Our patient Francisco came from Seville presenting with:
- Class II malocclusion
- Sleep apnea
- Mild open bite
- Moderate crowding
To correct this, Dr. Hernandez Alfaro performed orthofacial surgery consisting of:
• Minimally invasive Le Fort I maxillary osteotomy using the Twist technique, for advancement, counterclockwise rotation, and leveling.
• Bilateral mandibular sagittal osteotomy for advancement, counterclockwise rotation, and centering.
• Mentoplasty for advancement.
Following his surgery, Francisco's profile has improved significantly, and he is able to sleep much better.









