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I cannot speak to the cost difference in your location, but in my practice these procedures are used to address similar but different areas of concern are not interchangeable. I would recommend having an in person consultation with someone familiar and experienced with both procedures.

I understand the disclaimers, that everyone is different, and that I need to speak to a board-certified PS. But honestly, why is 360 lipo more expensive than a real surgical tummy tuck? Are PS's just capitalizing on the "awake" portion of it? Is it just a trend? I don't see how this can be. Someone please explain, because 360 lipo in Vegas is up to $18,000 and tummy tucks are no more than $8-9k. I sorta feel like it's a scam.

Why is lipo the same cost (or more) than a tummy tuck?

In my practice it is possible to perform muscle repair after removal of a submuscular implant. The success of this depends on a variety of factors including the size of the implant removed, health of the muscle, the degree of muscle release performed at the time of surgery (the pectoralis muscle is rarely if ever "fully released"), and the degree of scarring around the implant.

From my understanding my implants are FULLY submuscular and my muscle wasn't "fully released". I am looking at explanting and curious about muscle reattachment. Some surgeons say they can and some say the can't and it's virtually impossible to do. Is it possible? I have seen photos of explants of women who explanted without muscle reattachment and their breast is completely pulled up? Is this common?

Explant and muscle reattachment?

Thank you for your question. Your degree of facial asymmetry is does not appear significantly noticeable in your pictures. Additionally, facelift surgery tends to decrease the elasticity of skin. I would not recommend a face lift, mini or otherwise.

I feel like my lower half of my face lacks so much elasticity for my age and I feel like my face is overall asymmetrical. I have prominent smile lines for my age but I do not want to get filler. Would getting a mini face lift be okay? I have provided two photos of my regular face and one of me lifting my skin to give the illusion of a lower face lift. Thank you.

Can I get a mini face lift if I am 20? (Photo)

This is an excellent question and one that is being actively studied. Fat grafting can be performed in individuals with insulin resistance safely, but the effect of insulin resistance on results is not well understood. Factors such as surgical technique and handling of the fat graft play a more substantial role in quality of your results so I recommend finding a board certified plastic surgeon experienced in the procedure and having a full discussion.

I have controlled insulin resistance and I am considering breast augmentation with fat transfer. Would I be eligible for the procedure?

Can you have breast fat transfer if you are insulin resistant?

There are many factors that increase the likelihood of an issue when undergoing an abdominoplasty, including a previous incision such as yours. However, it is possible that you can still undergo abdominoplasty with a low risk of complication. I'd recommend scheduling an in person consultation with a board certified plastic surgeon. It is always useful to bring the operative note from your previous abdominal procedures with you to this appointment.

Hello. I have had stretch marks, extra skin and fat in the abdominal area since child birth (1993). But last year, 12/18/2020, I underwent back surgery that required the surgeon to go through the back and the abdomen. My abdomen area is in major need of a tummy tuck, but I'm not sure if the surgery scars will cause any issues or concerns.

Tummy Tuck - will my surgery scars cause any issues? (photos)

Liposuction can be performed safely in patients with a variety of heart conditions including a "heart murmur". However, safety depends on a variety of factors including nature of the heart condition, amount of liposuction, and type of anesthesia. A full assessment of the safety and risk of a procedure requires a conversation between the person managing your heart murmur, plastic surgeon and anesthesiologist.

I have had two pregnancies , would just like liposuction

Can someone with a heart murmur get liposuction?

The first thing I would recommend is speaking to a a board certified plastic surgeon in person about your goals and concerns. Weight loss after bariatric surgery affects every persons body differently. Without knowing more about your history I will say that the "donut" lift with fat grafting will provide an extremely modest improvement.

Hello, I am 28 years old. I had gastric sleeve surgery one year and five months ago I lost 40 kg of weight My breasts are drooping and I feel bad and I absolutely refuse silicone implants Thinking of a donut breast lift with fat injections I don't care much about nipple tightening, I just want to fill the top I'm so afraid of scars Will this procedure help me?

Breast sagging after weight loss - will a donut breast lift with fat injections help me?

I recommend a complete discussion between your surgeon and oncologist. TT and BBL can be done safely on a patients taking HRT. I'm sure your surgeon is concerned about the risk for DVT (blood clots in your veins) which is a very significant concern especially depending on the length of the procedure. There are ways to minimize risk but it takes a complete discussion between your surgeon and oncologist.

I’m scheduled for surgery 6/2022- my Dr recommended me to stop my HRT 2mo before surgery. I currently use Estrogen &amp; Tesosterone injection. I was Dx premature ovarian failure in 2018 age 38 postpartum from my last birth. Dr explained reason of stopping Rx, I just want other Drs opinions on this, Yes, I will mention to my Gyn I did get a hysterectomy this year still have my ovaries

Doctor recommended me to stop my HRT 2mo before Tummy tuck/BBL - advice?

It would take a complete in person evaluation to answer your question completely. With secondary or tertiary revisions I always need a potential source of cartilage for reconstruction and support. Based on your brief description the two initial sources are probably exhausted (nasal septum and ear cartilage). In short, revision rhinoplasty is far more difficult and prone to complication than prior procedures. Your nose will never look exactly the same but a frank discussion with your surgeon about your exact goals and expectations is the best step in moving forward.

Hello - I completely regret getting a rhinoplasty and I'm looking into ways to restore my original nose. I know I can never get it back to its exact/original state but would adding a graft help with narrowing the bridge and adding back volume/definition?

Can I get my nose back to its natural state with a rib graft? (photos)

I would not recommend correction with botox without an in person evaluation. Botulinum around the mouth requires an extremely delicate touch and appreciation of your individual anatomy for this type of issue. HA injection alone does not generally create any skin depression or invagination.

I am 42. After 6 years of regular lip filler I had my lips dissolved due to migration into the upper lip. 1 ml re-injected. Since that time I have a horizontal lip crease when I smile, even a half smile triggers it. I have reviewed lots of old photos and this was definitely never present before. Is this an overactive depressor septi nasi muscle or the circular muscle around the mouth? Can Botox assist? Thank you!!

Can Botox correct my horizontal lip crease? (photos)

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