There are several issues apparent from your photo. You have a narrow V-shaped maxilla especially apparent on your left with the dark buccal corridors but present on both sides. The anteriors are rather prominent and there is a maxillary cant. I would suggest utilizing a DNA Appliance and Epigenetic orthodontics/orthopedics to widen the maxilla. A wider maxilla would give better bone and tooth support to the soft tissues of your face. It is possible with Cranio work to correct a canted maxilla but it must be part of a treatment plan. It is possible to surgically alter gum levels but I would not Rx for you. Botox, I also do not RX but it could limit height of lip when smiling.