Dr. Vasileios Vasilakis, MD, FACSDr. Vasileios Vasilakis, MD, FACSBoard Certified Plastic Surgeon5.0 | 394 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Hello,Thank you for the question. You can have a breast augmentation without a lift or areola reduction. If a lift is avoided but you are unhappy with the results, it can be performed at a later stage as early as a few months following the breast augmentation.I wish you the best. Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.+7 ANSWERS
Dr. Donovan Rosas, MDDr. Donovan Rosas, MDBoard Certified Plastic Surgeon4.8 | 29 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Without an exam, it is impossible to say for certain. While this is unlikely to be a reason for immediate concern, in-person evaluation is recommended.However, asymptomatic "sloshing" can have a number of sources:-Saline implants - The sound of a saline fill can be heard. Underfilled devices can create audible "sloshing." This would be noted from the beginning. However, often this can be a harbinger of a compromised/leaking implant as the escaping saline fill has more space to move within...+5 ANSWERS
Dr. Ted Eisenberg, DO, FACOS, FAACSDr. Ted Eisenberg, DO, FACOS, FAACSBoard Certified Plastic Surgeon5.0 | 198 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026An in office evaluation is needed to answer. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. 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...+8 ANSWERS
Dr. Ira H. Rex III, MDDr. Ira H. Rex III, MDBoard Certified Plastic Surgeon4.9 | 91 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Often, but not always, the cleavage is certainly determined by your own anatomy. Your observations seem very accurate and the best way to proceed at this point would probably be to see a plastic surgeon. Hopefully, you could see your original plastic surgeon. They would probably be able to sit down and discuss with you and your findings and what may be surgically done to better suit your expectations.+11 ANSWERS
Dr. Vasileios Vasilakis, MD, FACSDr. Vasileios Vasilakis, MD, FACSBoard Certified Plastic Surgeon5.0 | 394 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Hello,Thank you for the question. I believe that you can have a standard, full tummy tuck, despite the scar. I wish you the best. Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.+3 ANSWERS
Dr. Julian Liew, MDDr. Julian Liew, MDSpecialist Plastic Surgeon5.0 | 4 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026This is an excellent and very thoughtful question, and your surgeon is right to raise these issues early — but this does not mean you are a poor candidate.From your photos, your skin quality appears quite reasonable for your age, although there are visible stigmata of previous abdominal liposuction. That history does make tummy tuck surgery more technically challenging because internal scar tissue and altered blood supply can affect how smoothly the tissues settle. That said, this is...+69 ANSWERS
Dr. Gary M. Horndeski, MDDr. Gary M. Horndeski, MDBoard Certified Plastic Surgeon4.6 | 319 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026You would benefit from abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.Best Wishes,Gary Horndeski, M.D.+3 ANSWERS
Dr. Ira H. Rex III, MDDr. Ira H. Rex III, MDBoard Certified Plastic Surgeon4.9 | 91 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Your muscle repair should be fully healed. You may have to rule out other possible issues like a hernia. I think it would be helpful and wise to return to your plastic surgeon to get their ideas on this and hopefully make you feel confident that everything is okay+4 ANSWERS
Dr. Vasileios Vasilakis, MD, FACSDr. Vasileios Vasilakis, MD, FACSBoard Certified Plastic Surgeon5.0 | 394 ReviewsCONSULTATIONPROFILEAnswered on Jan 2, 2026Hello,Thank you for the question. I wish you the best. In general, a "skinny" bbl would be a possibility, but a lot depends on your goals and skin laxity. Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.
Dr. Stanley Okoro, MDDr. Stanley Okoro, MDBoard Certified Plastic Surgeon4.7 | 252 ReviewsCONSULTATIONPROFILEAnswered on Dec 29, 2025Thank you for your pictures. For best and optimal results, you are a great candidate for Lipo360 with a tummy tuck with fat grafting to your buttocks/hips. It is possible that when performing lipo360, especially the full waistline, can accentuate your buttocks as well without having to have a BBL. If a tummy tuck if off the table for you, you may also benefit from Lipo360 with skin tightening with the understanding that a tummy tuck is still your best option. We would love to schedule a...+4 ANSWERS
Dr. Murat Diyarbakirlioglu, MD, FEBOPRASDr. Murat Diyarbakirlioglu, MD, FEBOPRASPlastic Surgeon4.9 | 296 ReviewsCONSULTATIONPROFILEAnswered on Dec 29, 2025Thank you for sharing your concerns. Buttock asymmetry and sagging are prevalent and are usually caused by uneven fat distribution, skin laxity, and natural body anatomy.Exercise can improve muscle tone, but it cannot fully correct sagging skin or significant asymmetry. Weight loss may help in some cases; however, if there is already looseness, it can sometimes make sagging more noticeable.In these situations, a customized surgical approach gives the best results. Depending on your...+2 ANSWERS
Dr. Emmanuel Mallol Cotes, MDDr. Emmanuel Mallol Cotes, MDPlastic Surgeon4.7 | 1281 ReviewsCONSULTATIONPROFILEAnswered on Dec 22, 2025Thanks so much for your question, Yes, in general, it is better to do a brow lift before a hair transplant or hairline-lowering procedure. A brow lift changes the position of the brows and the forehead skin, and in some techniques it can subtly affect the hairline position or tension. If you did the hair transplant first and then lifted the brow later, you could end up distorting the transplanted grafts or shifting the hairline in an unpredictable way. Doing the brow lift (and...+3 ANSWERS
Dr. Gary M. Horndeski, MDDr. Gary M. Horndeski, MDBoard Certified Plastic Surgeon4.6 | 319 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026At this time, you would benefit from a repeat rhinoplasty. Your tip is quite round and needs to be refined. The dorsum of the nose can be narrowed, if desired.Best Wishes,Gary Horndeski, M.D.+3 ANSWERS
Dr. Zoran Potparic, MDDr. Zoran Potparic, MDBoard Certified Plastic Surgeon4.6 | 146 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Columella strut graft is usually used for tip support to correct low positioned, droopy tip, as well as for some columella deformities. In the case that your surgeon is using graft from fresh frozen cadaver cartilage, this procedure can be done in local or MAC anesthesia. Harvest of the graft from septum would require MAC or general anesthesia. Good luck.+2 ANSWERS
Dr. Edward Buckingham, MDDr. Edward Buckingham, MDBoard Certified Facial Plastic Surgeon4.9 | 65 ReviewsCONSULTATIONPROFILEAnswered on Jan 4, 2026Thanks for your question. Reducing the size of the dorsal hump is a reasonable goal in your case. After reducing the hump, your surgeon may or may not reposition the nasal bones. This maneuver is often necessary to reestablish a normal appearing contour (termed "closing an open roof") but may narrow the dorum slightly. Regardless, hump removal without excessive narrowing can likely be accomplished in your case. I recommend seeing a qualified rhinoplasty surgeon in person to discuss this...+7 ANSWERS
Dr. Jeffrey H. Spiegel, MDDr. Jeffrey H. Spiegel, MDBoard Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery4.8 | 384 ReviewsCONSULTATIONPROFILEAnswered on Jan 4, 2026This is done when necessary to rotate the nose or change the columellar show, and a few other reasons. Do you like the way your nose looks? If so, don't worry about how it was done. If you do not like it, don't worry about why, just speak with your doctor.+1 ANSWER
Dr. Gary M. Horndeski, MDDr. Gary M. Horndeski, MDBoard Certified Plastic Surgeon4.6 | 319 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026I have performed breast lifts and tummy tucks on patients with Ehlers Danlos syndrome. I would not do both procedures at the same time. I would do the breast first and then the tummy tuck. The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to...+1 ANSWER
Dr. Ajaya Kashyap, MDDr. Ajaya Kashyap, MDPlastic Surgeon4.9 | 465 ReviewsCONSULTATIONPROFILEAnswered on Jan 4, 2026Thank you for your query. I usually do all of these procedures in two sessions. This leads to greater safety and comfortable recovery for my patients, and I am also able to do my best. Surgeons differ in their approaches, but I do not see any reason to combine too many procedures. Please discuss your concerns, with both your experienced and board certified Plastic surgeons and see which approach is preferable for you. All the best!+9 ANSWERS
Dr. David Mateo de Acosta Andino, MDDr. David Mateo de Acosta Andino, MDBoard Certified Plastic Surgeon5.0 | 12 ReviewsCONSULTATIONPROFILEAnswered on Dec 17, 2025A March surgery date can absolutely be realistic, but it depends on a few key factors. If you have your consultation in December or January, and there are no medical issues, March is typically achievable depending on the surgeon’s availability, financing approval, and completion of pre-operative requirements.As far as recovery and time off work, this varies by procedure and the physical demands of your job. For mommy makeovers that include a tummy tuck, I generally recommend 2 weeks off f...+23 ANSWERS
Dr. James N. Romanelli, MD, FACSDr. James N. Romanelli, MD, FACSBoard Certified Plastic Surgeon4.8 | 88 ReviewsCONSULTATIONPROFILEAnswered on Jan 3, 2026Dear ShakiishdGreat question, and easily managed.All of our breast patients (implant, lift reduction) who have piercings remove the piercing the day before and thoroughly clean the nipples with Hibilclens (unless allergic).On the day of surgery we sterilize the piercing and put the in place before the patient wakes up. This has been a fool proof method of keeping the piercings so that they don't close up.Best of Luck,Dr. Jim Romanelli+16 ANSWERS
Dr. Ted Eisenberg, DO, FACOS, FAACSDr. Ted Eisenberg, DO, FACOS, FAACSBoard Certified Plastic Surgeon5.0 | 198 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Implants for you should not affect your tattoo. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA+2 ANSWERS
Dr. John L. Burns Jr., MDDr. John L. Burns Jr., MDBoard Certified Plastic Surgeon4.7 | 207 ReviewsCONSULTATIONPROFILEAnswered on Jan 3, 2026You have Grade II breast ptosis and need a lift to allow alignment between the implant and breast. You'd also benefit from an areola reduction. Most surgeons would prefer general anesthesia for this procedure.+15 ANSWERS
Dr. Zoran Potparic, MDDr. Zoran Potparic, MDBoard Certified Plastic Surgeon4.6 | 146 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Based on this photo and without preoperative photos to compare, you seem to have very good result after lower blepharoplasty and fat grafting. Asymmetry is so minimal that can be easily corrected with skillful make up. Good luck.
Dr. Jeffrey M. Darrow, MDDr. Jeffrey M. Darrow, MDBoard Certified Plastic Surgeon4.9 | 171 ReviewsCONSULTATIONPROFILEAnswered on Jan 1, 2026Thank you for your photo. I believe you should first have your eyelids checked for ptosis to be sure there isn’t an underlying abnormality with your levator muscle. If your muscle insertion and excursion is normal, it appears that an upper blephroplasty would allow you to achieve more symmetry of your upper eyelid skin and eyelid crease. A plastic surgeon should be able to help you and direct you to the best options to correct this. Best wishes.+1 ANSWER
Dr. Zoran Potparic, MDDr. Zoran Potparic, MDBoard Certified Plastic Surgeon4.6 | 146 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Loss of fat tissue which you experienced does not have to be directly related to previous treatment but very likely it is a “natural component of aging”.Correction with fillers or better with fat grafting is a good option. Whether face/neck lift is needed as well can be decided only on the basis of in person or teleconference consultation. Good luck.+3 ANSWERS
Dr. Edward Buckingham, MDDr. Edward Buckingham, MDBoard Certified Facial Plastic Surgeon4.9 | 65 ReviewsCONSULTATIONPROFILEAnswered on Jan 4, 2026Thanks for your question. Many patients will stagger procedures while others prefer to get everything done at once. For example, some may pursue a facelift first and upper blepharoplasty later or vise versa. There is no right or wrong here, just your preference, However, the biggest plus to do everything at once is having only 1 recovery time.+6 ANSWERS