John K. Wakelin III, MD, FACS

Congratulations on your weight loss!  From the appearance of your photos I would definitely recommend a lift, and smooth round implants will likely be your best option to help restore some of the fullness to the upper pole of your breasts.  This can be done in a way that is very natural.  The size of your implant should be based upon in-person discussions with your board-certified Plastic Surgeon, so that you feel comfortable with the volume that you are choosing to have added to your breasts.  Best of luck to you!

I recommend following your surgeon's recommendations regarding activity after your surgery.  However, you should absolutely be able to be active and play basketball after your recovery period.  Best of luck to you!

Your questions are very good, but they are fundamental to the plan that you should be discussing with your surgeon prior to surgery.  From your photos it appears that you would likely benefit from a lift, but it may not be absolutely necessary.  The sizing of your implants can have an impact on this as well.  I recommend determining the best size to meet your volume goals with your surgeon, and then determine if a lift would help you reach your goals.  

Since each rhinoplasty surgery is different, I strongly recommend following your surgeon's postoperative instructions.  I typically recommend that my patients sleep with their head elevated for the first 2-3 nights to help decrease swelling.  I also remove splints after a week in most cases.  Nonetheless, your surgeon may have reasons to recommend different postoperative care, so you should follow his or her recommendations.  Best of luck!  

You appear to be an excellent candidate for breast augmentation to accomplish larger, fuller breasts, improve your symmetry, and accomplish what would appear to be a lifting effect.  Based upon your photos it does not appear that you would need a formal breast lift, but an exam in person is the best way to determine this.  

You are likely still a candidate for a tummy tuck and liposuction with your Factor V Leiden deficiency.  Your history of any blood clots and the surgery that you are planning will need to be taken into account and extra precautions with anticoagulation will need to be taken, but I have done these surgeries for many patients with Factor V Leiden in the past with success.  Safety is certainly the number one priority, but if appropriate caution is taken these surgeries can usually be performed.  

With the technique that you are describing there should be no reason that your surgery would affect your ability to breast feed in the future.  Best of luck to you!

It appears from your photo that it would be possible to perform a breast augmentation with implants alone, but the question is whether that procedure would meet your expectations.  In some cases my patients' expectations for the results that they seek can only be achieved with a lift as well.  A consultation with a board-certified Plastic Surgeon would help you to determine the best procedure to meet your goals.  Best of luck to you!

You appear to be an excellent candidate for a rhinoplasty.  In addition to removing the hump on the bridge of your nose, your nasal tip could be better refined and rotated up slightly.  This will give your nose a more feminine appearance and bring it into better balance with the rest of your face.  I recommend seeking out a surgeon with extensive rhinoplasty experience  who is able to show you before and after photos of other patients like yourself with similar goals.  Best of luck to you!

Based upon your photos I believe that either a one or two stage approach is acceptable.  Doing lifting and augmentation at the same time is one of the more complex  breast surgeries that we perform as plastic surgeons.  It sounds like you are doing your research.  I would recommend you choose the surgeon that you are most comfortable with.  Best of luck to you!