Let's see.

1) Stop tanning. This is the most important. It's already doing massive damage to your skin. Get the strongest sunscreen you can get and slather it on religiously.

2) Get a uniform hair color. Gradients work great for some people. It looks a spot frazzled for you.

3) Get blood work done to check for deficiencies.

4) Long loose bangs to frame your face with an updo/bun would go a long way to looking classier while still looking young

5) Not to be too personal, but what does your sleep & recreational substance usage schedule look like?

6) Short nails nail polish/short gels matching your eyes. People generally go either blank or use longer nails nowadays but that's not you I feel. Experiment with designs once you have confidence.

7) Surgery I feel would mainly be a 1-3% width reduction for the nose and possibly buccal fat removal. Major shape change is completely superfluous.

8) Drop a smidgen of weight

9) Colors. Depending on profession either Light Academia Palette or bold reds and blacks could work.

10) Work on standing in a way that commands more space. Not even tomboyish or anything like that, but knowing where to keep tension in your body and where to relax would be powerful. There's tutorials on how models walk and how to move across a dance floor that would be helpful

I hope this wasn't too candid and helped at least a little!