Vlada Groysman, MD

Small fine wrinkles are probably a sign of skin damage. I would recommend a chemical peel, IPL photofacial or a resurfacing treatment such  as ematrix. Also, I found that dysport is better for forehead wrinkles than botox. I usually place botox in glabella by dysport into forehead lines. Sometimes, if botox is placed in certain areas and not other it can cause neighboring muscles to compensate and contract more. Just talk to your physician about spreading the neurotoxin out more. Don't forget the improtance of skin care. Retin-a or retinol are essential in improving the appearance of your skin texture. 

Facial asymmetry is extremely common and most people have asymmetrical faces. I think you are referring to your eyebrows. This is easily fixed with small amount of botox. You absolutely don't need surgery. You have a gorgeous smile! You can see your gums a little when you smile and this too can be fixed easily!

WHen properly injected filler should not be painful. Did you have some discoloration or scarring after injection? If there is a lump, then hyaluronidase will help, if there is scarring or discoloration then the filler  most likely compressed a blood vessel and thus healing will take some time. Steroid injections will also help with raised scars. I suggest you see a dermatologist.

The good news is that swelling will subside. Some patients swell more than others. I would definitely call your physician in 2 weeks if there is no improvement in swelling. Hyalironic acid does cause a some fluid retention, but hopefully its only temporary.

Both Juvederm and Restylane are great products. What kind of juvederm did you get? Ultra or ultra plus. Sometimes there is a little more swelling with ultra plus. All hyalironic acid fillers cause some swelling, however swelling should subside after 2-3 days. Extreme swelling is unusual.

You need to stop using of your supplements and topical preparations. Just recently, I had a patient who was allergic to the preservative in arnica. Is your tongue swollen as well? Do you have a rash anywhere else? Those things can also point to an allergic reaction. Either way your physician needs to see it. He could suggest oral steroids. Swelling and bruising from juvederm are expected. Make sure to discontinue aspirin and ibuprofen and avoid alcohol since this could worsen bruising and swelling.  

It is unlikely that it is pushing on muscles. However, a qualified doctor can inject medicine into the lump(vitrase) that you are describing and melt Juvederm. Other than that, it will take 3-6 months, depending on the type of Juvederm injected, to be resorbed.

While Accutane is a great medicine for cystic acne, it needs to be carefully monitored under a care of a physician. It has a lot of side effects particularly  birth defects.  Taking doses randomly will not reduce the amount of acne you have for any prolonged period of time and you place yourself at risk since you are not having labs and pregnancy tests checked. I would see a dermatologist asap and get a pregnancy test ( both urine and blood). There is a program now that is called Ipledge where you pledge to use two forms of birth control to prevent pregnancy.