Cosmetic surgery is funny business. We as surgeons can get very focused on delivering what our patients ask for-right or wrong. However, ultimately, it is important to think about why people need to change their appearance and to recognize that some individuals will be impossible to satisfy.
In looking at your appearance, I find myself wondering if you my have a condition that is called Body Dysmorphic Disorder. This is defined by a preoccupation and concerns about appearance that other do not see or are minor. Now the interesting thing is that recent research using functional MRI suggest that the brains of people with these types of concerns are organized differently.
Essentially, you see things that others may not. I think that for some of my patients, they channel this perception in a professionally productive way. They can focus on things that other may miss. However, the flip side of this is that concerns about appearance can result in a series of disappointing surgeries. Part of the problem is that how you might perceive your appearance and how your surgeon understands your concerns are not going to be the same. You can image that could be and does become a problem because multiple surgeries damage what is youthful and natural about the face.
Generally, I think that it is helpful to have psychological insight on this process, especially when there are social consequences for your perceptions. An example would be avoiding social circumstances because of being self-conscious about your appearance. I encourage you to consult a psychologist or psychiatrist regarding your self-consciousness. Even if you ultimately decide to pursue cosmetic surgery, at least you will do so with a greater insight regarding why you are concerned about issues that others do not perceive as a problem.