Steve Laverson, MD, FACS

If vertical length of upper lip is short but still not much upper incisor show at rest, consider cephalometric study (by maxillofacial surgeon experienced in orthognathic procedures) to find out if your maxilla is vertically short. Correcting that issue will be a scarless upper lip lift.

Return to your operating surgeon with this issue. Photos show a bony vault (upper third of nose) that exceeds in dimension the middle vault (middle third of nose). There are several techniques for improvement. Which path you select depends on whether you want the upper third shrunk to match the middle third or you prefer the middle third expanded to match the upper third. Also depends on your breathing and how nose appears in profile view.

Return to your operating surgeon who hopefully can and will improve or correct your asymmetry at no charge. Good plastic surgery is plastic, can be molded and formed until the result is suitable. Our labiaplasty revision rate is about 10%. Sometimes it doesn't come out exactly as planned so adjustments (usually minor) are indicated for the result you want.

Your pursuit of information to support your decision is wise. Most post-partum women presenting for improved abdominal appearance want bulging and weakness resolved (flat from the side) hourglass shape from front and back view, excess skin removed tight), fitness contours with natural appearance (not surgical), aesthetic belly button, and obscure (LOW, SHORT) or invisible scars. Our modifications (and possibly your surgeon's) of conventional tummy tuck may accomplish this for you. The answer is in his/her gallery of before and after pix. Find a patient (or a few) whose "before" pic looks like your belly. Their "after" is what you can expect. Whether you want that result or not should be the deciding factor.

If you are referring to your areolae, the pigmented discs of skin surrounding the nipples, they can be reduced in diameter by purse string areola mastopexy but that will position permanent scars circumferentially around the edges of both areolae. Sometimes, it is better to realize, as the great author Leo Tolstoy observed, that "As with all thoroughly attractive women, her defect was her own special and peculiar form of beauty." Your distinguishing features make you who you are, only change your identity if you are SURE, and find a surgeon who will minimize the resulting scars.

Dr. Chacon posted a good answer. As a most experienced aesthetic lip surgeon, my suggestion is to find a great surgeon near you for a combination of commissure adjustment (to reduce or eliminate frown, usually with internal labial mucosal scars invisible from outside) and external custom designed procedure(s) for the vermilion show you want near corners of lips. Often, serial iterations required so you benefit from and see the effect of each individual treatment.

Your final result with any technique depends on your presenting anatomy (excess skin area, location, and elasticity), how redundant is your abdominal wall, how the procedure is technically performed, and your musculoskeletal configuration (ribs, pelvis, torso length, etc.). Reconciliations should be explained to you by your surgeon until you are comfortable with your decision and enthusiastically wish to proceed.

Management of specific aesthetic features such as "sharpness" of the nose involves individual assessment of the precise area(s) of the nose causing that issue and their contour. Correction of the problem may potentially be accomplished non-surgically (with filler), by minor office surgery (small cartilage graft(s) or alloplastic material), or by rhinoplasty. Every treatment is associated with advantages and disadvantages. Consultation in the office of a professional to consider these alternatives is recommended.

It appears in addition to augmentation with implants you also had mastopexy, breast lift. Correction of breast asymmetry depends on what is causing the visual asymmetry. Differences between right and left may be related to capsular contracture, implant malposition, different breast volume, skin surface area, nipple position, inframammary crease position, or some combination of these and/or other factors. Your surgeon will conduct this analysis, formulate a surgical plan, review with you what to expect, and answer your questions so you can decide how to proceed.

Hard to recommend without more information. Lip position relative to upper dentition is an important aesthetic feature but cannot be determined from submitted photos because lips closed together in all of them. If upper lip filler eliminates upper incisor show may be aesthetically detrimental. Shape of lips is nice and you’ll be trading off some of your very natural beauty for upper lip volume with filler. If the filler is hyaluronic acid it is totally reversible so not to worry if you don’t like it. Can also trial what filler will look like with a skilled injection of sterile saline (salt water), lasts a few hours but you’ll know whether or not you want the extra volume all in your upper lip and the change in relationship with your lower lip and other features.