Doctor Q&A

I had a breast augmentation and became pregnant shortly after surgery, before the tissues had fully healed or stabilized. I’m now about 85 lbs postpartum, and my skin stretched significantly during pregnancy. Since then, my breasts have changed in ways I didn’t expect. There is a wide gap between the implants, the skin looks overly stretched, and when I lie down the implants fall far to the sides, creating a very flat appearance with visible lateral displacement . I’m trying to understand: • What might be causing this appearance (skin laxity, pocket stretching, implant position, etc.) • Whether this is something that typically requires revision • What types of revision procedures surgeons usually consider in cases like this • Whether surgeons ever offer reduced‑cost revisions when the result changes due to early pregnancy or rapid tissue changesI’ not looking to assign blame — I just want to understand what my options are, what’s realistic, and how to approach consultations without unnecessary costs. Any insight from surgeons who have seen similar cases would be really appreciated. I understand pregnancy can change results, but I’m hoping to understand whether surgeons sometimes offer reduced‑cost revisions in situations where the tissues changed before the initial result had time to stabilize. If revision is needed, what factors determine whether it’s a “pocket repair, implant exchange, internal bra, or skin tightening procedure?”

Can lowering the radix give the illusion that your eyes are further apart on frontal view? My radix is not high, I would say it's average, but I have close set eyes. Would making the radix flat give the illusion of my eyes being further apart?

Hi, I was hit on the bridge of my nose about 5 months ago. Immediately after the injury, I noticed the sides of the bridge widened or flattened, my right profile looks more like it used to but the nasal bone on the left side doesn't have the height that it used to. Also, the front changed and looks like in the pic. I'm wondering if the trauma could have displaced my nasal bones. I don't have pain I did start having trouble breathing but after using flonase I don't anymore. What treatment options do I have after this amount of time?

I got a septorhinoplasty surgery in April 2024. My intent was to just get a septoplasty, but I somehow talked my way into getting a rhinoplasty as well. Two days after the surgery I was taking a shower (surgeons assistant gave the okay) and I got the cast wet. Immediately my nose felt very heavy and my breathing got worse instantly. I told the surgeon this during the next appointment, and then the 6 month and 1 year appointment and he never seemed worried at all about this. Ever since then, I cannot breath through my nose the same. Air flows through my nose well, but I can’t feel anything along the shaft of the nose and it is nearly impossible for me to get a deep breath (I have to consciously work to get one). It feels like the air just isn’t going down the back of my throat into my chest. I also got my turbinates reduced during this surgery as well, with no warning of the risks. Most of the time I have to flair my nose to get a decent breath. The septum wall of my left nostril also bled every day for a whole year before the surgeon cauterized it and my sense of smell is worse. Cosmetically, my nose lacks any of the definition it had before. It looks flat and fat, and the tip and columella are horribly misaligned. All I said was I wanted my nose a bit straighter and it is now my worst nightmare. My nose is constantly fluctuating between swelling like a balloon and looking somewhat normal the next day. The skin on the nose is discolored and the pores are massive now.

With the advent of new therapeutics, including verteporfin, but other drugs are being developed as well, scarring can be minimized, and allow healthy healing. Verteporfin is already allowed by the FDA and currently in clinical trials for surgery. Some surgeons already use it off-label. When will rhinoplasty surgeons start using this? Since scarring is such a big issue in rhinoplasty, I imagine it makes outcomes more predictable and healthy.

I am 4 years post op BBL. And this lump has formed on my left butt cheek. I have gone to the emergency room and got an ultrasound scan done. No fluid under the skin they said there was no cyst just fat cells. when I massage it, it goes away temporarily. How can I hep get the limp to go away permanent?

I’m 39 yo mom of 2. 2 cections with and weight gain of 70lbs. Currently at 145lb 5’7. I really want to enhance my back side with some projection and I do like the pear shape. With loose skin I would ideally need a tummy tuck. I’ve been advised and quoted differently. 1. Full tummy tuck with back and lipo flanks to fill hip dips - subtle change as per doctor. 2. dominican tummy tuck, butterfly lift, 5lb weight gain for bbl. Both price ranges were extremely different. I don’t want a unnatural look but something that suits my frames..… I have shape, wider hips etc..… Any feed back would be great!

Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.

I am a young lady that wear a 36H bra size i would love to have a breast reduction. but after communication with my surgean, I was told that due to the size of my breast and the sagginess. the only procedure that will work is the Free Nipple grafting which totally removes the nipples and places it back as a patch. Due to this procedure, you lose nipple sensitivity and will not be able to breast feed, But i want to have a reduction coming out able to have nipple sensitivity and being able to breastfeed. are there any other methods that help.

Is it possible to lift the breasts using implants only, without scars underneath?I’ve had one pregnancy.33 years old, 70 kg, 177 cm.

I had a breast augmentation with Motiva ergo mini 220cc implants. The projection of the implants is fine bht i hate the width. I was fairly flat before with a wide cleavage. I do not like the inner fullness and cleavage i was given and never asked for this. I wanted a smaller implant but was told this is the size i needed. Now im looking at either a pocket adjustment or revision with smaller cc’s. Will a pocket revision alone fix the medial fullness and shape or do i need to downsize implants?

I had a breast implant revision ans switched out my for 575 gummy implants. I notive that my implants move alot is this normal Im 7 months post op and feel like they move so much not my saline implants.

44 yr old female. Curious what would be the most effective procedure to get rid of my asymmetrical neck fat. I’m not sure if it’s my muscle or just elasticity? Would love to hear my options, thanks.

I had a HIFU 2 years ago and I now have on one side of my face a pronounced dimple of fat. I started wondering if I could just have the small bump of fat removed by a needle to suck the fat out without having to have a face lfit to correct the situation. Is this possible?

Looking for opinions on best procedure to get rid of malar mounds. I have done a lot of research and seems there is no clear answer. I am considering direct excision. I have had a facelift one year ago with no change to the malar mounds. I am 62 years old. Thank you

Hello experts! I have had 3 consultations with 3 different plastic surgeons who soecialize in face and eyes. All 3 of them gave me completely different recommendations, and all 3 of them advised AGAINST eachothers recommendations lol. So i a just so confused honestly and i am asking for a straight up answer. My ONLY concern, is my deep tear trough line. I do not mind my puffy eye bags, i actually think my eye bags are quite cute, and i dont mind when theyre a bit swollen. My ONLY concern is my tear trough line. My tear trough line is present 24/7 and doesn’t change with my eyebags. Heres are the options all 3 surgeons gave me. Surgeon 1: wants me to get a lower bleph, but instead of removing the fat bag, she would just reposition it lower to fill in the tear trough line. Surgeon 2: believes that surgeon #1 is wrong, and he doesnt like repositioning fat in that area because it can restrict blood flow and cause unnatural buldging. He believes that i dont need a lower bleph, and all i need is a fat transfer to my tear troughs to smooth the line out. Surgeon 3: believes that a fat transfer is not the right way to go, because fat transfers are still unpredictable, and alot of patients arent happy with their results, especially in such a thin skinned area. He said the fat transfer can be uneven and lumpy, and it can be out of the surgeons control. He suggested i get a comservative amount of filler in my tear troughs, using a cannula, OR a tear trough implant.

Hello I’m interested having a lower bleph but I am interested in a thermage treatment on my upper lids prior to this surgery. Are there any complications that I should be aware of??

I am 53 and had an SMAS facelift Over one year ago. I am unhappy with the jaw and under chin. I have a band of loose skin like a pouch. I complain to the surgeon he told me to manage my expectations and to massage my neck. I hate the way it looks what can i do?

I had a Smas and vertical forehead lift 2 years ago. It didnt address my main concern, though. I hate my sagging, downturned mouth and midface. How to fix this?

28 y/o female, noticing facial sagging, exag naso folds. I have gotten 2ml of cheek filler, 2ml of chin filler 3 months ago. Still not happy with lower face droop Apperance.