Pituitary dysfunction messed up my entire hormonal system and caused premature aging. (photos)

My biggest complaint is the lack of tightness in my face. I took a picture with me pulling back my hair so you could see what my face looked like just one year ago . Please any help would be appreciated ,what are the best options for me to tighten my facial skin . I had thought of filler and then some type of laser . This is such a depressing thing to deal with .

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