Doctor Q&A

Hi I’m considering a breast augmentation, I primarily have very little tissue to start with and an A cup. I Imost likely will be going with a dual plane placement. I also have asymmetrical breast in size so I will need to compensate for about 20 cc between the right and left side. I have considered both saline vs silicone. Most doctors prefer silicone. I do fear a silent rupture and I’m very claustrophobic in MRIs which is the reason I considered saline (due to the fact of obvious deflation if ruptured). I have noticed most doctors discourage using saline due to its feel and rippling. Are there people out there who are still choosing saline? Is BII more prevalent in salines? Are high definition ultrasounds sufficient to detect silen ruptures in silicone?

I’m 5’0” and 123 lbs. I originally had a 34B and received 205cc Motiva round Demi implants, which brought me to about a 34C. However, I feel like they still look quite small and didn’t give me the cleavage or overall fullness I was hoping for—I barely notice much of a difference. I’ve also been confused about my measurements. My surgeon told me my breast width diameter (BWD) was 12 cm, but earlier I was told it was 11 cm. On my scan, it shows a base width of 14 cm, so I’m not sure which measurement is accurate. I recently had a second consultation to discuss revision options. This surgeon recommended going up to around 380cc–410cc using Motiva Corsé implants. My concern is that Corsé has much higher projection compared to Demi, and I’m worried this might make me look too top-heavy or disproportionate—especially since it’s a big jump in both size and projection. For reference, my hip measurement is 38 inches (96.5 cm). I’m trying to achieve a fuller, more noticeable result with better cleavage, but still want to look balanced and proportional. Would implants in the 380–410cc Corsé range look overly projected on my frame? Is there an option similar to high-profile implants that could give fullness and cleavage without looking too round or top-heavy? I also worried I would end up with a long boob from side view due to the projection Any guidance would be really appreciated.

I am a 35 year old female with no significant medical history however after giving birth via c section I found out that I was born with one kidney. Never had any issues no high blood pressure or diabetes however concerned that such a major surgery may cause damage. Scheduled for tummy tuck with MR and liposuction.

Hi, I had a few consultations for a mommy makeover. One doctor out of the three recommends a lower-body lift, his co-ordinator mentioned it was due to the rolls on my back and to prevent dog ears. From what I understand an LBL is geared towards weight loss patients. Basically, is the LBL the right direction? Thank you

Female, 32. I have always been very self conscious of my side profile due to my dorsal bump. My front view, I’m ok with. Over the last 6 months I have extensively researched different board certified plastic surgeons in NC. I have had 2 consultations thus far. I have nothing negative to say about either Dr or the consults. However, each Dr has offered different approaches to achieving the desired results. Specifically, One Dr (board certified craniofacial plastic surgeon) opts for an open rhino (which I’m totally fine with) She states “This will allow me to raise the skin to expose the bone and cartilage that is contributing to the hump. I plan to contour down the hump which includes both bone and some cartilage, based on my exam, but will use suture techniques as needed to prevent an open roof deformity. I don't think you would require osteotomies.” So I guess my question is- is breaking the nose not always required depending on the size of the hump? I am so worried about open roof deformity or my front view being altered in a way I will dislike. I just want a straighter profile that gives me a more feminine look that balances and flows with the rest of my face. I have spent many hours researching about dorsal hump reduction and I noticed about 80% of the time, breaking the nose is required or preferred. Also, I am not 100% sure what is meant by the comment “suture techniques as needed”. I would greatly appreciate other professional opinions and advice on this matter.

What would I need to have done to get me from this, to this? Nasal bridge reduction and nostril reduction? I don't have a problem with my side profile, I just want a smaller version if my nose.

My eyes are incredibly close together, and the overly pronounced sides of my nose create an unflattering expression. Is it possible to make them a little smaller?

Im 59yrs old, DOS was 12-11-2024, female, black and gained 10 pounds after bbl 2yrs ago. The weight caused my breats and arms to go 2 sizes up and im very uncomfortable. I wont to take a weight lost injectoon, only to loss the 10 i gained.

Hello. I am scheduled for a BBL on June 1. My tests came back today and everything was in normal range besides my 8.9 total protein result. Will this affect my surgery?

Hi! After losing over 100 pounds, my skin is dripping off of me! Obviously a breast reduction and lift is in order, but what do you recommend for the midsection-—TT or LBL? And would you do no Lipo, Lipo to front only, or Lipo 360? Thanks in advance for your input!

Hello, I have had a high WBC for most of my life. I have see di d inc a hematologist but no one has been able to pinpoint what the problem is. I am scheduled to have surgery on 5/26. Is there a chance that the doctor will still do the surgery ?

I am considering liposuction for the breast area. After liposuction to the abdominal area, I gained a few pounds and it all seems to have gone to my breasts. Does anyone have experience with this? What are the benefits/risks? If this commonly done?

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

27F. I’m 5’8 220ish and I’m consulting for a reduction in July and August with two different surgeons because I finally have an insurance policy that covers medically necessary reductions!! I’m working to lose a little more weight before my consult, but is it possible to reduce my size that much? I know insurance can get tricky with BMI / Schnur so I’m trying to manage my expectations of size / approval.

I'm 26 I lost weight and had breast lift and TT a year ago, I'm planning on getting implants and did consultation with 2 surgeons who advised me to go with moderate plus above the muscle ~350-400 ccs. However I did more research and forgot to ask them about bottoming out! Will this happen if I get implants? I don't want my nipples to be higher. Please advise me.

I had a reduction in 2009 and will be going for a tummy tuck and breast Augmention later this year. My goal is upper pole fullness and cleavage without going too big. I’m 5’8” and 155 lbs. what cc and profile would you suggest?

I’m having my breast done, and have always hated my pigeon, long chest. So I’m getting this done to mask it a little. I just want advice. My surgeon has suggest over the muscle 350 teardrop tall height moderate plus. i had been to another surgeon who had said the same about teardrop being best because of my chest wall. However he would only ever do a 300cc and never any bigger due to narrow chest. So my question now it, I dont want big boobs I just want more shape and more upper fullness but worried on having big low set boobs. So my surgeon has said either 330s medium height or 350cc tall what is the diffrence with medium and tall? And what would you suggest with my chest wall? also when I’ve looked at mesurements both them implants are a bigger width that my messurments is that ok? Or avoid? Or do I go with 305cc tall, which i keep thinking because I don’t want massive boobs. I just want them to look the best they can with being low set. Advice please

5ft8 170 pounds. Getting lift and saline implants. My dr recommeded to try 500 to 700 sizers after showing pictures and exam. I wear 38 c now. Nursed 4 babies. 650 and 700 felt perfect for me. It was still hard to tell tho with the sizers as i shoved my own boobs in there too haha. I am afraid of going too small so i figured 700 is the right choice. But so hard to tell. Want them to be nice and full but not so obvious that they are fake. Or make me.look too top heavy in sweaters. Etc.

Hello, I recently had my under the muscle silicone implants removed with the capsule left inside. I had them for exactly 1 year. If I were to get another set of implants over the muscle this time, would the capsule need to be removed?

I have an inverted triangle shape I’ve had lipo and a bbl but my back still look huge. Will full back and buffalo hump help?

I had body tite done to my knees/inner thighs in 2017 which actually seemed to help loose skin from weight loss. So in 2022, after consulting with several surgeons who recommended more lipo to my legs, I ended up getting lipo and renuvion of both inner and outer thighs. Now my skin looks looser to me and there are actual creases around my knees. I've already done 4 sessions of Morpheus which has helped a bit but not drastically and it hurt a lot. What other options do I have?

My mouth region looks like it protrudes (like I have a muzzle!) Furthermore, my lower face in general looks older, unfeminine, and heavy. I want more of a "snatched," feminine, heart shaped face. I also would like my mouth area to look less protruded. Would a facelift help? If so, any other treatments to do along with a facelift? If not a facelift, then what are my options? This is driving me crazy!

Hello, During my facelift consult, the doctor recommended a mid facelift and a mini facelift along with full face ebrium laser resurfacing. Is laser resurfacing okay to perform during a facelift?

I neded to know if my droopy eyelid on my right is caused by extra skin and requires Blepharoplasty or orbital bone surgery. I visited the doctor and hris what he said but he also said it could be caused by my orbital bone asymmetrical I was hoping get a second opinion. This what said male with history of right sided bells palsy 2012 and right upper eyelid ptosis s/p right upper eyelid ptosis repair with MMCR on 7/15/24 who presented for postop follow up. Mechanical ptosis of right eyelid Dermatochalasis of right upper eyelid Plan: - Right upper blepharoplasty to removed excess upper eyelid skin that may be causing upper eyelid asymmetry. - Risks, benefits, and alternatives to proposed treatment(s) were discussed with the patient, including but not limited to pain, bleeding, infection, injury to surround structures, need for repeat/additional procedures, swelling, bruising, scarring, undesirable cosmesis, lagophthalmos, inadequate elevation of the eyelid, recurrence of the eyelid ptosis, eye/corneal injury, etc. - Specifically discussed the risk of persistent upper eyelid asymmetry. Also discussed with patient multiple times that no one is perfectly symmetrical, and specifically for the patient's minor/mild asymmetry of his overall orbital and brow structure.

I'm 22 year old female and wondering what surgery I should go with if I wish to make my eyes appear less downturned and round, especially when I smile. I don't like the fact the bulginess can be seen in the form of a wrinkle. It makes my eyes look small I feel. I appear to have too much white showing in the bottom half of my eyes and the outer corners seem to have too much skin, as they make my eyes seem downward facing. I'm not sure whether or not to go with a cat-eye surgery or double bleph. or what fillers I should get to accomplish the look I want- typically less rounded (bulging), less hooded, less downturned and more straight when I smile, more narrow at the bottom (so less white shows), and more upturned in the corners. I'd appreciate the advice as I have not had any surgery before. If it makes a difference, I have spoken with surgeons about getting a nose job but have not committed to anything just yet. Thank you.

I’m only 32 and have noticed these shadows and puffiness under my eyes ever since getting juvederm filler a couple years ago. I have since had it removed but the puffiness persists. These shadows make me look so tired all the time- what could be done to correct this? I have Done a round of Morpheus 8 in hopes to tighten the area but didn’t see a difference. Thanks in advance for your professional advice!