Thank you for your question and photos.You will greatly benefit from a face lift - this procedure will make your neck skin smooth and taught defining your jaw line. Dermabrasion or laser treatments can improve the skin around the mouth. You can also benefit from a lip lift. The space between your top lip and the base of your nose is too wide making you appear older. Look into it. I hope this helps.Best wishes,Gary Horndeski M.D.
A lower face/neck lift $9800 under local with a little iv sedation and a medium TCA peel is what most of our patients need and really love the results since it is easy to undergo, dramatic and natural looking.