What interventions or advice are needed to obtain the effect of the second photo?

A

Azzarazzoo

Iron
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???
 

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Looks shit if im being honest, can I make one for you?
 
It also looks shit because of your face already
 
rhinoplasty, obo and otoplasty
muh obo, fucking retard recommending very high risk to medium reward surgery... truly this forum is full of incels
 
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