What surgical options are available to bring the maxilla forward? I'm 18.

Chin reshaping surgery can be effective at reducing the overprotecting pointy chin especially when one is smiling. When you speak of jaw reshaping it is not clear as to exactly what you mean. A jaw that is seen as not having much definition is often referring to lack of adequate jaw angle shape....

At this point your jaw and chin are not going to grow to get any appreciably bigger. While mandibular growth can continue slightly until age 21, over 95% of your jaw growth is complete. Chin projection/prominence can only be improved at this point by surgical chin augmentation.

You have a good perspective. The reshaping of the jawline to give the frontal view you prefer, need not have the full T osteotomy, but the tapered look would need to be accomplished with the sliding genioplasty and not the implant. The 'smile' images are difficult to judge since the muscle...

Often these wrinkles form from an overactive muscle on the chin.It's worthwhile to consider botox in that area.  Sometimes if there is a chin deficit (or a lack of chin tissue) we'd use a filler.

Your x-ray and photos are very helpful. You have a Class II dental bite.  This means your lower jaw did not grow as much as it should have. The best option is to align the teeth again by orthodontics and bring the lower jaw forward.  This would take about 16 months. Second...

Consider the entire facial look/balance when you make a decision. Aging accentuates the lower face and it appears 'heavier'. The facelift you have had, could have accentuated the cheekpad area more so that the 'weight' of the face is 'higher' and then the face appears more oval. You could alter...