eng Oriental Scientific Publishing Company Biomedical and Pharmacology Journal 0974-6242 2015-10-25 8 October Spl Edition 641 645 10.13005/bpj/761 3426 article Vijayashri Sakthi 1 S. Kishore Kumar 2 W. S. Manjula 3 Senior lecturer, Tagore Dental college and Hospital, Chennai, India Department of Orthodontics, Sree Balaji Dental College and Hospital, Bharath University, Pallikaranai, Chennai-600100 Sree Balaji Dental College and Hospital, Bharath University, Pallikaranai, Chennai-600100 In recent years, a trend toward implementing treatment plans that achieve immediate facial change has arisen. In “Surgery First” treatment plans, the presurgical orthodontic treatment phase is eliminated or greatly reduced, the jaws are surgically repositioned into the desired locations, and orthodontic tooth movement follows.   This clinical case typically exemplifies the effect of Anterior segmental maxillary osteotomy and  Mandibular anterior subapical osteotomy on improving the skeletal, dental, soft tissue and over all aesthetics of the patient. https://biomedpharmajournal.org/vol8octoberspledition/anticipated-benefit-of-surgery-first-approach-a-clinical-case-report/ Anterior Maxillary Segmental Osteotomy Surgery first Gummy Smile