How to fix side profile? Is jaw surgery advised? (Photo)

Your concern about your lower jaw being recessed vs. a deep labiomental fold, together with your concern about a lack of projection of your midface are intimately related. Indeed, you are describing a facial growth pattern that can be optimized with orthognathic surgery.
The facial photos that you have provided give some clues to solving this geometric puzzle. However, to really understand the structure of your face and fulfill your cosmetic wishes, we would need a CT scan and perform a much more thorough evaluation. For example, in a profile view, whether you have your head rotated in a clockwise versus counterclockwise manner significantly affects the forward projection of your chin. The data from your CT scan (referenced above), together with a thorough physical examination, can then be merged with a three-dimensional photo image of your face using a 3dMD imaging system to design your face exactly how you want it to be.
I recommend that all patients review with their surgeons their surgical treatment plan based on what is referred to as a 3D VTO (three-dimensional visual treatment objective). In other words, a document that would be sent to you so that you can consider over a couple of days whether you are satisfied with the plan, i.e. design for your face, that you have collaborated to create with your surgeon.

Individuals with lower or upper jaws positioned more forward or backward than normal due to genetic characteristics often require orthognathic treatment and jaw surgery. This skeletal disorder is addressed through both orthodontic treatments and surgical procedures. Additionally, jaw surgery is a suitable treatment for those with overbites, underbites, crossbites, or open bites. Patients who have facial asymmetry, suffer from sleep apnea, or desire a stronger jawline are also ideal candidates.
Furthermore, individuals seeking a V-shaped facial structure can benefit from this surgery. The procedure allows for the creation of specific jawline aesthetics, such as the ‘Texas jaw’ or ‘California jaw,’ catering to those who wish to enhance their facial contours in these specific styles. Our treatments ensure that a wide range of jaw-related issues, whether functional or aesthetic, can be effectively addressed through jaw surgery.You have a convex profile and your lower jaw is receding. This indicates that you may be suffering from sleep apnea or may experience this problem in the future. Based on the photos you provided, the recommended treatment plan (which may vary with further investigations) includes bimaxillary surgery, genioplasty, and post-surgical Invisalign orthodontic treatment