Hello mam, hope you're doing fine. This is difficult to answer clearly without looking at the patient.
Just for a rough idea, it depends on what are we trying to achieve. Only Esthetic correction or also improve the functionality.
At times, surgical correction becomes necessary to achieve successful treatment outcome.
Next Steps
Please consult an experienced orthodontist, and discuss about orthognathic surgeries.
Health Tips
At the end you need to understand, decide and fix what outcome you want to achieve and understand the limitations of each based on your budget.