Would jaw surgery, genioplasty and a blepharoplasty bring greater harmony to my face and health?

You sound like a candidate for jaw surgery. Many of those issues can be resolved by realigning your jaws. With that comes the aesthetic benefits as well. Jaw surgery will improve your recessed chin and you may not even end up needing a genioplasty. It is however easy to add on to jaw surgery if you are still looking for more projection. As for a blepharoplasty, you have lost volume under you eyes, which is creating that little pocket with dark shadowing. Because of your age, I would recommend a fat transfer first. Adding volume back will reduce the appearance of the dark circles. Much of this has to do with the way light hits your face. By decreasing the fold, we are able to change the way light is reflected, reducing the overall appearance of the dark circles and "tired" look.

Hi Andre, Before diving into surgery, it may be a good idea to identify any issues with you tmj. Consider getting an MRI of you tmj to assess the disc. I would advise against doing an isolated genioplasty without getting evaluated for corrective jaw surgery.