This report describes a combined orthodontic and surgical treatment approach for a severe skeletal Class III malocclusion in a young Indian woman with serious esthetic concerns. The case required significant surgical correction in the anteroposterior and vertical planes, involving surgeries in both the maxilla and the mandible. The case required the use of mini-implant anchorage in the presurgical phase as well as postorthodontic prosthodontic rehabilitation to replace missing posterior teeth to restore the occlusal table. ORTHODONTICS (CHIC) 2012;13:e94–e104.
Key words: mandibular setback, maxillary advancement, skeletal Class III malocclusion, surgical orthodontics, vertical reduction genioplasty