Problem List:

• Mandibular retrognathia
• Anterior open bite
• Vertical maxillary excess with increased gingival show on smiling
• Nasal airway obstruction secondary to inferior turbinate hypertrophy
• Nasal tip droop
• Increased vertical height of chin
• Difficulty in closing her lips together
• Bilateral dental crossbite relationship

Surgical Procedures Performed:

• Bilateral sagittal split ramus osteotomies to advance the lower jaw
• Vertical reduction of chin and advancement to improve soft tissue profile
• Maxillary Le Fort I (multiple-piece) osteotomy to advance the upper jaw, expand, and close the anterior open bite and to impact the maxilla to reduce gingival show
• Partial bilateral inferior turbinectomies to improve nasal airway