Joseph Setton, MD

Hello, I would definitely use a chin implant to increase the size of the chin. This surgery has fewer risks of complications and a faster recovery time. This can be done under general anesthesia. We create a pocket under the muscles and place the implant inside. Some doctors use a screw to fix the implant, but I personally think that this can increase pain. Sutures are used to close the wound inside the mouth. Recovery takes about 2 weeks. I am at your service.

The easiest way to remove this scar would be to use a special cannula and release the scar from the muscle. After that, we would inject a filler to lift up the part that has sunken.

Another treatment would be to use the derma pen. The Derma Pen treatment should be done once a week for five weeks. This is a non-invasive treatment.

A Lip Lift consists in shortening the space between the nose and the top lip. Yours measured 1.8cm. I would like to shorten it to 1.3 cm. To give you a better definition. The scar should be placed under the right and left nasal ala, beneath the nose, in the shape of a bull's horn. I would need to inject the philtrum to define the cupid's bow. Also, I would inject all the Vermillion borders of the upper and lower lip. This way, we can get a nicer, and more defined result.

There are a few ways to resolve this issue. The easiest one would be to delineate your lip with fillers or fat. By doing that, we can restore volume to the drooping corners and also give it better symmetry.

We can use different products for this purpose: Hyaluronic Acid, Polycaprolactone, or your own fat.

The hyaluronic acid would last for 1 year. The polycaprolactone can last up to 5 years. And your own fat depends on your metabolism.

I don't think you will need another lip lift surgery or a scar correction.
 

Concerning your facial asymmetry, the best and easiest procedure would be to do a fat transfer. We would remove fat from the abdomen or inner thighs, process the fat, and then inject it where needed.

The other option would be to do a buccal fat removal on the right side of the face, trying not to remove all the fat to get symmetry.

For the nose, I would like more pictures to evaluate the work that needs to be done. Do you have any breathing problems? Have you had any trauma to your nose? In general, a crooked nose can be caused by a septal deviation or a hump. The treatment depends on what the cause is. My recommendation would be a functional and cosmetic rhinoplasty and septoplasty.