What permanent procedures can be done to fix my face? How much can it cost? (Photo)

What things can be done that can fix this tragically plain looking girl? I've noticed the face has no definition, eyes look small squinty, large nose small mouth (and getting smaller). Can this issue even be fixed by plastic surgery?MaxFax? What things can be done that could not just make me look "even" but drop dead gorgeous. What can be done at home to continue a more positive trend? What made it go wonky to being with? Is it a skeletal thing? Soft tissue thing? Diet? I am at my wits end!

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