What would you do to improve my face? (Photo)

A face and neck lift can correct the ptotic cheeks and deep nasolabial folds and tighten the neck. A small chin implant can be done at the same time to correct the retrusive chin.

Good afternoon,
Thank you for being willing to go on an open forum and ask questions like this. As a facial plastic surgeon I do not want you to feel vulnerable or attacked. My recommendations here are simply for your information gathering purposes.
In my office we refer to this as chef's choice, which is where the patient allows me to recommend (in my eyes) the best blend of procedures to ensure you the ideal result. I love the shape and color of your eyes, so I would want to highlight that.
Top down:
1.) Combined forehead reduction with browlift. All done through the same incision, will balance the relative length of your upper face with your lower face. Only about 2% of my browlift patients ever need botox in the forehead again, this will definitely help with wrinkles above and between the eyes, and redistribute the excess skin above your eyes so you will not need an upper blepharoplasty. If you are not interested in forehead reduction (many patients are not), I probably wouldn't recommend my endoscopic browlift, as this would resolve wrinkles and excess skin/heavy brow, but could make your forehead appear slightly larger. In this case would just do upper blepharoplasty with brow fat suspension sutures.2.) Lip lift: This will shorten the white skin of your upper lip and add permanent volume to your top lip. 3.) Extended deep plane facelift with necklift and buccal fat reduction: This will volumize your upper checks, slim your lower cheeks, and soften the creases around your mouth. Will also give you that crisp jawline you're going for.4.) Chin implant: Small, but this will also place some tension on your jawline to ensure your lower face is strong and balanced.5.) CO2 laser resurfacing: for an A+ result, to rejuvenate and reinvigorate your skin quality.
Hope this is helpful :)

I would recommend a deep chemical peel, facelift/necklift, buccal fat removal, and upper eyelid blepharoplasty. This is on the extreme side of recommendations as all of these cannot truly be recommended without a true history and physical exam / discussion with a board-certified plastic surgeon.