I think this is a very good example of OPTIONS isolated osteos can have.
The photo organization is very good to show it. He's got the the right poses/camera angles to show the outcome. There are lots of doctors who have sloppy photo presentations where they don't show ALL the poses; front, profile and oblique and/or use different camera angles. So, kudos to him for showing all with good organization.
Looks like she had class 3 skeletal going on as her lower lip is somewhat ahead of her upper lip and of course, mandible ahead of maxilla and soft tissue retrusion to midface areas. Maybe she also had her bite made 'right' with prior ortho.
However IF she had the maxilla moved forward via L1, it would have been one of those things where her cheek area would have looked relatively recessed by comparison. Not to mention all would probably be in venue of bimax with mandible set back and the pre-surgery in braces protocol to do it.
So, what he did to the upper cheek area compensates for soft tissue retrusion and gives good sagittal and oblique cheek curve. The osteo to the mandible corrects both it's protrusion and inclination of mandibular plane (makes less steep).
All in all, I think this is VERY GOOD example of a specific case using these isolated ostetotomies INSTEAD of the bimax route. Good example in the sense that it shows a bone cutting option to improve soft tissue contour of a class 3 skeletal case where the photo shots with cephs are very 'honest' to also show there are still vestiges of the class 3 profile. However, most likely to the trained eye and not average person looking at her whereas frontal soft tissue view is improved as are soft tissue views in oblique and profile. Although there is some loss of soft tissue support under the chin, that would have also happened in the event her lower jaw had to be setback in a bimax. Other part of bimax L1 forward movement would have made her upper cheek area look MORE relatively recessed. Hence, this is excellent example where someone with similar situation to observe and from there, entertain the option of these isolated osteos being done instead of the full bimax route.
As to all the osteos themselves, such things as where the cuts and displacements were made were well selected for this PARTICULAR case. To that regard, it shows the option for the surgeon to cater the placement and angle of cuts to best adapt to the case at hand. So, the example also shows that the NAMES of things; eg. 'malar osteo' or 'chin wing' does not necessarily PRE-DEFINE where the cuts are to be made and hence clearly shows there are options as to where to ISOLATE the OSTEOS.