Breast Augmentation

Breast Implant Revision

Breast Lift with Implants

Kybella

Breast Implants

Lip Fillers

Botox

Eyelid Surgery

For certain patients who develop thin, weak capsules surrounding their implants, lateral subluxation of implants can be a undesired. This problem can be corrected by surgically closing the lateral pocket redundancy. While this does require another surgery, for patients in whom this is of great bother, it can offer a resolution.

Hello Doctors, I had a BA 6 years ago, 325cc under the muscle high profile mentor implants. Since about 3 months after my procedure my right implant has fallen into my armpit when I lay down causing discomfort. My PS said it was normal and not to worry. I have since sought a second opinion and the plastic surgeon noticed it straight away. He told me it can be fixed by altering the pocket. I’m Trying to weigh up the risks of a second surgery or living with the pocket like this As I healed well the first time and this is the only issue. If I have another surgery I will upsize to 450cc as I have a large BWD of 13 despite only being 5’3 and 57kg. What would you advise patients to do in this situation?

Right side pocket has stretched - should I have the pocket altered? (Photo)

It is safe to have Kybella after a chin implant, although, in order to avoid disrupting healing after surgery, I would recommend waiting 8 weeks post op, prior to injection.

FYI, I have had my Chin Implant incision under my chin. My doctor used 8 mm implant with extension.

How soon can I have a fat dissolving injection after a chin implant?

It appears as though your nipple rests at the level of the inframammary fold, classified as pseudoptosis or involutional ptosis. This is consistent with your history of pregnancy and of weight gain and loss. With a moderate sized implant, I would suspect that a circumvertical lift would be sufficient to achieve your goals. A smaller implant would be possible, however, with additional inferior pole skin removal and the closure well hidden in the inframammary fold line.

40 year old 2 children history of weight gain and loss. Not looking to have large implants but to replace upper pole loss since children . Want a natural look but also don’t want worse sagging so unsure on lift / lift type.

40, 2 children - I want to increase upper pole fullness. Advice on implants and lift recommendations? (Photos)

When performing an Augmentation with a breast lift (Mastopexy), there is a concern with dual-plane submuscular placement of the implant, as the Pectoralis Major muscle, due to muscular tonicity, can inferiorly displace the implant, creating a 'bottomed out' appearance. This 'bottoming out' can result in cephalad autorotation of the nipple areolar complex to an undesired higher position.

I had a breast augmentation and lift. My breasts have dropped drastically and it almost looks like the lift didn’t hold. My doctor mentioned he didn’t go fully under the muscle due to risk of my nipple sitting too high. I haven’t heard this before and have had several friends that have gone fully under the muscle with no issues. Looking for advice. Thanks!

Breast augmentation and lift - have my breasts dropped too much? Will I need a revision? (Photos)

Yes, it appears that you have breast tissue resting below the point of maximum projection of the implant. This can happen when the capsule that your body creates around the implant draws the implant into a higher postiion. Correction usually includes revision surgery to release the capsule, at the very least, but an additional lift concurrently is sometimes beneficial.

I am a 55 year old female, I had a mummy makeover 13 months ago (UK) including breast uplift with 275cc implants. I feel my breast look quite flat and the implant is high with my breast tissue under the implant I read it could be the snoopy dog effect - I dont go without a bra and this is something I wanted to be able to do having surgery bit I feel they a saggy? Can I have advice please I did sent photo and video to my surgeon and was advised he would have to do a scan of them to assess?

Uplift with implant breast surgery - Is this a snoopy deformity? Will I need a revision? (Photos)

A long as you are the only one using the applicators, there is no need to clean them each time you use them.

I want to get lip filler but want to make sure I not only keep my lips clean but also my lip product applicators on my lip gloss and balms. Some have a silicone doughnut applicator and others have a metal applicator and others have a usual lip gloss wand you pull out the tube. So do I wipe the wand off on a napkin after every single time I use it , or do I use soap and water rinse and then wait a while for the wand to dry before inserting back into the tube? I have a busy life so waiting on it to dry isn’t practical. Do I even need to wipe the wand if I don’t share with anyone and my lips are clean? Same for the doughnut silicone applicator and a metal tip applicator. How do I clean these and how often. Again I don’t share with anyone and usually clean my lips with antibacterial soap after I eat and wake up so do I even need to clean these and if so how often and with what products? I am attaching applicator exams plea to my post

Do I need to clean lip product applicators more carefully after getting lip filler?

You have true micromastia, a paucity of breast tissue, however, there is normal breast tissue there. I have seen outstanding results after Breast Augmentation for patients with a very similar starting point.

20 years old, 5’7, 55kg, diagnosed with PCOS, barely any breast tissue. I wanted to know if it would even be able to have a breast augmentation due to the lack of breast tissue I have, or if I would be risking my health doing it, I’m severely self conscious about my breasts

Do I have Micromastia? Would I be able to have a breast augmentation? (Photos)

It does not appear as though your implant has flipped. More likely is that you tractioned one of the lateral sensory nerves of the breast when bending over. NSAID medication, such as Ibuprophen (Motrin) and warm compresses should help to settle those symptoms.

I've had mentor HP implants for 4-5 years. Today I went to bend over and felt a very uncomfortable feeling in my right breast. The feeling has stayed and it almost felt like my boob would fall off when bending over. Upon examining it seems it looks a little odd, has it flipped?

I've had mentor HP implants for 4-5 years. Has my implant flipped? (Photos)

Your photos show a redundancy of skin in the upper lids but I don't appreciate any ptosis. Your situation, I believe, would be best addressed with a simple upper lid blepharoplasty.

I am getting a lower blepharoplasty early next year to address concerns with undereye bags. As I am aging, my upper eyelids are becoming increasingly puffy and droopy. My eyes look nearly closed when I smile and my upper eyelids keep appearing bigger. Would ptosis correction, blepharoplasty, or something else altogether be best to address this?

What surgery will help with puffy upper eyelids? (Photos)

Yes, Injecting the Depressor Anguli Oris muscles with neurotoxin, such as Botox can help lift the corners of the mouth.

I am an 18 year old female with a downturned/straight smile and wondering if Botox would fix

My smile looks downturned or somewhat straight. Would Botox improve the look of my smile? (Photo)

James N Long, MD, FACS

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Living in a small town, I was convinced I would have to drive three hours to Nashville to find a qualified surgeon. On a whim, I decided to research surgeons closer to home. I was so impressed with Dr Long‘s résumé and skills, and the fact that all of his patients were raving about him that I decided to go in for a consultation. I instantly felt comfortable with him. He answered all my que...

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