Samita Goyal, MD

Hi, I think starting out with fillers is not a bad idea especially since you are so young. You will be able to get a feel for how your face changes with the addition of filler and if it is something you want to make permanent, you can transition to fat grafting down the road. There are some fillers that last longer than others, so I would look into what options you have. I would recommend for you cheek augmentation and tear trough fillers to start with. Regarding your chin, it is hard to say what you would benefit from without a side view. Again, you can start with fillers in your chin and see how you like it before transitioning to something more permanent like fat or implants.

Hello, although cucumbers and cold ice are soothing, they will likely not treat your eyelid bags and dark circles. I would recommend you getting in touch with a plastic surgeon or dermatologist to look into skin care options and eye cream to target these areas. You may benefit from PRP injections or fillers to treat the color (PRP) and creases (filler). A plastic surgeon may decide to operate on you to permanently treat the bags.

It is hard to determine whether your eyelids are "droopy" or ptotic without performing a dynamic exam. In an exam, the physician will ask you to do certain maneuvers to determine whether you have true ptosis that needs surgical correction or not. While eyelid surgery will not change the actual aperture of your eye (the width of your eye), it can help to raise your eyelids to prevent a tired, droopy appearance. From a glance at your photo, it does seem that the natural crease in your eyelid is a little high, so you may have what is called a levator dehiscence causing ptosis. If this is the case, you would be a candidate for a surgical correction. However, given that this is a single photo and not showing your eyelids in motion, it is hard to make a clinical decision.

If your cysts are independent of previous piercings, then I would say you can proceed with ear piercing. I wouldn't recommend getting a piercing at the exact point of a cyst. If you have a history of keloiding (producing large scars) at the sites of previous piercings, you can still get your ears pierced but I recommend following up closely with a plastic surgeon to ensure that you do not form a large amount of scar tissue at the location.

You are certainly correct that lip lifts can lead to scarring. While the scars are hidden under your nostrils, depending on your race, they can be prominent. You have youthful appearing lips that are beautiful. I recommend starting with a noninvasive lip filler procedure and see how you like it. If you would like further enhancement, then you can commit to having a surgery with scars.