Barry E. DiBernardo, MD

A consultation with a board certified Plastic Surgeon is your best option. Upon examination the doctor can determine if there is only fat present or if you have fat and glandular tissue and can then recommend the best procedure for you. If you live in Colombia we recommend for you to go see Dr. Alfredo Hoyos. 

It is normal to not see any changes at 4 months. For hair transplant it takes 5 months for most of the hairs to start growing. At one year you will see your final results.You just need to be patient throughout the process.

There are many reliable companies that sell compression garments. Depending where you reside, you may also find garment stores that will measure you and give you the proper vest in store. In my office, we use "Marena Recovery" garments. Good Luck!

RF energy under the skin is a very powerful tightener. This energy can sometimes build up in the fat tissue to cause a firmness. If this occurs, keep massaging the areas 2x per day for a while. If they persisit, your doctor may inject it with a steroid as well. They often slowly dissapate with this regimen

There are 2 mechanisms occurring here. Shortening of vertical fibers in the skin and a slow build up of collagen and elastin in your skin.  The latter can take up to 6 months. Concurrently, the effectiveness of this treatment is dependent upon the tightening potential of your skin: this decreases with age. Since this is not a fat loss procedure, measurements may not be sensitive for results here. I would wait the 6 months to see if you get the skin tightening effect. Good luck

There are various measurements taken during a breast consultation. The measurements that I take are the sternoclavicular notch to the nipple, from the nipple to the infra-mammary fold, breast width, areola diameter and official breast bra size. These measurements are taken to compare every patient's breasts to the " Ideal Breast Measurements". Every patient is different and so is every breast. No two breasts are exactly alike and it is normal to have asymmetry. The goal is to make the breasts as symmetrical as possible. These breast measurements also help us determine the diameter of the breast implant that would be ideal depending on the breast width. We also have the 3D Vectra Imaging system which gives our patients a simulated image in 3D of what the their own breasts will look like after the procedure. The Vectra 3D system also takes the breast measurements automatically. Good luck!

Based on your photos alone, it seems you would be a great candidate for a Breast Augmentation procedure. It is very important to have an in-person consultation with a board certified plastic surgeon to determine size, style and goals. There are many different options available and techniques. We offer 3D Vectra imaging in our office. This imaging program shows you how the implants will look on your body. It will help you feel more comfortable with your decision, as you have been able to see a simulated preview of the end result. Good luck!

Thank you for your question Anon6321,  Looking at your photos, your areolas are large and the area above seems constricted. Although, this would all be confirmed in a physical examination in person. If you do have tubular breasts along with the falling (ptosis) of your breasts, a mastopexy or breast lift remedy most of your concerns. Good luck! 

Thank you for your question! This is a common concern when considering Breast Implants. Both Saline and Silicone implants are very safe medical devices. Due to extensive studies over the years , breast implants today are much safer than previous generations. One of the key differences with the Silicone implants are that they are made up of cohesive gel. Cohesive gel is not a liquid and will not ooze in the event of a rupture. Both saline and silicone implants are made of a silicone shell that has not shown allergic reactions inside the body.If you still feel uneasy with using silicone implants, yet like the look, we have the new Ideal Saline Implants. It will give you the natural feel with the safety of only saline inside. Good luck!

Hi and Happy New Year.  The term Bottoming out means implants are either too low or have no inferior support and will move down over time.  I did not see the size of your implants but right now they look like they are in the right place.  You can ask your surgeon about the placement of the implants above or below the muscle, if the lower part of muscle is intact and the size. we have certain measurements based on the diameter of the implant where the lower crease should be...that most oftern looks the best.  Also, if this were to occur , it most likely takes a longer time to see it. Hope this helps