Reversal of Lefort I and BSSO?

Hello. The fact that your mid-face is very flat and inward makes your lower face look more prominent and protruding. We can only achieve the proportion between the lower and middle face by placing a cheek implant. However, we can revise the chin implant you had years ago and place a chin implant...

In most cases the mentalis muscle reinserts into the bone and function is normal. The risks of problems is diminished when the the bone reduction/ burring is done from a submental incision. Ptosis of the chin is a potential complication and this may require chin resuspension. It is not common...

This answer requires a very detailed examination, however, it is possible theoretically that you could benefit from Buccal Fat Removal or Botox injections to the Masseter.