2 orthodontist consults, not closer to any answers

31F. Ive had issues with my bite since I got my braces off when I was 16 — I have chronic migraines that I take multiple medications for, bruxism, and jaw pain/grinding. I know that cosmetically, my teeth look great — the first round of braces did a great job on that front.

I had a septorhinoplasty 8 months ago because my septum was pretty significantly deviated (pics 1-9 are post-op at various stages of swelling, the rest are pre-op). I opted not to change too much cosmetically because looking a little busted is part of my lore, but the jaw/chin thing feels like it’s more significant than just cosmetic.

I’m missing my top right back molar (root canal that didn’t take) and tbh I might be losing my top left as well — had a crown come off and the tooth is wicked nubby, Dr says a new crown would only give it another 3-5 years.

I’ve now seen 2 orthodontists who said they don’t want to touch anything because of how great my smile is (I also like my smile!). But when I smile and all of my teeth meet, it feels like I’m jutting my jaw backward and there’s so much tension. When my jaw is at a comfortable position forward, only my front teeth meet. So my uncomfortable position is the one I do for the dentist, when I try to breathe thru my nose etc.

If it’s just facial fat and a big nose making me think I look recessed when I’m not then so be it — but I just want to know all of my options and I’m unfortunately a bit skeptical of orthodontists lol. This most recent person I found by googling “airway orthodontists” and they had a landing page for it, but then no one knew what I was talking about when I said that that’s how I found them. If it’s not all in my head, if anyone knows someone they recommend in the Boston area I’d be grateful!

Do I look like a candidate for jaw surgery?