David Hill, MD

Deciding on the size and type of breast implants can indeed be a nuanced decision, especially when considering the subtle differences between sizes like 250cc and 275cc. In my practice, one of the key measurements we consider is the "base width" of the breast. This measurement is critical as it helps determine the most suitable implant size that can be accommodated naturally by your body's anatomy without appearing too large or disproportionate.

Additionally, utilizing goal reference photos can be incredibly beneficial. Many of my patients find helpful examples on platforms like RealSelf, which they bring to their consultations. We review these images together in the office, and I often refer back to them during surgery to ensure we are aligning closely with the aesthetic goals we discussed. This practice helps set a clear visual expectation and ensures that both the patient and I have a mutual understanding of the desired outcome.

Given your concerns about the implants appearing too obvious for your smaller frame, it’s important to balance your aesthetic goals with what is anatomically suitable for your body. The difference between 250cc and 275cc is relatively minor in volume but can have a noticeable effect depending on your body type and the existing breast tissue.

I recommend discussing these points further with your surgeon, perhaps revisiting the goal photos and reassessing how each implant size might look on your frame. This approach will help ensure that the final choice not only meets your aesthetic desires but also respects the natural proportions of your body, ensuring a result that feels both beautiful and natural.

The most effective and long-lasting treatment for lifting jowls, particularly in someone with good skin quality at 51, is a facelift. This surgical procedure directly addresses the sagging skin and underlying tissues, repositioning them to create a smoother, more defined jawline and eliminating jowls. It offers more dramatic and enduring results compared to non-surgical options. There are many types of facelift, and even more "signature" catchy-named options, but in general it is well established that the deep plane lift gives a more durable result.

To address asymmetry where one eye appears bigger than the other, several surgical and non-surgical options exist, often tailored to the underlying cause of the asymmetry:

Blepharoplasty (Eyelid Surgery): Can correct differences in eyelid size or shape by removing skin or repositioning lid folds. This can make the eyes appear more symmetrical.

Brow Lift: If the asymmetry is due to differing brow positions, a brow lift can create a more balanced appearance.

Neuromodulator: Non-surgical options like Botox or Dysport can adjust muscle activity around the eyes, subtly improving symmetry.

Ptosis Repair: For asymmetry due to eyelid drooping (ptosis), surgery can lift the drooping eyelid to match the other eye. Additionally eyedrops like Upneeq can temporarily improve ptosis.

Consultation with a plastic surgeon or oculoplastic surgeon is crucial to assess your specific situation and recommend the most appropriate treatment.

Facial asymmetry can result from a variety of factors including skeletal discrepancies, dental issues, or soft tissue variations. Given the complexity of symptoms including misalignment of the jaw, differences in cheek size, and clicking of the jaw, a multidisciplinary approach is often necessary for improvement.

Consultation with a maxillofacial or orthognathic surgeon can assess skeletal issues contributing to asymmetry, especially if there's a functional concern like jaw clicking or misalignment. An orthodontist may recommend braces or other devices to correct bite issues, potentially improving overall facial symmetry.

For soft tissue discrepancies, consult with a plastic surgeon. Options might include dermal fillers for minor asymmetries, fat grafting for larger asymmetries, or more targeted procedures like facial implants or bony reduction to enhance facial structure and symmetry.

Ultrasonic liposuction cavitation slimming machines are marketed as non-invasive treatments that use low-frequency sound waves to break down fat cells, which are then eliminated by the body's lymphatic system. While some users report temporary reductions in fat and circumference in treated areas, scientific evidence supporting the long-term effectiveness and safety of these devices is limited.

It's important to have realistic expectations; these treatments might offer modest fat reduction but are unlikely to produce significant weight loss or permanent body sculpting results comparable to surgical liposuction. Factors like diet, exercise, and genetics play crucial roles in the treatment's effectiveness.

For persistent areas of fat, liposuction remains the gold standard for effective treatment.