Doctor Q&A

The photos show relatively thin breast augmentation scars with some residual redness and brownish blotchy pigmentation near the ends. At 17 months, scars can still fade a little, especially up to about 18 to 24 months, but the biggest changes usually happen in the first year. After 2 years, further improvement is usually slower and more modest, so it may improve but may not disappear completely on its own.

In olive skin, this type of darker blotchiness is often post-inflammatory...

At 25 days after a tummy tuck, the photo shows an open, dark area around the belly button consistent with a wound-healing problem or necrosis, along with a healing lower incision. Compression is often used to reduce swelling or a seroma and help the tissues adhere, but it has to be balanced against blood supply. If a garment is too tight, folded, or rubbing directly on the open/necrotic area, it can irritate the wound or slow healing. If your surgeon cleared compression, wear it exactly as...

Yes. Based on your description and the photos provided, it appears that your primary concern is the amount of tip projection seen on profile view rather than the appearance of the nose from the front. This is a common request, and in many cases it can be addressed with a very conservative rhinoplasty.The goal would not be to create a dramatically different nose, but rather to subtly reduce tip projection while preserving your natural appearance and maintaining harmony with your facial...

Your photos show a slim frame with some possible donor fat in the abdomen, waist, and flanks, but likely not a large reserve. At a BMI of 20.1, a BBL may still be possible for a modest, natural change, but it may not create a dramatic hourglass result without enough harvestable fat.

I would not gain weight just to qualify unless you can comfortably maintain that weight long term. Fat grafting results follow weight changes: if you gain for surgery and then lose it, the transferred fat can...

First, please do not feel embarrassed — external hemorrhoids are extremely common, your surgical team has seen them countless times, and they are simply a medical detail to plan around, nothing more. The reassuring news is that they should not complicate the surgeries you are planning. A tummy tuck, implant removal, breast lift with fat grafting, and liposuction are all performed in completely different areas of the body from the anal region, so your hemorrhoids will not be in the...

I understand all your concerns. After losing weight, usually I recommend having a lower body lift (circular abdominoplasty), because with that procedure we can reposition in a better way the glutes, the anterior and lateral thighs and lower back. The aesthetic result we can achieve is much better than a standard tummy tuck. We can add liposuction in the back and flanks for a better contour, add fat to the butt and add a breast lift without reduction.
We can do all these procedures in the...

There are many techniques for a breast reduction. I personally have never done a full nipple graft because I think we can lift as much as needed with a specific technique for that.
I would absolutely consider doing a technique that doesn´t involve a full nipple graft.
Every case has to be studied appropriately and decide what technique is best for you.
Feel free to contact us for an evaluation.

Thank you.
Dr. Salvador Medina

Thank you for sharing this so openly. First, please know that what you're describing — physical pain, difficulty exercising, and constant self-consciousness with a 34DDD+ chest — is exactly the situation that breast reduction surgery is designed to treat, and 20 is absolutely an appropriate age to consider it. Once breast development is complete (usually by the late teens) and your size has been stable, there's no medical reason to keep waiting if the symptoms are affecting your...

Hi and thank you for your question. Speaking generally about the process of liposuction, it's used more so to remove adipose tissue. What makes liposuction of the breast difficult and oftentimes not recommended is that breast tissue tends to ne made up of largely fatty adipose tissue. Distinguishing between these 2 different layers is often difficult and can't be done properly using liposuction techniques.
The only time I use liposuction in regards to the breast is if I want to contour out...

Good morning! It’s very common to still have a small amount of milk production even after weaning, especially after breastfeeding for an extended period of time. In most cases, this does not interfere with breast reduction surgery, and I agree with your plastic surgeon’s guidance.
The biggest thing is avoiding frequent checking or expressing the milk, since stimulation can encourage continued production. Residual milk during surgery or early healing is usually manageable and typically res...

Thank you for this important question. Modern silicone implants are filled with a cohesive ("gummy bear") gel, so when the shell tears the gel tends to stay in place rather than spreading. This is why most silicone ruptures are "silent" — they often cause no symptoms at all, and many women have no idea anything has changed. When there are signs, they can include a change in breast shape or size, new firmness, lumps, a different feel to the breast, and sometimes discomfort. The...

Yes, breast implants can often help restore volume after a breast reduction, but the relationship between grams removed and implant volume is not a direct one-to-one conversion.
In your case, having approximately 400 grams removed from each breast does not necessarily mean that a 400–425 cc implant will return you to your exact pre-reduction size. Breast tissue is a combination of glandular tissue, fat, and skin, while implants add volume in a different way and create a different shape. F...

The degree of breast sagging is significant enough that a breast lift should be strongly considered.

While it is possible to undergo breast augmentation with implants alone, it is unlikely to provide a substantial lifting effect. It may improve the loss of upper breast fullness to some extent, but using larger implants could result in an unnatural appearance, known as a waterfall deformity.

For this reason, I would recommend undergoing a breast lift (mastopexy) in addition to augmentation.

Hello. For a better projection, upper pole fullness and better cleavage go for round implants. For subtle and tear drop shape choose anatomical. However, there is chance of implant rotation in anatomical implant. Also consider pros and cons before choosing the implants. For any further queries you can reach out to us.
Thank you.

Regards,
Dr. Sameer Karkhanis,
Centre for Cosmetic Surgery, Mumbai, India
+919833571333

From the photos, the area you circled looks more like a perioral/nasolabial fold and soft-tissue support issue than a simple fat pad. This area is usually not a good place for liposuction. Removing fat too aggressively around the upper lip can create irregularity, hollowness, worse shadowing, or more drooping. The line can come from several factors, including cheek support, skin quality, dental/lip support, muscle pull around the mouth, and natural fold anatomy.

The best option depends on...

From the photos, this looks more like mild midface hollowing and shadowing around the cheek/tear-trough area than true facial sagging. At 28, a facelift is usually not the first choice unless there is clear skin laxity, jowling, or descent of the deeper tissues on exam.

A conservative approach may be better: careful assessment of facial volume, skin quality, bite/dental support, and weight stability. Small-volume filler or fat grafting can sometimes soften the cheek hollowing, but...

Based on the photo, this appears to be a small residual dog ear or standing cone at the lateral aspect of the upper blepharoplasty incision. Fortunately, this is typically one of the more straightforward revision procedures in eyelid surgery.At two years postoperatively, the scar is fully mature, so further spontaneous improvement is unlikely. If the prominence continues to bother you, a minor revision can often flatten the area and improve the contour. In most cases, this involves excising...