Hi Janet, I haven't had chance to read all the comments, but I ready your initial post last night and have been thinking about it since.
I thought very seriously about breast surgery several years ago, as I have very small breasts. I took the decision to not have it done, when there was a scare over a certain type of inserts (PIP I recall, a French product). I know that my moment for that type of surgery has past now, but I would think about other surgery.
For me, I am conscious that my face moves and I look very much better when I am smiling, or at least the corners of my mouth are vaguely turned upwards. So, I try to remind myself that faces aren't static, good hair and make up help a great deal to draw attention away from things we may not wish to draw attention to.
So, if I was considering facial surgery, I would make sure my hair and make up were tip top, and then make a decision.
To me, you always look very polished, Your hair and make up look very good, and your eyes are gorgeous. Your wardrobe is lovely. So, with all those aspects resolved, if it were me having given it a great deal of thought, I would feel that it was okay to consider thinking about surgery very seriously.