Dorian is in her mid forties. She suffers from a bad bite, but by all means refused an orthodontic treatment since this would take too long. I saw her several times on consultation, taking the plaster models as an opening to discuss further her facial features. Finally, she looked at me and said : Dr.Defrancq, I thrust you, I will follow you for what you have in mind. But please, I have no time for several surgeries. So please one intervention. I made her a clinical proposal and finally operated on her: Upper jaw advancement ++, lower jaw following the bite to a normal class I, decanting of the bite, sliding genioplasty advancement, and a submental liposuction.The surgery was rather a hard time for her, what often is the case for somewhat older people. But 3 months later, her she came, happy, 😃 😃 and so thankful. It was a tremendeous live changer for her, and the result nde, gave her nice personality an unbelievable boost.