Rodrigo came to our center with a case of biretrusion, that is, both his mandible and his maxilla were behind their ideal position. To improve his image, and since his bite already fitted correctly, Prof. Hernandez Alfaro decided to apply the Surgery First protocol, and perform bimaxillary surgery to advance both the maxilla and the mandible, as well as a mentoplasty and a septoplasty. . Now, Rodrigo's image has improved remarkably and he feels much more secure with himself.