Based on your picture, it looks like you would greatly benefit from a 3D upper lip lift, a medialized external corner lip lift, fat transfer and a chin implant. The medialized external corner lip lift is a procedure that not only lifts the corners of the mouth but also enhances the visibility of the red lip on both ends of the upper lip. Moreover, it reduces any undesirable downward slope of the upper lip as measured from its center. In essence, it grants the surgeon remarkable control over reshaping the upper lip, making it a highly potent technique. A lip lift alone would not be able to achieve this. It is best to consult with a board certified plastic surgeon expert in lip reshaping surgery for the best results. Best of luck !