Is it absolutely necessary to have my premolars extracted before having lingual braces fitted?

Q.
I am due to have lingual braces fitted but my orthodontist has suggested I need to have my premolars extracted. I am however very apprehensive as I have heard that this may change my facial features. What would you suggest I do?
A.
I would recommend a second opinion to determine what is best for you.  Removal of bicuspids, in my opinion, should be as a last resort.  My guess is you live in the UK.  It may be a little challenging but I would recommend you find someone who will consult you on doing orthodontics without removing the teeth.  Dr. Lemongello 
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