Aesthetically the only thing off is your slightly longish midface. No fix for that I'm afraid. But you look borderline handsome as you are. Do you have any nerve damage from your jaw surgeries?
I have a lot of numbness in my lower lip, more so on my right side. I also have some numbness in the chin, again more on the right side. Otherwise, my bite is perfect.
What's sometimes challenging for me is that I don't have a sense of "owning" of this face - it's mine and I don't necessarily associated it with "me."
I do have a longish midface, which I think can be camouflaged with different things to some extent.
I think I'll work with the cosmetic surgeon I've been to before for my necklift to identify a plan of action. I do think that reduction of the upper lip length, buccel lipectomy and some micro-lipo in the cheek mounds and along with the jawline would improve things from my own perpective. Also, removal of hardware from the upper jaw might reduce some of the forward projection (2 mms perhaps). When I had the lower jaw hardware removed, it slimmed my lower face a bit.
Also, losing 15 pounds would help - I don't like the idea of eating that little; still, that is a sure way to loss some facial mass.
While I think that my mandible could be sculpted a bit more to make it more natural-shaped and not so "U-shaped," at this point I think it's probably the soft tissue stuff that would help.