This takes a lot of guts but I want honest answers-
This is a picture of me taken tonight. I am 26 but to me this looks much older.

I will be meeting with as many as 5 FFS surgeons in the next few months and I already took a bunch of horrible pictures to show them...
I already know what has to be changed.
First of all, the face is very big. It's long. Both of those things are rotten.
There's a LOT of brow bossing there.
My eyes are too small for the rest of the face.
My nose is huge.
The lips are way too big.
Most of all we see that very narrow, asymmetrical jawline coming down to the biggest flaw of all, that long chin, which just hangs there. A chin augmentation plus a chin shortening procedure, also moving the chin to make it look better.
The lower part of my face presents huge problems.
I see this picture and I want to give up. All I see is a big face that can't be made to look smaller. No matter what hairstyle I have, I will never pass as a woman.
So go ahead, tell me what you'd do to make this work because I can't think of how I'm going to do this.