Jason E. Leedy, MD

That is certainly possible.  The amount of grams required to make this change is different for different patients. There are limits however about what is safe to do and maintain blood flow to the nipple.  There are patients that are just too big for a safe breast reduction with maintaining blood flow to the nipple and those patients are best treated with a nipple graft.  In this surgery the nipple and areola are removed from the body, the breast is reduced, and then the nipple and areola are put back on as a skin graft.  If you are too big to safely go down to a D cup your surgeon may recommend this.  Best of luck!

Lower eyelid puffiness can be the result of many factors--extra fat in the lower eyelid, loss of volume in the cheek, droopiness of the cheek, looseness of the skin and muscle around the eyes.  Treatment depends on the issue and may involve fillers, lower eyelid surgery for fat removal and possibly skin and muscle tightening, fat grafting to the cheeks, and facelift surgery.  All of those are options in correcting the issue.  Botox is not one of the options.  Botox only weakens muscles, it doesn't provide any fullness.  The best thing to do is to consult with a plastic surgeon board-certified by the American Board of Plastic Surgery experienced in this issue.  Based on the pictures I imagine a nice improvement could be obtained with injection of fillers, but I bet to fully correct the issue a lower eyelid lift with fat removal and fat grafting to the cheeks would be necessary.  Best of luck.

Based on the photos I would recommend a tummy tuck.  In that surgery the extra skin can be removed and the muscles tightened.  Liposuction is often done as part of that procedure to help contour the waist.  If you just had liposuction, your tummy would likely look better and be smaller, just not as improved as if you did the full tummy tuck.  There's pros and cons to both.  Consult with a board-certified plastic surgeon in person to get a full evaluation.  Best of luck.

The reality today is that any doctor can perform any type of procedure.  That doesn't mean they should but legally they can.  Once you have an MD after your name you can call yourself an orthopedic surgeon, a neurosurgeon, a plastic surgeon, or a "cosmetic surgeon".   I put cosmetic surgeon in quotation marks because there is no board-certification in cosmetic surgery.  The other specialties have board-certifications.  Hospitals and surgery centers often require that the doctors that perform surgery there are board-certified by the American Board of XYZ depending on the specialty that the doctor wants to work in.  So if you want to perform plastic surgery procedures at a certain hospital, that hospital will require the you are board-certified by the American Board of Plastic Surgery.  If you're not, then you're not allowed to perform plastic surgery procedures there.  So board-certification in a specialty provides evidence to a hospital (or surgery center and patients) that the surgeon has passed rigorous testing to prove that they are safe and capable of providing that type of care.  There is no board-certification in cosmetic surgery.  Look for a surgeon board-certified by the American Board of Plastic Surgery if you are considering cosmetic surgery.  Best of luck!

Thin patients can need tummy tucks too.  When the muscles have been significantly stretched, resulting in a persistently full "pregnant" look to the abdomen, a full tummy tuck is the answer.  In this surgery the muscles are tightened to create a flat abdominal wall.  This is like wearing a corset, except it's internal.  Thin patients are often trickier than fuller patients as the tissue planes are thinner and the dissection often has to be quite wide to account for the extent of the muscle stretch.  Be sure to consult with an experienced surgeon.  Best of luck.

Fillers are ideal for treating lines at the corners of the mouth.  If that is your main concern then I would favor that as your initial treatment.  A facelift is indicated when there is significant droopiness of the facial tissue or laxity of the facial skin.  At 35 years old it's a little early to start with a facelift.  Significant improvements are possible with fillers and I would recommend starting there.  Best of luck.

Breast implants can give a lift to the breasts in some patients.  An implant pushes the breast tissue forward and up.  If there's just a small amount of droop to the breast, an implant all by itself, can correct this.  When the entire nipple and areola is below the breast fold then an implant alone is likely not enough to give the perkiest look and a breast lift can be beneficial.  If you don't want the scars, then don't have the lift.  An implant alone will give a very nice improvement.  Be sure to consult with a board-certified plastic surgeon.  Best of luck!

Patients will excess fatty fullness in areas that are resistant to diet and exercise are typically good candidates for liposuction.  They also need to have good skin tone and be in good overall health.  For the abdomen, if the fullness is from muscle stretching from prior pregnancy or from major weight loss, then a tummy tuck may be better.  In that procedure the muscles can be tightened.  Liposuction is often also done to help further improve areas that a tummy tuck doesn't address such as the waistline and back.  The pictures look like  someone who may do fine with just liposuction, but a tummy tuck may give the best result.  The best place to start is with a consultation with a board-certified plastic surgeon.  Best of luck!

Every doctor will have a different comfort level for doing procedures that are a little out of the ordinary and your situation would require an in-person consultation to determine if you would be an appropriate candidate, but in general, I am comfortable with performing fat grafting on patients who have had previous Sculptra injections, as long as the injections were performed approximately 12 months prior and there is no evidence of complications from the injections such as granulomas, lumps, firm areas, etc.  Best of luck!

Fillers are ideal for improving the look of the nasolabial fold.  With a simple office based treatment the area can be softened so it looks more youthful.  Be sure to consult with a board-certified doctor for your treatment.