What work do I need done?

[waterboard]

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[vermicel]

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Softmaxxes :
- clear your skin (isotretinoin ?), treat acne scars and refine your skin texture (tazarotene, chemical peeling, C02 laser)
- try to grow your medial eyebrows closer to each other (they should grow past the medial canthi) with minoxidil + microneedling
- trim the bottom part of your lateral eyebrows
- grow longer and denser eyelashes with Latisse/bimatoprost
- pay more attention to your overall grooming (hair cut, chest hair growing up your neck ...)

Hardmaxxes :
- rhinoplasty > rotate the tip downwards and graft the columella
- lip lift
- lateral chin reduction
- a little bit of filler in the mentolabial fold ; or a fat graft alternatively (if you ever do a fat graft for another part of your face, for example the periorbital area) ; not a priority, just a finishing touch
- otoplasty ; guessing from the side profile pic, as ears are concealed in the front profile pic. Besides the classic pinning, I would suggest to look into lobe reduction surgery as well. Your lobe seems to be hanging pretty bad, and it's only bound to worsen with age.

If you only care about your front profile, then keep the rhinoplasty + lip lift + otoplasty, and forget about the rest.