Unfortunately it isn't possible to tell whether you'd need surgery from your pics alone. A lateral ceph x-ray and profile pictures would be very helpful. Whether you need surgery depends on the stability and level of perfection you wish to achieve. The lower teeth already appear to be leaning inwards, compensating for the underbite. Moving the lower teeth lingually is one of the ways to camouflage an underbite, but they can only be tilted so much.


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