Doctor Q&A

Hi doctors, I had primary breast augmentation with Mentor silicone implants placed under the muscle in March 2025. About 6 months later, I developed Baker Grade II capsular contracture, primarily in my right breast. It feels noticeably firmer than the left but is not significantly distorted or painful. My plastic surgeon currently recommends observation rather than revision surgery and does not believe there is sufficient evidence supporting peptides or therapeutic ultrasound. So far I have: 1. Completed 2 months of Singulair (montelukast) with no improvement in firmness or softness. 2. Had breast massage every other week for 3 months, also without improvement. Since my warranty would not cover revision surgery unless the contracture progresses to Baker Grade III/IV, I'd like to explore other non-surgical treatments. I would appreciate your opinions on: 1. BPC-157 (or other regenerative peptides): Have you seen any clinical evidence or personal experience suggesting these can improve Capsular Contracture? Are they more likely to help early inflammation than mature scar tissue? 2. Therapeutic ultrasound: Have you found ultrasound therapy effective for softening Grade II Capsular Contracture? 3. Are there any other non-surgical treatments with reasonable evidence that I should consider? Would you recommend continuing Singulair or massage despite no improvement so far? Thank you for your time and advice!

I don't know what to do. I am 37 and breastfed all 4 of my children for almost 9 years total. I am now 2 years out from that and my breasts are totally deflated. I am in great shape and workout 5+days a week. I feel like my nipple is in an okay place and I don't need a lift but my skin quality is not what it used to be. My boobs have grown and shrunk so many times. I love the idea of a subfascial placement but I also want the most runway from this procedure. Ideally I would like these to age well and I care more about that than how they look for the next 5 years. I am only interested in a smaller implant size, I'm thinking anywhere from 180-275ish. I am 5'10 and weigh about 128 pounds. Also with the subfascial I have very little tissue to hide the implant and it's not like my skin is getting any thicker. I don't love the idea of under the muscle because of how I workout but if there is an advantage to that long term I will do it. Just wondering what everyone thinks, a lot of younger surgeons are all about the sub facial but even with my skin quality? not sure. any suggestions advice would help.

Hi, I had a BA and BU TT and MR in December so just over 6 months ago. I’m having revision as one of my implants hasn’t dropped into place and is still high. I can feel it under my muscle. My surgeon wants to do skin tightening under each breast when he adjusts the pocket. I like the size of the breast that’s dropped into shape and I’m worried skin tightening will make them smaller. I’m wondering whether to increase the implant size also to 425 whilst I’m having revision to make up for the potential decrease. I originally had 355cc dual plane. Round motiva. Do you think skin tightening will decrease the size and make them look smaller?

Hi, I had 355cc motiva implants above the muscle in May 2025, I will attach a photo a few days post surgery. Am I bottoming out or are the implants laterally displaced? One implant sits a lot lower than the other, my nipples are not in line, and when I lie down they lie to the side near my armpit a lot. If I could get professional options please

5”5 120 pounds, around 28/29 underbust and 31 bust size. Hoping to look or be a double D or a full D as not to have too much of a dramatic change.

I’m a 21-year-old female, 5’4” (163 cm) and 50 kg. I lost approximately 25 kg and have maintained my weight. My biggest concern is three deep horizontal creases across my abdomen (upper, middle, and lower), not just the lower abdomen. I had these creases even before losing weight, although they were deeper when I was heavier. I expected them to disappear after weight loss, but they remain. Additional details: * The creases are visible when I’m standing but disappear completely when I lie flat. * They feel like the tissue beneath the skin is folded or tethered inward rather than just superficial skin wrinkles. * I’m not concerned about loose skin. My only goal is to correct these horizontal indentations. * My weight has been stable. My questions are: 1. What is the most likely cause of these three horizontal creases? Are they due to fibrous tissue tethering, fascial attachments, skin laxity, fat distribution, or something else? 2. Would liposuction help, have no effect, or potentially make the creases more noticeable? 3. Would a mini or full tummy tuck improve this type of contour deformity, or am I not a candidate? 4. If neither lipo nor a tummy tuck is appropriate, what procedure would you recommend to achieve the smoothest possible abdominal contour? I’ve attached standing and lying-down photos for comparison.

Hello surgeons! I know I want a TT of some kind as I have a lot of extra skin. I’m curious if my entire tattoo wld be removed Or just partially? Wld you recommend a full or mini? Also I know everyone heals different but how long is typically needed for recovery? I work a very physical job solo and wanting a good idea of time I will need to take off

I am a female turning 50 yo. I had my 1st rhinoplasty at 18 yo. I wanted my nose to become thinner and shorter. I was happy with my nose after the surgery when I didn't smile, but when I would smile-my nose would twist to the left...My surgeon told me that he would have to take a cartilage from my ear and put it inside my nose. I've remembered that another patient next to me was complaining of having a flat ear after that procedure, so I decided to try another surgeon. So, 12 months after the 1st rhinoplasty I had a revision. The surgeon didn't explain how he would stop my nose from twisting during me smiling, but reassured me I would be fine. I saw a cartilage in a jar in the nurse's hands just before my surgery, so I realised that it would be inserted inside my nose. The surgery was badly botched, the nose became horrible. I knew if I waited for 12 months, I could have another revision. I went to the 3rd surgeon. He hardly changed anything. I think he just lifted the skin, got horrified and put it back on, as I didn't see any change in the shape or form afterwards. However, the nose became blue and it was blue for years. I had laser done to make the skin on the nose become less blue and to remove red huge capillaries on the nose. I used to smoke at the time (nobody asked me if I did), which worsened the blood flow even more. Thick scars appeared where nostrils are supposed to be. Now, 30 years later, is it worth doing the 4th revision or my scars can become worse?

I am 48kg 5 ft 6 female. Just started the gym to try and improve glutes and hamstrings in hopes that it will improve my banana rolls. What surgically can be done? I’ve been told liposuction but I have researched and many surgeons suggest otherwise as it leads to more sagging. Also been told butt lift with the incision above the butt cheeks but the scar is unsightly in my opinion. Would a skinny bbl help correct this or perhaps a infragluteal incision lift?

I have had my surgery and are due to fly home Soon. I'm experiencing a fever on and off for the last few days. It seems to go with medication but comes back a day or two later? Any ideas?

I am not aging gracefully! Ha. I already have had multiple consults to get my breast implants exchanged/revised (silicone, bottomed out, rippling). I want motiva with either internal bra or just tightening the pocked (possibly sub-fascial instead of sub-pec?). Quotes are really high around here :( However, the loose abdominal skin is making me self-conscious. I even get wrinkle tan lines from being at the pool one time! I don't think I qualify for the mini since it's mostly upper skin but it seems drastic doing a full tummy tuck and I don't want the big incision and weird belly button. Advice? As I sit here with my red light wrap, apply retin-A, and doing stone gua sha. I do lift weights (heavy) 3 days/week and do moderate cardio. 5'4", 106lbs.

Hello! I am 1 year PO from UTM implant exchange with skin removal And mesh, no lift I was left with extra tissue on the sides and a flat look at the outer bottom How can this be fixed?

I recently lost around 100 lbs .I am looking to get a full tummy tuck, a mons pubis lift, liposuction, a breast lift, and fat transfer. Can this all be under the mommy makeover umbrella? And how much would it cost? Idk much about a mons pubis lift but I carry a lot of fat there and it's one of my biggest insecurities. I might need lipo there too. I have pcos so I want the fat transfer to feminize my hips and buttocks a bit more. Nothing crazy, just a little bit more filled out.

I’m a size 46 P. How much tissue can be removed? Smallest breast size after reduction?

47 yr old F 110 lbs now 7 yrs post revision chin implant and still hate it. Ever since surgery you can see there is a crease in my face on the right profile, and there Is a very prominent horizontal indentation across my chin. The skin on my chin look puckered i think from nerve damage. I can’t believe I went in for rhinoplasty and the surgeon convinced me to redo the old gortex chin implant I had with this silicon wing implant and botched my chin like this. My kids now ask why my chin looks so weird. It makes me very sad. I’m afraid of surgery after this but obviously it’s the only way to fix this. Would you recommend sliding genioplasty or face lift? Should it be a deep plane facelift or doesnt have to be? Open to how I can get rid of the creases on my chin and get rid of the double chin appearance I now have.

50, female, 144, 5’6”

This question isn't specifically about a Facelift. It could be. As stated in the title, my question: As a doctor of aesthetics, what could be done to improve the overall harmony of my face? I think I have some obvious problem areas, but I'm not sure which thing is the biggest detractor, or which procedures could benefit me the most (if any at all.) Thank you.

My left side was affected by a facial paralysis/Bell’s palsy about 21 years ago. My left side of my face is droopy. I know we’re all asymmetrical but mine is very noticeable due to that facial paralysis I once had. Is there a procedure that can help me with that? It bothers me a lot because I look weird in pictures.

Had lower bleph in 2021 with a bad result. Retraction in one eye and outer canthal web with the other. My eyes lid shape and is more round. In april this year I had a revision and renovation of webbing. At fist the result looked good but now it is a mess again and I dont know what to do

I ha lipo bbl last week and I have lipo burns on my stomach. What causes lipo burns? Will it heal the same way as a burn from touching the stove? What should I put on it? Thanks!

I am a male and lost a lot of weight and have slight loose skin around the stomach, I also have stubborn fat around the pubic region. I don't need any fat removed from my stomach area but only from below it above my penis. Will there usually be two different incisions or just around the waist? Should I do it as one surgery? Also if I ever gain any weight does removing the fat affect how I will gain weight in that specific area? Thanks

I am planning to get facial fat transfer and potentially BBL. I understanding that blood cloting can impact liposuction. So what are the potential considerations for somone with heterozygous Factor V Leiden?