Eli is 24 years old and had always felt self-conscious about her side profile in photos and videos. She visited the Maxillofacial Institute in Barcelona presenting with Class II malocclusion and bimaxillary retrusion, conditions that affected both her bite and the balance of her profile.
Dr. Hernández-Alfaro and Dr. Durán planned a combined procedure performed in a single operation: mandibular advancement to correct the bite, mentoplasty to improve chin projection, and ultrasonic rhinoplasty to harmonize her nose with her new profile.
Six months after surgery, Eli reports that she can now bite correctly and that her headaches have disappeared. She describes her recovery as manageable, noting that the swelling subsided during the first few days.










