James Murphy, FRCS(Plast)

Thank you for your question. It's difficult to be 100% specific without examining you in person, of course, but, it does look like you have a degree of deviation of your caudal septum which is pushing the footplate of your lower lateral (tip) cartilage outwards. This can be a relatively simple thing to fix but it can also be quite complicated as it could have an effect on the appearance of the rest of your nose. My advice would be to have a detailed examination with an experienced rhinoplasty surgeon who can answer any questions you have. Please feel free to get in touch if you would like to meet face-to-face.

Thank you for your question. From your photographs, it looks like your lift was relatively recent, your scars are still a little pink and the lower pole of each of your breasts is a little flat and square, which will improve over the next few months. With regards to having implants, I would wait a little while yet but I do not think you will require a second lift and I am sorry but I have to disagree with the advice your surgeon has given you.

Thank you for your question and I'm very glad to hear that you have completed your treatment. As you are no longer immunosuppressed, I do not think there is particular problem with you considering breast augmentation. As usual, I would advise you strongly to look for safe environment in which to do this and to specifically ask your surgeon about infection precautions and general safety levels in the facility. Please feel free to get in touch if you'd like me to help out

The answer has less to do with the amount of breast tissue and more to do with the thickness of the subcutaneous fat above the breast. If you are very slim, it would probably be better to have the implant under the muscle but, with careful management of the muscle retraction, you can get good expansion of the constricted breast base with a tuberous breast either way. I could not be more specific without meeting you in person or at least seeing some photographs for a virtual consultation. Please feel free to get in touch if you wish

It's very difficult to answer that question without meeting in person, or at least seeing some photographs via a virtual consultation. the combination of a C cup breast with 500cc implants in addition sounds quite big but, if you are quite tall, you may carry this combination fairly well. I personally think that implant choice is best made as a collaboration between surgeon and patient and requires discussion, imaging, measurement and an idea of what a patient is looking for. 3D imaging can certainly help with this, as can photographs. I would suggest looking for a surgeon in your area who can offer this service. Please feel free to get in touch if you wish

 This sort of device has been around for many years and, whilst the concept may have an appeal, many surgeons (including me) have felt that the risk of complications outweighed any potential benefit. My biggest worry would be the consequences of a relatively minor infection taking hold with a foreign body, resulting in a devastating effect on the breast tissue. Given that other established surgical give accurate, long lasting results, I have never really been tempted to adopt this measure

From the photos you have supplied, you appear to have a fairly classic configuration for somebody who is seeking rhinoplasty. The issue of function is a little less straightforward as they can be a number of reasons for impingement. It would really require a face-to-face consultation and a detailed examination to answer that question more fully. Ultrasonic rhinoplasty has certainly made a difference to post-operative swelling in my practice and it is now standard technique that I use. It also seems to result in fewer problems (unevenness, bumps etc) post operatively. I would suggest you make an appointment for an initial assessment when we can discuss this a little more fully, if you wish.

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 As your nipple position appears to be just below your infra-mammary fold, I think the short answer is "yes", you do need an uplift as part of your augmentation. This will leave you with a circular scar around the nipple and a vertical scar running down the lower pole of the breast. This scar allows your surgeon to reposition the  nipple and reshape the breast tissue, repositioning it so that your implant and your breast tissue complement one another. My advice would be to get a face-to-face consultation with an experienced plastic surgeon who can explain this in greater detail. Please feel free to get in touch with the office if you think we can help. Best wishes.

Thank you for your question and congratulations on your weight loss. You clearly have significant excess skin above your belly button which will be partially corrected with a conventional tummy tuck. However, the looseness that you have is what we call "bidirectional", meaning that it will also move from side to side and therefore, by tightening vertically, you will still have some laxity, particularly when you lean forward. This can be corrected with a fleur-de-lis abdominoplasty but will leave you with a vertical scar running the full length of your abdomen. Performed correctly and managed carefully, this car can be of very good quality but it will always be there and I would suggest the best way forward is for you to have a consultation with an experienced surgeon who can explain the pros and cons of the two techniques in a bit more detail. Either operation will work for you, the question is where your priorities lie and how you feel about the scar. If you would like to have a video consultation with me, please feel free to get in touch with the office and I can explain your options in a bit more detail. Best wishes