Ahmet Bilirer, MD

Hello,

I have reviewed your photos, and it's clear that you have significant breast sagging due to weight loss. However, the good news is that you still have a sufficient amount of breast tissue.

In my professional opinion, a breast lift alone — without implants — would be the most suitable option for you, especially if we preserve all your natural breast tissue. Even if you were considering an implant, the distance between your nipple and the sternal notch is quite long, which would increase the likelihood of revision surgery if augmentation is done now.

With a well-performed breast lift, you would likely achieve a B, or even a small C cup, which might already be satisfactory for you.

Now, if — after 6 months — you still feel that your breast size is not large enough, we could then consider placing an implant in a second-stage surgery. This two-step approach often leads to better outcomes.

We often see in post-weight-loss patients that if we place an implant at the same time as the lift, the tissues (being very loose) tend to sag over the implant, leading to what's known as a "waterfall deformity". This usually requires revision surgery.

That’s why I recommend first doing a breast lift alone, which would already restore shape and volume using your existing tissue. If you are still seeking more volume after 6 months, we could then safely add an implant in a second procedure to achieve the most optimal and natural-looking result.

Hello,

I have reviewed your photos, and there is clearly a noticeable asymmetry in your breasts. Additionally, I believe your nipples are positioned lower than where they ideally should be. It's completely understandable that you may feel unhappy with this appearance.

The good news is, this situation is correctable. In your case, the most appropriate surgical approach would be a breast augmentation combined with a breast lift. That’s because there is significant sagging and asymmetry in both your breast tissue and nipple position.

When augmentation is performed together with a lift, I believe your nipples will end up being more symmetrical and better aligned — resulting in a more balanced and aesthetically pleasing outcome.

However, if only implants are placed without performing a lift, I do not believe the result will be optimal in your specific case. The underlying tissue and nipple sag would not be properly addressed, which may lead to a less satisfactory appearance.

In summary, if your weight loss has stabilized and you've reached your target weight, I would recommend a combined breast augmentation and lift as the most suitable surgical option for you.

Hello,

First of all, it's important to understand that every surgery carries some risk, and the extent of that risk depends significantly on individual patient factors. In other words, not every risk applies equally to every patient. A thorough evaluation of the patient's overall condition is essential to determine the realistic and personalized risk profile.

Regarding the procedures you mentioned — liposuction of the flanks and thighs, BBL (Brazilian Butt Lift), fat transfer to the breasts, and nanofat injection to the face — these combined procedures are not expected to take 12 hours. In my experience, the average duration is around 3.5 to 4 hours. It’s certainly not a 12-hour surgery.

If you'd like a more detailed and personalized assessment, you’re welcome to share your photos. This would help us evaluate your case more precisely.

As for liposuction and BBL, yes, there are known risks — perhaps you’ve already read about them. One of the main concerns is fat embolism, particularly when fat is injected into the muscle layer. We now know that this risk is significantly reduced when the injection is done in the subcutaneous layer (between the skin and muscle), especially when using ultrasound guidance.

So, if you are considering a BBL, I strongly recommend that it be performed as a "safe BBL" under ultrasound guidance, with fat injected only in the appropriate subcutaneous plane to minimize risks.

Regarding fat transfer to the breasts, it’s important to note that the results are less predictable. While it can be useful for correcting minor asymmetries, it’s not ideal as a primary method for breast enlargement, because around 30–40% of the transferred fat may be reabsorbed within six months, which can lead to uneven or unsatisfactory results.

On the other hand, nanofat injections combined with microneedling or micro-MD treatments for scars or stretch marks on the face can yield good results, and I consider this a beneficial option in appropriate patients.

In summary, I do not expect the full procedure to take 12 hours — it should be shorter. Still, it’s crucial to have a detailed conversation with your surgeon, especially about the safety of the BBL procedure. When done properly — using ultrasound, injecting in the correct plane, and following current safety protocols — BBL can be performed safely.

Hello,

Looking at your photos, we can see that your breast scar has widened slightly, and your nipple appears more balloon-shaped rather than round. For a 6-month postoperative result, this is neither excellent nor poor — it’s somewhere in between.

If I were in your position, considering that 6 months have already passed, I believe a minor scar revision could help improve the result significantly. It is something you might consider.

However, it’s also worth noting that your skin type likely contributes to the way your scar has healed. That means, after a revision, you may need long-term scar management, such as wearing silicone strips, using steroid creams, or even receiving steroid injections into the scar if necessary.

Overall, I would say this is a medically acceptable outcome. There is some mild asymmetry, but still within reasonable limits.

A scar revision can definitely be performed — but keep in mind that even after the revision, consistent aftercare such as taping, using scar creams, or steroid injections may be necessary to optimize the final result.

Whether you’d like to proceed with another minor procedure or not is entirely your choice. It’s not a bad result at all, but also not the best possible — so the decision is yours. From a surgical perspective, 6 months is an appropriate waiting period before performing a scar revision

Hello,

I’ve reviewed your photos. Honestly, despite being young and not having had children yet, there is noticeable looseness and sagging in the abdominal skin. In some cases, this can be purely genetic or structural, and it’s important to emphasize that this is not due to anything you’ve done wrong.

Maintaining a healthy diet, exercising regularly, and staying at a healthy weight is extremely beneficial for your overall well-being — and I definitely encourage you to continue with that. However, based on your photos, I believe that even with exercise, it may not be possible to completely eliminate the loose skin in your abdomen.

What you can do now is continue with diet and exercise until you reach your ideal weight, and then we can reassess the situation.

From a plastic surgery perspective, I would say you are already a suitable candidate for liposuction combined with a tummy tuck, even at your current age. The excess in your lower abdomen appears to be due mostly to loose skin, which cannot be effectively addressed with liposuction alone. The only way to remove that excess skin is through abdominoplasty (tummy tuck) surgery.

Of course, considering your young age, you might prefer to wait until after pregnancy — and that is completely understandable. However, if this situation is something that constantly bothers you and you feel it’s affecting your confidence or comfort, surgery can be an effective solution.

Also, if there is sagging in the mons pubis area, a tummy tuck would also help lift that area and improve its appearance as well.

Ultimately, the choice is yours. You can wait and revisit this later, or take action now if you feel ready.