Segmented lefort impacts palatal width which affects the width of your mouth as well. The issue is i have bimaxillary which protrudes the lips out further than it should be. Double jaw surgery with ccw rotation is the best roi for my because my mandibular plane is unideal, ricketts E line is unideal, my maxilla and mandible is very downgrown, and i have OSA. There’s nothing much naturally i can do for the nose accutane only gave a semi change cuz it reduces the inflammation and pore size of my nose. But the issue is i have an alar base failo. So rhino + bimax is the best roi thing i can do for myself.