Gregory C. Gaines, MD

Hello and thank you for your question. Although blepharoplasty procedures are usually done on older folks, that is not always the case. Some people naturally have heavier lids with less shadow space, which seems like the case for you. Your expectations are very realistic based on the photos you included. As long as your surgeon is conservative and experienced, I think you will be happy with your results. Your eyelid skin may very well relax as you get older, and you could need another blepharoplasty due to age, but this would definitely be possible as long as extra skin is present. 

I would recommend that you start with a breast lift as you do show signs of having ptosis. The lift will not give you back the volume you want, but it will center your breast mass on your chest. If and when you do decide to get implants, they will look much more natural since they'll sit beneath your breast tissue. A breast lift will help you get the position of your breasts right, allow them to heal so they are capable of holding up the weight of an implant, and then opt for breast augmentation to get the size and volume that you want. Make sure to set up a consultation with an experienced and Board Certified Plastic Surgeon who can help give you a detailed plan to achieve your aesthetic goals. Best of luck!  

Hello and thank you for your question. There are multiple options to restore volume to your cheeks, I would consider filler or facial fat grafting to be your best options. Filler is injected into your cheeks by a certified injector or plastic surgeon and may last up to 2 years, but has no downtime. Facial fat grafting has more downtime as you will have fat harvested from one area of your body, to be injected into your cheeks. This fat will last forever as long as you don't undergo major weight loss or weight gain. A consultation with a Board Certified Plastic Surgeon to discuss your options should help you decide which to choose. Best of luck!

Hello and welcome to our forum! CoolSculpting can be a great option for fat reduction but as you said, it is rather time-intensive. Liposuction is an invasive procedure that will immediately reduce stubborn fat that does not respond to working out, although it has significantly more downtime than CoolSculpting. However, you don't appear to have much fat. At my clinic, we use BodyTite for certain body contouring cases and have seen great results. Set up a consultation with a Board Certified Plastic Surgeon who can do a physical exam to see what your best option is. Good luck! 

Hello and thank you for your question. Insomnia is not a documented side effect of filler, but can easily be caused by anxiety. Make sure you discuss your experience with your injector before getting your Voluma dissolved. Best of luck! 

Hello and welcome to our forum. Liposuction can be a great option for stubborn fat deposits that do not respond to exercise. To achieve optimal results, a tummy tuck will flatten your stomach down over your visceral fat. If most of your fat is subcutaneous, your plastic surgeon should be able to remove most of it with liposuction. However, this may leave you with loose skin. The best option to flatten your tummy completely would be a tummy tuck with muscle repair if it is needed. Be sure to set up a consultation with a Board Certified Plastic Surgeon to make sure your individual needs are met. Best of luck!

Hello and welcome to our forum. When it comes to liposuction vs. CoolSculpting, it depends on how aggressively you want to tackle your fat deposits. Liposuction will produce noticeable results quickly, but you will also have to undergo anesthesia and a longer healing time. If you are a candidate for CoolSculpting, it can be a good option if you don't want the downtime associated with surgery, but you will most likely need multiple treatments. A consultation with a Board Certified Plastic Surgeon who has experience with both options can help you make an informed decision. Best of luck! 

Hello and thank you for your question. Based on your photos alone, you do not appear to have stretch marks on your abdomen. Stretch marks are usually an indicator of a loss of laxity in that area, so the skin is much less likely to "snap back" and more likely to sag. Since you don't appear to have stretch marks, I don't think you would have an issue with excess skin. However, you should consult with a Board Certified Plastic Surgeon who can do a physical exam to confirm this. Best of luck!

Hello and thank you for your question. I would highly recommend you set up a consultation with a Board Certified Plastic Surgeon, and possible get multiple doctors' opinions on your best option. In my opinion, I would recommend you start with a full lift to address ptosis. You may be able to get away with just an implant, but there is a possibility it could appear like your nipple is at the "bottom" of the implant rather than in the center. Best of luck with your surgical journey!  

Hello and thank you for your question. Based on your photos, you could benefit from a full lift with a possible augmentation at a later date. At my practice we consider the "Anchor Lift" our gold standard as it restores "perkiness" to the breasts the most reliably. The scars will heal nicely as long as proper care is taken throughout the first year of healing. If you are not satisfied with your volume after the lift, then you could consider going through breast augmentation surgery. I recommend my patients wait at least 3 months between procedures so the lifted breast tissue has time to heal and doesn't have to contend with the weight of an implant before it is ready. Best of luck!