Dear Angela0192; Your photographs are helpful, but it's best if your entire face were seen so there could be an evaluation that shows the proportions of the upper and middle third to the lower jaw.Yes, the lower jaw is somewhat imperfect. It may well be that a maxillofacial-DDS specialist may have some recommendations, as well as a facial cosmetic surgeon. Your evaluation should be very detailed and should include some computer imaging for you to see what the best options are.Another super-important element of the best consultations is Computer Imaging.Here’s how it works: photos are taken of you as you are and uploaded onto a special computer system that can morph your present appearance into an anticipated after picture (The technology is also known as Computer Morphing.) Such imaging is an incomparable learning tool because it provides a forum for doctor- patient agreement on an after surgery result that would satisfy you and is a result the doctor can deliver. After all, cosmetic surgery is 100% visual. It's about appearance, but without visuals, everything is left to the imagination. To anticipate a successful outcome, there must be a meeting of the minds between surgeon and patient. Why waste your time on a consultation in which the surgeon can’t demonstrate what he envisions as the outcome? Would you buy a painting without seeing it? In my opinion, a consultation without computer imaging is nearly worthless. Best wishes, Robert Kotler, MD, FACS