My philtrum is extremely long. (It's 20 mm and it's a thing that's running on my father's family, so it isn't a medical condition) and my nose it's very bulbous and fat (another thing I got from my dad). These two characteristic are impossible to fix unless I wasted thousand and thousand of dollars on them, which I don't have, and the philtrum surgery is something most surgeons won't want to do (bimax). I could get a nosejob, but it wouldn't fix my nose, because I'd have to get multiple nosejobs in order to get a better one (one for the tip, another for the nostrils, etc.). I also have a double chin that isn't fat, but another genetical attribute from my dad (weak chin and jaw, which makes the skin of chin sag a bit).
This makes sense, because surgery only works when you have a huge flaw that can be fixed, like sticky ears (don't know how to say this in English), really recessed jaw, etc.). When most of your features are ok in a medical sense, you can apply surgery on them, but no one would notice (and you don't get surgery for your self-esteem, because that isn't maturing).
I also have pronounced folds in my cheeks despite my age, so that's something I must do something about (I can, I think). I look much older than my age.
I've been told that being anxious or sad make you age faster, which makes sense. I feel I'm in my prime (24-35, I guess) and I'm wasting my life and it's gonna go downhill from here.
I also hate when people think that how I look it's my blame because I look like a "mouth breather", but I've never actually mouth breathed, I just didn't get lucky.
Honestly, it makes me think if marrying ugly people and having kids with them should be seen as some sort of child "cruelty", even if you love your husband/spouse.
I just want to stop giving a shit about psychical appearance. I just didn't notice how other people looked until I got into femcel forums and that shit, and still, I'm pretty "lenient" with how most people look, I guess? If someone has a normal philtrum ratio, and an average jaw or chin, they look attractive to me, even if their nose isn't good for conventional standards. For me, 90% of people look attractive unless they're obese or really unclean.
I am sure you don't look nearly as bad or unusual as you think you do. We are our own harshest critics. Honestly it sounds like you need to get off the "looksmaxxing" and "femcel" content rabbithole, it will fuck with your head and make you miserable. Go outside, hang out with your friends, learn how to cook, read a book, listen to some music, go out dancing, take a class, get involved in politics - something!! Your looks are not the most important part about you. Go out there and live your life. And please get some therapy.