Suggestions for increased attractiveness? (Photo)

I would recommend a rhinoplasty to increase the tip projection, change the nasal columella angle and increase the definition of your nose. At the same time, I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. You may also want to undergo fat injections of the nasolabial folds at the same time.

Best Wishes,

Gary Horndeski, M.D.

Hello Honest,

You are being very hard on yourself. It would be best to evaluate you in person to give you the best plan of treatment to help you achieve and maintain your aesthetic goals. As a baseline treatment I would treat you with foundational Sculptra to balance your face, I would shave excise the raised moles near your ears and observe how they heal. They should heal well in which case I would remove others except perhaps the one on your lip. A laser to remove brown spots and improve fine to moderate wrinkles would also be added at your first treatment. After 2 months we would re-evaluate. SkinVive, a skin boosting hydrating injection will give your skin a glow. Please feel free to contact my office to schedule either a virtual or better yet in person consultation. We look forward to hearing from you.
Good luck and be well.
Michael Persky, MD
Encino, CA