That's a lefort 3?
Actually she would probably fall under the "dish face" deformity. Yes there is such a thing. Usually from badly healed facial fractures due to an accident. But it can occur normally.
You take her maxilla and mandible and move it way back and that's my case.

I'm just talking about her mid-face area, which looks a bit recessed but not syndrome -esque recessed. Mine was from wearing cervical headgear.
I didn't realize that case was a lefort 3.
In what universe did she looked normal Pre-OP?
I think you may have a unrealistic view of what normal is. I guess at the end of the day it's all relative. Normal≠Attractive
How many surgeons actually do lefort 3s?