Hi,I'm not sure I can help you, but wanted to reach out with my thoughts. First I think you have a great smile! I'm not noticing the "grimace" that you are talking about. Your teeth look unworn, white, straight and in alignment. I'm wondering if it's your upper lip that makes you think you look...
For patients wishing to avoid the potential surgical complications of SARPE surgery, depending on severity of crossbite mal occlusion, a restorative technique with buccal surface porcelain extension might be a possibility
You have an undeveloped maxilla which leaves your teeth hidden from view.
Consider the DNA which can create a full wide smile that supports the soft tissues of your face.
There are many physiological advantages as you also grow a bigger airway in the process.