Fadi Bakhos, MD

Based off of everything you wrote there, it seems like you are an ideal candidate for breast reduction and should get significant relief from your symptoms. I would recommend setting up a consultation with a plastic surgeon to learn more about the surgery and see if you are a candidate.

While you don't have significant amount of fat, there are areas that can be improved with liposuction around the abdomen, flanks, and back. You appear to be a good candidate for liposuction in my opinion just based off of your pictures.

Yes, filler would be able to help with achieving more symmetric lips. Botox may be able to help as well, but filler would be where I would start.

From the photos you provided your nipples appear to be in a good position. I don't think a lift is necessary. A breast augmentation alone will give you a nice result.

Not necessarily. Facelifts can be done with sedation or local only. It just depends on what you and your surgeon are comfortable with.