What are my options for my face? My skin looks like it's about to fall off and my mouth and the skin around are falling (Photo)

Unless your eyes are the problem, you look fine. I don't see any sagging, you have relatively appropriate volume for a masculine type face. You are probably seeing more than what is actually there. I recommend considering looking into sculptra so that you can work on preventative building of collagen at thsi point to help maintain.

Four years ago you were teenager.
Now you are an adult.
Reasonable give up on the Peter Pan syndrome and recognize that you are now in adulthood
Your skin is not falling off your face and there’s nothing wrong with you, nor do you need an operation.
If you want to maintain a youthful appearance, then avoid excessive sun exposure and wear sunscreen every day.
You may also want to avoid the weight fluctuations and do what you can to avoid getting obese at any point in your future.
Sunscreen and the avoidance of excessive sun exposure are by far the most important variables, long-term.
They don’t need fillers, you don’t need surgery and your face looks just fine
Best,
Mats Hagstrom, MD