Zoraida Navarro, MD

Appears to be a seborrheic keratosis. Although they are scary looking they are mostly benign. If you can afford it, the best thing is to remove them and send for pathology to definitively rule out a cancerous lesion but if cost containment is an issue, the lesion can be shaved and observed. If it returns back, it definitely needs to be re- biopsied and sent to the  lab. A lighthearted look into the adventure of removing these lesions is presented by Cheryl Kramer, share this great video.

As my two esteemed colleagues stated, in the right hand hyularonidase can correct improper or excessively replaced filler to the nose tip. This is why you should have a filler correction before a surgical correction  to see how your "new nose " really suits you. 

I treat the dimples intwo different ways. 

Sometimes scar tissue form under the skin and causes the skin to pucker, I use a special cutting needle and do what is called a "subcision" releasing the strand of scar and cause almost instant correction.Subcision is a minor surgical procedure used for treating depressed cutaneous scars and wrinkles. It is also called subcutaneous incisional surgery. Subcision is performed using a special hypodermic needle inserted through a puncture in the skin surface.

Other times the area  od dimple is wide and deep. Usually caused by over exuberant fat removal or trauma induced fat atrophy. In this case I either use off label Radiesse or fat transfer.

All the best.

You have a granuloma. If hyluronidase and kenalog have not caused a reduction in size, it's time to visit a qualified plastic surgeon to remove it surgically. Best of luck.

Filling lips can be very tricky.In order to make lips pouty some injectors place a large volume of material in the Cupids bow. I find this area tends to swell and therefore I inject it very slightly. You can always come in for more filler at a later date. Have your injector place some hyluronidase into the overfilled area and ice the area 3-4 times a day. It should go down enough to make you look perky but not silly. Next time advise the injector that they need to go "slow" and not inject so much at one time. Don't worry, it can be fixed. If however you notice a purple hue to the lips or an ulceration, this could be a medical emergency and you should see you docotr immediately, see video below where someone injected an lip artery! Always visit a licensed professional.