No, not really because it's the act of trying to 'balance' with an IMBALANCE creates more (aesthetic) imbalance. So, it would resolve to having an overly protrusive maxilla and also an overly protrusive mandible as in more of an 'ape face' look.
Also, if you read my prior post EXPLAINING that this was an insurance SLEEP APNEA surgery where both jaws are advanced EQUALLY ( linear advancement with no rotation), that's a type of surgery where they prioritize putting the lower jaw where it should be to open the airway and consider the maxilla being 'over advanced' a TRADE-OFF (for being able to sleep). Yet AVOIDANCE for that sort of aesthetic defect to the maxilla/upper lip region often is a SELF PAY procedure because it's something that's more involved than what INSURANCE wants to pay for. That is to say the more involved surgery to mitigate the chances of over advancement to maxilla is CCW-r which not all insurance doctors do (or would/could get paid by insurance to perform).
I hear you. That said, I could add a couple other considerations.
First, some doctors that do a lot of sleep apnea surgeries have told me they are finding that upper jaw advancement is actually more helpful for sleep apnea than lower jaw advancement. Although advancing the lower jaw looks nice on the xray where you see a nice big airway, the actual part of the airway that is obstructed is often higher up in the nasal region so that big airway isn't serving any purpose. I've been reading a lot of blogs online of people that had sleep apnea surgery with CCW rotation to limit upper jaw advancement where they advanced the upper jaw around 6mm and lower jaw around 12mm and their sleep studies didn't really improve.
Second, if you already have a flat occlusal plane, doing CCW rotation will often make the chin point upward and give the midface a kind of sunken in look. The eyes point slightly downward and then the lower jaw and chin is now pointing slightly upward and you get this look I would describe as "cross faced." It's especially problematic if you do not have a recessed chin.
Here is a good example of someone that naturally had a backwards occlusal plane and a prominent chin and did clockwise rotation to look better. Now I will say probably the cross faced look is better than the chimp lip look, but it's a case where you kind of need to pick you poison.
I did a consultation with Dr. Gunson and he recommended straight advancement for me even though I was a sleep apnea case for exactly that reason. But I do agree with you this girl (from the original post) should have had CCW to minimize advancement of the upper jaw.
