What surgery or treatment do I need to reverse results of bicuspid extractions?

Bicuspid extractions completely ruined my face. What surgery or treatment do I need to reverse this? I got braces when I was 13 and they removed 4 teeth from the top and bottom, I had braces for 6 years and I am now 22. I noticed overtime my face/jaw has changed badly because the ortho did a horrible job, i used to have plump lips and cheeks, however now my lips got so thin with lower alignment, bad laugh lines, my nose is bigger and I have saggy skin. and my ears ring sometimes. Please I need to fix this. I’m not sure where to start but please help, if I need jaw surgery or to get braces again?