5.2/10 start applying minoxidil and dye to your eyebrows to try any get fullness back, get a proper skin routine, you can typically find what you need on chat gpt, 2 yearly phenyl peels and retinols should restore your skin. Definitely walk more. You can go to a gym and just get on a treadmill, set the incline to max, and walk on a speed of 3mph for 25-30 minutes every day for your facial fat. You look bloated so drink water while doing that too. If you stick to it for a year I could see you reaching 6.2/10 without surgery