A 19-year-old girl with a convex profile and a retrognathic chin was referred for improvement of her profile and decrowding of anterior teeth. Nonextraction orthodontic therapy with temporary skeletal anchorage devices was used to improve her facial balance in a total active treatment time of 26 months. Her occlusion and profile were significantly improved by the treatment. The long term of treatment is because the patient did not keep her appointment. I find it challenging to improve a patient’s profile if the patient or the parents decline premolar extractions or orthognathic surgery. However, sometimes even with premolar extractions, the response of the overlying soft tissues is not predictable after incisor retraction because of many soft tissue variables such as lip thickness, lip tonicity, and lip strain. I did well treat her via TADs. Let’s Check these photos. #orthodontics#orthodontist#TADs#microimplants#nonextraction#totalarchretraction#malocclusion#청주치과#청주치아교정#청주교정치과#굿스마일치과교정과#miniscrews