There's no doubt she looks better overall.
But I'm just honing in on the tooth show, and I'm wondering if making her OP completely flat like he said he did, has resulted in more lower teeth showing and less of her upper teeth and gums.
Didn't watch the whole video. Just skipped through it. But even if the lower tooth show was a function of making the OP flat, maximizing the airway and maximizing the advancement which did result in GREAT overall AESTHETIC improvement was ALSO a function of the choice to flatten the OP. So, some lower tooth show (and less upper show) could be considered a MINOR trade-off of the OVERALL improvement.
To the best of my knowledge, the VSP, (since they do PLAN all this stuff out) will show, in the read outs numerical data of the parts that will be 'on target' with desired aesthetics and things that will deviate somewhat. It will have numbers to that regard and color coding of such.
Aside from something going 'wrong' in the surgery or some unexpected unfavorable consequence (eg. a risk associated with surgery), for the most part, they look at the VSP predictions of all the things that will change as a result of their plan where they see the highly favorable ones along with what would be considered 'trade-offs'; deviations from either the norm or deviations from 'highly favorable' (and here, perhaps the tooth show). So, they probably can anticipate them. But they are considered 'trade-offs' because the data tells them they are things that can't be changed to 'highly favorable' without altering the other very SALIENT highly favorable changes.
Honing in on the tooth show:Actually, the tooth show can be anticipated via the ceph displacement plan. If you look closely at the displacement diagrams, ( photo of ceph tracing called 2D plan) and ZERO IN on the teeth, you can see that the lower tooth does not show through the mouth in the before. Now, if you look at the 'after' plan and zero in on the lower tooth, you can see that it's going to show through the mouth and it shows kind of high. You can do the same with the upper too.
So, that does look to be something that they anticipate as happening. Afterall, even if one can't understand what the numbers and color coding of them mean, how the teeth are going to show through the mouth can be seen via the 2D plan vs the before just by LOOKING at the relative position of the TRACING of them relative to the lips. Hence, it's something that shows as PART of the PLAN and something they accept as a trade-off in exchange for the other over all improvements involved with the entire plan.