Would a chemical peel or ultherapy be a good option for me? The skin on my face is starting to sag. (Photo)

An excellent way to treat acne scarring and fine wrinkles is with either a CO2 laser or deep phenol/croton oil peel. Either would help significantly.As for the rhinoplasty, you need a formal evaluation from a plastic surgeon experienced in rhinoplasty surgery.

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

You have brought up many different cosmetic issues -- skin texture, scars, color, sagging, as well as nasal shape.  My suggestion is a formal consultation with a cosmetic dermatologist and/or plastic surgeon.  Your skin looks nice, but appears to need preventative treatments such as a peel, fraxel or co2 laser as well as some skin tightening (thermage, ultherapy, pelleve ect).  Each doctor has different recommendations based on their experiences.  These procedures do compliment themsvles very well for an improved cosmetic outcome.  You should also be on long term preventative skin care as well as sun protection.  As for the nose, that should be evaluated by a surgeon with experience in revision surgery.  I suggest Dr. Paul Nassif in Beverly Hills or Dean Toriumi in Chicago.  I wish you the best, Dr. Emer.