Should my case have alternatives other than extractions?

[ssyx1234]

my upper teeth have mild crowding and over jet, lower missing one teeth and slight midline deviation.

My reason for seeking treatment are wanting to improve overall aesthetic: my facial profile is protruding and my teeths are not straight / symmetrical when smiling.

Wound seek your expertise for other alternatives as i dont think my case is so severe to require extractions.

 

[Dr M]

What extractions did the orthodontist recommend?

 

[ssyx1234]

What extractions did the orthodontist recommend?

upper two premolar and lower one extractions

 

[Dr M]

If there is a severe space deficiency, extractions are sometimes recommend to provide space in order to align the teeth properly.
You can also get a second opinion from another orthodontist.