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What Should I Have Done to My Nose in Order to Slim it Down? (photo)

I am 17, and all my life so far, I've been hating my nose. I just know its too big. I want to get a nose job, should I?

A: Options for a Rhinoplasty at age 17

Based on your photo you would be a good candidate for a rhinoplasty.  It would be nice to tailor the tip region and make it smaller.  There are some really nice things about your nose though that need to be maintained.

Personally  I feel  it would be a good idea to have a Rhinoplasty at age 18 when the bones of the face have grown a little more.  I do know some surgeons that will do Rhinoplasty as early as age 13 or 14, but often times revisions may need to be done.

Do some research online for physicians in your area that do Rhinoplasty and study their before and after photos. If you like their results and  they are board certified in the field of plastic surgery , or facial plastic surgery  consider meeting with them .

Good Luck to you.

Kimberly Henry M.D.

San Francisco CA

Kimberly A. Henry, MD
Greenbrae Plastic Surgeon

Lumpy and Uneven Lips After Juvederm. Is This Normal? (photo)

I just had Juvederm injections in my lips yesterday afternoon for the first time (at this point it hasn't been 24 hours yet). I have been icing alot but they are very lumpy, uneven and one side of corner of the upper lip is bigger than the other. Is this normal or is it all due to swelling? When should the lumps go away? Did the doctor who did the filler not do a good job?

A: Injections of filler in lips...Be patient.

Sometimes it takes some time for the lip injections to improve.  Massage is a great tool that we use for our patients and this usually works.  Be patient.  If you are still not sure about the appearance go and see the practitioner that helped you.  Personally I would stick with board certified plastic surgeons that do injections routinely.  There are some nurses that are great with injections too, but best to get a personal referral.

Kimberly A. Henry, MD
Greenbrae Plastic Surgeon

What Implants Should I Choose to Replace my Teardrop Implants?

I had my first breast augmentation surgery in 2003. I was an A cup before the surgery. I am 5'7", thin build. I wanted to go with a more natural look so decided to go with the teardrop. My first surgery had to be re-done, since one of the implants did not fall. I initally had 450cc in each, which only made me a B or very small C cup. I told the doctor I wanted to go up a size for the second surgery, so I went with 550cc in one breast and 575cc in the other.

After the surgery the doctor told me my chest caves inward, which is why I had to go with such a large implant to achieve a large C/small D. I have been fairly happy, though I have some rippling, they do not feel natural, no cleavage, and they stick out under my armpit.

Since the implants I have had two children and breastfed both for about 9 months each. I have noticed a reduction in size. I am ready for new implants, but will not go with the textured teardrop again. I am wondering which is the better choice for me - a traditional round or a high profile. I do want a large C, small D look, but would like some cleavage. What implants should I choose for replacement? Also, is one a better choice than the other with my concaving chest?

A: Replacing tear drop implants

I think your best choice would be a round smooth high profile implant  similar to a Mentor Moderate Plus size implant.  If your chest is narrow... a narrower base implant will help.  If you have a wide chest you will need an implant that has width to it... otherwise you will end up with" funny" looking breasts that are set too far apart from each other. 

 

Good Luck to you.

 

Kimberly Henry M.D.

 

San Francisco, CA
 

Kimberly A. Henry, MD
Greenbrae Plastic Surgeon
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