Elliot Duboys, MD, FACS (retired)

Unfortunately, this is a known complication.  Botox typically wears off after 3 months at which time everything should return to normal.  There are eyedrops that will improve the droop.  Ask you doctor about these drops.  

Typically botox wears off in 3-4 months while fillers can remain for approximately 1 year.  Therefore, I would doubt that this was caused by Botox.  Injections of filler into the chin is relatively innocuous.  It is difficult to state what is causing your asymmetrical smile.  Did you have the asymmetrical smile 2 weeks after the botox/filler injections or did it come sometime later?  Without a 1 on 1 consultation, it would be difficult to offer an opinion from static photographs.  Congratulations on your pregnancy.  Best of luck. 

It appears that you have lost volume to your supporting structures.  In my opinion, a product called Sculptra would work best restoring volume.  Around your eyes you might need a different product.  If there is anything that has cut down on my face lift procedures it has been Sculptra.  It has been around for many years, and in my hands seems to work better that some of the other products out there and is equivalent or less in price.  Unfortunately, with any fillers the results are temporary. 

All depends upon what you want to accomplish.  The first sentence is revealing:   You want a solution for your overbite!  You will not be able to correct your overbite without orthognathic surgery.  You do not have jowls nor saggy cheeks.  Your facial proportions are consistent with someone who has a short lower face deficiency with overbite.  Granted  face lift is an invasive procedure and at your age would be ill advised.  If one advances your mandible and maxilla you will have a much better "neck angle" and this would also improve your nasal-labial creases, help with your overbite and restore the lower 1/3rd of your face.   With all due respect to my colleagues, you do not have microgenia (small chin) which would best be treated with a chin implant.   I suspect that placing a chin implant will accentuate your chin further and not restore proper facial proportions. 

I would consider a work-up with a orthognathic surgeon.   I see this quite commonly in my practice where my patients are trying to accomplish goals and take short cuts.  There are no short cuts in medicine!  Best of luck. 

I'm not exactly sure what you mean by abdominal wall endometriosis.  Is the endometriosis inside the abdominal cavity or is it outside of the abdominal cavity (on the skin, on the muscle or on the subcutaneous region).  I have seen both and have operated on women who have had endometriosis.  If it is superficial to the abdominal cavity - an abdominoplasty might actually help, especially if it in the area to be excised.  If it located intra-abdominally, I would suggest asking your gynecologist and find out how best to control the endometriosis, with medications, and if you would be a candidate for abdominoplasty.  Best of luck. 

It appears that some of the skin is compromised.   It is way too early to tell how the scarring will turn out.  Without an in-depth consultation, it is impossible to say what the future holds in store or the best way to proceed.  Go back to your plastic surgeon and ask him/her what you should do to maximize your result.  Best of luck. 

There are many people today who are calling themselves plastic surgeons, cosmetic surgeon when in actuality they may not have completed a formal training program in plastic surgery.  The web-site:  see below  is the site of the American Board of Plastic Surgery (the only Board approved by the American Board of Medical Specialties (ABMS). Check to see if your surgeon's name is listed there.  Board Cetification by the ABPS guarantees credentials.  This Board is not the same as other Boards that list "Plastic Surgery" or "Cosmetic Surgery" in their titles as they are not approved by the ABMS.    The next step would be to contact friends, family. your family doctor, etc and get a referral.  Best of luck. 

Congratulations for having lost 90 lbs.  This is a great accomplishment.  Over what period of time did you lose the weight and for how long have your kept it off?  If it was a rapid weight loss over a short period of time, your abdomen should improve somewhat by itself.  There are no  non-invasive procedures that will flatten your abdomen to the degree you get with a tummy tuck.  All procedures, such as cool-sculpt. ulthera, radio-frequency will tight to a certain extent, but not to the extent that it would make a significant difference.  If you are planning children in the near future - do nothing, as you will be throwing out your money.  Speak to a plastic surgeon about what options are available. 

The question, should be:  Is it worth it to you to fix it?  I would love to see pre-operative photographs before offering an opinion.  If you didn't take photographs, your surgeon should have.  Speak to your surgeon see what he/she has to offer.  Best of luck. 

How long ago did you  book the surgery?  Was the surgery changed the night before or several weeks before? 

There are many reasons that your surgical date might be changed - some of which are outside of the surgeon's control.

For instance - did you have a medical evaluation prior to your surgery?  Did they find something abnormal?  Was any of your blood work abnormal? 

Did the hospital ask your surgeon to change the date?  Was the hospital providing an assistant for the surgery, that all of a sudden was not available on the date of your surgery? 

The instances above are outside of your surgeon's control.

Did your surgeon have a personal emergency?

Many questions - without answers.  Best to ask your surgeon why your surgery date was changed.  This will allay your fears and provide answers that none of us on this board are able to do? 

However my office rarely changes a date once booked unless there are other mitigating factors