary posterior impaction. He explains the planning process, rationale behind the choice, and key surgical considerations. - [08. Commented Article – Hard to Soft Tissue 3D Softwares](https://mios.academy/courses/mios-foundations-module/lessons/08-commented-article-hard-to-soft-tissue-3d-softwares-3/) - Javier Gutiérrez reviews the current state of 3D software technologies for predicting soft tissue outcomes. A valuable discussion on limitations, expectations, and the role of experience in virtual planning. - [07. Lecture – Photographic Protocol for Orthognathic Surgery](https://mios.academy/courses/mios-foundations-module/lessons/07-lecture-photographic-protocol-for-orthognathic-surgery-3/) - Daniel Roscher presents a complete photographic protocol for facial surgery documentation. Learn how to standardize your records and improve your analysis and communication. - [06. Surgical Video – Trapezoidal Genioplasty](https://mios.academy/courses/mios-foundations-module/lessons/06-surgical-video-trapezoidal-genioplasty-3/) - Jonathas Claus demonstrates a full genioplasty procedure using the trapezoidal design. Clear visualization and explanation of the osteotomy steps, refinement, and fixation. - [05. MIOS Tip – How to Get LFI Downfracture](https://mios.academy/courses/mios-foundations-module/lessons/05-mios-tip-how-to-get-lfi-downfracture-3/) - Nelson Leon shares a practical tip for achieving safe and predictable downfracture in Le Fort I osteotomies using a minimally invasive approach. - [04. Lecture – Aligners and Surgery First [Orthodontic Perspective]](https://mios.academy/courses/mios-foundations-module/lessons/04-lecture-aligners-and-surgery-first-orthodontic-perspective-3/) - Our special guest, the orthodontist Guilherme Thiesen discusses how aligners and the surgery-first approach can work together. Understand the orthodontic challenges and key protocols when planning MIOS cases with clear aligners. - [03. Case Discussion – Orthognathic Surgery + Jaw Contour](https://mios.academy/courses/mios-foundations-module/lessons/03-case-discussion-orthognathic-surgery-jaw-contour-3/) - Javier Gutiérrez presents a case that combines orthognathic surgery with facial contouring. Follow his decision-making strategy and planning details for achieving an optimal aesthetic outcome. - [02. Commented Article – Pterygomaxillary Disjunction](https://mios.academy/courses/mios-foundations-module/lessons/02-commented-article-pterygomaxillary-disjunction-3/) - Jonathas Claus explores evidences about the pterygomaxillary disjunction and its implications for MIOS. Includes commentary on how current techniques compare to classical methods — and how to adapt safely. - [01. Lecture – Telescopic Genioplasty](https://mios.academy/courses/mios-foundations-module/lessons/01-lecture-telescopic-genioplasty-3/) - Nelson Leon explains in detail the concept, planning, and execution of the telescopic genioplasty technique. Learn how to combine minimally invasiveness and aesthetic refinement in chin procedures. - [07. Lecture – How To Deal With Assymmetries](https://mios.academy/courses/mios-foundations-module/lessons/07-lecture-how-to-deal-with-assymmetries-3/) - Daniel Roscher comes with an in-depth look at one of the most complex topics in facial surgery: asymmetries. We discuss diagnostic strategies, planning principles, and surgical tactics to handle challenges. - [11. Surgical Video – Maxillary Advancement I](https://mios.academy/courses/mios-foundations-module/lessons/11-surgical-video-maxillary-advancement-i-3/) - First part of a complete surgical sequence showing a mandibular repositioning using the anterior oblique osteotomy through a minimally invasive approach. Focus on exposure, osteotomy, and early mobilization steps. - [10. Lecture – Anatomical landmarks in MIOS](https://mios.academy/courses/mios-foundations-module/lessons/10-lecture-anatomical-landmarks-in-mios-3/) - Jorge Soto reviews the key landmarks you must know to work safely with orthognathic surgery, specially with minimally invasive approach. - [09. Case Discussion – CJR](https://mios.academy/courses/mios-foundations-module/lessons/09-case-discussion-cjr-3/) - A full case review presented by Jonathas Claus showing his decision-making strategy to treat a patient with gummy smile and poor chin projection. How to decide between isolated maxillary procedure or bimaxillary surgery? - [08. Commented Article – Anterior Oblique Osteotomy](https://mios.academy/courses/mios-foundations-module/lessons/08-commented-article-anterior-oblique-osteotomy-3/) - Jonathas Claus explores the modification of the traditional BSSO osteotomy with the intention to maintain the mandibular unit and avoid bone defects. - [06. Surgical Video – Step By Step Chin](https://mios.academy/courses/mios-foundations-module/lessons/06-surgical-video-step-by-step-chin-3/) - Watch the full technique for minimally invasive genioplasty, from incision to closure. Clear visuals and step-by-step focus on precision, anatomy, and soft-tissue respect. - [05. MIOS Tip](https://mios.academy/courses/mios-foundations-module/lessons/05-mios-tip-3/) - Jonathas Claus details how to perform the suture after the maxillary repositioning using the minimally invasive approach. Short and practical — ideal for immediate implementation. - [04. Lecture – Everything we've been told was a lie](https://mios.academy/courses/mios-foundations-module/lessons/04-lecture-everything-weve-been-told-was-a-lie-3/) - A provocative talk with Javier Gutierrez challenging traditional assumptions in orthognathic surgery. Reconsider long-standing beliefs and discover how evidence and experience point us toward a new approach. - [03. Case Discussion – My First MIOS](https://mios.academy/courses/mios-foundations-module/lessons/03-case-discussion-my-first-mios-3/) - Nelson Leon shares his personal account of his first MIOS case, walking you through the challenges, decisions, and outcomes. Learn from the transition process and what it takes to shift toward a less invasive practice. - [02. Commented Article – MISMARPE](https://mios.academy/courses/mios-foundations-module/lessons/02-commented-article-mismarpe-3/) - Luis Bustos brings a deep dive into the MISMARPE protocol through a critical review of a scientific article. We’ll examine the methodology, results, and implications for practice — with direct commentary to clarify key points. - [01. Lecture – Why MIOS](https://mios.academy/courses/mios-foundations-module/lessons/01-lecture-why-mios-3/) - Jonathas Claus presents a comprehensive introduction to the philosophy, goals, and evolution of Minimally Invasive Orthognathic Surgery. Understand how MIOS improves patient outcomes and why it's becoming the new standard. - [09. Lecture – VSP Movements Step by Step Using Nemo](https://mios.academy/courses/module-9/lessons/09-lecture-vsp-movements-step-by-step-using-nemo/) - Matheus Spinella demonstrates how to execute VSP movements using NemoStudio, explaining both the technical workflow and the logic behind each adjustment. Practical and applicable for those involved in digital planning. - [08. Commented Article – Tranexamic Acid for Blood Loss Control](https://mios.academy/courses/module-9/lessons/08-commented-article-tranexamic-acid-for-blood-loss-control/) - Jonathas Claus reviews an article on the use of tranexamic acid (TXA) in orthognathic surgery. He discusses the pros, cons, and his own evolving experience with TXA in MIOS, including postoperative observations. - [07. Lecture – Minimally Invasive Genioplasty: Step by Step](https://mios.academy/courses/module-9/lessons/07-lecture-minimally-invasive-genioplasty-step-by-step/) - Javier Gutiérrez provides a didactic, step-by-step explanation of the minimally invasive approach to genioplasty, from incision design to closure. Ideal for those refining their technique. - [06. Surgical Video – Large Chin Advancement (with Live Audio)](https://mios.academy/courses/module-9/lessons/06-surgical-video-large-chin-advancement-with-live-audio/) - Jonathas Claus performs a large sliding genioplasty, with live audio commentary throughout. Focuses include cut design, mobilization, soft tissue preservation, and aesthetic goals for projection and harmony. - [05. MIOS Tip – How to Enhance Mandibular Lateral Projection](https://mios.academy/courses/module-9/lessons/05-mios-tip-how-to-enhance-mandibular-lateral-projection/) - Daniel Roscher shares a practical tip to optimize lateral projection of the mandible, using subtle adjustments during the fixation phase to improve contour without increasing morbidity. - [04. Lecture – Total Joint Replacement](https://mios.academy/courses/module-9/lessons/04-lecture-total-joint-replacement/) - Jorge Masià provides a complete overview of Total TMJ Replacement surgery. Indications, planning, surgical technique, and how it integrates with orthognathic protocols are all discussed. - [03. Case Discussion – Mandibular Asymmetry: Surgical Strategies](https://mios.academy/courses/module-9/lessons/03-case-discussion-mandibular-asymmetry-surgical-strategies/) - Jonathas Claus presents a case involving mandibular asymmetry and breaks down the surgical strategies used to achieve facial balance. - [02. Commented Article – Maxillary Fixation with 2 Plates](https://mios.academy/courses/module-9/lessons/02-commented-article-maxillary-fixation-with-2-plates/) - Javier Gutiérrez reviews a recent study evaluating the stability and biomechanics of using two plates for maxillary fixation. He discusses when this technique may be preferable over more conventional methods for maxillary repositioning. - [01. Lecture – The Implate Technique](https://mios.academy/courses/module-9/lessons/01-lecture-the-implate-technique/) - Our guest speaker Valerio Ramieri presents the Implate technique — a unique approach to combine internal rigid fixation and permanent facial implant for the mandibular angles. He shares the rationale, design, and clinical outcomes, positioning it as a potential tool in select orthognathic cases. - [04. Lecture – Facial Implants](https://mios.academy/courses/module-9/lessons/04-lecture-facial-implants-2/) - Jorge Masià discusses the role of facial implants in aesthetic and reconstructive surgery. He reviews types, indications, and how they compare to bone-based movements in the context of MIOS. - [06. Surgical Video – Maxillary Advancement](https://mios.academy/courses/module-9/lessons/06-surgical-video-maxillary-advancement-2/) - Nelson Leon performs a full maxillary advancement using MIOS access. The video highlights soft tissue management, controlled osteotomy, and accurate segment positioning. - [05. MIOS Tip – Mentolabial Sulcus: Genioplasty Suture](https://mios.academy/courses/module-9/lessons/05-mios-tip-mentolabial-sulcus-genioplasty-suture-2/) - Jonathas Claus shows his technique for closing the chin area in genioplasty cases to preserve the natural shape of the mentolabial sulcus and avoid visible flattening or scar distortion. - [07. Lecture – Nemotec VSP](https://mios.academy/courses/module-9/lessons/07-lecture-nemotec-vsp-2/) - Guest speaker Lucia del Moral, from our sponsor Nemotec, shares a step-by-step overview of using the software for virtual surgical planning, from file import to splint generation, emphasizing workflow efficiency. - [08. Commented Article – Learning Curve with MIOS](https://mios.academy/courses/module-9/lessons/08-commented-article-learning-curve-with-mios-2/) - Luis Bustos analyzes his recent study on the learning curve for surgeons transitioning to MIOS, focusing on adaptation time, key challenges, and how case selection influences early outcomes. - [09. Case Discussion – CG OSA Patient with Poor Chin Projection](https://mios.academy/courses/module-9/lessons/09-case-discussion-cg-osa-patient-with-poor-chin-projection-2/) - Jonathas Claus presents a case of an elderly patient with OSAS and chin deficiency, without dental discrepancies, showing how simultaneous chin advancement and cervicoplasty can improve both airway and facial balance. - [10. Surgical Video – Maxillary Advancement with 2 Cameras](https://mios.academy/courses/module-9/lessons/10-surgical-video-maxillary-advancement-with-2-cameras-2/) - Jonathas Claus shares a dual-camera surgical video showing the maxillary advancement procedure from the roof and from his loupe — providing a more complete view of each step. - [01. Lecture – Lip Lift by Ben Talei](https://mios.academy/courses/module-9/lessons/01-lecture-lip-lift-by-ben-talei-2/) - Our special guest this month Dr. Ben Talei shares his refined approach to the lip lift, highlighting technical nuances, indications, and how this aesthetic procedure can complement orthognathic and perioral treatments. - [02. Commented Article – The effect of Le Fort I Incision](https://mios.academy/courses/module-9/lessons/02-commented-article-the-effect-of-le-fort-i-incision-2/) - Jorge Soto reviews a paper on the impact of Le Fort I incisions on postoperative outcomes. He discusses soft tissue behavior, access strategies, and the implications for minimally invasive protocols. - [03. Case Discussion – Bimax + 3 piece expansion + PSI](https://mios.academy/courses/module-9/lessons/03-case-discussion-bimax-3-piece-expansion-psi-2/) - Matheus Spinella presents a complex case involving bimaxillary surgery, maxillary segmentation, and patient-specific implants. A practical example of combining digital planning with advanced movements. - [10. Surgical Video – Maxillary Advancement with 2 Cameras](https://mios.academy/courses/module-8/lessons/10-surgical-video-maxillary-advancement-with-2-cameras/) - Jonathas Claus shares a dual-camera surgical video showing the maxillary advancement procedure from the roof and from his loupe — providing a more complete view of each step. - [08. Commented Article – Learning Curve with MIOS](https://mios.academy/courses/module-8/lessons/08-commented-article-learning-curve-with-mios/) - Luis Bustos analyzes his recent study on the learning curve for surgeons transitioning to MIOS, focusing on adaptation time, key challenges, and how case selection influences early outcomes. - [07. Lecture – Nemotec VSP](https://mios.academy/courses/module-8/lessons/07-lecture-nemotec-vsp/) - Guest speaker Lucia del Moral, from our sponsor Nemotec, shares a step-by-step overview of using the software for virtual surgical planning, from file import to splint generation, emphasizing workflow efficiency. - [06. Surgical Video – Maxillary Advancement](https://mios.academy/courses/module-8/lessons/06-surgical-video-maxillary-advancement/) - Nelson Leon performs a full maxillary advancement using MIOS access. The video highlights soft tissue management, controlled osteotomy, and accurate segment positioning. - [05. MIOS Tip – Mentolabial Sulcus: Genioplasty Suture](https://mios.academy/courses/module-8/lessons/05-mios-tip-mentolabial-sulcus-genioplasty-suture/) - Jonathas Claus shows his technique for closing the chin area in genioplasty cases to preserve the natural shape of the mentolabial sulcus and avoid visible flattening or scar distortion. - [04. Lecture – Facial Implants](https://mios.academy/courses/module-8/lessons/04-lecture-facial-implants/) - Jorge Masià discusses the role of facial implants in aesthetic and reconstructive surgery. He reviews types, indications, and how they compare to bone-based movements in the context of MIOS. - [03. Case Discussion – Bimax + 3 piece expansion + PSI](https://mios.academy/courses/module-8/lessons/03-case-discussion-bimax-3-piece-expansion-psi/) - Matheus Spinella presents a complex case involving bimaxillary surgery, maxillary segmentation, and patient-specific implants. A practical example of combining digital planning with advanced movements. - [02. Commented Article – The effect of Le Fort I Incision](https://mios.academy/courses/module-8/lessons/02-commented-article-the-effect-of-le-fort-i-incision/) - Jorge Soto reviews a paper on the impact of Le Fort I incisions on postoperative outcomes. He discusses soft tissue behavior, access strategies, and the implications for minimally invasive protocols. - [01. Lecture – Lip Lift by Ben Talei](https://mios.academy/courses/module-8/lessons/01-lecture-lip-lift-by-ben-talei/) - Our special guest this month Dr. Ben Talei shares his refined approach to the lip lift, highlighting technical nuances, indications, and how this aesthetic procedure can complement orthognathic and perioral treatments. - [07. Commented Article – Telescopic Genioplasty for FFS](https://mios.academy/courses/module-7/lessons/07-commented-article-telescopic-genioplasty-for-ffs/) - Javier Gutiérrez comments on a study exploring the telescopic advancement of the chin in feminization surgery. He discusses the balance between skeletal projection and soft tissue harmony. - [10. Surgical Video – Large Mandibular Bilateral Advancement](https://mios.academy/courses/module-7/lessons/10-surgical-video-large-mandibular-bilateral-advancement/) - Jonathas Claus performs a bilateral mandibular advancement with significant skeletal movement. The video focuses on soft tissue handling, nerve safety, and controlled mobilization through MIOS access. - [09. Lecture – Deep Neck Lift](https://mios.academy/courses/module-7/lessons/09-lecture-deep-neck-lift/) - Guest speaker Fernando Antonini shares his protocol for deep neck lift surgery, showing how it can complement orthognathic results, especially in patients with heavy or aged neck profiles. - [08. Case Discussion – Management of Facial Asymmetry with MIOS Concepts](https://mios.academy/courses/module-7/lessons/08-case-discussion-management-of-facial-asymmetry-with-mios-concepts/) - Jorge Soto presents a case with moderate facial asymmetry and explains how to apply MIOS concepts to maintain minimal access while achieving full correction. - [06. Lecture – Virtual Surgical Planning Preparation. Step by Step.](https://mios.academy/courses/module-7/lessons/06-lecture-virtual-surgical-planning-preparation-step-by-step/) - Matheus Spinella gives a structured overview of how to prepare and review cases for virtual surgical planning (VSP) using Nemofab software. A practical breakdown of what to do before and after the VSP session. - [05. Surgical Video – 3-Piece Le Fort I Advancement](https://mios.academy/courses/module-7/lessons/05-surgical-video-3-piece-le-fort-i-advancement/) - Jonathas Claus performs a segmented Le Fort I maxillary advancement. As a new feature, this video presents the real audio from the surgery. It gives a more realistic view of the approach with some "bad words" in portuguese. - [04. MIOS Tip – Mentalis Muscle Contraction](https://mios.academy/courses/module-7/lessons/04-mios-tip-mentalis-muscle-contraction/) - Luis Bustos demonstrates a useful tip to improve the results in patients presenting this carachteriscis. - [03. Case Discussion – MIOS & FFS](https://mios.academy/courses/module-7/lessons/03-case-discussion-mios-ffs/) - Javier Gutiérrez presents a case combining minimally invasive orthognathic surgery and facial feminization goals. He explains how surgical planning can respect gender affirmation while maintaining technical efficiency. - [02. Commented Article – Anterior Oblique Osteotomy](https://mios.academy/courses/module-7/lessons/02-commented-article-anterior-oblique-osteotomy/) - Matheus Spinella reviews the anterior oblique osteotomy as an alternative technique for mandibular advancements in MIOS. He comments about the paper published by his group with the cosmetic advantages, os this technique. - [01. Lecture – Midface Volumization: Fat vs Implants vs Osteotomy](https://mios.academy/courses/module-7/lessons/01-lecture-midface-volumization-fat-vs-implants-vs-osteotomy/) - Jorge Masia compares the three main approaches to midface volumization — fat grafting, implants, and osteotomy. He discusses indications, limitations, and how to choose the best strategy for each patient. - [10. Surgical Video – Descending Genioplasty](https://mios.academy/courses/module-6/lessons/10-surgical-video-descending-genioplasty/) - Nelson Leon performs a descending genioplasty, showing how to manage vertical lengthening of the chin in a controlled and minimally invasive way. - [09. Lecture – Non Surgical Treatment for the TMJ](https://mios.academy/courses/module-6/lessons/09-lecture-non-surgical-treatment-for-the-tmj/) - Jorge Soto outlines the main conservative strategies for managing temporomandibular joint disorders. A practical review of occlusal appliances and rehabilitation options. - [08. Case Discussion – Poor Chin Projection + Moderate Sleep Apnea](https://mios.academy/courses/module-6/lessons/08-case-discussion-poor-chin-projection-moderate-sleep-apnea/) - Jonathas Claus presents a case where the patient presents with weak chin projection and moderate OSAS. He discusses functional and aesthetic solutions in such scenarios and share an interesting solution. - [07. Commented Article – Customization and Locking Fixation System with MIOS](https://mios.academy/courses/module-6/lessons/07-commented-article-customization-and-locking-fixation-system-with-mios/) - Luis Bustos presents locking plate systems adapted to MIOS, focusing on stability, workflow compatibility, and patient-specific designs. - [06. Lecture – How to Plan Mandibular Reshape Using NemoFab](https://mios.academy/courses/module-6/lessons/06-lecture-how-to-plan-mandibular-reshape-using-nemofab/) - Javier Gutiérrez shares his protocol for mandibular reshaping using NemoFab software. Understand how to approach facial contour adjustments digitally before executing them surgically. - [05. Surgical Video – Maxillary advancement II](https://mios.academy/courses/module-6/lessons/05-surgical-video-maxillary-advancement-ii/) - Jonathas Claus performs a second maxillary advancement video in sequence, emphasizing technique refinements, instruments handling, and surgical access optimization with minimal incision. - [04. MIOS Tip – Maxillary Nerve Block Anesthesia](https://mios.academy/courses/module-6/lessons/04-mios-tip-maxillary-nerve-block-anesthesia/) - Javier Gutiérrez demonstrates a simple and effective technique for achieving maxillary nerve block anesthesia during maxillary procedures. A valuable tip for intraoperative comfort and bleeding control. - [03. Lecture – Orthognathic Surgery with PSI from Conventional to MIOS](https://mios.academy/courses/module-6/lessons/03-lecture-orthognathic-surgery-with-psi-from-conventional-to-mios/) - Felix Amarista walks through his personal evolution of orthognathic surgery with patient-specific implants, comparing traditional approaches and the MIOS workflow. A key lecture for those transitioning to digital and customized planning. - [02. Commented Article – Customized Palatal Splint](https://mios.academy/courses/module-6/lessons/02-commented-article-customized-palatal-splint/) - Jonathas Claus reviews a "technical note" article on the use of customized palatal splints for maxillary expansions. He highlights the benefits, especially to help repositioning and contention. - [01. Lecture – Neck Liposuction and Platysmaplasty](https://mios.academy/courses/module-6/lessons/01-lecture-neck-liposuction-and-platysmaplasty/) - Jorge Masia presents the indications and step-by-step surgical approach to neck liposuction and platysmaplasty. Learn how to integrate these techniques into comprehensive facial contouring strategies. - [10. Surgical Video – Mandibular Advancement](https://mios.academy/courses/module-5/lessons/10-surgical-video-mandibular-advancement/) - Nelson Leon performs a mandibular advancement using MIOS concepts. Focus on minimal access, anatomical preservation, and stable fixation. - [09. Lecture – Intraoral Management of Neck Muscles](https://mios.academy/courses/module-5/lessons/09-lecture-intraoral-management-of-neck-muscles/) - Javier Gutiérrez explains how to manage the suprahyoid and neck muscle region through an intraoral approach. A valuable complement for contouring procedures in MIOS protocols. - [08. Commented Article – Grafting with Biomaterials in Orthognathic Surgery](https://mios.academy/courses/module-5/lessons/08-commented-article-grafting-with-biomaterials-in-orthognathic-surgery/) - Jonathas Claus comments on current literature discussing the use of biomaterials for grafting in orthognathic surgery, especially in MIOS. Clinical applicability and handling details are reviewed. - [07. Lecture – Sub-spinal vs Under Spinal Osteotomy in the Maxilla](https://mios.academy/courses/module-5/lessons/07-lecture-sub-spinal-vs-under-spinal-osteotomy-in-the-maxilla/) - Nelson Leon explores a refined osteotomy technique for maxillary segmentation: the sub-spinal X under-spinal cut. Ideal for selected cases requiring transversal control and skeletal stability. - [06. Surgical Video – Chin Telescopic Advancement](https://mios.academy/courses/module-5/lessons/06-surgical-video-chin-telescopic-advancement/) - Jonathas Claus demonstrates the telescopic advancement of the chin with a minimally invasive technique. Key points on cut design, mobilization, and fixation are highlighted step by step. - [05. MIOS Tip – How to Protect Mandibular Nerve During BSSO](https://mios.academy/courses/module-5/lessons/05-mios-tip-how-to-protect-mandibular-nerve-during-bsso/) - Daniel Roscher shares a tip to minimize the risk of nerve injury during bilateral sagittal split osteotomy. A simple and effective detail that can make a major difference in outcomes. - [04. Lecture – Minimally Invasive Mandibular Osteotomies](https://mios.academy/courses/module-5/lessons/04-lecture-minimally-invasive-mandibular-osteotomies/) - Nelson Leon provides a complete overview of different mandibular osteotomies adapted to a minimally invasive approach. Indications, limitations, and technique refinements are clearly addressed. - [03. Case Discussion – DAMS](https://mios.academy/courses/module-5/lessons/03-case-discussion-dams/) - Jonathas Claus presents a complex case involving functional and comestic goal: sharing his strategy for diagnosis, planning, and surgical decision-making within MIOS protocols. - [02. Commented Article – Accuracy of PSI in MIOS](https://mios.academy/courses/module-5/lessons/02-commented-article-accuracy-of-psi-in-mios/) - Felix Amarista reviews a recent article exploring the accuracy of patient-specific implants in the context of minimally invasive orthognathic surgery. A great discussion on planning reliability and intraoperative predictability. - [01. Lecture – Lip Lift](https://mios.academy/courses/module-5/lessons/01-lecture-lip-lift/) - Javier Gutiérrez explains the principles behind the lip lift procedure, discussing indications, techniques, and how it complements orthognathic surgery in patients seeking perioral aesthetic refinement. - [11. Surgical Video – Maxillary Inferior Repositioning](https://mios.academy/courses/module-4/lessons/11-surgical-video-maxillary-inferior-repositioning/) - Jonathas Claus shows a step-by-step maxillary inferior repositioning procedure using MIOS principles. Exposure, control, and safety are key points throughout the technique. - [10. Lecture – Beyond the V-line Trend](https://mios.academy/courses/module-4/lessons/10-lecture-beyond-the-v-line-trend/) - Javier Gutiérrez critically reviews the V-line trend in facial aesthetics, highlighting when it makes sense. A reflection on beauty standards, bone remodeling, and personalized planning. - [09. Case Discussion – CZM](https://mios.academy/courses/module-4/lessons/09-case-discussion-czm/) - Jonathas Claus discusses a case involving skeletal Class II and vertical deficiency discussing how the planning helped achieve esthetic and functional balance and how intra-operative findings turned this case almost to a nightmare. - [08. Commented Article – Maxillary Segmentation](https://mios.academy/courses/module-4/lessons/08-commented-article-maxillary-segmentation/) - Nelson Leon analyzes a scientific article about maxillary segmentation, pointing out the practical takeaways and challenges of applying segmentation techniques within a minimally invasive context. - [07. Lecture – Pre, Trans and Post-op Protocols with MIOS](https://mios.academy/courses/module-4/lessons/07-lecture-pre-trans-and-post-op-protocols-with-mios/) - Matheus Spinella presents the clinical protocols adopted before, during, and after MIOS procedures. A complete view of workflow: pre, trans and post-operatively - in-practice routines that help optimize outcomes. - [06. Surgical Video – Mandibular Advancement with Nerve Protection](https://mios.academy/courses/module-4/lessons/06-surgical-video-mandibular-advancement-with-nerve-protection/) - Jonathas Claus demonstrates a mandibular advancement surgery emphasizing nerve identification and preservation. Step-by-step explanation of the MIOS approach with special care around the IAN. - [05. MIOS Tip – Grafting The Maxilla](https://mios.academy/courses/module-4/lessons/05-mios-tip-grafting-the-maxilla/) - Nelson Leon explains his approach to grafting the maxilla during orthognathic surgery using a minimally invasive approach — when, how, and with which material. - [04. Lecture – Lower Jaw Contour](https://mios.academy/courses/module-4/lessons/04-lecture-lower-jaw-contour/) - Javier Gutiérrez explores how the mandibular remodeling can influence lower facial contour. Aesthetic strategies, planning decisions, and surgical limits are all covered in this focused lecture. - [03. Case Discussion – TMJ & MIOS](https://mios.academy/courses/module-4/lessons/03-case-discussion-tmj-mios/) - Felix Amarista presents a case where temporomandibular joint considerations played a central role in the planning of a minimally invasive orthognathic surgery. Understand how to evaluate and respect the joint in borderline cases. - [02. Commented Article – Patient's Perception After Orthognathic Surgery](https://mios.academy/courses/module-4/lessons/02-commented-article-patients-perception-after-orthognathic-surgery/) - Patient's Perception After Orthognathic SurgeryJonathas Claus reviews and discusses 2 different studies exploring how patients perceive their recovery and quality of life after conventional orthognathic surgery — and how this compares to what we aim for with MIOS. - [01. Lecture – State of Art in Maxillary Segmentation](https://mios.academy/courses/module-4/lessons/01-lecture-state-of-art-in-maxillary-segmentation/) - Nelson Leon shares his insights on current trends, techniques, and challenges in maxillary segmentation. Learn how segmentation can expand your planning possibilities while respecting MIOS principles. - [11. Surgical Video – Mandibular Anterior Oblique Osteotomy [Left Side]](https://mios.academy/courses/module-3/lessons/11-surgical-video-mandibular-anterior-oblique-osteotomy-left-side/) - Jonathas Claus completes the mandibular repositioning with the anterior oblique osteotomy on the left side. Technical refinements and visualization of anatomical details round out this approach. - [10. Lecture – MISMARPE](https://mios.academy/courses/module-3/lessons/10-lecture-mismarpe/) - Luis Bustos brings a fresh perspective on the MISMARPE protocol, reviewing its evolution and practical aspects. Ideal for those working with hybrid orthodontic and surgical planning. - [09. Case Discussion – JR](https://mios.academy/courses/module-3/lessons/09-case-discussion-jr/) - This is a case presentation of biretrusive side profile patient, where Dr. Nelson León will show the virtual plan, some surgery tips and the result in a male bimaxilar advancement using MIOS. - [08. Commented Article – Cupid Lip Lift](https://mios.academy/courses/module-3/lessons/08-commented-article-cupid-lip-lift/) - Javier Gutiérrez reviews the Cupid lip lift technique through a selected article, sharing insights on indications, execution, and how to achieve a more youthful perioral region. - [07. Lecture – Video Registration | Becoming a Master](https://mios.academy/courses/module-3/lessons/07-lecture-video-registration-becoming-a-master/) - Nelson Leon highlights the importance of proper video documentation in surgical training and self-improvement. Learn how to use video as a tool to refine your technique and build your case portfolio. - [06. Surgical Video – Mandibular Anterior Oblique Osteotomy [Right Side]](https://mios.academy/courses/module-3/lessons/06-surgical-video-mandibular-anterior-oblique-osteotomy-right-side/) - Jonathas Claus shows the full execution of an anterior oblique osteotomy on the right side using a minimally invasive approach. Focused on exposure, osteotomy angle, and safety near the mandibular nerve. - [05. MIOS TIP – Nasal Mucosa](https://mios.academy/courses/module-3/lessons/05-mios-tip-nasal-mucosa/) - Jonathas Claus demonstrates in detail, step by step, how to dissect the nasal mucosa together with the sub-spinal osteotomy in the minimally invasive approach to the maxilla aiming to maintain the mucosa intact providing better recovery in the short-term. - [04. Lecture – Platismaplasty](https://mios.academy/courses/module-3/lessons/04-lecture-platismaplasty/) - Javier Gutiérrez shares his approach to platismaplasty, explaining how this complementary procedure can enhance neck contour and facial balance in orthognathic and facial aesthetic cases. - [03. Case Discussion – AGM](https://mios.academy/courses/module-3/lessons/03-case-discussion-agm/) - Jonathas Claus presents a detailed case involving a complex facial asymmetry including condylar hyperplasia and occlusal challenges, discussing how to address the asymmetry during planning and execution of this challenging case. - [02. Commented Article – Horseshoe Osteotomy](https://mios.academy/courses/module-3/lessons/02-commented-article-horseshoe-osteotomy/) - Nelson Leon reviews the principles, technique, and potential benefits of the horseshoe osteotomy. A solid discussion on when and how this osteotomy can improve maxillary repositioning and reduce complications. - [01. Lecture – How to Define the Antero-Posterior Position](https://mios.academy/courses/module-3/lessons/01-lecture-how-to-define-the-antero-posterior-position/) - Jonathas Claus explains the reasoning behind defining the ideal antero-posterior position of the maxillomandibular complex, combining aesthetic goals, functional needs, and facial harmony. - [11. Surgical Video – Setback Genioplasty](https://mios.academy/courses/module-2/lessons/11-surgical-video-setback-genioplasty-2/) - Jonathas Claus performs a full setback genioplasty, highlighting key steps and anatomical considerations. Observe how to manage bone volume, nerve proximity, and chin contour through a minimally invasive access. - [10. Lecture – Do I Need Specific Instruments for MIOS?](https://mios.academy/courses/module-2/lessons/10-lecture-do-i-need-specific-instruments-for-mios-2/) - Matheus Spinella discusses the instrument set needed to apply MIOS principles in your daily practice. Do you need a custom kit? Or can you adapt with standard tools? - [09. Case Discussion – Maxillary Posterior Impaction](https://mios.academy/courses/module-2/lessons/09-case-discussion-maxillary-posterior-impaction-2/) - Nelson Leon presents a case involving isolated maxillary posterior impaction. He explains the planning process, rationale behind the choice, and key surgical considerations. - [08. Commented Article – Hard to Soft Tissue 3D Softwares](https://mios.academy/courses/module-2/lessons/08-commented-article-hard-to-soft-tissue-3d-softwares-2/) - Javier Gutiérrez reviews the current state of 3D software technologies for predicting soft tissue outcomes. A valuable discussion on limitations, expectations, and the role of experience in virtual planning. - [07. Lecture – Photographic Protocol for Orthognathic Surgery](https://mios.academy/courses/module-2/lessons/07-lecture-photographic-protocol-for-orthognathic-surgery-2/) - Daniel Roscher presents a complete photographic protocol for facial surgery documentation. Learn how to standardize your records and improve your analysis and communication. - [06. Surgical Video – Trapezoidal Genioplasty](https://mios.academy/courses/module-2/lessons/06-surgical-video-trapezoidal-genioplasty-2/) - Jonathas Claus demonstrates a full genioplasty procedure using the trapezoidal design. Clear visualization and explanation of the osteotomy steps, refinement, and fixation. - [05. MIOS Tip – How to Get LFI Downfracture](https://mios.academy/courses/module-2/lessons/05-mios-tip-how-to-get-lfi-downfracture-2/) - Nelson Leon shares a practical tip for achieving safe and predictable downfracture in Le Fort I osteotomies using a minimally invasive approach. - [04. Lecture – Aligners and Surgery First [Orthodontic Perspective]](https://mios.academy/courses/module-2/lessons/04-lecture-aligners-and-surgery-first-orthodontic-perspective-2/) - Our special guest, the orthodontist Guilherme Thiesen discusses how aligners and the surgery-first approach can work together. Understand the orthodontic challenges and key protocols when planning MIOS cases with clear aligners. - [03. Case Discussion – Orthognathic Surgery + Jaw Contour](https://mios.academy/courses/module-2/lessons/03-case-discussion-orthognathic-surgery-jaw-contour-2/) - Javier Gutiérrez presents a case that combines orthognathic surgery with facial contouring. Follow his decision-making strategy and planning details for achieving an optimal aesthetic outcome. - [02. Commented Article – Pterygomaxillary Disjunction](https://mios.academy/courses/module-2/lessons/02-commented-article-pterygomaxillary-disjunction-2/) - Jonathas Claus explores evidences about the pterygomaxillary disjunction and its implications for MIOS. Includes commentary on how current techniques compare to classical methods — and how to adapt safely. - [01. Lecture – Telescopic Genioplasty](https://mios.academy/courses/module-2/lessons/01-lecture-telescopic-genioplasty-2/) - Nelson Leon explains in detail the concept, planning, and execution of the telescopic genioplasty technique. Learn how to combine minimally invasiveness and aesthetic refinement in chin procedures. - [11. Surgical Video – Maxillary Advancement I](https://mios.academy/courses/module-1/lessons/11-surgical-video-maxillary-advancement-i-2/) - First part of a complete surgical sequence showing a mandibular repositioning using the anterior oblique osteotomy through a minimally invasive approach. Focus on exposure, osteotomy, and early mobilization steps. - [10. Lecture – Anatomical landmarks in MIOS](https://mios.academy/courses/module-1/lessons/10-lecture-anatomical-landmarks-in-mios-2/) - Jorge Soto reviews the key landmarks you must know to work safely with orthognathic surgery, specially with minimally invasive approach. - [09. Case Discussion – CJR](https://mios.academy/courses/module-1/lessons/09-case-discussion-cjr-2/) - A full case review presented by Jonathas Claus showing his decision-making strategy to treat a patient with gummy smile and poor chin projection. How to decide between isolated maxillary procedure or bimaxillary surgery? - [08. Commented Article – Anterior Oblique Osteotomy](https://mios.academy/courses/module-1/lessons/08-commented-article-anterior-oblique-osteotomy-2/) - Jonathas Claus explores the modification of the traditional BSSO osteotomy with the intention to maintain the mandibular unit and avoid bone defects. - [07. Lecture – How To Deal With Assymmetries](https://mios.academy/courses/module-1/lessons/07-lecture-how-to-deal-with-assymmetries-2/) - Daniel Roscher comes with an in-depth look at one of the most complex topics in facial surgery: asymmetries. We discuss diagnostic strategies, planning principles, and surgical tactics to handle challenges. - [06. Surgical Video – Step By Step Chin](https://mios.academy/courses/module-1/lessons/06-surgical-video-step-by-step-chin-2/) - Watch the full technique for minimally invasive genioplasty, from incision to closure. Clear visuals and step-by-step focus on precision, anatomy, and soft-tissue respect. - [05. MIOS Tip](https://mios.academy/courses/module-1/lessons/05-mios-tip-2/) - Jonathas Claus details how to perform the suture after the maxillary repositioning using the minimally invasive approach. Short and practical — ideal for immediate implementation. - [04. Lecture – Everything we've been told was a lie](https://mios.academy/courses/module-1/lessons/04-lecture-everything-weve-been-told-was-a-lie-2/) - A provocative talk with Javier Gutierrez challenging traditional assumptions in orthognathic surgery. Reconsider long-standing beliefs and discover how evidence and experience point us toward a new approach. - [03. Case Discussion – My First MIOS](https://mios.academy/courses/module-1/lessons/03-case-discussion-my-first-mios-2/) - Nelson Leon shares his personal account of his first MIOS case, walking you through the challenges, decisions, and outcomes. Learn from the transition process and what it takes to shift toward a less invasive practice. - [02. Commented Article – MISMARPE](https://mios.academy/courses/module-1/lessons/02-commented-article-mismarpe-2/) - Luis Bustos brings a deep dive into the MISMARPE protocol through a critical review of a scientific article. We’ll examine the methodology, results, and implications for practice — with direct commentary to clarify key points. - [01. Lecture – Why MIOS](https://mios.academy/courses/module-1/lessons/01-lecture-why-mios-2/) - Jonathas Claus presents a comprehensive introduction to the philosophy, goals, and evolution of Minimally Invasive Orthognathic Surgery. Understand how MIOS improves patient outcomes and why it's becoming the new standard. - [11. Surgical Video – Setback Genioplasty](https://mios.academy/courses/module-2__trashed-2/lessons/11-surgical-video-setback-genioplasty/) - Jonathas Claus performs a full setback genioplasty, highlighting key steps and anatomical considerations. Observe how to manage bone volume, nerve proximity, and chin contour through a minimally invasive access. - [10. Lecture – Do I Need Specific Instruments for MIOS?](https://mios.academy/courses/module-2__trashed-2/lessons/10-lecture-do-i-need-specific-instruments-for-mios/) - Matheus Spinella discusses the instrument set needed to apply MIOS principles in your daily practice. Do you need a custom kit? Or can you adapt with standard tools? - [09. Case Discussion – Maxillary Posterior Impaction](https://mios.academy/courses/module-2__trashed-2/lessons/09-case-discussion-maxillary-posterior-impaction/) - Nelson Leon presents a case involving isolated maxillary posterior impaction. He explains the planning process, rationale behind the choice, and key surgical considerations. - [08. Commented Article – Hard to Soft Tissue 3D Softwares](https://mios.academy/courses/module-2__trashed-2/lessons/08-commented-article-hard-to-soft-tissue-3d-softwares/) - Javier Gutiérrez reviews the current state of 3D software technologies for predicting soft tissue outcomes. A valuable discussion on limitations, expectations, and the role of experience in virtual planning. - [07. Lecture – Photographic Protocol for Orthognathic Surgery](https://mios.academy/courses/module-2__trashed-2/lessons/07-lecture-photographic-protocol-for-orthognathic-surgery/) - Daniel Roscher presents a complete photographic protocol for facial surgery documentation. Learn how to standardize your records and improve your analysis and communication. - [06. Surgical Video – Trapezoidal Genioplasty](https://mios.academy/courses/module-2__trashed-2/lessons/06-surgical-video-trapezoidal-genioplasty/) - Jonathas Claus demonstrates a full genioplasty procedure using the trapezoidal design. Clear visualization and explanation of the osteotomy steps, refinement, and fixation. - [05. MIOS Tip – How to Get LFI Downfracture](https://mios.academy/courses/module-2__trashed-2/lessons/05-mios-tip-how-to-get-lfi-downfracture/) - Nelson Leon shares a practical tip for achieving safe and predictable downfracture in Le Fort I osteotomies using a minimally invasive approach. - [04. Lecture – Aligners and Surgery First [Orthodontic Perspective]](https://mios.academy/courses/module-2__trashed-2/lessons/04-lecture-aligners-and-surgery-first-orthodontic-perspective/) - Our special guest, the orthodontist Guilherme Thiesen discusses how aligners and the surgery-first approach can work together. Understand the orthodontic challenges and key protocols when planning MIOS cases with clear aligners. - [03. Case Discussion – Orthognathic Surgery + Jaw Contour](https://mios.academy/courses/module-2__trashed-2/lessons/03-case-discussion-orthognathic-surgery-jaw-contour/) - Javier Gutiérrez presents a case that combines orthognathic surgery with facial contouring. Follow his decision-making strategy and planning details for achieving an optimal aesthetic outcome. - [02. Commented Article – Pterygomaxillary Disjunction](https://mios.academy/courses/module-2__trashed-2/lessons/02-commented-article-pterygomaxillary-disjunction/) - Jonathas Claus explores evidences about the pterygomaxillary disjunction and its implications for MIOS. Includes commentary on how current techniques compare to classical methods — and how to adapt safely. - [01. Lecture – Telescopic Genioplasty](https://mios.academy/courses/module-2__trashed-2/lessons/01-lecture-telescopic-genioplasty/) - Nelson Leon explains in detail the concept, planning, and execution of the telescopic genioplasty technique. Learn how to combine minimally invasiveness and aesthetic refinement in chin procedures. - [11. Surgical Video – Maxillary Advancement I](https://mios.academy/courses/module-1__trashed/lessons/11-surgical-video-maxillary-advancement-i/) - First part of a complete surgical sequence showing a mandibular repositioning using the anterior oblique osteotomy through a minimally invasive approach. Focus on exposure, osteotomy, and early mobilization steps. - [06. Surgical Video – Step By Step Chin](https://mios.academy/courses/module-1__trashed/lessons/06-surgical-video-step-by-step-chin/) - Watch the full technique for minimally invasive genioplasty, from incision to closure. Clear visuals and step-by-step focus on precision, anatomy, and soft-tissue respect. - [10. Lecture – Anatomical landmarks in MIOS](https://mios.academy/courses/module-1__trashed/lessons/10-lecture-anatomical-landmarks-in-mios/) - Jorge Soto reviews the key landmarks you must know to work safely with orthognathic surgery, specially with minimally invasive approach. - [09. Case Discussion – CJR](https://mios.academy/courses/module-1__trashed/lessons/09-case-discussion-cjr/) - A full case review presented by Jonathas Claus showing his decision-making strategy to treat a patient with gummy smile and poor chin projection. How to decide between isolated maxillary procedure or bimaxillary surgery? - [08. Commented Article – Anterior Oblique Osteotomy](https://mios.academy/courses/module-1__trashed/lessons/08-commented-article-anterior-oblique-osteotomy/) - Jonathas Claus explores the modification of the traditional BSSO osteotomy with the intention to maintain the mandibular unit and avoid bone defects. - [07. Lecture – How To Deal With Assymmetries](https://mios.academy/courses/module-1__trashed/lessons/07-lecture-how-to-deal-with-assymmetries/) - Daniel Roscher comes with an in-depth look at one of the most complex topics in facial surgery: asymmetries. We discuss diagnostic strategies, planning principles, and surgical tactics to handle challenges. - [05. MIOS Tip](https://mios.academy/courses/module-1__trashed/lessons/05-mios-tip/) - Jonathas Claus details how to perform the suture after the maxillary repositioning using the minimally invasive approach. Short and practical — ideal for immediate implementation. - [04. Lecture – Everything we've been told was a lie](https://mios.academy/courses/module-1__trashed/lessons/04-lecture-everything-weve-been-told-was-a-lie/) - A provocative talk with Javier Gutierrez challenging traditional assumptions in orthognathic surgery. Reconsider long-standing beliefs and discover how evidence and experience point us toward a new approach. - [03. Case Discussion – My First MIOS](https://mios.academy/courses/module-1__trashed/lessons/03-case-discussion-my-first-mios/) - Nelson Leon shares his personal account of his first MIOS case, walking you through the challenges, decisions, and outcomes. Learn from the transition process and what it takes to shift toward a less invasive practice. - [02. Commented Article – MISMARPE](https://mios.academy/courses/module-1__trashed/lessons/02-commented-article-mismarpe/) - Luis Bustos brings a deep dive into the MISMARPE protocol through a critical review of a scientific article. We’ll examine the methodology, results, and implications for practice — with direct commentary to clarify key points. - [01. Lecture – Why MIOS](https://mios.academy/courses/module-1__trashed/lessons/01-lecture-why-mios/) - Jonathas Claus presents a comprehensive introduction to the philosophy, goals, and evolution of Minimally Invasive Orthognathic Surgery. Understand how MIOS improves patient outcomes and why it's becoming the new standard. - [Draft Lesson 1rzer](https://mios.academy/courses/test-2/lessons/draft-lesson-1rzer/) - zerzerzerzefzerzer - [ucancam 3d](https://mios.academy/courses/ucancam__trashed/lessons/ucancam-3d/) - ucancam 3d ตัดงาน 3d - [ucancam profile](https://mios.academy/courses/ucancam__trashed/lessons/ucancam-profile/) - ตัดปกติ - [Macronutrients Explained](https://mios.academy/courses/ultimate-photoshop-training-from-beginner/lessons/macronutrients-explained-5/) - [Meal Planning Explained](https://mios.academy/courses/ultimate-photoshop-training-from-beginner/lessons/meal-planning-explained-5/) - [Adjusting Your Diet To Build Muscle](https://mios.academy/courses/ultimate-photoshop-training-from-beginner/lessons/adjusting-your-diet-to-build-muscle-3/) - [Macronutrients Explained](https://mios.academy/courses/ultimate-photoshop-training-from-beginner/lessons/macronutrients-explained-4/) - [Meal Planning Explained](https://mios.academy/courses/ultimate-photoshop-training-from-beginner/lessons/meal-planning-explained-4/) - [Variables in PHP](https://mios.academy/courses/wordpress-for-beginners-master-wordpress/lessons/variables-in-php/) - [Get the Best Photoshop Version](https://mios.academy/courses/basic-fundamentals-of-interior-graphics-design-2/lessons/get-the-best-photoshop-version/) ## Categories - [Advice](https://mios.academy/category/advice/) - [Education](https://mios.academy/category/education/) - [General](https://mios.academy/category/general/) ## Tags - [academy](https://mios.academy/tag/academy/) - [advice](https://mios.academy/tag/advice/) - [mios](https://mios.academy/tag/mios/) - [orthognathic](https://mios.academy/tag/orthognathic/) ## Course Categories - [MIOS Modules](https://mios.academy/course-category/mios-modules/?tutor-course-filter-category=16) - [MIOS Cadaver Lab](https://mios.academy/course-category/mios-cadaver-lab/?tutor-course-filter-category=18) - [Free Content](https://mios.academy/course-category/free-content/?tutor-course-filter-category=20) - [MIOS Meeting 2026](https://mios.academy/course-category/mios-meeting-2026/?tutor-course-filter-category=29) - [Sponsor of the Month](https://mios.academy/course-category/sponsor-of-the-month/?tutor-course-filter-category=30)