What patients say
Dr. John LoMonaco has received overwhelmingly positive reviews for his expertise in various cosmetic procedures, including

Board Certified Plastic Surgeon
Show more
Show more
Show more
Dr. John LoMonaco is a double-board-certified plastic surgeon in Houston, Texas, with over 22 years in practice. He specializes in breast enhancement and body contouring, such as breast lift, tummy tuck, arm lift, thigh lift, liposuction, and lower body lift,
Asked By: Terrific412956
ANSWER
A periareolar ("do-nut") lift is a limited technique, and can be tricky when an implant is also planned. However, your photos suggest it is a good option. The small lift doesn't support a lot of pressure from an implant, and areolar effacement (flattening and stretching) can occur if the implant is too large so be sure and discuss this with your surgeon.
Asked By: AnnonymVm
ANSWER
Your nipple position is good, and you have a small, short breast skin fold. An implant can reliably "take up" that fold. A modest sized implant should not cause too much new sagging but this depends on your skin quality, age, and genetics. Cheers from Texas !
Asked By: Nurturing186600
ANSWER
Hi, thanks for the photos. I agree, you have a constructed breast on the right with some areola changes that indicate a tuberous breast. A circular scar around the nipple and some work on the inside to allow a more rounded shape would be your best option. Your size will be limited by how much the smaller side can safely stretch out.
Asked By: noahg
ANSWER
I just haven't seen too many women who really benefit from a "mini" TT. I've done a few over the years, but rather than being happy with the small scar, they are concerned about the lack of result. So I'd recommend a regular TT with some liposuction for further sculpting of your hips and waist if desired. Cheers from Texas !
Asked By: Cameo406
ANSWER
Thanks for the photos. You have minimal breast sagging, just loss of volume. Rather than deciding on a number, "try on" some implant sizers to determine you best look, and be sure your surgeon understands your size expectations. A dual-plane technique that allows the nipple to roll up a bit would be helpful.
Asked By: ibbey2000
ANSWER
You have several options...one is a breast lift using just your own tissues to provide more fullness at the top. The other is to add an implant. Each technique has it's advantages and drawbacks, so get a few opinions. Cheers from Texas
Asked By: woodkatie8
ANSWER
I do see the implant sitting higher. There could be several causes for this, and I would probably perform an ultrasound in the office to check for fluid and be sure you didn't tear something that could cause a small amount of bleeding or injury. If the pain and change in appearance persist, my next step would be an MRI to be sure the implant is OK. Keep us posted.
Asked By: lalalane
ANSWER
You have a bit of excess skin that is causing the slit-like shape. A simple umbilicoplasty to create a rounder shape may be possible. However, if there is a lot of excess skin, a tummy tuck with muscle repair may be needed. An in person or virtual consult would be needed to figure that out. Cheers from Texas
Asked By: Optimistic492347
ANSWER
Thanks for the photos and congrats on your weight loss. You have a few options to correct the issues that bother you the most. One would be correction of the "bottoming out" you have from the existing implants and lift which gives you the bottom heavt/high nipple look. This is a common problem in weight loss patients because your prior gain-loss cycles damage your elasticity and your skin cannot hold the implant, so it drops. The correction would be to rearrange your existing breast tissue to make a smaller, higher breast using a smaller implant surrounded by your natural (but rearranged) tissues so the breast feels more natural. Another option is to rearrange the breast tissue (I use the LeJour technique) with no implant. The third option is to employ fat grafting. My personal (25 year) experience with weight loss patients and fat grafting is poor, no matter what technique I use to purify and gently handle the fat. It just seems that the body is programmed to burn fat and I've seen very little benefit from the grafts. Also remember that fat grafting can cause changes to your mammogram that can make cancer screening more difficult, so your personal and family history is important to consider here too. Photo is a LeJour breast lift with no implant in a weight loss patient
Asked By: dval613
ANSWER
The odor from your belly button comes from bacterial or fungal infection. This can happen if there is an area of skin that got trapped by scar, or a reaction to a deep stitch. Sometimes the belly button can be opened back up. If not removal with or without a reconstructiuon is the best option.
Dr. John LoMonaco has received overwhelmingly positive reviews for his expertise in various cosmetic procedures, including