Lily Lee, MD

Hello! I have recently over the last year had a lot of success injecting Kybella in that exact area to diminish that  fat pad. It will swell fairly aggressively for about 4-5 days, but after that, you should start seeing a nice result after 2 weeks. May need a second and third treatment for full treatment. Just one vial split between each side per treatment. 

it really depends on what type of CrossFit you are doing. When I place Breast implants underneath (or dual plane) the muscle, I restrict purposeful pectoralis major muscle work (push ups, bench press, flys) for at least 4-6 months after surgery. The reason for this is that with squeezing of the muscle, the implant will be pushed down and out. These are directions that in my opinion make the breasts appear aged and frankly ugly. 

So, if your priority is to get back to working out of the chest muscles right away, a subglandular approach would be better. 

Usually, exercise of the muscle is good for stretching out and decreases the risk for capsular contracture. 

you certainly could transfer fat to your earlobes, but personally, I would be in better favor of simply using an off the shelf filler (like Restylane or Juvederm). The metabolism in the area is minimal so fillers should last there for years. I also like fillers for that area because the control is better. Since you have 2 earlobes that you are presumably trying to match, fillers are much more predictable than fat grafting. Definitely seek an in person consult with a board certified plastic surgeon so that you have the full range of options available to you. Good luck!

Earlobe reduction, in isolation, runs about $1000 in my office. This is under local anesthesia. If there are other procedures being performed (such as a facelift) at the same time that necessitate being in an Operating room facility and the service of an anesthesiologist, the price will change. 

This price may or may not include further piercing of ears if placement of earring holes needs to change. 

It appears to me from the photo that your provided that it isn’t really your eyes that are different, rather your left brow is higher than your right brow so it pulls up on your left eyelid creating a wider appearance. 

I don’t know if you have Botox or other neurotoxins in your forehead, but sometimes this can be the cause. Our frontalis muscles are sometimes stronger on one side rather than the other, requiring more or less botox to balance it out. 

Surgically, you could have a browlift on one side, but as young as you are, I would not recommend it. What I might suggest is Ultherapy isolated to your right brow to tighten the skin and soft tissue of your right brow to try to match your left. This happens gradually over time and will give the most natural appearance of a 2-3 mm lift.  You may want to consider a filler to the right brow to lift that side temporarily while you wait for Ultherapy results to kick in. 

Good luck!

I personally am a -14 High myope as well. My husband happens to be a retinal surgeon and states that his average patient who has a retinal detachment is a -3. 

Regardless, I have done countless blepharoplasties on patients with everything from normal visual acuity to extremely impaired so I get this question a lot. The simple answer is no, it will have zero affect on your vision in the hands of a plastic surgeon adept at dealing with eyelids. I always use the analogy that blepharoplasty is like “drawing the drapes on a window”. There is no need to hurt or move the furniture around inside the house when simply drawing the drapes. 

she definitely has had a lot of fillers in her upper cheeks that is propping up the outer corner of her eye. Beyond that, it is somewhat difficult to judge as this one photo taken this year could be mid blink. She appears to possibly had an upper blepharoplasty to remove a bit of upper eyelid skin which is why you see a wider upper eyelid in the recent photo. Unfortunately, if this photo is not mid-blink, she has also developed a mild ptosis (drooping) of her upper eyelid. “Bedroom eyes” is what some call ptosis and it is not usually an aesthetic goal. 

Hello, good for you for knowing the word "ptosis" as you have obviously done your research. While your ptosis on the left looks mild, you are also compensating for it by raising your brow (probably subconsciously). Unfortunately, we don't usually know what causes this, but acquired (meaning you were not born with it) ptosis can be straightforward to fix in a small scarless procedure. 

Best to have an in person consultation with a board certified plastic surgeon who specializes in eyelid work. 

it looks like you were born with a paralyzed marginal mandibular nerve. There could be a hundred reasons for this and therefore a lot of options to treat depending on your appetite for dealing with it. The simplest would be to Botox the unaffected side. Using Botox to temporarily paralyze the opposite side is quick and easy, but will only last 3-4 months at a time. If you would rather try to figure out how to innervate the side that does not move when you smile, it becomes a lot more complicated, but could give you a more permanent option (nerve and muscle transfers). Best to see a board certified plastic surgeon in person for a consultation. 

hello, it appears from your photo that you have mild ptosis of your right upper eyelid. You will notice that you are trying (probably subconsciously) to compensate for it by lifting your right brow. 

I see this in my practice often and treatment is fairly straightforward, but requires a test with an eye drop in the office. Be sure to see a board certified oculoplastics or plastic surgeon (with experience with eyelids) for an exam.