Good tip guy. Seems you forgot some people still get jaw surgery because multiple orthos say thats the only treatment option to fix functional issues... not everyone seeks this out solely for aesthetic reasons. If it's unavoidable for function, might as well consider aesthetics as well tho.
And in regards to the photos for this specific case I'm speaking on aesthetics only, since i cannot tell based on a picture if his bite/function/breathing has improved (im sure it has) but visually all I see is a guy who looked really vibrant before and now a guy that looks gaunt after.
If you are speaking of 'aesthetics only', your preference here would be considered outside of goals a surgeon aiming for good aesthetics would have.
Here's the SAME image transformed into a CONTOUR diagram so that visual CLARITY of the PROFILE CONTOUR can be better appreciated subsequent to the REMOVAL of visual CONFUSION.
In terms of AESTHETICS, the last profile contour diagram would be considered an example of good aesthetics WITHIN the FIELD of maxfax surgery. Whether or not this particular profile contour is achievable for each person will depend on what they start off with. Suffice to say, this patient's start point allowed for an excellent after profile contour.
Surgeons, ESPECIALLY those who are conversant in techniques and practices of optimizing the bite (FUNCTION) with good aesthetics (FORM), PLAN out surgery with reference to an OPTIMIZED profile CONTOUR. The end point profile contour is an example of one.
So, there are a few possible problems here:
1: Inability to EXTRACT the SALIENT information from a photo which is the PROFILE CONTOUR.
2: Actual preference for a profile contour of the before.
Which is it?
ETA: Diagram included with this post.