Overall the position of the jaws looks appropriate. Your profile appears flat, with the upper and lower lips more or less vertically in line with eachother, your forehead (good), and overall normative look in relation to your skull.
Your chin is behind your upper lip so it is not over-projected relative to your lower maxilla and mandible. I definitely wouldn't do a setback genioplasty - this would make your lower lip look more protrusive and potentially exacerbate your lower lip incompetence. An upsliding genioplasty would reposition the muscle and may actually improve the lower lip incompetence. https://exploreplasticsurgery.com/the-effects-of-chin-augmentation-on-mentalis-muscle-strain-and-lower-lip-incompetency/
The jaw angle implants were also a net improvement, so I wouldn't touch them either.
IMO - The main aesthetic issue is your nasal under-projection. Due to your shallow nasal bridge, following the large advancement Subnasale now looks materially ahead of your nasal bone. This causes your jaws to visually overpower your midface and makes your maxilla appear slightly hypoplastic.
I think radix/dorsal augmentation would make a world of difference in improving harmony - plus cheaper than revision bimax and less downtime/recovery too. Quick edits:
https://imgur.com/a/wd8hZiY
https://imgur.com/a/VADiDC0
Secondary to that, you could use just a little bit more volume in the upper midface/zygomatic area. From your recent pics it looks like you mostly took care of it with filler. Infra-orbital/cheek implants would be the more permanent option and also not a bad idea.
Thank for your response. Yes, my main concern is that my profile seems flat, like a rectangular shaped face instead of more of a square with better forward growth.
I will follow your advice and won't consider chin setback. However, I've been thinking more and more about setting lower jaw back again in a revision jaw surgery. I wouldn't move upper jaw, just lower jaw a few milimiters back. That would improve my bottom lip a bit.
The jaw implants made a good improvement in the side profile, but I really hate the result from the front. My lower third looks too long and masculine, and I have no definition at the jawline as I had before the implants bc they are too high at the antegonial notch. I want to replace them with much smaller implants, but I think it would only be worth it by doing something else in the same intervention. eg. chin reduction.
Supposedly I ALREADY HAD DORSAL AUGMENTATION TO THE NOSE. The surgeon said he transfered some cartilage from the septum and also reduced the tip. I think he lied and he only did the alarplasty. I agree it still lacks projection. I'm pretty sure I can consult a surgeon and ask if it can be done again. I can't see the pics btw, nor mine, for some reason imgur is not working for me.
About the upper midface part, the filler took care mostly of the submalar area. I insisted to get some on the infraorbital area which still looks recessed, but the doctor kept saying something about it not being feasible bc of how I would look when gesticulating.
