What can I do about my aging mid-40s face?

I’ve been there. You need to adjust your brain and how we’ve all been conditioned into thinking youth must be maintained at all costs , rather than slathering creams on your face (which won’t work and are marketed to make ageing a problem that needs solving)
And I’ve had Botox. And fillers, many years ago, so I’ve been in that space of despair. It’s hard when your external appearance doesn’t match how you feel. But I really feel you can keep feeling great and looking chic at any age without stressing about sagging and wrinkles

Thing is, you might be able to do something about your head and neck, but it won’t be in keeping with the rest of you. Bottom line is your ARE getting older. As long as you’re not smoking or drinking to excess, you’re enjoying good eating and exercising habits, and are managing your sleep and stress - you’ll look as you should.

I'm not good with skin, but this is what I'm focusing on....

Heart raising exercise
3 litres water per day
9+ hours sleep

Gently washing with a clean flannel
When applying cream, giving face a proper massage 💆‍♂️
Spf spf spf spf

The healthiest and most liberating thing to do would be to really work on just loving yourself as you are. It's also cheaper to do that!

I'm sure your face is fine.

Cellexia eye serum is proven to work on under eye bags.
You need a light reflective concealer to hide dark circles, one that is for older skin so it doesn't sit in the wrinkles.
You need retinol or retinal for lines, and a hyaluronic acid serum for day and same but in a moisturiser for night.
You can use google to find what chemicals work for skin of your age, and then research products you can afford with those ingredients.
You also need to use a sun screen every day for the rest of your life - minimum factor 30.

Some good products I like, and that aren't too pricey:
Kosas concealer (Use an eye cream under it)
Cerave Hyaluronic acid serum
Cerave moisturiser pm
Eucerine night cream with hyaluronic acid
The Ordinary Retinal cream at night
Vichy UV-Age daily factor 50 invisible fluid

(In my 40s I used 1 product in the morning, 1 product in the evening, now I'm early fifties it's a whole different ball game, but my skin is SOOO much better!)

Tretinoin has been great for me. Nary a wrinkle. If you use sunscreen, why would it cause skin cancer?
Doesn't do anything for sagging or jowls though.

Creams don’t do anything to rejuvenate They feel nice at the time and can add moisture but they won’t turn back the clock.

Gua Sha and lymphatic drainage are supposed to be effective ways to maintain the skin.

I had a face lift. I think it’s actually much more natural than fillers and other tweakments.

Listen to this: Love your face - whatever your age

https://www.bbc.co.uk/sounds/play/p0n8vwmb?partner=uk.co.bbc&origin=share-mobile

It's really fascinating.

There's nothing wrong with your face.

I look shockingly shit on video calls, and probably in real life, having spent the last decade looking much younger than my age (was last asked for id about 5 years ago)
I've used factor 50 all my life, vegan 30 years and my mum had beautifully smooth skin...
Everything seemed to sag when i hit 46.
I've recently cut my hair far too short which is very ageing.
I definitely need more sleep and more water.
Or a facelift!