Teeth Extraction or Cheek/Jaw Surgery? (photo)

Hi, I have a convex profile with bi-protusion and narrow palate, plus an asymmetry on my right profile, the mouth (and chin?) is not aligned vertically and the whole face looks longer and flatter than the other. What I especially don't like is the asimmetry and the flatness of the face, and the bulge on the face caused by my protruding teeth. Do you think teeth surgery (extraction) is the only option or I should consider cheek or jaw surgery instead or additionally ?

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