Theda C. Kontis, MD

I have seen this before and have used Kybella (deoxycholic acid) injections to improve these pads. I have lectured on this, as well. Have your surgeon contact me and I will explain how to do it.

Lip fillers are meant to acccentuate the natural beauty of the lips. In your case, it looks like the injector tired to accentuate your vermillion border which caused a shadowing. Sometimes when I see this, I place a little filler in the shadowed area, which can soften the ridge. You may also get some improvement with gentle massage. I would suggest the next time you get filler, show these photos to the injector so they can modify their technique.

On your photos, it's not really clear what you're trying to do with your nostril. I suspect it cannot be done with fillers--more likely nasal base excision (Weirs excision), which is a minor surgcial procedure. I suggest you see a facial plastic surgeon who can provide both surgical and non-surgical options.

Most patients don't realize that they are still swollen at one week when the dressing comes off. You may actually be swollen for 6-12 months--meaning it may take that long for the final result to become apparant. I would NOT suggest doing fillers at this time! Your surgeon is 100% correct that you should wait before doing anything. You can certainly have fillers to give an appearance of a straighter dorsum, but it may improve with time. 

I'm surprised a surgeon would tell a patient that they have had multiple patients with infections after rhinoplasty. Some questions to ask are:1. Is the surgeon using implant material-either cadaveric or synthetic?2. Are the infections all at one particular surgicenter?3. What organisms have been cultured?4. How serious were the infections?Only after you have answers to these questions should you proceed with surgery, in my opinion.

I have found that if patients are on a good skin care regimen that includes Retin-A and hydroquinone at least 6-8 weeks before treatment, they will heal well from laser resurfacing or peels without hyperpigmentation. I tell my patients that damaging damaged skin results in poor healing, whereas damaging healthy skin produces skin that is healthier. I would recommend skin care first, followed by either a medium depth chemical peel or fractional resurfacing. After that has healed, you could consider fillers if needed.

The first thing I do in a consultation focusing on lower lid rejuvenation is to review the anatomy. Details to determine are, lower lid orbital rim prominence from volume loss, fat herniation, skin laxity,  and hypertrophy of the muscle. Some of these can be treated with nonsurgical techniques and some require surgery.Your beautiful eyes show what I commonly see in Asian eyes: hypertrophy of the surrounding muscle. Please don't let anyone operate on your eyes. A couple unity of Botox will diminish the hypertrophy of the muscle when you smile and remove the "bags."

You are a very pretty young woman, with beautiful eyes, brows, jawline, cheeks and lips. Don't be in a hurry to change any of these things! A different hairstyle would bring less attention to your high forehead and would soften your face. Start with something less invasive first, and see how that works before jumping into the plastic surgery arena.

Treatment of the skin of the nose after rhinoplasty with a chemical peel or resurfacing should be done with care.The skin has been elevated (either by open or endonasal approach) and needs to heal before being injured from above. Wait at least 3 months before proceeding and make sure the person doing the procedure knows about your surgical history..

From your photo, it looks like you have a fair amount of swelling. Wait at least 6 months postop before getting worried about it being crooked. I would advise against silicone, but you might want to try a hyaluronic acid filler (even now while it's swollen) to make it look straighter and allow you to feel better about ti wile it's healing.