I have had botox about 3 times a year, for the last 4 years. I'm 43. I look like "me" only fresher. It also gives me a slight upper eyelid lift. I have also had filler in my cheeks once (I didn't end up all pillow faced!) and that lasted over a year. I have had my lips done twice-they are full, but I wanted more definition in the borders, as opposed to volume. The lips bloody hurt, but it was worth it!
When I was working, I had courses of IPL skin rejuvenation. Coupled with the botox, my skin never looked so good, but it wasn't in bad nick to start off with for a woman of my age who had abused the sun in the past.
I will have botox/peels as a mechanism to look as good as I can, for as long as I can. I don't have the disposable income I once had, but I would rather spend money on my skin, than designer shoes.
At the moment, I am trying to get back down to my ideal weight. When that happens, I will consider a tummy tuck. I have wanted one since my early twenties. A twin pregnancy at 20 and an EMCS with my DD 14 months ago, has left me with loose, saggy skin.
There are other areas I am not happy with-breasts could do with lifting, but I know in all probability I won't get them done. And I can live with those "flaws". However, my stomach is a cause of significant upset to me and now that my family is definitely complete I want to do something about it.