Ali Roham, DO

This is an excellent question and a very common concern among patients. The deep blue inner corner that you are noticing is a combination of shadow, as this area has a natural valley, and possibly some veins that are visible through the thin skin. I usually do not recommend lipofilling the very inner aspect of the eye due to the dangers of the blood vessels in that region, however some correction can be made along the lower eyelid which appears darker. This can be improved with a lower blepharoplasty (Lower eyelid surgery) in combination with fat transfer.

Hello,There is no exact timing that is recommended for revision of a breast. The FDA recommends implants to be replaced every 10 years, however this is due to the risk of "silent" rupture of silicone implants. Based on your photos, you are correct as having a waterfall deformity. This typically leads to an implant which continues to sit high and provide fullness to the upper part of your breast while your nipple complex drifts downward. The correction for this would be to remove and replace the implants, as you desire to be smaller and perform a breast lift with small reduction. The dent on the lower part of your breast, which is more noticeable on the right is due to scar contraction from the initial surgery. This can be, and will be corrected during the revision surgery. As always, you should speak to a board certified plastic surgeon and make sure you are both understanding of your goals. Hope this helps!

Hi There,  There should be no reason why you cannot get laser hair removal after rhinoplasty. You should definitely have them avoid the mid-face region (area around the nose) especially if your surgeon performed an osteotomy (broke your nasal bones.) Again I would confirm with your surgeon but as long as the laser doesn’t involve your nose, you should be in the clear. Hope this helps. 

Hi,  The vertical lines in the glabellar region (between eyebrows) are termed dynamic (only occur with motion) and static (always presents regardless of facial expression.) Botox will only work to reduce the dynamic lines, although it may soften the static lines. You can use filler, however you must be very cautious as this is a very vascular area, and there have been reports of filler material getting into the arteries that supply the eye, and therefore many plastic surgeons are very hesitant to inject in this area. Make sure the person that is offering this procedure to you is very comfortable and experienced doing it. Best of luck!