What procedures can be done to fix my ugly face? (Photo)

Dear tiffyb:Thanks for sharing your photos! You appear most pleasant in your pictures. None of your concerns overwhelm the need for correction. You may wish to "rejuvenate and anti-age". I am listing many of the non-surgical options I discuss with my patients. While sun exposure is a concern, it can be overcome when you are ready to commit to advantages of less UV exposure. 

The most popular of thefillers,RestylaneandPerlane, a
jelly-like clear skin filler is used to fill lines, wrinkles and folds.
Juvederm and its longer lasting "cousin"Juvederm Ultra Plusare similar skin fillers, used to soften and fill the
nasolabial ("parentheses") and marionette folds, the brow
("number 11") lines and fill and lift the cheeks and lateral brow or
chin.Volumais the longest lasting, up to 2 year duration HA
filler. Each one is used to expand or volumize the loss of tissue associated
with expression, weathering or aging. All the fillers come with numbing
anesthetic!.

Non-surgical facial contouring is possible with
fillers such asRadiesse, a bone mineral for the nose or cheeks, jaw and chin
as well.

Scuptrais the latest of the injectibles stimulation collagen
at different levels of the skin adding volume but primarily firming and adding
resistance to the formation of wrinkles, folds and descent.

BotoxandDysporttoo have been found to rebalance excessive facial
expression, provide a non-surgical brow lift and lip lift and reshape the nose,
as well as reducing wrinkles!

Dr. Obagi's new, second generationZO Skin Healthprograms may be added to personalized chemical peels,
light and laser resurfacing and tightening and will, smoothen and even the
color of your skin.

IPLand fractionatedlaserssuch asCO2 and erbium and now RF(radiofrequency) are additions to smooth the texture
of the skin, tighten and reduce red and brown uneven pigmentation.Rhinoplasty, Face lift and / or neck lift or any of the
other procedures and their combinations should be discussed following a proper
examination by a Board Certified Plastic Surgeon who performs all of these
options so you will not receive a biased approach because he or she is limited
in their skills.

I hope this is helpful. All the best!

I do not agree that you are ugly - I see a very attractive woman. But best to seek ONLY in person evaluations for rhinoplasty, fillers in cheeks and BOTOX injections.