Doctor Q&A

Thank you for your photographs. A breast augmentation will give you a larger version of the breast that you start with. It does not lift the breast or make it look more perky. From your photographs, you have some stretch marks on your breast meaning that your skin does not have as good elasticity as it used to have. A 350 cc to 400 cc implant, will add additional weight to your breast tissue and cause it to stretch and settle more. Choosing a moderate profile versus a high profile implant...

Thank you for your photos. Your photos demonstrate some stretch marks in your skin, indicating loss of elasticity,as well as some rounding of your upper abdomen and redundant skin below your belly button. Liposuction alone would thin your tissues, but your skin would still be loose/redundant and your upper abdominal fullness would still be present. If you commit to a procedure to rejuvenate your abdomen, it makes the most sense to do what would give you the absolute best result at one time....

Great question—most of your result happens in the first 6–8 weeks. You control a lot of it with prep, surgeon choice, and how you protect the grafts while they “re-plug in.”
Before surgery (sets the stage) • Stable weight for ~3–6 months; avoid crash diets after surgery. • Absolutely no nicotine/vaping 4 weeks before and at least 6 weeks after—nicotine chokes the tiny vessels your fat needs to survive. • Control diabetes/thyroid/iron issues; high-protein diet (about 1.2–1.6 g/kg/...

Your epicanthal fold is leading to a concavity next to the inner part of your eye. I would not recommend surgery for this. Depending on your examination, several hundredths of a milliliter of microdroplet Silikon-1000, strategically placed into the concavity, maybe considered for a less distracting eyelid appearance. Thank you for sharing your question, and I hope this helps. Sincerely, Dr Joseph

Buglesalmoncat,
Choosing a surgeon who is board certified by the American Board of Plastic Surgery is a very important step to ensure the level of education, training, and experience of your surgeon. To become board certified by ABPS, a doctor must have completed a surgical residency or fellowship in plastic surgery, passed both a written and oral exam, adhere to ethical and safety guidelines, operate in accredited facilities, and participate in continuing medical education. The Board of...

Thanks for your question! Seeing that you are two years out, there isn't a lot you can do at this point unfortunately. I'm sorry! Best of luck!

Cup size isn't important. How you look in the mirror is. that's why you need to get sized in the office by the surgeon. That will inform the surgeon the correct implant for you.

Even with the stretch marks, you have age on your side. Your skin will contract. The stretch marks won’t go away but the goal is a flatter more sculpted version of you. The lipo approach to the front of your abdomen should be a bit conservative to respect the tissue. A more aggressive approach can be taken to the sides aka silhouette. Consult with experienced lipo plastic surgeons. Discuss you goals and concerns.

Morpheus8 and similar energy devices must be used with extreme caution. These devices, especially when used on the face, will melt the fat and cause damage to tissues and deep structures. A lower blepharoplasty will correct dark circles and under-eye puffiness.

There’s no problem with doing the lift and then doing fat transfer later. There are advantages to doing it that way. There is a new baseline appearance after you’ve healed from the facelift and therefore less variables. A specific endpoint is potentially more achievable. Less complications when procedures are performed at different times. The downside is that it’s two procedures. You may also desire more volume in your face when analyzing your facelift results. We can discuss all of this ...