Laser,Peels or fillers

It seems to me that a skin resurfacing procedure would address your concerns. Either laser (erbium, CO2 ETC...) or a deep peel will be able to tighten the skin and help you with the deep lines. On the other hand fillers could also help with the very deep lines.

One comment about the life style lift that was voiced before in this forum. It seems to me that we have to differentiate between a face lift technique (subcutanous, deep plane, subperiosteal etc...) and a marketing campaign. Surgical techniques are usually well studied, published and depends largely on the skill of the surgeon not on a franchise!