Vasileios Pagkalos, MD, MSc, PhD

Hi, thank you for your question. Fat transfer should definitely improve the shape of your breasts.
However, since you have fibrocystic breasts that, according to your description, have large cysts inside the breast parenchyma, I would suggest you should consult with your breast doctor about BodyTide and fat transfer because these procedures could compromise your follow up imagine diagnostics.

Hello, thank you for your question. Coolsculpting doesn't produce an electromagnetic field at the site of treatment and therefore should be safe to use near metal pins. However if the area treated is in close proximity to the metal pins you mentioned, the suction applied may force some of the metal pins to move from their original position. To be on the safe side, I would suggest not to proceed with coolsculpting in the area because only the doctor who initially put the metal pins would know their exact location.

Hello, thank you for your question.
Yes you can do botox now. PDO threads will be creating connective tissue for the upcoming 3 months, softening the crows feet. Botox will minimise the contraction of the muscle providing a better environment for the threads to work.

Hi, thank you for your question. Generally speaking an attractive feminine face has more volume in the mid face, less in the jawline and we overall aim at balanced proportions.
From what I see in your pictures you are have a nice bone structure to start with.
I would suggest that you add some volume (fillers) in your cheekbones to balance your buccal fat, treat your tear draft with hyaluronic acid to remove the fatigue from your eyes, enhance your upper lip (hyaluronic acid), add some volume to your chin (fillers) to achieve a more balanced projection and finally have some lipolytic sessions with kybella to reduce your double chin.

Hi, thank you for your question.
Each one of these procedures is considered to be major.
Your main issue would be fluid equilibrium and pain during recover. I would consider performing all these procedures on the same day only if the amount of fat to be removed is less than 3 litters and the tummy tuck is minimal. Be prepared to have a difficult recovery period and arrange to have people around to assist you with your everyday needs.