You are not only the problem of bimaxillary protrusion, but also the periodontal condition is not very good, and the nose and lip angle are relatively large.

It is best to cooperate with plastic surgery (nose tip extending downward)

Simple orthodontics combined with implant anchorage can achieve your goal, but it also requires perseverance!

(Dr. Mu Jinquan from Nanjing Maternal and Child Health Hospital solemnly reminds me that because I can't see the patient in person, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )