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Orthognathic surgery first, cosmetic work later ... that is, if you still feel you need it.
Your OMS will take into consideration not only your bite, but also the facial aesthetics as he plans your procedure, and it's not at all uncommon for someone to end up feeling much better about their overall facial appearance once all the post-operative swelling has started to subside. Generally, as the lower jaw is advanced (which is what I am guessing is most likely to be done in your situation) this will actually make a subtle but quite noticeable difference also to the nose and midface. In part it is an indirect effect - the new position of the lower jaw makes the mid-face appear to be in better proportion - but in part it is also because there actually will be subtle changes around and to the nose. So you should definitely wait - see how the face ends up after the bite has been fixed, since the rest can be adjusted if necessary to harmonise with that.
You don't say how far in the future your surgery is estimated to be, so it's hard to say too much about those back teeth. But don't worry. The procedure to advance the lower jaw usually allows also for some rotation. Then there's always the possibility of using closing elastics during the post-op orthodontic treatment. As long s your OMS and OD know what they're doing (which they do, because you chose them with care, yes?) everything is going to be fine!
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