These are all excellent questions!
This is why I basically haven’t bothered doing anything to my skin my entire life other than washing it with whatever soap I have in the shower, sometimes using a scrub to cut through the grease (which I now know was not a good thing for my skin personally), and treating breakouts with OTC acne meds. It’s only very recently that I even moisturized, because I feared I’d just break out even worse and I was so greasy all the time. A change in birth control a couple years ago helped this a LOT. I still break out sometimes but I don’t drip grease.
It IS a rabbit hole, and one that I don’t understand, and the few times I dabbled in actual skin products, I didn’t see results in a few weeks so just gave up. I figured, what’s the point, am I going to spend hundreds of dollars with no result and then try something else and just keep throwing my money in the garbage?
I am terrified of any/all medical procedures so, although my particular issue (face skin slack, drooping and sliding toward knees) probably would require a facelift, I wouldn’t get one. My eyelids are also super droopy and apparently if they get to the point that my vision is blocked by the loose skin insurance sometimes covers surgery for that, but, YIKES, surgery on eyes, SHUDDER.
I’ve had terrible skin my entire life but now that I am Old, I feel like, I need to step up my game so that I don’t end up looking even worse as I age. Like, there’s this woman I work with who’s maybe in her late 50s and, like, her ENTIRE face is crepe paper texture. I don’t want that. Can I prevent that? I don’t know?
As far as goals: I would like to look less tired, have people stop assuming I am a battered woman, and maybe have less of a resting-I’ve-been-up-crying-all-night face. Even Boyfriend whom I have been with for 16 years and thus should know this is just how I look, regularly asks me what’s wrong just because my default no-facial-expression expression is “I am sad and miserable and have been crying a lot.” I assume this is because of the constantly swollen eyes. The caffeine serum does seem to be helping a little. Not with the darkness, but with the puffiness. I have tried many, many concealers and none of them really cover up the black circles very well. (This is also why, as mentioned elsewhere on this forum, I was trying to drink way more water, as I’ve read that will help with water retention around eyes. I gave up though because I just could not take the constant peeing.)
I would like my face to not be bright red, particularly my nose area, and I would like fewer breakouts and less general blotchiness even in the absence of zits. Right now I have a huge painful zit by my forehead hairline and I woke up with another one starting on my chin. Mask-ne is a thing!
And it would be nice if, even if I can’t lessen the appearance of current wrinkles, they at least do not get any worse or any deeper. Ideally they’d get less deep but that is probably too much to ask.