I would say the most effective treatment of deep facial wrinkles would be laser resurfacing or a deep chemical peel. Surgery would not significantly improve the wrinkles but could help reduce sagging neck skin.
Hi, thanks for posting your pictures and for your inquiry. I would suggest for you to have a face and neck lift which will help you get rid of most of your lines, adding resurfacing laser or chemical treatments will help even more. Please make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey!Respectfully,Dr. Jaime Campos-Leon