A 25-year-old girl from Mumbai reported to our hospital with complaints of forwardly placed upper and lower jaw. The patient also complained about her gummy smile. She had difficulty in closing her mouth and was very self-conscious of her looks.

Radiographic analysis of the facial bones showed that she had a prognathic maxilla and mandible. Maxillofacial surgeon Dr. S.M. Balaji planned to perform Lefort I osteotomy followed by subapical osteotomy. The excess bone from the upper jaw was removed & the jaw was set backwards and upwards in proper alignment with the lower jaw. The anterior portion of the lower jaw was setback using Kole’s technique. The results were spontaneous and she was overjoyed with her new look.