Orlando Llorente, MD

I understand your concern , but ultimately your best option will be  An arm lift, or brachioplasty, tis procedure is recommend it to 

• Reduces excess sagging skin that droops downward
• Tightens and smoothes the underlying supportive tissue that defines the shape of the upper arm
• Reduces localized pockets of fat in the upper arm region

Please take care of your wound to avoid sepsis/ (infection) and visit the doctor for wound cleanings as often as necessary. It will heal but it can take up to 3 months an you may have a scar for up to a year or so . Be patient and take  all necessary measurements  avoid  an infection of the wound. At any signs  plese contact your doctors office right away . What Are the Signs and Symptoms of a Wound Infection?

• Increasing redness around the wound
• Warm or red skin
• A red streak spreading from the wound
• An increase in wound drainage
• Pus or cloudy fluid draining from the wound
• A foul odor or abnormal smell
• Fever or chills

• Increased pain
• Tenderness at or in the area of the infected bone
• Increased swelling around the wound
• The wound gets bigger
• The wound has blisters, black or brown dead tissue
• Increased weakness
• A wound that won't heal

Stitches are usually removed 3 days to 3 weeks after surgery, depending on where they are and how quickly you heal. Your doctor may apply skin tape after the stitches are removed. Skin tape provides additional wound support. The tape can be removed in 3 to 7 days.

I'm sorry to hear that u are not happy with your results. Sometimes, due to lack of communication, the right size implant is not chosen by the patient and surgeon. I generally recommend at least three months before any additional surgery. The implants can be removed with local anesthesia through the same incisions. The hardest question you have to ask yourself, is do you really want smaller implants or no implants at all?

I tell my patients to place a dry gause inside the belly button (very carefully). The gause should be changed frequently 3 to 4 times a day. I also recommend they avoid neosporin, hydrogen peroxide, alcohol, or any other ointments. The area should be clean with only soap and water. 

I usually recommend that my patients wait at least six weeks before resuming any type of exercise. My reasoning is to avoid seroma formation, and wound healing problems. All patients recover differently, but it takes most about six weeks. 

In the state of Florida, the limit of fat that can be removed using liposuction when combined with another procedure is one liter. This rule aims to limit the amount of blood loss during combined procedures. If you don't live in DR, it might be risky. I recommend you perform your procedure with a board certified plastic surgeon in your community.

Fortunately, you do not have symmastia, which would be very difficult to correct. Your breast looked very symmetrical, with wide spacing between nipples. This is a normal part of your anatomy. Cleavage is largely a product of your clothing/bra.

The question it's a little bit tricky to answer. There are a lot of factors that can change how far along you should plan your procedure date? It all really depends how soon you want to do it. Thinks you should think about are do you work, have kids, planing to travel out of state to have surgery? How soon do you have to go back to school or work? Accommodations and who will be helping you the first couple of days post op. This are just a few things to put into perspective before you decide to have the consultation. 

Thank you for your question and picture!The liposuction in your abdomen,waist,flanks,and full back with transfer to the buttocks would give you the fullness and shape you are looking for, Search for a board Certified plastic surgeon with lots of Brazilian Butt Lift procedures.Thank you.