Yes extractions are needed

In cases of bimaxillary protrusion, extraction of teeth is sometimes recommended to create space and reduce lip protrusion. This helps in improving facial profile and aligning the teeth properly. However, extraction is not required in every case. The decision depends on: • Severity of protrusion • Amount of crowding • Facial profile • X-rays and cephalometric analysis At 19 years of age, orthodontic treatment can give good results. If you are unsure, you can take a second opinion from another orthodontist before deciding on extractions. Do not rush into extraction without proper diagnosis and treatment planning. A detailed clinical examination and records are necessary to choose the best option for you.

Orthodontic opinion is correct. If you're in doubt go for second opinion before starting for the treatment. It will bring more clearity to your treatment

Haii, In moderate to severe cases like yours (where the protrusion is noticeable and you want better lip position and profile harmony), the standard orthodontic approach Extraction of first premolars (one in each quadrant) This creates space (about 7–8 mm per side) to retract (pull back) and upright the front 6 teeth in each arch.

An orthodontist is a specialist for these conditions. You should follow his sujjetion.

Hello If orthodontist is saying so then it may require.

Yes, he’s true. You have to go for extraction of the truth for good alignment.