I was scared to have work done to my face. Dr Perry put me at ease. He explained what was going to happen during the procedure and after the procedure I trust him, his knowledge and his vast experience.
If you consider that new implants alone will cost about $2000, and revisionary breast surgery is more difficult than the primary surgery, it would almost always cost much more than the $4000 you have budgeted. I assume you have saline implants and, looking at your right breast, you have a good size and shape and, in my opinion the left side is way too large. So, your most cost effective solution would be to simply remove your implants. You would then be symmetrical. The cost of that procedure would likely be under $4000.
This is absolutely not the type of advice that can or should be given in a forum such as this. You have healing problems from your surgery and should contact your plastic surgeon. You might be prescribed an antibiotic cream for your wound issues. Alcohol should never be used in an open wound.
This is a very complex question. In general, the bigger your breasts, the more you will droop. Sometimes, drooping can be made less noticeable by lowering the level of the crease below the breasts. That would make your nipples appear higher. From your photos, I can not tell whether this approach would benefit you. My suggestion is to have the augmentation (be careful not to go too big) and "let the dust settle". If the implants were placed under the muscle (or in the "dual plane"), then you could safely have a lift in the future.
And that is really what it seemed like for a while. In the 1980s, we were told that only about 4 pounds was safe to suction. But then the techniques changed and, when we infiltrate the fat with a chemical called "epinephrine", blood loss is markedly reduced. That let's us suction more safely. So, first of all liposuction is not a method of weight loss - if you are more than about 10-15% above your ideal weight, lose weight first. At that point, 4 pounds should be a very safe amount to suction. We can go all the way up to 10 pounds in an average, healthy person, but there is no question that the risks increase with higher amounts of fat. Above 10 pounds (give or take a pound) is simply foolish. We need to be sensible about cosmetic surgery, and not endanger your life. It's not "what you can get away with"...it's what is uniformly safe.
It is impossible for you to know what exact facelift procedure you should have. That's because there are a few dozen different types of facelifts in current practice. These range from "skin only" to "down to the bone" procedures and include everything in between. In the USA now, most plastic surgeons perform a two layered facelift (lifting the "SMAS" layer) and most perform a short scar lift. But the truth is that EVERY great plastic surgeon can show photographs of excellent results with their particular technique. And the few studies that have been done comparing different techniques (in twins or on different sides of the face) do not show any difference in the result. So, calm down...choose a plastic surgeon certified by the American Board of Plastic Surgery or the American Board of Facial Plastic Surgery, research their education and schedule a consultation. If you like the doctor and if he or she has good references, don't be as concerned with the exact procedure that will be performed.
