Which orthodontic work could help my aesthetics

doruxx

doruxx

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So here are pics of my front and side:
IMG 7751
IMG 7753

basically my orthodontist wanted to extract 4 of my premolars because i have an inward grown tooth at the bottom and one primary tooth. I declined him extracting and he said that he could do nothing else. could a palate extender fix that problem and help my aesthetics?
 

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