if you became a glory hole worker you would make bank asf, but seriously, yes you would need procedures such as, 0.5ml filler in the upper lip (given its not a functional issue) if not myofunctional therapy can restore the natural balance between the upper and lower lip, it looks like you use your mentalis muscle to close your mouth? (downward pointing mouth corners, and the pouting/sad look) thats why i mentioned it. and you can asses if your a candidate for airway orthodontics and/or jaw surgery, you also have a good phenotype and horizontal eye width, but i can see its unsupported again leading me to conclude that your biggest issues facially are structural, mechanical, and functional. roids aid in promoting bone mass and anything adjacent to it, i can @ you in a thread i was reading about it, another thing worth mentioning is the lazy eyes, it makes you look retarded, take it seriously.