amrowh,
Again, it really depends upon your particular deformity. In some cases, braces (of whatever type) to shift the position of the teeth will take care of it. In others, a tooth has to be removed so other teeth can be moved in that direction.
If you already have a deformity in the mandible and other facial bones, then about the only way to fix that is to cut the bone, move it, and then fix it with hardware.
The only way to know is to have an evaluation. You might want to get the opinions of several different doctors. Then pick the method that is going to do what you want, the way you want it done.
Good luck.