Doctor Q&A

Hello,
Thank you for the question. There are no restrictions in terms of position. It all depends on your goals.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Thank you for your question.
The photo provided is not sufficient for an accurate evaluation, but based on your concerns, you may be a suitable candidate for a breast lift with implants to improve contour and address the tissue under your breasts.
A detailed evaluation would help determine the most appropriate approach for your goals.
I hope this helps.

Choosing the right size and profile breast implants for you. 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 tell me that this process is very...

From your description and photos after donut lift with 255 cc high-profile implants, this appearance is more consistent with a waterfall deformity (sometimes called snoopy deformity). In this situation, the implant remains relatively high while your natural breast tissue settles downward over time, creating lower pole fullness with downward-pointing nipples and a mismatch between implant and breast tissue position. This is a known limitation of donut (periareolar) lifts, which often do not...

Thanks phoebegetsfit for your question! It is completely normal to feel a bit impatient at the three-week mark! While we often expect things to "flake off" quickly, surgical glue (like Dermabond) is surprisingly resilient.
On average, surgical glue typically falls off between two to three weeks post-op, but it is not uncommon for it to hang on for four weeks or longer, especially if the area isn't subject to much friction from clothing.
The glue is bonded to the top layer of your skin. It...

I would be delighted to answer your question. However without photos and medical records (operative summary), it would be little more than a guess. All the best.

Hello Optimistic8965, thank you for your question regarding can a tummy tuck can improve my back appearance. Thank you for your history and your pictures. A tummy tuck, or abdominoplasty, removes excess skin and fat from the abdomen, lifts and reduces the pubic region, plicates the six-pack muscles, and reorients the belly button. The tummy tuck does not affect the hips; it does not affect the buttocks. The tummy tuck definitely leaves the back rolls you depict in your pictures unchanged....

Here is precisely what I tell my rhinoplasty patients.

During the week when you are wearing your splint:
No formal exercise. No jogging, elliptical machine, weights. We don't want you to sweat off the splint, and we don't want you to increase the blood pressure to your face to start a nose bleed. That means no yoga, because head-down positions or positions where you must work hard to hold aren't good for your nose. But you can do *anything* else. You can go on a mile-long *stroll*, as long...

Hello,Thank you for your questionYes, it is medically feasible and fairly common for experienced facial plastic surgeons to perform a rhinoplasty, lip lift, and lower eyelid blepharoplasty with fat repositioning in a single surgical session. Combining these procedures under one anesthesia can be safe and efficient when performed by a qualified surgeon, minimizing overall recovery time and reducing anesthesia-related risks. However, careful patient selection is crucial—your overall...

First, discussion of noses should be based on what you do not like and then by examination of the anatomy. Ethnicity is simply a general description. Based your description, you want a smaller nose. However, with the single view it really is not possible to provide a clear answer. Need profile view, 45 deg and also from below.

The thing is, with rhinoplasty, it is hard to just simply shave the columella down some because the tip is a three pronged structure, and changing one area usually involves changing other areas. Having said that, with a well performed rhinoplasty, you should be able to give the appearance of primarily lifting the columella while not changing the rest of the tip much - but it needs to maintain support. So go on a couple more consults with rhinoplasty experts that can do computer imaging at...

In our practice, our happiest patient so those people who have severe dissatisfaction with the appearance of their noses, along with a long duration of dissatisfaction with their noses. If your nose is not bothering you, it may be best to leave well enough alone. I hope this helps! Sincerely, Dr Joseph

Thank you for your question.
As a thinner person, you may have some limitations in the amount of fat available for transfer in a BBL, but it is often still possible to achieve beautiful, natural-looking results with careful planning and technique.
A detailed evaluation would help determine the best approach tailored to your body and goals.
I hope this helps.

Thank you for your question.
Based on your concerns, you would likely be a suitable candidate for Lipo 360 combined with a BBL, which can contour the waist and add volume to the hips to create more definition and a balanced shape. Results will depend on available fat and your natural anatomy, but improvement is typically achievable.
A detailed evaluation can confirm the best approach for your goals.
I hope this helps.

Hello,
Thank you for the question. You should consider a posterior body lift to tighten the skin in the lower back, buttocks and hips.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Unfortunately there are no photos to help better assess your anatomy and situation. Fat grafting to the buttocks area by an experienced surgeon leading to complications should be very low esp. when it comes to fat embolism. (once the fat transfer is complete the risk for fat emboli is extremely low post op). DVT and pulmonary embolism are slightly more common but still also very low as if all safety protocols are properly taken before, during and after surgery. If you graft only your hips -...

Hello, thank you for your question and photos. It’s definitely possible to have a second breast reduction, and some people do pursue one but whether you personally are a good candidate depends on a few important medical and surgical factors. Given your history, this is something that needs careful evaluation by a board-certified plastic surgeon. You could be a candidate, especially with ongoing discomfort, but a second reduction carries higher risks than the first, so it requires a very i...

Dear Plucky

Great questions. From 38G you can go down to a C cup, and yes, you should be able to see the underside of your breasts after surgery. Whether you need a free nipple graft (FNG) depends on how much tissue is removed and your specific anatomy, especially the distance from sternal notch to your nipples.....most reductions to C don't require FNG, but your surgeon will assess this. Breastfeeding after reduction is possible but not guaranteed, and not at all possible with FNG. Armpit...

Thank you for your question. A free nipple graft may be recommended if your nipples need to be moved a long distance and your surgeon is concerned that a standard pedicle reduction would put the blood supply to the nipple at risk. Many surgeons can still achieve large reductions without a free nipple graft depending on your anatomy, skin quality, and nipple-to-fold distance, so this is a decision based on measurements, not cup size alone. Have an in-person examination with a board-certified...

Hello, thank you for your question. Yes, a breast lift and reduction can be performed. A 34C cup would be suitable for you. After this procedure, the sagging appearance will be gone, and the wrinkled appearance will be reduced.

Hello,
Thank you for the question. It appears that your surgeon would have to examine you, then most likely surgically revise the pocket.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Choosing the right size and profile breast implants for you. 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 tell me that this process is very...

Hi! thanks for your question! Of course preoperatively you can do sizing and figure out exactly how many cc's you want! Best of luck

Thank you for your question.
Based on your concerns, you are not too old for breast implants, and you would likely be a suitable candidate as long as you are in good overall health. Age alone is not a limiting factor, and this procedure can help restore confidence and improve body shape.
A detailed evaluation can confirm the best approach for your goals.
I hope this helps.

Thank you for your question.
Based on your concerns, you may be a suitable candidate for a neck lift to address the loose skin under your chin following liposuction.
A detailed evaluation can confirm the most appropriate and cost-effective approach for your goals.
I hope this helps.

We have used fat grafts as a very versatile way to augment result of breast augmentation with implants successfully for many years. In average around 50% of fat grafts will survive; 150 ml transfer per breast seems to be a reasonable option. It is impossible to give you opinion about donor site outcome without in person evaluation. I hope this helps. Good luck.

Thank you for your question.
The line under your eye is likely due to the tear trough area, and fat transfer may be a good option to create a smoother, more natural appearance. For your cheeks, a bichectomy could help reduce fullness and improve overall facial contour.
A thorough evaluation would help confirm the best approach to achieve balanced, natural results.
I hope this helps.

It is very difficult to assess your result without series of before surgery photos. Your problem seems to be very subtle and only in person evaluation can help to establish right diagnosis. Sometimes the scar in lateral canthal area can heal longer and contribute to asymmetry. In person consultation with a board certified plastic or oculoplastic surgeon with good reputation in eyelid surgery is recommended. Good luck.

Based on your description, an upper eyelid blepharoplasty alone would likely be sufficient to address the excess skin resting on your eyelashes and help open up your eyes. This procedure removes the redundant skin from the upper eyelid, which typically results in a more refreshed and less tired appearance.
Since you mentioned that a lower brow position does not personally bother you, and your main concern is the skin covering your eyelashes, an isolated upper eyelid surgery can often achieve...

WIth a history of upper blepharoplasty and Latisse use, the reconstruction you need may or may not be possible. It is not a simple matter of injecting fat grafts into the upper eyelid which was a response someone provided to you. You have Post Upper Blepharoplasty Syndrome: hollow upper eyelid, high upper eyelid crease, upper eyelid ptosis, and a compensatory eyebrow elevation. The most important factor in reconstruction eyelid in this situation is how much anterior fat do you retain? That...

Thank you for your question.
Overfilled or migrated lip filler may disrupt facial balance and can make smile lines appear more prominent over time. In such cases, dissolving the filler may help achieve a more natural look and improve overall harmony.
I hope this helps.

These are, unfortunately very limited photos for good evaluation. However, it appears that you may be a good candidate for lower face/neck lift and revision rhinoplasty. In person consultation with a board certified plastic surgeon with good reputation in these procedures is recommended. Good luck.

Thank you for your question.
Based on your concerns, you would likely be a suitable candidate for a facelift combined with a temporal lift, which can address sagging in the lower face while elevating the upper face for a more refreshed and balanced appearance.
A detailed evaluation can confirm the best approach for your goals.
I hope this helps.

Threads do not last and fillers add weight and will not solve your problem. You are too young for a facelift. One thing to consider would be 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 will help with the nasolabial folds and marionette deformities but will not change the malar contour. This takes 1 hour to perform...