Worcester Doctors

What Would You Recommend for an Asian Bulbous Tip and Wide Alars? (photo)

I have a wide and bulbous nose and I'm thinking about an alarplasy but i also want to know if i can do anything to fix the tip

You need-1) columellar strut. 2) alar cinch 3) thinning of nasal skin 4) possible dorsal on-lay graft (single graft vs diced cartilage 5) - finally, infracturing.  See cases of this approach at rhinoplastyboston.com

alar wedges (weir excision) does nothing to narrow 

the lower third of the nose, and leaves a pinched "done" look.

Best Regards,

Dan Delvecchio

Daniel Del Vecchio, MD

Boston Plastic Surgeon

Am I a Candidate For Fat Transfer in One Breast Only? I Have Uneven Breasts and Already Had Encapsulated Implants Removed.

I am 42 5'2" & about 130 pounds. I had breast implants 20 yrs ago. They encapsulated and caused me lots of complications. I got them replaced & removed 4 years later. I now have uneven breast - 1 A cup & 1 AA cup & they are different shapes now. My question is -since Im not a candidate for implants, would you recommend fat grafting for me if I only want to inject fat into the smaller breast (AA) so that it can be the same size & shape as the (A) cup? How much fat would I need? thanks!

Breast Augmentation using Fat Transplantation is a good approach for patients who have had problems with implants (you) and for patients with breast Asymmetry (you again).  We have a large experience with this technique and first published our results in the Journal Plastic and Reconstructive Surgery (see link).

For further information, please visit the site dedicated to fat transplantation to the breast using you natural fat:  bostonbreastcenter.com

Best Regards,

Dr Del Vecchio

Daniel Del Vecchio, MD

Boston Plastic Surgeon

Thinking of Getting Saline Implants Removed, Is this Possible Without Sagging?

I had gotten saline implants about a year ago, im 19 and I was a 34B before now a 34D, and im thinking of having them removed I have not been happy since i got them and do not know if i ever will be, could i get them removed without them sagging?

I have developed an operation where you can have your saline implants removed and have your own body fat transplanted into the breast subcutaneous space, leaving the breasts as large as they were before with implants in many cases.  Simultaneous Implant Exchange With Fat - "SIEF", will be a popular alternative to implant exchange or total removal, which most women do not want!  See the video:

Daniel Del Vecchio, MD

Boston Plastic Surgeon