Thanks for your question and for the photo.
It looks like you have put a significant amount of time (and money) into correcting you bite, and your teeth come together nicely. Since this is the case, I would not recommend jaw surgery, such as a sagittal split. This would bring the...
A rotational genioplasty is just one of the many ways a bony genioplasty can be done to produce an improved chin shape. It is usually done to correct chin/jaw asymmetry by making the chin longer on one side or a 'rotational' or opening wedge genioplasty. It is not really rare at all.
Your (half face covering) frontal view photograph gives limited information., so the answer may be insufficient to fulfill your question. Usually, the reason for asymmetry is very complicated and there are combined asymmetry of bony skeleton and soft tissues. Due to limited information, we...