My face is bothering me so much. What do I need to do? (Photo)

You need volume. All the areas you circled could benefit from volume and additionally it will give you a more lifted/tightened effect by adding volume. Volume augmentation will help lift the brows, help with the divots, smile lines, jowls, tear trough, etc. If you don't want to do traditional filler, you could consider doing surgical fat grafting, although that will require that you have fat to spare on your body. If you don't, then your only option is to consider something artificial like hyaluronic acid filler or a biostimulator (sculptra/dilute radiesse) to build your own collagen. For your face and your concerns, you are very hollow, so I would anticipate needing 5-6 syringes worth at least.

I recommend a frontal browlift. This will lower your hairline, decrease the vertical length of your forehead and pull up the eyebrows medially. At the same time, I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. After this, you can consider a lower blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.