I understand how you feel.... I wish i could tell you it gets better-- but I dont know. I feel the same way. Sleep seems to be the only release for me too all too often. I'm 42, bipolar and have fibromyalgia with it. plus many other stressors i wont go into listing...... I have no motivation, either..... at least now we know we are not alone....... prayers of love & light.....
Sorry to hear that you are feeling so rock bottom and that the cosmetic surgery didn't turn out the way you hoped it would have.
Is there any chance of you getting that corrected?
You are 56. Have you been through the menopause? The change of life can affect mood and cause other unpleasant health problems and depression.
To help you to feel mentally better, go for walks outside. Start of with a short walk and build the time up gradually. It is surprising how having a walk in the fresh air and doing physical exercise boosts the mood.
Arrange to meet with friends and engage in hobbies or any interests. I know this is going to be hard, because with depression you feel like locking yourself away from everything and everyone. Just make yourself do things step by step.
Put some lively music on to help boost your mood.
If your medication is not working for you, make an appointment to see your doctor to see if there is an alternative and a more suitable medication that would suit you better.
You may benefit from counselling that your doctor could refer you to.
Wishing you well.