Doctor Q&A

Honest opinion on breast implants currently 25 years old and really wanting to do this surgery the only thing I keep debating if it’s worth it doing it now or waiting to have all my kids i currently don’t have kids but want at least 3 in the future. Goals in having kids 1-2 years. Pros and cons please

Hello! Eight years ago, I underwent breast augmentation with 290cc anatomical implants placed under the muscle. I haven’t had any major issues with them; once, one of them caused me pain for several months following a rotator cuff injury and a strained pectoral muscle, but it healed well. Recently, I experienced a severe, two-week-long cough—intense enough to cause choking and vomiting—which led to strong chest pain (particularly near the sternum) and swelling in the breast and sternal area. No lung or bronchial issues were diagnosed; the pain and swelling were attributed to muscle strain from the intense coughing and a possible case of costochondritis (inflammation of the rib cartilage). I was prescribed an antibiotic and anti-inflammatory medication. The cough has subsided, and the chest pain is gradually fading, but I still have pain in one of my breasts. That breast also appears slightly red near the sternum, is tender to the touch, and feels somewhat tighter than usual. An ultrasound scan showed no abnormalities, lumps, or fluid accumulation. While the pain is decreasing, I am very concerned about the redness and tightness, and I am currently unable to reach my surgeon. Could you please offer some advice? Should I wait for further improvement, or is this situation urgent enough to require immediate consultation with another surgeon or an MRI scan? Thank you very much in advance for your help!

My breast have always been about a half cup size different and felt further apart than normal. I have some breast tissue in my armpit on my smaller side so I just assumed that was why. My plan was always to have a child, breastfeed, and get a lift/implants. Over the past year I’ve gotten leaner than I’ve ever been and noticed an indent/curve in my sternum and ribs attachments. Pectus excavatum has been confirmed. Less worried about that, more worried about how itll impact implants. Ive heard the implant can settle into the concave side or become lopsided ie cross eyed nipples. Are there any remedies that can prevent this? Would a mesh bra help?

I had a tummy tuck over 3 years ago now. My belly button is basically non existent. I’m Not sure if it’s just keloid. I went to the original surgeon and he is no longer at that office. So I had another surgeon recomment to remove the belly button. I want to know if thats the first solution to this. The belly button leaks clear liquid and it smells horrible. I have no other symptoms.

40 years old, 125 lbs, 5' 5"

I had surgery two or three years ago; that bump was present from the moment I took the bandages off my nose, and ever since then, I’ve constantly felt that it’s there, along with a sensation of tightness.

Hello! I'm sorry if this is repetitive. I am 20F (5'2, 105 lbs) in New Jersey. I am open to traveling outside of New Jersey (as long as it's less than two or three hours away by car). I have a deviated septum on both sides of my nose, and I've never been too fond of my nose, however the chin and jaw area (overall face shape/short face) was what I always wanted to be different the most. Also, I thought maybe it looks like I have pre-jowl sulcus, and that area I had been wanting to change as well. My goal is to correct my deviated septum, change my nose cosmetically (except for the bridge) so that it looks slightly smaller and narrower (making the tip smaller and the nostrils narrower), and to have a slightly longer, more proportionate face. I would also like for the pre-jowl sulcus around my chin to become a straight line instead of what it is currently, though I'm not sure how that can be done. I am thinking about getting a septoplasty, open tip-plasty, and either a chin implant (one that would add vertical height as well as projection, which I hope would also correct the pre-jowl sulcus if possible) or vertical sliding genioplasty. I am sorry if this does not seem fitting. - Would you say I should get the chin and nose done together? If so, do you think the chin implant would suffice? - Do you think I should get them done separately? If so, which would you recommend getting done first? I am sorry if this seems repetitive. Thank you very much.

Feel like i've got Inverted V Deformity? Im 7 month post op with thick skin, any chance this is just apart of healing or bad nose job?

Recently lost 70+ lbs 5ft 157lbs now and I’m wanting to get a bbl but unsure if I should get a tummy tuck or bbl first? Some surgeons advised I do tummy tuck first then lipo with bbl but wouldnt that make me have loose skin on my stomach?

Thinking of getting Lipo 360 and BBL done at same time as my implant revision (larger implants under the muscle). Is the recovery possible? Also have a 3.5hr flight planned four weeks later, would I be miserable? Worried it’s too many procedures at once..

What does "fellow" mean on a American boards of cosmetic surgery diploma? Does it mean they are board certified? Less certified? More certified? I'm freaking out my mommy makeover is coming so fast I should know these things right?

i am coming up to 60 and would like a breast reduction , I’m 5 foot and currently a 36g/h . I have decided with navigating back pain , groives and neck ache and the weight of my breasts I need to have this done Not to mention my low self esteem . I currently have a 7cm hiatus hernia . I am been monitored by the hospital and take medication to manage it . I sometimes regurgitate albeit not often . My concern is would this stop me having a breast reduction . I would appreciate a medical opinion so I know if I can go forward with this .

I have my first appointment with my plastic surgeon in about two months. My insurance policy requires clinical documentation of symptoms (which I do have from my PCP and the first PA I saw in plastic surgery for my intake appointment) if tissue removal falls between 5% and 22% (282g-441g per my BSA). I’m a 32G (ABraThatFits measurements and it does fit good) and want to be a small C. May this be a plausible goal to achieve based on my photos for insurance qualification? I understand you can’t physically feel the weight through a picture but I’m trying to get an idea before my appointment. I have attached 4 different angles.

I am struggling to explain what I am wanting during my consultations. I am currently a DD and would prefer to be a C cup. However, I would also like fullness in the upper breast and don’t want to have to rely on a bra for cleavage. So, I want to be approximately a C—but I don’t want the deflated upper-pole appearance I see in many reductions. I want noticeable upper-pole fullness and projection, while still having a natural breast position and contour. I don’t want them sitting excessively high or looking large or obviously implanted. Is this even a possibility? Many consults have told me that a lift with implants defeats the purpose and I 100% understand that too. I am 49 yo, healthy female. Please help!

I’m going to be honest, I did not expect being told I would need a FNG based on results I’ve seen online. They’ve always been more long than round, I‘m a 34E. I also obviously don’t want to risk nipple necrosis, but I also do not want to lose sensation in my nipples with a FNG. I also mentioned that I’m losing weight and I’m aware that I might just end up needing a lift. However, the surgeon mentioned that with the volume loss after losing weight I’m basically guaranteed to need a FNG. He mentioned that he could try doing a reduction without a FNG right now and when I end up losing weight, we could try doing a non FNG lift again depending on how much the ptosis is then. He did mention a higher risk of losing a nipple though. I was going to go for a couple of more consultations, but if these are my only options, I don’t think I even want to move forward with it. Is a FNG truly my only option?

I am recovering from a fractured jaw 3 months ago and want to get Botox in my forehead and marionette lines and lip fillers. Is this safe at this stage of fracture healing ?

Botox post-pregnancy is safe if breast feeding?

I got jelly roll Botox in January and I am not liking it. It has made my under very eyes hollow. I know the Botox can take anywhere from 3-6 months to wear off, but will my under eyes ever look the same? The skin that was my jelly roll is loose and wrinkles every time I smile. Will that skin tighten back up? Is there anything I can do in the meantime to help while the Botox wears off and help the muscles tighten back up? The first photo was before Botox and the last two after a month after.

I am 50 and am deliberating whether or not a facelift is worth the downtime and risk. I do not have a double chin or badly sagging neck. My main concern is lower cheek laxity. Thanks.

I have gone to a few different surgeons for consults and my most recent one (the one I’m booking with) is suggesting the largest of them all. I tried on a 300cc sizer (he said that’s approx what a 345cc mod profile would look like on me placed under the muscle and it felt so large and like they stuck out too much. With my BW of 12.5 he said my next option below that drops to low plus profile of 285 (which would look more like a 225 placed under the muscle). I’m leaning towards this as I really don’t want breastthat project outward a lot and look like two round balls I am wanting a nice slope and also want them to look nice in a hoodie/baggy clothes. I am fairly petite and when I tried a hoodie on with a larger implant I felt huge as they made like a “tent” Anyways.. will I be disappointed with 285cc low-plus profile like he says I will? Or is he just used to patients who want larger breasts?? I really wish I could do like a 300 moderate profile implant but he said they don’t have any that fit my BW I currentlt have barely any tissue (after breastfeeding 3 children) but I was so happy with my breastfeeding breast and kind of want that look but slightly larger. (I’m attach my breastfeeding breast photo)

I’m 40 years old, 5’8”, 145 lbs, with a BWD of 12 cm. I’m currently a 34B and have some mild ptosis (sagging) after breastfeeding, but not enough to justify a breast lift. I’m planning to get Motiva implants and am trying to decide between Motiva Round and Ergonomix in either Demi or Full. My goal is to achieve a natural-looking, full C cup with more upper pole fullness, but I don’t want excessive forward projection or a fake, overly augmented look. I’m leaning toward Ergonomix because I like the softer, more natural appearance, but I’m concerned that it might not provide enough upper pole fullness or could accentuate my slight sagging. I’ve been recommended implants in the 340–400 cc range.

I am seriously considering a breast augmentation, but what if I don't like the way the implants look after surgery?  Can the breast implants be taken out, and would my breasts look the same as they used to? I am just getting scared because with plastic surgery, it seems like there is no going back if you don't like the outcome. 

I’m concerned that my upper abdominal area looks uneven and does not match the smoother contour of my lower abdomen. I had expected the overall result to look more continuous and balanced as opposed to what appears to be a pinachable roll of fat that hangs and sags a bit especially when wearing high waisted pants. I’m trying to understand the best path forward, as I feel self-conscious wearing bikinis or athletic clothing that exposes my upper abdomen. I’m 5'4" and 117 lbs and previously underwent a mastopexy with lower abdominal and flank liposuction. I had been under the impression that my entire abdomen would be treated from top to bottom, but I was later told that the upper abdominal area I’m concerned about was not treated. I would really appreciate input from board-certified plastic surgeons on the following: Does the area above my belly button look like something that could benefit from revision liposuction? If so, is there a risk that it could make the contour more irregular? What is the likelihood the skin would retract as well as my lower abdomen result did? What revision options are typically considered for this type of concern? Is there another procedure that would better suit my concern? I understand that photos and an online post cannot replace an in-person evaluation. I’m mainly hoping to better understand what my options may be and what questions I should ask during a consultation. Thank you for any professional insight.

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.