Female age 50, wants to improve my look, reduce severals years and look rested. From my picture, what would you suggest?

The
definition of facial rejuvenation varies from surgeon to surgeon and means
different things to different patients. In general it is the process to try to
reverse the facial appearance caused by aging. It may involve improving the
skin texture and complexion, diminishing skin discoloration, minimizing fine
lines and wrinkles, contouring hollows, or tightening loose tissue that has
lost its elasticity.
There are a variety of procedures, both non-surgical and surgical which can be
utilized to achieve these various goals. Fillers, Botox or Dysport, micro-fat
grafts, chemical peels, a skin care program, lasers, skin tightening, and
surgical lifts are some of the methods that are used to achieve a cosmetic
improvement. Each has advantages and disadvantages as well as limitations of
what they can achieve. The best technique or combination of procedures depends
on desired outcome, individual anatomy, underlying medical health, and extent
of aging. There is no one approach that is ideal for everyone.
I would suggest you find a plastic surgeon certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of
the modalities of treatment available. You should discuss your concerns with
that surgeon in person.
Facial rejuvenation needs to be individualized. What would be an ideal approach
for one patient is not necessarily the same for someone else. Based on the
examination and discussion at the consultation, you should have a better
understanding of the various options that can achieve the best cosmetic result
for you.
Robert Singer, MD FACS
La Jolla, California

You need forehead lift, face lift, neck lift and blepheroplasty for balanced and harmonious outcome.  In addition you should consider slimming your nose.

 A full set of patient photographs are required to determine what may or may not be required along with an in-person consultation to find out what actually bothering the patient. From the very limited photos, you can consider a blepharoplasty procedure,a face/neck lift  procedure and a rhinoplasty. For more information and many examples of all 3 procedures, please see the link and the video below