What procedures do you recommend me, invaise/surgical or non of the mentioned? (18yr old male)

diet and lifestyle move to hawaii and live for the natives for 5 years and come back

i know this isnt surgical but the reason why you have acne accumalted on the sides of your face is because the bacteria from your hair is constantly touching your face. make sure youre shampooing consistently, also hop on tretinoin. May not seem like much but good skin is hugely beneficial.

Listen to what these say and I think u should get alarplasty instead of rhino because the bridge looks fine its only the tip and nostrils look deformed

Bimax with ccw rotation will be the biggest roi surgery fixing your recession and downgrowth then a canthoplasty of course and a rhinoplasty to fix the alar base and tip also look into pallete expanders