Clear braces (ceramic), lingual appliances (on the tongue side of the teeth) and invisalign (clear aligners) can be used to make orthodontics less conspicuous.
In the US, Lesley studied a technique of accelerated orthodontics that can reduce treatment time up to 2/3rds (6 to 9 months) if the orthodontics is carried out with gum surgery. This technique has the advantage of adding bone. Lack of bone is a problem that can complicate adult treatment.
If there is a problem with jaw alignment or the profile, orthognatic surgery can be included to produce a dramatic improvement in facial aesthetics.