A 3D CT scan was taken to gauge the amount of residual bone. Due to the multiple missing teeth over a long period of time, the lower jaw bone was severely resorbed and the vertical height was insufficient to place implants. Maxillofacial Surgeon Dr. S.M. Balaji planned for a surgical reconstruction using alveolar distraction osteogenesis technique. The anterior region of the lower jaw bone was cut and alveolar distractor device was fixed. When the screw attached to the device is gradually turned 0.6 mm daily, the cut segments of bone move apart and new bone is formed in the resultant gap ultimately increasing the bone height which enhances her appearance.