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Coolsculpting is a terrific non-surgical method to reduce the volume of the upper arms by freezing the fat cells which are eliminated over time. The newest coolsculpting applicator head is called the Coolfit and has been specifically designed for the straight areas of the upper arms and the inner thighs. In addition, some people have a bulge above the bra area which can be treated as well which improves the overall appearance of the arm area. Good luck in addressing your concerns.
Typically Botox Cosmetic starts to take effect within a few days after treatment, but it can take up to two weeks for the full results to kick in. I find that Botox for the treatment of hyperhydrosis can take longer to fully take effect. Hopefully, you are starting to see some nice results, but if you do not by two weeks you should go back to you Dr. for an evaluation and possible reinjection.
It is very common to have asymmetry of the face which can be subtle and mild or can be more pronounced. With normal aging these asymmetries can become more prominent over time. Hyaluronic acid fillers such as Restylane or Juvederm would be a very good choice to even out the asymmetry of your nasolabial fold. In addition, a skilled injector would be able to use the same product to even out your upper lip. The main side effect of such fillers is bruising. I hope this information is helpful to you and wish you luck with this.