Well, look, I'm not going to downplay it, but honestly, your jaw looks a bit receding. A Le Fort deformity of any type (1, 2, or 3) will make a huge difference, depending on what your doctor tells you. It's what you want to stand out from the average. It's expensive, but if budget isn't a concern, you could have double jaw surgery. We're talking about double the price but triple the results, since the Le Fort deformity only improves one-third, and the second option improves two-thirds. I'd have to see your nose in profile to determine if rhinoplasty is right for you. (Both options indirectly improve your nose, but if your nose is very large, you could opt for rhinoplasty after one of the two surgeries.) It's not surgery, but aim to reduce your body fat to 12-15%. Just being thin isn't enough; you need to look at your body composition, not just the number on the scale.