Kriston Kent, MD, MPH

Thanks for the question. Certainly, all medical procedures have risks, and artery occlusion is a known risk for filler injections. Having said that, the risk is quite rare. Most highly experienced physicians, who specialize in facial rejuvenation, use fillers numerous times every week, and have never experienced an artery occlusion. But even though artery occlusion is rare, there are standard protocols for addressing an occlusion. If you choose to have filler in your nasolabial folds, make sure you choose an experienced aesthetic physician who is prepared to treat an occlusion, if , no matter how unusual, it were to occur.

Thanks for the question and the photo. Unfortunately, the photo provides limited useful information to provide a definitive answer to your question. In general, I can certainly appreciate asymmetry in your facial structure and this is not terribly unusual in most patients i.e. we're all asymmetric. In order to provide you with specifics, an experienced facial plastic surgeon would need to perform a physical exam, which would allow evaluation of the skeletal structure, muscular structure, as well as the remaining soft tissues in three dimensions. Having said all of that, it is very likely that the appropriate use of fillers/collagen stimulators/neuromodulators  can provide you with significant improvement in overall facial balance.

Thanks for the question. I believe this would be an "off label" use of Sculptra. However, it is likely that the product can be used safely in the hip area. Any time you consider a medical procedure, it is important to choose a highly trained and experienced physician. In these incidences, where use of the product is beyond that of its FDA approval, it is paramount that you choose an aesthetic surgeon who has used the product in this area frequently, and knows the potential pitfalls. I hope this helps.

Thanks for the question. This question is best answered by the surgeon who removed 

your wisdom teeth. However, there should be no reason, at this time, why you couldn't proceed with Botox treatments to your masseter muscle, if everything has healed from a procedure 4 weeks ago.

Thanks for the question and the photos. It is not particularly unusual to have a few "lumps" at 6 days after injection. This usually represents a temporary "posttraumatic" response and may represent a very small collection of blood in the lip muscle. Less commonly, a small gland (s) can become temporarily obstructed and cause a lump. Either way, these usually resolve over the first two weeks. If the lumps persist beyond that time, you should return to your provider and have it corrected.