Doctor Q&A

Choosing the right size and profile breast implants for you under the muscle for a natural look. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women...

You would benefit from a rhinoplasty. The cartilage will be trimmed as necessary to re-center it. You may benefit from bony work as well. Your photographs are too limited to give an accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Thank you for reaching out and for being so clear about your goals — that always makes for a much more productive conversation. Based on what you have described, yes, this is a realistic goal, but there is one important factor we need to address honestly: your thick skin. Thick skin is the single biggest variable when it comes to tip refinement. The skin acts like a blanket over the underlying cartilage framework, and even when we make meaningful structural changes to the cartilages b...

Thank you for sharing your concerns with us. Being unhappy with the tip of your nose is a very common reason people seek a consultation. To give you the most accurate assessment and determine what is achievable, a comprehensive physical examination is essential. During this evaluation, we assess your skin thickness, cartilage structure, and overall nasal anatomy. Following the examination, we can perform a digital simulation based on your unique facial proportions to explore potential...

Hi, and thank you for your question. Based on the photos you shared, you appear to have a good overall buttock position with a mild lack of volume in the upper and lateral hip areas. Fat grafting to these regions would likely provide the most natural improvement by restoring balance, softening the hollow areas, and creating subtle, proportionate contour. Because you appear to have a lean frame, an in person evaluation is important to determine whether you have adequate donor fat for a mini...

Thank your for your question, as it is apreciate in the pictures your provided, you are a good candidate, to get liposuction with HD, For sure you will have The shape you want to have.

Dr. Luis Mejia
Let's Make It Better

Liposuction removes fat. The breast has breast fat and breast parenchyma, which is more firm. Depending on how much of your breast is fatty as opposed to breast parenchyma will determine the effectiveness of liposuction. One thing to consider is if you remove the fat from the breast then the skin may droop or sag. This is why breast reductions are done surgically to remove breast tissue and skin.

Best Wishes,

Gary Horndeski, M.D.

Great question, and one I hear often from patients who want a natural result without adding volume through implants.
A breast reduction with a lift is really about two things working together: removing excess tissue and repositioning what remains into a better shape. When no implant is involved, the final result depends heavily on the quality and volume of tissue you start with, because that tissue has to do all the work.
The major factors include the amount of natural breast tissue...

The decision is not based on age alone but on whether your breasts have fully developed and how much they are affecting your daily life. Pain during physical activity, discomfort without a bra, and feeling self-conscious are all valid reasons to consider surgery. Unfortunately, if the skin and breast tissue have already stretched, weight loss alone is unlikely to improve the sagging. A breast reduction combined with a lift can relieve the weight of the breasts, improve their shape and...

Thank you for your inquiry. There will be swelling and bruising after the surgery. We recommend sizing up for the first week or so until the breast swelling goes down. This will not be your final size in the beginning as the breasts will settle and the swelling will continue to go down with time. We suggest a zip closure to the front of the bra with good compression that feels like its hugging you. It is always best to schedule a consultation with a Board-Certified Plastic Surgeon to discuss...

Thank you for sharing your concerns. While official FDA labeling indicates silicone gel breast implants for patients aged 22 and older, silicone augmentation is frequently performed "off-label" by plastic surgeons for mature patients under 22, such as at age 19. This means individual board-certified surgeons evaluate your physical maturity and tissue thickness to determine candidacy rather than being universally restricted. Saline is not your only option. An in-person physical examination...

Yes, having pizza once on Day 8 will not ruin your BBL or kill your transferred fat. Fat cell survival depends on blood supply and avoiding direct pressure, not on a single meal.

So, if you've been craving a slice, you haven't destroyed your investment! However, there is one major reason to be cautious with heavy foods like pizza so early in recovery: sodium.

As a medical professional, my clinical evaluation is that a facelift is the definitive, gold standard option for effectively addressing jowling and advanced mid-to-lower facial aging when non-surgical treatments like Ellacor and fillers reach their structural limits. While modalities such as micro-coring and biostimulators offer temporary improvements, they cannot reposition descended musculature or excise redundant skin. A surgical facelift provides comprehensive, long-lasting structural...

Your nose is crooked and the tip is leaning towards the right. You will need a rhinoplasty and septoplasty. You would also benefit from an eccentric lip lift, not a bullhorn lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This may help minimize your nasolabial folds and marionette deformities. The rhinoplasty/septoplasty and lip lift can be done...

We have reviewed your question. Liposuction can improve fat deposits but does not treat bloating. Please send clear photos or schedule an in-person consultation for proper evaluation.

Thank you for your inquiry. There are procedures available to help with excess skin/laxity to the upper and lower eyelids. A fat transfer harvested from the abdomen and put in the cheeks can help with the hollowness. It is always best to schedule a consultation with a Board-Certified Plastic Surgeon to discuss your concerns and goals.

We have reviewed your question. We recommend consulting an experienced eye specialist for further evaluation and appropriate treatment options.