Is it worth considering surgery for my physical imperfections?

i was once a handsome looking young lad, now , because of life stress ive aged prematurely in my face , dark lines under my eyes, wrinkles , frown lines in forehead , open pores in skin…..bleached skin around my forehead and temples where i excessively used to dye my hair years ago, i accidentally bleached areas of my skin…..i have a natural olive complexion.

minor physical deformities through injuries years ago and recklessness ; a crooked little finger that droops over slightly………..2 missing teeth at the front, bottom row ….im balding , taking a balding treatment medication.

and whats even worse is ive always been a perfectionist vanity person…..and my obsessive worries are making me focus on these things.

im now 32 and are far different from the perfect young lad i was because of ageing, life stress….its horrible to look at old photos and compare the difference.

someone recently in one of my recent questions suggested the '' surgery route '' to correct my premature ageing and minor physical deformities .

do you think there could be a lot of plus points by looking into surgery , even though im on fixed income and not able to afford it right now or in the near future ?

could surgery fix the problems ive described here , a surgeon said my crooked little finger couldn't be repaired by surgery , but would a private surgeon be able to correct it ?

or should i just invest in a good skin care brand instead like moisturisers etc

i just want straight forward answers here.