Algird R. Mameniskis, MD

Hi, lymphatic massage is generally optional after a tummy tuck and is not required for every patient. Even when the procedure involves primarily loose skin removal and muscle repair, some degree of postoperative swelling is expected as part of the normal healing process. Gentle lymphatic massage may help with swelling and comfort in some patients, but your body will naturally resolve this swelling over time.

Many patients wonder if the amount of tissue removed during a breast reduction directly translates to the implant size needed to restore their previous volume, but it's not quite that simple. Grams of breast tissue removed and (cc) of implant volume don't correlate one to one simply because breast tissue and implants have different densities and shapes. The best implant size depends on your current breast tissue, skin elasticity, chest width, and the look you're hoping to achieve. A 425 cc implant may restore much of the volume you lost, but it may not recreate the exact size or shape you had before your reduction.

It's a common question, and the answer is generally no. Breast implants themselves don't become colder than the rest of your body, but in cold weather your breasts may temporarily feel cooler to the touch because the implant doesn't retain heat the same way natural breast tissue does. Some patients also notice a brief sensation of coolness, especially during the first several months after surgery. As your tissues heal and adjust, most patients no longer notice any difference, and the implants shouldn't feel uncomfortably cold in everyday life.

Hello, it is normal to have a mild degree of asymmetry after any breast procedure. From your photos it is difficult to determine the amount of difference there is and what the potential cause is. It is best to discuss your concerns with your surgeon and follow post-op instructions such as massage and choice of bra. If a secondary procedure is needed 6 months after the surgical procedure would be the earliest this should be considered and ideally waiting for a year would be best.

Hello, the bleeding and bruising that you are seeing needs to be thoroughly evaluated by your physician. It is good that you are not experiencing pain and there is no increased swelling but persistent drainage and dark blood needs to be addressed properly. If you are not comfortable with your surgeon's approach then seek another opinion soon.

Hello, Lip augmentation  by injecting fillers usually does produce swelling which can last a variable amount of time for patients. I see that you do have some bruising which which can prolong the swelling also. Please check back with your physician for follow-up if the swelling does not subside soon or for any questions.

Hello, breasts do not shrink after breast reduction but as the swelling dissipates the volume will definitely decrease. It is hard to quantify the amount of change, but most will occur in the first two months after surgery, and it can take 6 months to a year for the final shape to be achieved. Patience is a must until the post-op period is complete. 

Hello, a properly planned and performed rhinoplasty would be a beneficial thing.Your nose now fits together as a unit with tip, dorsum and nostrils producing the current shape. To produce a pleasing change and still not change your identity subtle changes should be made to various aspects of your nose to produce a harmonious effect. A thorough consult with an experienced plastic surgeon will give you an idea if your desires can be achieved .

Hello, your breasts do appear heavy and a little lower than ideal. The implants are not extremely large, so mostof the appearance of your breasts is from your own breast tissue. A breast lift procedure would be the primaryoption to change the positioning of your breasts. This can be done without your implants or keeping a smallersub muscular implant to retain high fullness.

Hello, Full abdominoplasty with flank liposuction would give you the tightest most contoured abdominal shape.Also, a VASER or smart liposuction procedure would also be an option for the abdomen and flanks.It would give you a smaller tighter shape but some loose skin will probably persist to some extent. This procedure is much less involved with less down time and is appropriate for patients who want a smaller procedure with less recovery.