Upavan Pandya, MD

Having a hair transplant just 3 weeks after rhinoplasty can be done in some cases, but there are important precautions. The main concern is pressure on the healing nose, especially during the follicle extraction phase, where patients often lie face down for several hours.

To reduce any risk, here’s what can help:
1. A special donut-shaped pillow or one with a central hollow can be used to avoid any direct pressure on your nose.
2. Side-lying (lateral) position during extraction is another option that can keep your nose safe while still allowing proper access to the donor area.

Always inform both your hair transplant and rhinoplasty surgeons, so they can coordinate and ensure the healing nose is fully protected.

Yes, it’s possible that a combination of laser hair reduction treatment and prolonged heat exposure could have caused temporary inflammation or nerve sensitivity, especially in delicate areas like the breast and nipple.

The laser can cause mild internal irritation, and external heat (like high temperatures) can intensify discomfort. Areas with more nerve endings, like the nipple, may stay sensitive for longer. Usually, such symptoms resolve over time, but if pain persists or worsens, it’s a good idea to rule out non-laser-related causes with a breast exam or ultrasound.

I’m really sorry to hear what you’re going through — feeling unhappy with the results of a hair transplant can be incredibly distressing.

Yes, laser hair removal is a legitimate option for reducing or removing unwanted transplanted hair, especially in your case where you have light skin and dark hair — that’s the ideal combination for laser effectiveness.

Multiple sessions will be needed (typically 6–8). Results can be very effective, often 70–90% permanent reduction. Patch testing is advised before committing to full sessions.

Some level of facial asymmetry (Right to Left) is considered as normal. Facial asymmetry is more common than most people realize, but when it's significant — like differences in jaw angle, nose shape, eye size, or ear structure — it may stem from skeletal development, muscle imbalance, or previous injury.

The hard masseter on your right side could suggest overuse or hypertrophy (often from chewing habits, clenching, or grinding), which can contribute to visible imbalance.

Here are some options to explore:

3D facial scans or X-rays to assess bone structure

Botox for masseter reduction (if overactive muscle is contributing)

Orthodontic or surgical consult if bone/jaw alignment is involved

Facial balancing with fillers in milder cases

A personalized assessment is the best way forward. You’re not alone in this — and yes, it can be improved.

It sounds like the mesobotox may have affected the muscles responsible for smiling and cheek volume. With 20 units per cheek, it's a fairly high dose, and effects like flat cheeks or smile changes can happen if it spreads too deep.

The good news: Botox effects usually wear off in 3–6 months, and since it’s already been around 10 months, situation would have been normal now.

Light facial massage or muscle stimulation may help in such cases, but mainly it just needs time. If you’d like, we can guide you through recovery and plan safer dosing next time.

Thank you for reaching out with your concern about the forehead dent and the visible vein. Based on your description — where the dent becomes less noticeable when the vein is more prominent — it sounds like you may have a soft tissue depression related to minor volume loss or underlying anatomical features.

The good news is that this can often be effectively treated with dermal fillers. Here’s a quick overview:

Dermal Fillers can help by gently restoring volume beneath the skin, smoothing out the visible dent while maintaining a natural appearance.

We would use a very soft, precise filler and advanced techniques (such as using a microcannula) to ensure safety and minimize any risk to the underlying vein.

Results are immediate and typically last 9–12 months, depending on the product used and your individual healing process.

An in-person assessment is very important to carefully map the vein and plan the treatment safely.

In some cases, alternative treatments such as fat grafting or other skin rejuvenation options may also be discussed, but fillers are usually the first choice for mild to moderate cases like yours.

It's essential to wait between using IPL at home and starting professional diode laser hair removal for two reasons -

1. Diode Laser is effective only when hair strand exist in hair follicle. After IPL it takes few weeks to grow back hair in follicles. Than only Diode Laser Hair reduction will be effective.
2. After IPL, skin takes a week to heal from damage caused by heating. So some interval is always recommended.

Generally, a waiting period of 4-6 weeks is recommended to ensure that the IPL-treated skin has returned to its normal state. This allows for a more effective and safe laser treatment.

Botox treatment for eye brow lifting is well known. Thus Botox can be used to treat asymmetry of eye brows. As far as your case is concerned asymmetry is not that prominent to me. Still in cosmetic practice, I believe that if someone is not happy with the existing appearance, I try to help with best possible treatment. Just a minimal dose of Botox (may be 1 unit) will be enough to treat this minor asymmetry. Anyway you can enjoy your vibrant looks without any treatment.