I'm a strange breed on this forum, I think. I never saw or experienced any real 'jaw issue' since getting camaflouge orthodontics, and most recently, a rhinoplasty and a severely botched chin implant from a doc that doesn't revise his own implants. I still don't really like my face, but I still don't really see jaw surgery as cosmetic surgery unless you've got an alien face. If I didn't visit Dr. Posnick (naively thinking he would just help me remove the implant), I would've revised the implant elsewhere and probably would have considered jaw angle implants years later. I wouldn't have really seriously considered jaw surgery as an option, as no other max facs thought I needed it.
Unless Dr. Gunson makes a sales pitch I can't refuse, in July, I'll probably leave well enough alone and just look into fixing the possible nerve/muscle damage to my center lower lip caused by the first chin implant. I just had that implant replaced last week (couldn't take it any longer) with an XL anatomical chin implant, so no more annoying wings and so far no complications (just the preexisting center lip not pulling down, probably a mentalis muscle/nerve issue)