Combination therapy (orthodontics and surgery) of class II dysgnathy. (A–D) Pretreatment images: (A) lateral view of a 21-year-old patient with class II dysgnathy, (B) frontal view demonstrating poor lip closure and increased overjet, (C) class II occlusion, and (D) cephalometric analysis revealing a disharmonious skeletal relationship. (E–I) Posttreatment images: (E) lateral view showing an improved profile with harmonious soft tissue and hard tissue structures, (F) frontal view demonstrating enhanced lip closure and reduced overjet, (G) class I occlusion, (H) cephalometric analysis indicating an improved skeletal harmony, and (I) close-up view highlighting the corrected sagittal relationship without compromising the vertical ratio.