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Volume enhancement of the labia majora is a common part of labiaplasty and vaginal rejuvenation and can be performed with fillers or your own fat. Deflation is common with aging and typically not associated with weight gain.
Yes, it is possible to have fat grafting to the labia majora to enhance volume and give a more youthful appearance to the vaginal area. It wis difficult to determine if your weight fluctuation as had an effect, but typically it does not.
Yes, if you have a depression in your nose, then filler is often an excellent treatment.  However, you will need continued injections annually as filler is not permanent.Good Luck
You do have an asymmetry to your upper lids with the left upper lid being droopier than the right (ptosis).This can be surgically corrected but you need a complete evaluation by an eyelid surgeon (oculoplastic surgeon) who will perform a complete exam and determine the best technique to approach...
They got it right. Trust their experience. It may take 2 or 3 cc of a perlane or Voluma filler to lift the midface and also the nasolabial folds. This is a great spot to address that helps several areas: under ye, Nasolabial fold and cheek.good luck