Hello Lovely people,

I want your advice if I can do anything about my SMV when I have some extra weight.

I have a medical condition from birth called congenital adrenal hyperplasia which is just like PCOS (excess of Male hormones) but with some differences.

That being said I am BMI 27. It’s probably 20x harder for someone like me on a mild dose of steroids to lose weight by just dieting and exercising. I go to gym 4-5 times a week and been doing so since last 5 years. Honestly I do not train as hard as I can and if I increase the intensity of my workout maybe I can reach till BMI 24 but aiming for BMI 20 is a distant dream because I was never been BMI 20 in my life (maybe around BMI 23-24 when I was around 18, after that my hormones got worst and I put on weight). My diet is also pretty balanced and healthy, I guilty of trying the anorexia diet when I was 23 for 3 months and I got really slim but ended up losing lots of hair because of nutritional deficiencies. Now I eat a balanced diet of carbs, protein and good fats.

My weight is in the stomach area and the thighs. My thighs don’t worry me so much because lots of guys I have been with including my current boyfriend are into curvy thick thighs and my upper body is pretty slim, but my waist needs slimming.

So that being said, I try to keep my face as pretty as possible. I have Long hair and I dress nice and feminine.

I am considering a plastic surgery to get a slimmer nose. I take some Botox on my face to ease the nasolabial fold.

What else can I do to keep my SMV as high as I can?

Edit - spelling.