The demand for early orthodontic treatment especially in the adolescents (10–18 years) owing to the compromise in facial attractiveness has escalated in recent times. The emerging soft tissue paradigm has placed greater emphasis on clinical examination of soft tissue function. The soft tissue profile can be manipulated during the course of orthodontic treatment and these changes should be planned in accordance with the other components of the dentofacial region to achieve optimum treatment results. Patients who have prominent profiles in childhood often develop better and straighter profiles in adulthood. Treatment results should be planned keeping in mind the patient’s profile well into adulthood. Hence, a contemporary sound knowledge of the underlying age changes of soft tissue profile to aid in decision making while formulating a treatment plan in adolescents is paramount.