Doctor Q&A

Hi I’m considering a breast augmentation, I primarily have very little tissue to start with and an A cup. I Imost likely will be going with a dual plane placement. I also have asymmetrical breast in size so I will need to compensate for about 20 cc between the right and left side. I have considered both saline vs silicone. Most doctors prefer silicone. I do fear a silent rupture and I’m very claustrophobic in MRIs which is the reason I considered saline (due to the fact of obvious deflation if ruptured). I have noticed most doctors discourage using saline due to its feel and rippling. Are there people out there who are still choosing saline? Is BII more prevalent in salines? Are high definition ultrasounds sufficient to detect silen ruptures in silicone?

Is it true textured silicone implants have more bacteria on them than smooth silicone? I’ve gone with textured silicone over the muscle implants 295cc moderate plus xtra. My surgeon told me to go with textured as it helps it stay in place less likely of capsular contracture as it’s on top of the muscle with it being textured and less likely to see rippling with textured ones too. Is there a much higher risk getting bacterial infections with the textured vs smooth?? I don’t want to get infections

Hi - I had a TT without Lipo 11 months ago - my scar area is thick and I look like I have a belly worse than before I went in - on one side I have some bulge as per pics - it sits right above my knicker line so protrudes badly with underwear - I cannot wear any tight dress or tops even leggings you can see this. Im told it’s normal as skin above scar has fat in it & will go when I have lipo but I cannot afford the lipo at this place (another 20k - already paid £19k for a mummy makeover) :(

I will be getting a TT amd 360 lipo in a few months, Im wondering if i should add on the BBL to acheive my desired look, or will lipo in the area be able to achieve the look im going for. (Of course Ive already discussed with my surgeon)

Female, 32. I have always been very self conscious of my side profile due to my dorsal bump. My front view, I’m ok with. Over the last 6 months I have extensively researched different board certified plastic surgeons in NC. I have had 2 consultations thus far. I have nothing negative to say about either Dr or the consults. However, each Dr has offered different approaches to achieving the desired results. Specifically, One Dr (board certified craniofacial plastic surgeon) opts for an open rhino (which I’m totally fine with) She states “This will allow me to raise the skin to expose the bone and cartilage that is contributing to the hump. I plan to contour down the hump which includes both bone and some cartilage, based on my exam, but will use suture techniques as needed to prevent an open roof deformity. I don't think you would require osteotomies.” So I guess my question is- is breaking the nose not always required depending on the size of the hump? I am so worried about open roof deformity or my front view being altered in a way I will dislike. I just want a straighter profile that gives me a more feminine look that balances and flows with the rest of my face. I have spent many hours researching about dorsal hump reduction and I noticed about 80% of the time, breaking the nose is required or preferred. Also, I am not 100% sure what is meant by the comment “suture techniques as needed”. I would greatly appreciate other professional opinions and advice on this matter.

What would I need to have done to get me from this, to this? Nasal bridge reduction and nostril reduction? I don't have a problem with my side profile, I just want a smaller version if my nose.

My eyes are incredibly close together, and the overly pronounced sides of my nose create an unflattering expression. Is it possible to make them a little smaller?

I am considering liposuction for the breast area. After liposuction to the abdominal area, I gained a few pounds and it all seems to have gone to my breasts. Does anyone have experience with this? What are the benefits/risks? If this commonly done?

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

27F. I’m 5’8 220ish and I’m consulting for a reduction in July and August with two different surgeons because I finally have an insurance policy that covers medically necessary reductions!! I’m working to lose a little more weight before my consult, but is it possible to reduce my size that much? I know insurance can get tricky with BMI / Schnur so I’m trying to manage my expectations of size / approval.

I’m having my breast done, and have always hated my pigeon, long chest. So I’m getting this done to mask it a little. I just want advice. My surgeon has suggest over the muscle 350 teardrop tall height moderate plus. i had been to another surgeon who had said the same about teardrop being best because of my chest wall. However he would only ever do a 300cc and never any bigger due to narrow chest. So my question now it, I dont want big boobs I just want more shape and more upper fullness but worried on having big low set boobs. So my surgeon has said either 330s medium height or 350cc tall what is the diffrence with medium and tall? And what would you suggest with my chest wall? also when I’ve looked at mesurements both them implants are a bigger width that my messurments is that ok? Or avoid? Or do I go with 305cc tall, which i keep thinking because I don’t want massive boobs. I just want them to look the best they can with being low set. Advice please

5ft8 170 pounds. Getting lift and saline implants. My dr recommeded to try 500 to 700 sizers after showing pictures and exam. I wear 38 c now. Nursed 4 babies. 650 and 700 felt perfect for me. It was still hard to tell tho with the sizers as i shoved my own boobs in there too haha. I am afraid of going too small so i figured 700 is the right choice. But so hard to tell. Want them to be nice and full but not so obvious that they are fake. Or make me.look too top heavy in sweaters. Etc.

Hello, I recently had my under the muscle silicone implants removed with the capsule left inside. I had them for exactly 1 year. If I were to get another set of implants over the muscle this time, would the capsule need to be removed?

I’m having a breast augmentation next week with Motiva Ergonomix2 Preservé, and I’m having some last-minute doubts about implant size. I’m 5’6” and 123 lbs, and I’ve been measured to 10 cm. I’m deciding between 180 Mini and 195–225 Demi. I’ve breastfed and had significantly larger breasts during that time, and I still have breast tissue and a nice B cup now. I want a natural-looking result, but I’m worried that the 180 Mini will be too small and that the 225 Demi will look too obviously augmented. What would you recommend?

If you've had liposuction 20 years ago, is it safe to say that any scar tissue from it is not there anymore? Second liposuction now would Not be a revision, but to remove fat after gaining more weight (than I was at the time of the first lipo).

Hey guys so I've been given this odd answer from an estetician; as I did not knew exactly if facelift means that you will have threads inside your skin, I asked what type of threads does he offer in Temporal Face lift ? He said pdo threads. Now I researched the internet and I found out that threads are other type of procedure besides face lifting so what exactly it is going on ? Is he a professional scammer or are threads used in face lifting ? please answer on topic only !

I had an upper blepharoplasty last July (it’s been almost a year now) and I’m concerned about how my scars look. It looks like he’s missed the actual crease of my left eye (pics attached) and my eyelid skin has become much more crepey, which they didn’t look like before. Is there a way to treat this? I feel more insecure than I was before.

Over the past year I've tried to fix mid face undereye volume loss with a few things - I got mid cheek filler and prf (1 session) then co2 under my eyes (mid cheek and co2 done in March) it helped with the hollowness but now I have residual edema underneath my eyes and they actually appear darker...Seperately prior to any filler, I have a bulge that appears when i smile next to between my eyes and nose. Injectors have said it can't be fixed with filler and looks like a ligament deformity so can someone tell me the best surgeries youd recommend. Im 29 and hoping to fix the bulge and hollows. Would a temporal lift help my overall face?

Hi there! I am 34 years old. My under eyes have always looked like this - and I hate it. I'm trying to figure out what is best for me. I have had two consultations so far and both surgeons said different things. Consult 1: Fat grafting only Consut 2: Lower (could also do upper) bleph + fat grafting I am in the process of getting a 3rd consult from a doctor in Raleigh (Dr. Mettu) who does NOT do fat grafting/repositioning - only blephroplasty. I'm trying really hard to educate myself on everything...what the root of the issue is, what is going to give me the best, SAFEST, long-term results. I'm so overwhelmed with the options, approaches, etc. There is also a doctor in Charlotte who does what I've learned to be called a 'SOOF' lift...so I'm trying to weigh that option, too. I've read about the cons of fat repositioning and grafting (unreliable + unpredictable) and I'm hesitant about just going the fillers route. If I'm going to fix this, I just want to fix it. I don't want to do anything too dramatic or ruin my face. THANK YOU!