Recommendations on how to look more youthful? (Photo)

Hello, hope you are well! Thank you for posting your photos in information. There are many options available to you. The foundation of a facial rejuvenation plan would be a face and neck lift. In addition, it would be worthwhile to consider brow lift, lip lift, fat grafting and/or cheek augmentation and upper blepharoplasty. Deciding whether to include these options in the surgical plan depends on your goals and expectations. To really understand the nuances of each procedure takes an in-person consultation (expectations of results, potential risks, scars, recovery, etc).

Cheers,
Dr. Tower

Based on your description and goals, the most effective way to achieve a longer-lasting, natural-looking youthful appearance would be a combination of a deep plane facelift and a neck lift. These procedures address not only the skin but also the deeper underlying tissues, helping to restore lost volume, tighten sagging areas, and redefine your jawline and neck contours for a rejuvenated look that typically lasts many years.
since you have experienced significant facial fat loss, fat grafting (fat injections) can be performed during the surgery to restore volume to hollow or sunken areas, enhancing facial fullness and softness in a natural way.
For the eye area, if you have concerns about eyelid drooping or puffiness, blepharoplasty (eyelid surgery) is an excellent option to remove excess skin and fat, opening up the eyes and complementing the overall facial rejuvenation.
Given your height and weight, you are a good candidate for these procedures, but a thorough physical examination is essential to tailor the treatment plan specifically to your anatomy and aesthetic goals.

I would recommend facelift with fat grafting to the upper cheeks. This would be a long lasting procedure that would still look natural.