hi! first of all u need to:
1.Loose weight and debloat
2. fix your assymetry(I can see some assymetry especially in your lower third)
3.maybe lip lift surgery in the future(?)
4.Also u need to develop some habits:
-drinking lots of water
-eating healthy food (there are lot of threads about diet and nutrition here and on other forums)
- fix your sleep schedule
-check dermatologist and ask what skincare u need, your skin needs some moisture imo
-lanolin to moisturise lips
-u have nice eyebrows but u also need to grow out eyelashes, u can use lash serums (without prostaglandin) or oral minoxidil, but idk about minoxidil tho, ur still young for it(?)
5. Also work on your body posture buddy, do some exercises , there are tons of videos on youtube search something like “ how to fix posture” and do this exercises consistently , bad body and tongue posture can cause your assymetry too
6. learn how to do mewing, mewing is the natural postion of our tongue, watch some videos of Mike Mew on youtube
have u ever worn braces? maybe they will help u in developing your face, since ur still a teen
7.also u have recessed maxilla, u need to ask orthodontist how to fix it, but i guess u need a Lefort I + BSSO (Bimax) if you want to improve the maxilla area.
not really a major surgery, but very expensive
rn i would rate u as hight ltn-low mtn, if u will softmaxx u can reach mmtm