Doctor Q&A

What would you recommend for me? Hi everyone, I’d really appreciate your opinions on implant type, profile, and size, as I’m trying to make a final decision. I’m 31 years old, 166 cm (5’5”), and 52 kg (115 lbs). My current bra size is around 70–75A, which is approximately 30–32A in US sizing. I’ve breastfed two children, and I don’t have noticeable sagging — only very minimal laxity, mainly a lack of upper pole fullness, with little natural breast tissue. My surgeon did not recommend a round implant if my goal is a natural result. Personally, I’m also quite concerned that with my thin, bony chest, a round implant could show its upper edge or outline, which would really bother me aesthetically. Because of this, I’ve been leaning toward Motiva Ergonomix, aiming for a natural but still feminine look. Within Ergonomix, my surgeon suggested the Demi profile, and I’m currently deciding between 265 cc and 285 cc. My goal is a small C cup, nothing oversized or overly augmented. I’d love to hear your thoughts, especially from those with a similar body type or experience with Motiva Ergonomix. Thank you so much

I’ve been told that I’m right and on the borderline of mini vs full tummy tuck candidacy, and hoping to collect more opinions. My priorities are to improve my contour, revise an old scar, and repair muscle while avoiding risks: contour irregularities or divots, fake overstretched look, high horizontal scar, and anything unnatural looking. I am accepting of scars (luckily have great healing history) and can accept bb relocation result risk if it necessary to achieve my goals. My laxity is not significant to the point of overhanging, but the skin stacking on itself results in a cellulite like contour even at low BMI. When I bend it results in small rolls, but in a plank it hangs off, minimally above the bb and more so below. If I physically pull down my lower abdomen with my hands, that amount of stretch is sufficient to get the level of smoothness I want. I have been offered a mini with float that I’m told will get me the right balance of outcomes, but I’m worried I will end up with too low a bb that would look unnatural, or, would not be able to smooth out the contour. I’m also worried that the included lipo may result in additional laxity. So I’m curious if the laxity I have is sufficient for a full TT and what other professionals would propose given my goals and anatomy.

Hi, I received my tummy tuck last August. I am happy with the tummy tuck itself however my scar is awful. It was hypertrophic so my PS had given me two rounds of steroid injections within the last few months. Unfortunately I have noticed various burst blood vessels and I now have what appears to be a dent in the right side where the steroid injections were also used. Can anybody advise me on what to do about this?

Dear Doctor, Two years ago, I had hyaluronic acid injections (Genefill & Beadmax) in my hip dips to add volume, but the results lasted only one month. Today, I want to undergo a Brazilian Butt Lift (BBL). My surgeon asked me to get an MRI, and two years later, there is still some product present. MRI findings: - No thickening of the skin tissues in the area. - No evidence of bone abnormalities. - Integrity of the hip joints. - No peritrochanteric bursitis. - No pelvic mass syndrome. - Subcutaneous edema in the right and left trochanteric regions without signs of inflammation at this time. I am determined to proceed with my BBL. The radiologist advised against hyaluronidase injections and recommended letting the product resorb naturally. In your opinion, can I proceed with my BBL? If I need hyaluronidase to move forward with the BBL, how long after the injection should I wait? Will the product fully resorb? Thank you so much for your help.

Hi, I'm wondering if it would still look good if I only had Lipo 360 or would you recommend me to include a BBL ? and also do i need additional Lipo 360 if I choose to get BBL ?

I had a fleur de lis tummy tuck breast augmentation brachioplasty and thigh lift done. Am I a good candidate for a BBL

Hi, I am a 25 yr old F, and curious to see if there is anyway to shrinken the length of the bridge of my nose-so it’s not so upturned? My mom has a rounder wide nose and my father has the long straight bridge, so it seems like an uncommon case to work with as im having a hard time searching for rhinoplasty results in someone as the same nose as me or relatively close..…. SOS at what the approach would be or how to correct this. Thank you!

Can the walls of the nostril be thickened? I don’t mean an alarplasty, I mean actually taking the walls of nostril from thin to thick.

I am interested in getting my nose done. I dislike how wide the tip of my nose is and I would like it to be a little more narrow. I was looking into a tip-plasty, but II’ve seen mixed reviews on the procedure. Do you think it is a good option to achieve a more delicate and slimmer nose or would I need a full rhinoplasty instead?

I am looking to get a breast augmentation, and have had two consultations. 1 surgeon said I can not go higher than a 275 full profile Motiva, the other said a 320 demi profile would be the max. My breast width diameter is 10.5, and per the motiva chart that would be 230 in the demi profile, and 275 in the full. I definitely want demi profile ergonomix, but a 230cc will not give me the results I am looking for. Is going to 320 demi profile safe even though the BWD for that size should be 11.75cm?

I had a breast reduction over a year ago through insurance and about 400 grams was removed from each breast. I terribly miss the size and regret the reduction. If i get 425 cc implants will they be the same size as before? do grams of fat and cc of implants correlate in that way?

I recently had a consultation where I was recommended a minimum of Motiva Ergonomix Demi 260 cc. However, I’m worried that this might look too large on my frame. My goal is very small, natural-looking breasts with minimal projection. I don’t want a pushed-forward or round look. I mainly want to look proportional and balanced with my body. I also don’t want the breasts to look widely separated, but I specifically want to avoid strong projection. My breast base width is approximately 11–11.5 cm. Based on this, would a smaller size in the 200–250 cc range be more appropriate for achieving a natural, low-projection B cup? And which Motiva Ergonomix profile and size would best suit these goals? I was thinking about 220cc or 235cc Mini. I am 55kg 166cm and I have athletic build. Also should I go under or over the muscle?

I’m 23 years old, 160 cm tall, and I weigh 57 kg. I’m looking for a noticeably fuller breast, but still very natural-looking. My goal is a larger yet soft, natural and very movable result, similar to the breasts of actress Christina Hendricks or Sydney Sweeney (we are about the same height). I like a full, feminine look that still appears natural on the body rather than overly firm or artificial. I would appreciate guidance on implant size, projection, and implant type that would best suit my frame and help achieve this kind of natural but significant result I don’t see many results with boobs similar to mine when I search about implants

Please understand the sentences that are not perfect because English is not my first language. My band size is 71cm and bust is 81cm. And my skin is sort of thin. I want to insert a 350cc implant underneath my muscles. Under these conditions, would mentor classic be much more likely to cringe than mentor xtra?

I’m in my late twenties, and I had liposuction to my abdomen and flanks about a year and a half ago. Since healing, I’ve noticed mild lumpiness and uneven texture, primarily in the upper/lower abdomen, and is much more noticeable in overhead lighting and when standing or bending. I’m concerned this may represent post-liposuction fibrosis or residual contour irregularities. I only had around three lymphatic drainage massages, and those were performed approximately one year after surgery, rather than during the early post-operative period. I’m now trying to understand what treatment options are realistic at this stage. My questions: 1. At 1.5 years post-op, does this presentation sound more consistent with fibrosis/scar tissue, residual uneven fat, or skin texture/laxity? 2. Would Emsculpt Neo be helpful for this type of lumpiness or fibrosis, or is it primarily beneficial for muscle building and mild fat reduction rather than texture irregularities? 3. Would carboxy therapy be effective for treating post-lipo fibrosis or uneven texture at this point? If so, how many sessions are typically recommended and what degree of improvement is realistic? 4. Are there more effective non-surgical options for post-liposuction contour irregularities? 5. Is massage still helpful this far out, and if so, what type (fibrosis-focused/deep tissue) and how frequently? 6. Are there clear signs that non-invasive treatments are unlikely to work?

Would an upper blepharoplasty address the “double rainbow” skin on my upper eyelids, or is filler actually the way to go? My eyes have been hollowing out the last 5-6 years exacerbating how much the extra skin stands out.

Hi. Im 32 year old I have problem with my face / lower face midface and eyebrow sagginess. I thinking about getting mini composite facelift with blepharoplasty . Or getting endoscopic eyebrow and midface lift-Im worrying is not worth so Im really straggeling which type of surgery would be best option for me . Please if you have any suggestion I would appreciate any Professional help to kajd choice. I dont want any temporary things like filler or fat graft. Thank you

37yo and wanting a refresher-—lost a fair amount of weight it seemed to cause a drop in my face. Im also noticing a fair amount of uneveness.

I'm in my early 60's and would like to get a facelift (and maybe lower bleph) to take care of the wrinkles, jowls, and neck cords. Please advise.

64 years old, hhave hashimotos and other autoimmune disease as well as sinus issues , prone to undereye edema and hyperpigmentation. just feel that the area under my eyes is so aging.had undereye blepharoplasty 11 years ago.

I would prefer not to get threading or fillers after seeing that viral scan showing a womans face with filler migrated everywhere. My family also has the smile lines so it’s partly genetic. The other factor is ive had a very high stress life for someone my age and im tired of looking like it.