Thanks for the question. Not proceeding with a jaw surgery does not bring about any risks per se, however it means that you may continue to face certain functional difficulties associated to a protruding jaw (underbite) such as:
- Inefficient biting and chewing
- Worn down tooth enamel, increasing susceptibility to tooth decay, sensitivity and other dental issues
- Chronic headaches and temporomandibular joint disorder
- Affected speech clarity
Aesthetically, you may also find that your jaw/face is imbalance or your chin seems more prominent. Some people find that it affects their appearance and hence their confidence.
I have encountered patients who have a prominent chin but do not want to proceed with jaw surgery for various reasons too. The important thing is that you make an informed decision.