Class III malocclusion has been the subject of interest because of the challenges in its treatment.  During adolescence, Cl III malocclusion with a substantial skeletal component poses a treatment difficulty. These malocclusions may be caused by maxillary retrognathia, mandibular prognathism, or both. When a Class III malocclusion solely affects the alveolar bone, treatment is usually straightforward. Protraction facemasks have often been used in the treatment of early-stage midfacial retrusion in children. Maxillary protraction can be accomplished more successfully with rapid maxillary expansion (RME), which disengages the articulations of the maxillary complex from the rest of the skull.The optimistic outcomes of a customized, two-stage treatment plan that was used to successfully treat a growing boy's severe skeletal Cl III malocclusion without surgery are presented in this study. An orthopaedic approach involving simultaneous alternate rapid maxillary expansion and constriction (Alt-RAMEC) protocol with class 3 elastics was adopted in phase 1 to correct the sagittal skeletal discrepancy. Phase 2 involved the implementation of fixed orthodontic therapy in order to achieve a well-interdigitated occlusion. The retention phase with the reverse bionator marked the end of the treatment. Orthopedic and orthodontic treatment resulted in considerable improvements in soft tissue profile, smile aesthetics, and occlusion when treatment was completed.