Prominent lower face - Would buccal fat removal, cheek implants, or masseter botox help? (photos)

I previously had a lefort 1 advancement to correct an underbite. Snce then I feel my mouth area is more prominent and still looks swollen and puffy 4 years after having the surgery. I am considering cheek implants to balance things out and was wandering if this combined with buccal fat removal and masseter botox would create a more lifted effect? What could help improve the shape of my lower face and add definition?