Ritwik Grover, MD

This does indeed look like a soft tissue infection likely starting from a suture abscess that might have extended down to the implant, explaining your complete right-sided breast pain - though at times just a local soft tissue infection can cause pain that radites along the whole aspect of a side as well. Did you ever have the implant removed or exchanged? How are you doing now?

Hi there, I'm sorry to see that you have this asymmetry. Although it's your left side that looks like it might be abnormal, it's actually the right lower lip that is weaker. It does not form the same pouty look as your left (I'm assuming this is a direct photo, but things may be reversed if this is a mirror photo). That outpouching of the lower lip is normal when verbalizing certain words, but looks a bit odd when not matched by the other side. Thus, your right lower lip, which is frozen and not showing that out pouching, is the weaker side. If you're looking to gain symmetry, weakening your left lower lip with Botox (either the mentalis muscle, depressor anguli oris muscle, or both) will help you to look more symmetric. However, peri-oral Botox always comes with the risk of also making certain word pronunciation difficult, slurring, and even drooling if too much is injected or injections are done in the wrong locations. Start slow with your surgeon injector and see how it goes. Then, progress from there. Hope that helps!

I don't see an issue with this. Your surgeon should always be made aware of any invasive and non-invasive procedures you've had done at that anatomical location in the past because this prepares him/her for any scarring or changes in the anatomy they may come across such as liquid filler or swelling etc. Having this information is especially important when doing surgery near the eyes where the anatomy is already very delicate and complication-prone. However, I certainly would not have hesitation doing this and would decide on dissolving the filler on a case-by-case basis. I hope that helps!

This can be a tough area to fill for any injector given the tremendously-thin skin of the under eyes. Some ways to get around this are to inject tiny amounts at a time and have patients follow up every few months to slowly build on the filler platform they are creating. Another possible solution for your case now that the filler has been injected is to discuss with your doctor when you can start some massaging techniques to try to reduce and spread out these bumps. Finally, hyaluronidase breaks up filler and can be injected into this area as a last resort to dissolve the filler and get back to your starting position if you decide you'd prefer that. I hope this helps, and feel free to get in touch with any other questions!

Botox to the peri-oral region can carry several risks with it. And although Botox does have a finite lifetime and side-effects will go away, botox injected in the wrong areas around the mouth can result in months of difficulty chewing or swallowing saliva. In your case, because the left side of the mouth rises a bit higher, injecting a touch of Botox above that left side into the muscles that are designed to lift the lips into a smile might help to depress their action and cause both sides to lift to the same degree. I would just start with a few units at most, give it a week, see if it helps and then slowly escalate from there. Hope that helps!