Facial asymmetry and sagging? (Photo)

Hi, I'm 40 years old and I'm considering surgery. I would like advice on the recommended treatments for 1. Facial asymmetry 2. Defining jawline 3. Loose skin under chin 4. Cheek and under eye fat loss I have used fillers in the past but it wasn't quite enough for my jawline and I'm looking for something more permanent.

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