Many patients feel that their faces have been caved in by the retractive orthodontics they had in adolescence. This woman was eager to reverse the effects of the retraction because she wanted a better smile and a profile that did not look “sunken in”. As a professional singer she was elated when, during the treatment to re-open her spaces, she got her high voice range back. After her treatment she also told us that a 20 year pattern of neck pain (which she had never associated with her teeth) was gone.