Bala S. Chandrasekhar, MD (retired)

Your weight loss needs to be stable for at least 6 months before proceeding with skin removal. Your doctor will also do tests to make sure that you are in excellent health because some of these skin tightening procedures take several hours to do and need you to be under general anesthesia. Best of luck.

We don't get many calls for making the ears more prominent but it is possible to add cartilage grafts behind the ears to push them away from the head, so you can see them from the front. Actually moving the ears to a higher location is problematic as it would disrupt the ear canal continuity and it really is not a good idea.

There is some value to having all three procedures done at once. However, the risks of complications such as blood clots in the legs and wound infections go up in proportion to the length of surgery. The operative time can be reduced if you have a team of plastic surgeons working at the same time. Most plastic surgeons use an arbitrary cut off time of 7 to 8 hours as being safe. Talk to your doctor about these specific issues and it may be better to do these procedures in two sessions. Good luck.

In addition to waiting, gentle massage of the irregular areas may help. Do not jump into more revisions too soon.Good luck.

Breast reduction is very effective in reducing the discomfort associated with heavy breasts. A small reduction in a C size breast may not give you symptomatic relief but will achieve a better shape. It is difficult to be more specific without seeing pictures and knowing what the procedure is for, symptom relief or cosmetic improvement. Please have a Board Certified plastic surgeon evaluate thes issues.