Doctor Q&A

I would begin with your breasts using a breast lift technique called the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. The horizontal crease in...

Thank you for your question. You are an excellent candidate for rhinoplasty, open or closed based on your surgeon's preferences. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if...

It is incredibly frustrating to look in the mirror three months after going through a major surgery like a BBL and feel like you don't see the dramatic curves or projection you expected. You've invested time, money, and a lot of physical discomfort into this recovery, so feeling underwhelmed at this stage is completely disheartening.

However, three months is a notoriously deceptive milestone in the cosmetic timeline.

To answer your question directly, you must wait a bare minimum of 6...

Your photos suggest you already have reasonable buttock volume, with some natural lateral hip-dip contour visible. From photos alone, this looks more like a question of how much refinement you want rather than whether you need a dramatic BBL. If your goal is only a little more roundness or hip-dip softening, a conservative plan may fit better than a high-volume change.

Transferred fat can decrease. Some of the grafted fat may not survive, and later weight loss can make both your original...

Thank you for your questions and pictures. You are a reasonable candidate for an extended abdominoplasty with liposuction of the abdomen and flanks. This can be combined with a breast lift or breast reduction and liposuction of the axillae. You might also consider an upper back lift if the skin excess in your mid back is of concern. Neither of these procedures will address the skin laxity on your thighs or infragluteal region. You would need to consider a thigh lift to improve those areas.

Hello, and thank you for your question. Based on the procedures you've described, I would recommend staging your surgery into two separate operations. In the first, your surgeon would perform the liposuction, extended tummy tuck, and fat transfer to the glutes during the first procedure, then allow approximately four to six months of healing before returning for the breast lift and augmentation. This approach helps keep the operative time within a safer range of 6 hours while allowing each...

Thank you for your question. The key measurement here is your nipple-to-sternal-notch distance, but as far as I can tell from your photos, your distance does not appear long enough to require a free nipple graft. In practice sometimes we perform nipple-sparing breast reductions and lifts even when this distance is 40 cm — you can see similar patient results on our social media accounts. but of course there is a limit for reduction.
One important point: if you are still losing weight,...

Hello and thank you for your question. Upon reviewing your photos, you appear to be an excellent candidate for a breast reduction and lift.
The Nipple-Areola complex is typically reduced and lifted in a very symmetric fashion during this procedure. In my experience, patients are typically able to gain both a customized size to the areola and a reduced nipple as a result of these procedures. Best wishes.
David Shokrian, MD Plastic & Reconstructive Surgeon

Thank you your inquiry! We would love to sit down with you to discuss your concerns. Removing excess breast volume will help remove the tension and weight on your back and neck as well as help with the other listed concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Hello, and thank you for your question. Waiting six months after your infection has fully resolved is generally considered an appropriate timeframe before replacing a breast implant, and the likelihood of a successful outcome is very high. As with any elective surgery, there remains a small risk of infection, typically in the range of 3 to 5 percent, with the greatest risk occurring during the early postoperative period. Before proceeding, your surgeon should confirm that the infection has...

It is very important that you try on sizers and be a part of the sizing process. At 11cm in width, you should be able to achieve upwards of 400cc in a higher profile implant. If you feel that the current sizing recommendations will leave you desiring more, it is important that you consult with other board-certified plastic surgeons.

No mesh. In my experience, the only two things that could possibly change your result of surgery after complete healing would be, significant weight change (~10%) or the possible stretching of the breast tissue from the milk of pregnancy. The mesh doesn't stop either of those possible changes. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

It is incredibly common to experience a shift in perspective or even regret after a major, life-changing surgery like a breast reduction, especially when your body is adjusting to a brand-new silhouette.

To answer your question directly: No, grams of breast tissue removed and cubic centimeters (cc) of a breast implant do not correlate in a perfect 1:1 ratio.

Probably not exactly, and there is a high chance they might actually make you look larger or more projected than you were before...

Thank you for your question. These procedures are almost always done together for several reasons and in fact doing them separately probably will likely look worse than having them done at the same time where the excess in both areas can be blended into a more natural result than can be achieved if done separately. Also, staging these procedures will not lessen your healing time. Both procedures done separately will have the same amount of healing time as each done individually, meaning you...

I completely validate your reluctance to spend money on minimal results. At 42, looking "tired" is usually driven by structural changes: descending midface tissue creating lower face heaviness, and fat prolapse causing under-eye bags. Sculptra and RF microneedling only improve skin thickness and surface texture; they cannot lift sagging fat pads or reposition deep muscles. I strongly advise a Deep Plane Facelift paired with a Lower Blepharoplasty. The deep plane lift elevates your structural...

Based on the photos, it is difficult to determine whether the fullness represents localized fat, a lipoma, swelling, a tendon-related prominence, or another soft tissue mass. Liposuction is generally not the first treatment for a lump on the top of the foot because of the complex anatomy in this area. I recommend evaluation by a foot and ankle specialist or plastic surgeon, and imaging such as an ultrasound or MRI may be needed before deciding on treatment. If the fullness is confirmed to be...

Based on the photo, there appears to be mild asymmetry in the upper eyelids, with one eye appearing slightly more open than the other. This may be related to subtle differences in eyelid position, brow height, or the eyelid crease rather than the eye itself. If the asymmetry is bothersome, procedures such as ptosis repair or conservative upper eyelid surgery may improve balance, depending on the underlying cause. A detailed evaluation by an experienced oculoplastic surgeon is recommended to...