Long face and maxillary hypoplasia. Custom midface implants and chin reduction? Jaw surgery? (Photos)

I've spent loads on fillers which add a full look to my midface and not a projection which is what I need I had adenoid surgery and then the underbite and overcrowding corrected with braces (in a very sloppy manner) as a teen. Bite is oclccluded, overcrowding has returned which will be corrected. Filling the cheeks is only creating weird puffy smile. the entire midface needs pushed forward and lower face needs to be shorter and wider. What are my options? Leaning towards custom implants.