Thoughts, HW? How should a surgeon approach bimax on the guy in the second photo?
I'm not sure. He looks like a challenging case.
If the lower jaw is advanced, then his face will become longer, and it's already too long. His upper jaw is very long, but the excess length is all in his nose. He probably has no gummy smile. This is the exact same problem I have.
My guess is that he needs counter clockwise rotation. His upper jaw needs to be shortened a lot and then advanced some to compensate for the impaction. His lower jaw and chin need to be advanced substantially.
After all of this, I still think he'd look unattractive because the rest of his face is messed up. He'd need a rhinoplasty to shorten and deproject his nose and raise his dorsal line. He also needs brow augmentation as well as an otoplasty.