I have a very large & long lower face. I've read that for trans patients a Lefort 1 can be used to decrease the length of the face and philtrum. Are photos of my goals realistic? Ideally, I hope to end up with aesthetically too short a philtrum so that I can then have a Y to V lip lift (I scar too poorly to get a lip lift that leaves a viable scar). I'd also like to have sagittal osteotomy of the mandible, v-line osteotomy, chin shortening & sliding genioplasty. Can these be done simultaneously