In general, I caution patients against chin reduction because that strong foundation will make your neck look better longer. If your nose is of concern, rhinoplasty can be done in a subtle way so as not to change your overall appearance - just softening your features. It might be a bit premature for a facelift.
Hello and thank you for your question. Based on yourphotograph, you may benefit from a conservative rhinoplasty. with a cephalic rotation of your tip to turn up your tipslightly and a dorsal hump reduction. You could consider fat grafting to give you more youthful volume in your face. The most important aspect isto find a surgeon you are comfortable with. With good surgical technique, youcould have an outstanding result. I recommend that you seek consultation with aqualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon