Should I choose upper jaw surgery & anti clockwise rotation of lower jaw, or upper jaw surgery `7 sliding genioplasty? (Photo)

Looks like you are a two jaw casewith counterclockwise rotation and possible small genioplastyyou should get at least a 2D planningto predict some profile change

It's extremely difficult to decide on what procedure/procedures are required based on this single photo. However, from what I can see in the above photo is a deficient mandible and mild excess in maxilla. Based on dental occlusion, a sliding genioplasty or bilateral sagital split of mandible can solve this problem. Good luck to you.