What is ruining my side profile? Should I get rhinoplasty or lip filler? (Photo)

Based on the limited view of your face, it appears that a very slight enhancement in the lip volume will probably do the trick. Always try to stick with the minimal approach to gain the best and maximum results unless something absolutely surgical is required. I would recommend to see a Plastic surgeon in person and proceed from there on forward. I hope this helps and good luck from New York City Plastic Surgery.

You don't show your whole face. I would suggest submitting better photos that show your whole face or going in for a consultation.

I encourage you to visit with an expert injector to discuss your concerns. Fillers would be better to start with since they are less invasive than surgery and the results are temporary. Some minor changes may make the difference you are wanting.

Facial aesthetics are primarily determined by facial bone structure.
This is especially true for young people.
Facial aging is more related to changes and soft tissue structure.
What gives each person their Unique facial appearance is in the end of primarily based on bone structure. Soft tissue coverage tends to be more consistent from person to person.
To make a comprehensive overall facial aesthetic assessment we generally need to see full facial pictures.
Attempts at improving. The facial aesthetics may be inherently limited if soft tissue solutions are attempted for problems, which are fundamentally based on bone structure.
Addressing facial, skeletal structure can be done and generally requires consulting with cranial facial surgeons which tend to have oral surgery, backgrounds, or plastic surgery with craniofacial fellowship training.
Rhinoplasty surgery and lip fillers may improve aesthetics and can help improve and more feminine appearance.
Chin Manipulation can be done with various procedures as well.
Quality facial aesthetic assessments, and the ability to make these well vary from provider to provider. Treatment solutions are often based on the qualifications and background of each provider.
It may not be a bad idea to consult with both oral surgeons and plastic surgeons to see what each has to say.
Expect different providers to have different opinions.
This is often the case when easy solutions are not readily available or there is some subjectivity or alternate procedures available.
Good luck,
Mats Hagstrom, MD