I’m not sure if I need a facelift/what procedure to help tighten and get rid of my wrinkled and crepey skin? (photos)

I’m 49 yo women, premenopausal with dry, thin skin, 5’8” and 198lbs. I’ve never had a cosmetic procedure. In my teens, I did have both my upper premolar teeth pulled by an orthodontist. I also feel like I need an eyelid lift, but don’t want “cat” eyes. I also have hashimoto’s and am heterozygous for Factor V Leiden.