Doctor Q&A

46 healthy female, 5ft 1, 125 pounds. I’m interested in more upper pole volume, moderate size increase of 1 cup and minimal downtime. With the degree of ptosis that i have will I need mastopexy in addition to augmentation? TIA

Hello, I was looking at getting a breast augmentation because I had a breast reduction six years ago that I was very unsatisfied with. Since then I have lost only about 10 pounds but I’ve lost a lot of body fat and gained muscle so my breasts are very deflated I’m wondering which route I should go because they’re still in a good position , but I don’t want big implant. Maybe 200 cc. I’m very unhappy and it’s so hard to look at them in the mirror. I was quoted $14,000 and $21,000. Money is a little tight but I’m 33 years old and I’m finally happy with myself except for my breasts.

Im interested in a cartilage rhinoplasty to fix my button nose. I live in the United States and was wondering if it was worth it to go to other countries (Thailand) to get the procedure done. Im also wondering how much I can expect my nose to change with the surgery.

I have a history of upper neck pain and TMJ issues. I am interested in undergoing rhinoplasty, but I have concerns about the intubation process required before surgery. My understanding is that intubation may involve manipulation of the jaw and upper neck to secure the airway, and I am worried this could aggravate my existing upper neck and TMJ problems if done aggressively. Would my history of neck pain and TMJ dysfunction be considered a contraindication to rhinoplasty? Additionally, would it be possible to wear a hard cervical collar during the procedure as a preventive measure, or as a reminder to the surgical and anesthesia teams that I have pre-existing neck concerns? My goal would be to help minimize unnecessary neck and jaw manipulation and ensure that extra care is taken during intubation.

I really want a bbl and was looking into “awake” bbl procedures due to less down time but would my results be the same ? If I were to do a traditional bbl are there doctors that specialize in less downtime due to surgery technique ?

My breasts are about 34DDD+. It's hard to do any physical activities without them being painful. I have tried losing weight, but they still sag pretty low. What do you recommend I do? I can never go out comfortably without being self-conscious about how large they look in T-shirts. When I don't where bras they hurt even more. My breasts are flatter towards the top and most of the weight is low if that makes sense lol. Should I wait until I'm older and try to fix it naturally or would surgery be the best bet?

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.

I'm a trans woman planning breast augmentation. I'm 5'9", around 100 kg, with a broad chest and roughly a 40-inch underbust, currently about an A to B cup. My surgeon has shown me three Mentor silicone options on a 3D simulation, all placed over the muscle (subglandular) and all on the same base width: a 470cc moderate classic, a 600cc moderate plus, and a 750cc high profile. He has recommended the 600cc moderate plus. My goal is a natural, gently sloping look rather than a high, round, heavily projected upper pole — but because my frame and chest are large, I'm concerned that going too small won't look proportional or won't show enough on my body. So I feel caught between wanting something natural and wanting enough volume to suit my frame. For a body and chest like mine, is 600cc moderate plus a sensible middle choice to balance those two goals, or would you lean smaller or larger? Since all three share the same base width, how much difference in projection and upper-pole fullness should I expect between the moderate classic, moderate plus, and high profile? And does the over-the-muscle placement change what you'd advise?

I am a 39 y/o, 5'8.5, 127,5 lbs woman and scheduled a BA end of October. If I remember correctly my breast width is around 12cm. I am going for Motiva Ergonomix, 340cc/400cc dual plane. Currently barely an A size and I want a full C size or a small D. I keep on changing my mind about the size, would love to hear a professional opinion! I hear women usually would have gone bigger in hindsight. Any advice is highly appreciated!

I had a reduction in 2009 and will be going for a tummy tuck and breast Augmention later this year. My goal is upper pole fullness and cleavage without going too big. I’m 5’8” and 155 lbs. what cc and profile would you suggest?

I am 45yo with DDD breasts that have been bothering me for years. I have a phobia of general anesthesia which has kept me from seeking a traditional breast reduction. I’m at my whit’s end with these heavy knockers and would love to hear from some doctors who have performed breast Lipo under light/twilight sedation. I have scattered fibroglandular breast tissue, and am 5’3” 150lbs, menopausal and finding weight exceptionally hard to shift now and breast tissue much bigger than 10 years ago.

Hi, so I underwent general anesthesia two weeks ago for a face cosmetic surgery and that I understand it stays in your system for two weeks. Google says to wait six weeks to undergo anesthesia again but since I’m looking to do local this time, I’m wondering if the rules still apply? is it that serious since it’s general vs local and what are the risk for not waiting it out ?

Hi, I am a 36 year old female and for some time now I have noticed the right side of my face appears to be ‘lazy’ and wondering what could be causing this or if it is just part of the aging process? The left side of my face is still quite youthful and tight even though I have always slept on my left side. It is particularly noticeable when I smile and you will see in the photos my right eyelid is lazy and my right lip and cheek droop down which causes a puckering of the skin around my mouth on that side. Wondering what surgical options could help with this? Or should I wait until my 40’s and have it corrected once I am ready for a full facelift? Thank you

48yo female 159cm and 65kg, postmenopausal due to oopherectomy age 38 and Aromatase inhibitor treatment (aggressive breast carcinoma). Ive noticed skin laxity and volume loss in my face post menopause , wprsening with recent 20kg weight loss. I feel that my face looks drawn and tired, and my neck looks ‘older’ than 48. I do clench my teeth. Have tried masseter botox (helped the clenching but made jowls more noticeable), skin needling, lasers. Always use sunscreen and good skincare. Drink water and get adequate sleep - but feel I look drawn and tired. Am i a candidate for lower face and neck lift? How long do results typically last if weight remains stable? It is significantly impacting my self esteem. Thank you

Hello. I have been covered under our medical services plan to have an upper blepheroplasty to improve my visual field due to excess skin, but I am also concerned about aesthetics, and the apperance of "hollowing". I don't feel like I have excess fat or fullness in my upper lids as it is, so I am wondering whether you feel just having the excess skin removed, and a bit of fat from my left inner nasal area is sufficient (as indicated by the Dr would be "okay"), that it won't then look like a "sausage" on my upper lid (just beneath my brows) afterwards, will it? I saw the opthamologist today, and she said that's what she'll do if I'm concerned with hollowing, but she mentioned a potential sausage look afterwards. I don't think I have that much fat in order for it to look like a sausage afterwards, do I? She said that most people opt to have some fat and muscle removed so as not to have the fullness, but I honestly can almost only feel just skin and bone right underneath my eyebrow (not fat), so I would otherwise be concerned that too much fat &/or muscle would be taken out, and I would look skeletal. I am not concerned with the look of my upper eyelids, other than the excess skin. Is doing less (just skin removal) better in my case? I am due to have surgery next Tuesday, June 16th. Pictures were taken today, June 8th, and I am 52 years old. One of both eyes are with my eyebrows raised & the other is without them raised. Your opinions are greatly appreciated!

61 y-o male. Had upper and lower bleph nearly two years ago to correct fairly severe eye bags. Since the surgery, the area under my eyes has progressively hollowed, particularly on the right where there is a slight divot. Before I contact the surgeon, I would like to get a professional assessment of the work done. It seems to me that he overcorrected. Wondering if I'm being realistic about expectations and what remedies might be available. Thanks in advance.

Hello, I have had a blephoraplasty done to get a double eyelids , it's been 2 years and I no longer like the result, will it be possible to go back to original monoids I had. When I try to pull from the side, I get my original eye looks.

I am 34 and I’ve always had some kind of undereye bag / circles and malar bag/festoon situation but with age and time it continues to weigh on me literally and figuratively, lol. I have tried fillers, lasers, morpheus 8 and pdgrf and nothing seems to work. I started shopping around for surgeons and options and so far had one surgeon surprisingly tell me i am not actually a candidate for undereye bleph, but instead recommended fat transfer and co2. I have been anticipating needing all 3!? I would also consider maybe even a pinch or lower face lift too while Im at it…lol. There are so many options idk where to start. My biggest concern is this festoon on my right eye. Its sooo bad. I know filler will make it worse so I havent had tear trough filler since 2020 when I had rhinoplasty! Now i just have some cheek filler hanging out trying to camoflauge it. Nonethless, its always been there, just gets worse with age.

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.