A patient with a nonsyndromic cloverleaf skull deformity with previous craniofacial surgery at 3, 7 and 9 years of age sought orthodontic treatment at 12 years of age; he presented with a class II div 1 malocclusion with an overjet of 13 mm with average upper and lower incisors inclined in a skeletal class II pattern and with increased lower face height and a retrognathic mandible. Furthermore, the upper and lower arches were levelled and aligned with the preadjusted MBT brackets after 0.019 × 0.025 stainless steel archwires were inserted; thereafter, a Scandi Tubular fixed functional appliance was placed. This appliance remained in his mouth for six months. The patient achieved anteroposterior correction with orthodontic treatment, which improved aesthetics and facial proportions and enhanced the patient's confidence in his social interactions.