Badar Jan, MD

Thank you for sharing your photos. The combination of tightening the abdominal muscles, rejuvinating the belly button, shaping with liposuction and removing the excess skin would make for a very pleasing change. Best wishes, Dr. Jan

An important question. Many people struggle with keloid scars. Some improvement can be made using only the belly button such as tightening the abdominal muscles. Unfortunately skin cannot be removed from a belly button incision. Another option to consider is using steroid injections in the skin either at the time of surgery or afterwards to limit the risk of keloid scarring. Best wishes, Dr. Jan

Thank you for sharing your photos. You appear to have a belly button hernia that would need to be repaired at the same time. While repairing the hernia, I reestablish normal inward position of the belly button. A tummy tuck with umbilical repair, abdominal wall (rectus) plication and liposuction will make for a pleasing result. Best wishes, Dr. Jan

Thank you for sharing your photos. It does not appear that you have a tuberous breast deformity. You appear to have some accessory axillary breast tissue which can be addressed with liposuction during surgery . If you want to use a very large implant, I would consider separating the procedures into different sessions. First because you may not need a lift. A large implant might set things very nicely for you and avoid the scars from a lift. Second, a large implant with a tight breast envelope could put too much strain on the nipple. Best wishes, Dr. Jan

Thank you for sharing your photos. Raising or lowering the fold are both straightforward options for you. I would choose based on which upper pole of the breast you like better. If you prefer the upper pole of the higher breast I would raise the opposite fold. If you like the upper pole of the lower breast, I would lower the opposite fold. Best wishes, Dr. Jan

It’s a great question. It’s important to be proactive and prepare for surgery. I recommend my patients adhere to a low carb, low salt, high protein diet. Also I recommend probiotics daily. I also recommend avoiding aspirin or iburprofen 2 weeks before surgery. You’re already doing the most important thing by not smoking :) Best wishes, Dr. Jan

Thank you for sharing your photos. It looks like you have reasonable skin tone which makes liposuction results much better. Especially if you want the bbl, I would go with the liposuction and fat grafting to the buttocks. Best wishes, Dr. Jan

Overall weight matters when it comes to your final result. You will get your best result when you are at your ideal body weight. That being said not everyone can achieve their ideal body weight before getting surgery. It is perfectly reasonable to explore surgical options, it is definitely possible. Best wishes, Dr. Jan

Very important questions. The cohesivity describes the amount of crosslinking of the silicone in the implants. The more cohesive the implant, the firmer and also the less it will change with gravity. Essentially what this means is that it will have greater upper breast roundness. This ultimately makes it look a bit more towards the artificial side. Cohesive implants can also be helpful in women with thin breast tissue because there is a lower risk of wrinkling at the edges of the implants. I hope this helps your decision. Best wishes, Dr. Jan

Congratulations on your 60 pound weight loss, thats a great achievement! One way to know if you have alot of visceral fat is if your upper belly feels hard and full. Visceral fat can only be reduced with weight loss. Liposuction and even a tummy tuck can be disappointing if visceral fat is compromising your result. You'll get the best result if you're at your goal weight or at least within 30 pounds of your goal weight. Doing a tummy tuck with a significant amount of visceral fat, means that both the muscle and skin cannot be tightened as much as normal. That makes the result look less complete in general. Thats why many plastics surgeons dont recomment doing a tummy tuck when there is a significant amount of visceral fat. Best wishes! Dr. Jan