I must respectfully disagree with your assessment. Your photo at two weeks does show an increase in lip volume. The reason why the lip volume was so dramatically different immediately following filler placement was due to swelling from the injections. 0.8mL is a fair amount of filler for the upper lip alone. If 0.8mL was used for both upper and lower lips, it may be that you just need a bit more. Juvaderm filler does not disappear that soon. I would recommend waiting at least one month before considering additional filler. It may be that all you need is half a syringe to achieve the lip volume you desire. Hope that helps you.
Best advice I can give you is...wait! Lips often undergo a lot of swelling post filler injection. At three days, you're not past the peak swelling phase yet. You'll need to wait at least two to three weeks before seeing the final result. In the meantime, it might be a good idea to visit the physician who injected you, just to make sure there is nothing seriously wrong that needs to be addressed. Sometimes, lumps and malpositioned filler can be massaged away. Best wishes.
Great question and good for you for being proactive in the decision making process. The simple answer is, yes, in general it is possible to undergo autologous or own tissue breast reconstruction after initial placement and fill of a tissue expander implant. In fact, most breast reconstruction surgeons, when planning own tissue breast reconstruction, prefer to complete the tissue transfer part of the reconstruction after the radiation. That's so the newly reconstructed tissue is not subjected to radiation injury. However, there are many considerations that go in to determining what type of own tissue reconstruction you're a candidate for or even whether your a good candidate at all. That can only be decided upon by an individualized evaluation of your case by a breast reconstruction surgeon with experience in all types of tissue transfer procedures. Stay curious and expectant of only the best for yourself. Take care.
Of course it is impossible to tell solely from a picture what's going on, but this is what I see. The belly button incision has a bit of crusting and scabbing, which is very common. This will usually resolve with time, washing the area and dressing changes. In my opinion, it's best to apply some type of ointment to the belly button along with the dressing in order to speed up the healing process. But please check with your surgeon. The central part of the transverse incision appears to have suffered a very small bit of skin injury or loss from the procedure. This is unfortunately not uncommon. It's no big deal, but will also take a little time and care to heal. That wound may need a bit of debridement or clean up in the office. But eventually it should heal fine and leave you with a good result. Best wishes.
Whether or not you need a nose job is purely a function of preference, unless you are experiencing some sort of breathing difficulty. There are all sorts of aesthetic ideals defining nasal size and shape. These will vary based on gender and racial/ethnic identity. But, they are just guidelines. Ultimately, you and your chosen surgeon need to consider what actually "fits" your face. Humans are like snowflakes...everyone's different. Hence, not everyone's nose needs to look the same. Having said all that, the one objective detail I can glean from your photos is that your nasal tip is just slightly bulbous. But it does not appear "way too big" for your face. : ). I advise you to seek some consultations with reputable plastic surgeons in order to get some reasonable opinions. I also advise you not to opt for to drastic a reduction in nasal size (if you decide on surgery) because very small noses don't breathe as well. Best of luck to you.
