I think a combination of treatments could work to help
minimize some of the toll that smoking took on your skin. First, BOTOX® can
help erase the crow’s feet at the outside corners of your eyes, and laser
resurfacing can be beneficial for other fine lines in the eye area. I can’t see
the vertical lines around your mouth, normally referred to as smoker’s lines, in
your photos, but Sculptra® or an HA filler could help make your laugh lines
(the parentheses lines around your mouth) look less pronounced.
Hi Z. You are an excellent candidate for several injection procedures. First the nasolabial folds around the nose and mouth. Not sure these are related to your smoking, your genetics or your slim build, but it doesn't matter as Restylane, Juvederm, Perlane and/or Radiesse can all help. A skilled injector will help get rid of these lines using a combination of injections into the folds directly or the cheeks above and outside them.
The "crow's feet", or wrinkles on the sides of the eyes, are easily addressed with Botox or Dysport and finally, the heavy eyelid can be addressed with a chemical browlift, also using Botox or Dysport. This lifts the brow slightly (1-2 mm) giving the appearance of a more open eye and less tired lid.
For examples of before and after pictures for all of these procedures, please click on the link below.