Scott K. Thompson, MD

Forehead reduction and brow lift do very well as combined procedures, and the combination of these two should not reduce the effectiveness of either one. Good luck!

In my experience, fat grafting doesn't seem to survive well in the lips for most. The only time I do lips is if they are already adding fat to the face as well. Lip filler tends to last 6-12 months, and most patients are only being treated once a year. Hope this helps!

It is ok to do Botox while having those procedures, as long as it is not in the areas of surgery. But your surgeon may add on additonal time while under anesthesia so you may want to avoid that. You could easily get it done at another visit as well since Botox is such a quick, easy treatment! Congrats on your upcoming procedures.

Hello, Based on the photographs and the neck and lower face descent that you are exhibiting at this point, I would recommend a facelift rather than a mini facelift as the mini-lift generally targets the jowls mainly and provides minor improvement in the neck. If the neck isn't a significant concern for you, I think that you could consider a mini lift. Good luck!!

A good rule of thumb after having filler treatments in general is to wait 2 weeks to do skin care treatments or laser treatments. It gives the swelling, bruising and filler time to settle. There is no proof that the laser can break down the filler but is always a possibility especially when dealing with more aggressive laser treatments. BBL ( Broad Band Light) is very superficial so it would unlikely have an effect on the filler.

Greetings, You are correct that complete correction of facial asymmetries, including the nose, is not possible with surgery because asymmetries in our faces are a combination of multiple factors. However, significant improvement in your breathing and nasal asymmetry is possible if these are contributing factors. I would recommend consultation with a physician who specializes in functional and aesthetic surgery of the nose to get more information and to establish a sound plan. Good luck!

Greetings, It is likely that your tip can be stabilized so that movement with smiling is minimized with a fairly minor rhinoplasty procedure. In person consultation is recommended however for a more complete assessment of your nose. Good luck.

Greetings, Based on the included photo, it does seem that surgical options may serve you best, but I would recommend an in person or virtual consultation for the best evaluation and discussion of your concerns.

Greetings, My opinion is that fat transfer would not be a good choice as it is better for overall volumization not for correction of fine lines or skin irregularities. I would recommend consultation with a local specialist and possible treatment with filler. Good luck

Greetings,I agree with several others who have mentioned that you would benefit most from surgical intervention.  I would recommend consultation with a board certified facial plastic surgeon who performs rhinoplasty surgery regularly.  Please see the attached link for more information.  Good luck!