Joplin Doctors

Compound Problems After Breast Augmentation. Advise Please. (photo)

450cc gel implants placed under the muscle 10 weeks ago. Originally, I expressed concern that my left implant was too high, and my PS graciously offered to do a pocket revision @ n/c (haven't scheduled it yet). I'm also noticing a double bubble on my right breast. When I flex my peck muscles I can see a tight band across the implant. I mentioned my concerns about my right breast to my PS he didn't have much to say. What techniques would you plan for my upcoming revision to address both breasts?

Your left breast is a little higher and that is not unusual early.  I would give that more time, but you may need a release of the capsule on the left.

Your right breast simply does not have enough tissue to cover the implant.  It would not surprise me if you had a tuberous breast preoperatively.  It is subtle and one option is to ignore it. I doubt other persons would ever notice it.  The easiest way to fix that is to place the implants on top of the muscle.  A more difficult method is to use a dermal graft between your breast tissue and your crease.  That would help to camouflage it a little. Good luck.

William H. Huffaker, MD

Saint Louis Plastic Surgeon

Do Bull Horn Lip Lifts Make the Nostrils Appear Larger and More Flared?

I am considering this procedure but would not want my nostrils to be changed. When I pushed up the skin above my upper lip to simulate a lip lift, it seemed that it did flare out the nostrils. Thanks

If a subnasal lip lift (Bull Horn Lip Lift) is done properly it should not change the shape of the nostrils.  The incision is designed to lie in the nostril crease and does not distort the nostrils.  In considering a subnasal lip lift it is important that the distance from the bottom of the nose to the red lip is long enough, as usually about 1/3 of the lip under the nose will be removed. A better way to simulate the result is to take a couple of Q-tips and elevate the lip from under the nose and see the improvement and appearance of the red lip.

Keith A. LaFerriere, MD

Springfield Facial Plastic Surgeon

How Much Does Fat Injection Cost?

How much do fat injections typically cost for face treatments?

Fat transfer performed in our office usually run about 2800$.  Subsequent fat transfer procedure cost about 1500$.

Christian Prada, MD

Saint Louis Plastic Surgeon