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Skeletal class 3 of facial anomaly is asymmetry of face due to imbalance of maxilla and mandible. This article presented Thai female patient, aged 14 years, who had an asymmetrical face, a concave facial profile, a skeletal class III open bile, an anterior crossbite, lingual crossbite at premolar and left first upper molar area, class III canine relationship and a shifted mandibular dental midline to the right. Her mandibular lateral incisor in the right side was a missing tooth and left and right mandibular first molars were extracted from dental caries. She had received a camouflage orthodontic treatment. The treatment resulted in a satisfactory facial profile of the patient, an improved skeletal relationship, class I canine on both sides and a straight mandibular dental midline.