Thing is the first pacient there not only had a recessive mandible and chin, but she also had a gummy smile, which limited the planning possibilities. In her case, I think that her face height was fine, so doing a normal counterclockwise movement was not that big of an option. You can't always make a CCW rotation as we all want, because you must also make the pacient functional (this was explained to me by the very same doctor who operated this woman). In my case for example, they rulled out a CCW rotation, because my palate was too low, face was to short and upper teeth too proclined, so instead they did a clockwise rotation which in turn elevated my palate and made my face longer. In the end it ended up fine, and profile looks straight (not recessive anymore) allthough they made a clockwise rotation (they compensated by bringing the lower jaw forward on an artificially created overbite - premolars where extracted in lower jaw - and a genioplasty).
To me it looks this woman has the same problem; if they would have rotated too much CCW of course she would have got a better chin, but her upper jaw would have looked very messed up (upper teeth would have been proclined, and could have ended up protruding through the lips).
So it is true that sometimes you are limited by the skeleton, but actually the results in the pictures are good, within normal values. Take notice that as opposed to men, women look better with a slightly reccesive chin, while in men we expect a straight profile, even a slightly concave one (with protruding chin).
