Dallas Plastic Surgeons

Do I Have Enough Fat to Acheive a Significant Increase in my Butt Size? (photo)

Hi all, I'm 5'3", 110lbs and interested in a Brazilian Butt Lift but I don't know if I have enough fat to get the projection I want (see pic). I'm willing to gain weight, so my question is: How many pounds would you suggest? I'd like a tinier waist, rounded hips (like Kim Kardashian)and no more pesky side dents (by the way, do these side dents have a name?). Thank you!

This question is asked by almost every BBL patient your size.  You already have a great little figure but will a BBL give you a popped out butt like in the little black skirt?  Actually, you have a very favorable anatomy for this surgery.  The curves that will enhance your relationships (waist to hip, lumbar lordosis, overall gluteal shape) will make you a before and after case that many patients would request.  As far as if its what you have in mind or not, that's a slightly longer conversation to be had with your board certified plastic surgeon.  Best wishes

Ricardo A. Meade, MD

Dallas Plastic Surgeon

What Procedure Accomplishes This Kind of Upward Diagonal Correction? (photo)

I have read extensively about the MFLs and FLs but doctors and I do not think I'd really benefit from the "standard" techniques. I'm 32 but have extra skin in the mouth area that form "pouches" or folds. There is no fat to remove. If I pinch my skin up by my sideburn, this alleviates the problem entirely. So I wonder if a skin-only lift could be done, with the scar in this region (see image). I don't think I need subperiosteal dissection - and doubt I'd benefit from standard MFL techniques.

Dear Adam,

The incision pattern you have drawn is a common / known variant of facelift incisions, but it is normally not the first choice.  First off, you are rather young and have minimal signs of facial aging to justify the risks / scars of a facelift.  (I'd advise waiting.)  Normally for a first facelift, incisions are designed in front of the ear and then go up into the hair directly above the ear.  This minimizes the possible "visible" portions of the scar (you cannot be sure how you will heal, and it is nice if the visible scar region is short in case you happen to get a bad scar).  Because you want to maintain your sideburn, this incision choice does limit how much upper facial skin can be removed.  If you know you scar well, when it is time for a secondary face lift, one can design the incision as you have shown to address facial laxity near the eye.  Don't do it as a first choice - just imagine getting a hypertrophic scar in the region you have shown!  It would plague you daily for a year or two...
Dr.B 

Michael A. Bogdan, MD

Dallas Plastic Surgeon

Will Breast Augmentation Help Decrease Puffy Nipples? (photo)

I have always hated my breasts, they never filled out like most womens, and look pre pubescent. I am getting 325 CCs in a few weeks and wanted to know if my nipples will stop pointing out like they do now. Does extra breast tissue help?

Your pictures demonstrate that you have mild tuberous breast deformity.    The augmentation should help but my guess is some of it will remain.  Good luck.                                 

Vishnu Rumalla, MD

Dallas Plastic Surgeon