This is a scoping review further highlighting the success in curing sleep apnoea with a maxillomandibular complex advancement. The variations outlined are on East and Southeast Asian patients to reduce the aesthetic concern of bi-maxillary protrusion when large advancements are undertaken. They highlight three variations to be recognised in conjunction with advancement in total of both maxilla and mandible. Apart from the recognised neurosensory disturbance, complications were noted to be minor and uncommon. It outlined some possible advantages and disadvantages of each variation. It concluded that these three alternatives to the classic advancement are of value with this population, reiterating previous papers of successful treatment with an improvement in facial anaesthetics.