Alicia D. Zalka, MD (retired)

Botox injections into the jaw or masseter muscles, can for weeks later, make the jaw feel like its lost strength. This is a known side effect. Chewing hard foods may be difficult as the muscles used to bite down have been temporarily altered by the Botox injections. These injections to the masseter muscles give the desired jawline cosmetic result, but can at the same time affect biting down, chewing and cause the jaw to feel weak. This will subside on its own.

While all cosmetic procedures carry inherent risks and informed consent is required before undergoing injectables, Botox injection in the nasal tip to lift the tissue and correct the "droopy" appearance, is at little or no risk of causing blindness.

In my experience, "dimples" that appear on the forehead which are clearly the result of facial muscle movement can be well addressed with Botox injections. The amount used will depend on the surrounding skin and need for keeping balance of the muscle contractions. Your photo is difficult to judge, yet I would pursue an in person consultation with a dermatologist or plastic surgeon.

I agree, it looks as though the mole is recurring/not fully treated.
I suggest seeing the doctor who performed the procedure for another evaluation.

I truly hope your vertigo is resolving.
While Botox should not impact your vertigo specifically (I have not had any patients in which this was a cause and effect issue in my own practice), it is always best to seek any cosmetic procedure when your health is in top form. I do not recommend having Botox if you are suffering with an infection.
Do get Botox again since you were so happy with it, but do so when you are feeling fully recovered and your doctors deem you so.

Having the piercing adds a bit of nuance to the filler procedure compared to someone who has not had a piercing. I would advise there may be some slight increased risk of infection or scarring around the piercing site. However, if the filler can be done "around" the piercing and not "communicate" with it. That would be a safer approach. In addition, it might be wise to wait a full year from the piercing date. Why?
Skin healing from any kind of procedure, even as simple as a piercing, can take about 12-18 months to fully mature. After a year, the piercing site will be close to fully resolved and if no keloid scar or other unfavorable outcome has occurred, you will be more at ease to have the filler and there will be less anticipation of problems, in my opinion.

Always important to know that raised scars can be excised, but it in essence, this is trading one scar for another.

Ideally, the resulting scar is an improvement from the one you are seeking to eradicate.

But, the answer is yes. it can be excised but be aware of the results, they may not be better than the starting point.

It is not too late. Botox can be revisited and will likely get you back some of the improvement you might be seeking. With evaluation by a physician / skin professional, other procedures may now be considered if Botox alone is not providing desired results.

I think of it this way... if you have not been to the gym in a while, it is perhaps hard to get back into it, but you'll feel so much better once you do and it is certainly better than avoiding it! Same with skin care.

The good news is your wrinkle looks very subtle/mild, so you are ahead of the issue. You look great.
From my perspective, this can be addressed with:
Sun protection (ultraviolet exposure over time can lead to wrinkles even at an early age)
Products with retinol (use at bedtime)
Neurotoxin (such as Botox, can be considered, seek a consultation to evaluate if you're a candidate)

I have a great deal of experience successfully treating some facial asymmetry with Botox when there is a muscular cause ( as you correctly suggest).

However, to assess whether or nor you would be a candidate for this, I would need to see you smile, frown and do various facial movements in a live setting for an accurate consultation. I would also need to take a medical history to decipher any possible underlying issues to consider. Remember: Neurotoxin treatments, like Botox, would provide improvement that would require repeated treatments to maintain.