RealSelf Verified doctors complete our multistep verification process to ensure they are in good medical standing, display their experience and most performed procedures, have high patient satisfaction ratings, and respond to consultation requests quickly. Just look for the RealSelf Verified badge.
FIND A VERIFIED DOCTORClaim your profile now— it costs nothing! Build trust by highlighting education, board certifications, and hospital privileges. List treatments, and include all procedures you perform. Get involved by uploading before & after procedure photos and answering questions from prospective patients.
CLAIM YOUR PROFILE
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Plastic surgeons at UC San Diego published a study 10 years ago that showed 40% of breast augmentaion patient reported spontaneous shooting pains at 1 year post op-usually not severe or frequent. Loss of nipple sensitivity is diagnostic for 4th and 5th intercostal nerve injury and 6-12 months to recovery would be expected.
You should see a plastic surgeon to look for other possible causes of pain.
Board Certified Plastic Surgeon
Mastopexy (or breast lift) is the only reasonable alternative to treating breasts this ptotic or saggy Do not try to use bigger or shaped implants.
Board Certified Plastic Surgeon
Lower eyelid wrinkling and folding (puffiness) is normal when smiling, even in young people. This is not an aging problem. If the problem only shows up when you smile, theoretically, neurotoxin (Botox, Dysport, Myobloc) injection can reduce the dynamic wrinkling but the resulting paralysis would probably cause significant lid dysfunction(drooping, tearing, dry eye). Filler injections to fill in the depressions between the folds might be helpful if there are depressions when not smiling.
You did not submit any photos with relaxed lids so full evaluation is not possible.This needs to be performed by an experienced eyelid surgeon.
Board Certified Plastic Surgeon
An experienced plastic surgeon or maybe an oculoplastic surgeon should be able to evaluate your entire face and offer treatment options. It is very important to look beyond the lids and evaluate the brow position in situations such as yours because a browlift (forehead lift) may be the better way to deal with most of the excess skin and in addition treat low eyebrows as well as forehead wrinkles, loss of brow arch shape, and active frown lines. Excess bulging fat in the lids however requires a blepharoplasty. Sometimes both a brow lift and a blepharoplasty are needed to get maximum results.
Look in the mirror and use four fingers to raise your brow to a reasonable height (so you don't look surprised) and see how your eyelids look.
Lower lid surgery may or may not require skin removal but surgeons have become more conservative with skin removal and often wrinkled skin is better treated with a CO2 LASER rather than removal. The lower lid puffiness is usually treated by repositioning the fat down lower in the lid to fill in the hollowed/ shadowed area (tear trough) rather than removal. Sometime the entire cheek must also be lifted to further fill in the tear trough and redefine the cheek and the lid-cheek junction.
The veins can rarely be removed by laser but can be surgically stripped if they are large enough.
You can see that a full evaluation should include an overall look at your face and a discussion of these possibilities..
Board Certified Plastic Surgeon
I've had Dysport before and I love it. For me, there is no downside. I'm 90 and who would know it? I just had more a week ago and I'm loving the results. I've had some bruising in the past but this time, there was very little and quickly disappeared.
Do not do breast surgery with Dr. Bucko. I did a lift with implants which turned out unevenly. The vertical scars have small bumps up and down on either side, resembling baseball stitching because staples were used. Every doctor has a revision rate, but when I spoke to Dr. Bucko about correcting this problem, he actually questioned me if I ever had issues with body dysmorphia, which I don’t. He did offer to fix the problem free of charge but not before trying to make me feel like I was in pursuit of perfection (yet the asymmetry was very obvious). He probably didn’t want a free surgery on his books, so he got what he wanted- I went to someone else for a revision.
Dr Bucko performed a breast augmentation that resulted in a deformity called a double bubble. When I showed Dr. Bucko and his nurse the results of the surgery and they had no concern what so ever with results of my surgery. I ended up getting consultations with several high profile plastic surgeons who all said the result of the surgery would be extremely difficult to correct due to the damage done. Part of the problem was that I was so thin, and there was not a lot of extra tissue to create a new pocket. It was such a horrible process, I honestly thought I was going to be stuck being deformed forever, because of the slim chance of repairing what Dr. Bucko had done. I wasn't able to wear a bikini or date,... (among other things). The worst part was that Dr. Bucko could have cared less. He was extremely demeaning and condescending and actually went on to tell me it was my fault !!!! because I was 'bleeding all over the place'. As if I could control that. Apparently he thought I did not follow the pre op instructions... but I did. Later I found out he should have requested a bleed test prior to surgery. There are so many more details but for the sake of post I'll stop here and just say that: Choosing Dr. Bucko as my surgeon was the biggest mistake of my life!!
What’s trending? Who’s turning heads? Which TikTok myths need busting? We’ve got you. No fluff, no gatekeeping—just real talk. Get our free, unfiltered newsletter.