Women tell us a lot when they look at us. You may have had a few bad moments but remember that everyone has good days and bad days. I'm assuming you don't need dental work. Is your jaw line strong? Face exercises can help.
Diet changes can make a huge improvement in how healthy you look. Milk Thistle can detox your liver.
Working out more (at least curl something, I curl firewood bundles every day) will improve your jaw line also, and your shoulders and abdomen ratio (one of the most important).
Keep smiling!