John Mancoll, MD

Thank you for question. You have what looks like pretty good quality skin. The bigger an implant you put in the less natural it’s going to look. A 300cc implant certainly could fit your body quite nicely, but I don’t know that you’ll have as natural abreast as someone who has a little more laxity to their skin. But please keep in mind that natural look is a very subjective description and may mean different things to you than it does to me. You can also maintain that same breast width and go with an Implant with more projection if you want a little more size. It may give you more of an augmented look than a natural luck. In my practice, I have the Vectra. 3-D imaging system and we can try different size and shape implants on which can give you a pretty accurate assessment of what your postop look might be. This has been a very helpful tool for patients as they’ve moved forward towards the breast augmentation surgery. Good luck with your breast surgery journey.

Thank you for your question. Keep in mind a full tummy tuck allows your surgeon to address all the layers of the abdominal wall. While your weight looks like it’s in a good range you do have some of the characteristics of skin laxity that include a hooding of your belly button, some of the wrinkly that I can see around your waist line, which I believe most likely also represents a certain degree of pubic area droopiness. It’s hard to tell if you have a Daya stasis, but that is a critical component of what should be repaired during a tummy tuck. I have a number of patients that I was first look look quite thin but then when you look at their before, and after she can really appreciate how much skin was removed and how much more athletic there abdominal wall now looks. You can look under some of my realself posted photos and see what I’m talking about. Good luck on your body contouring journey. I think you should be able to get an outstanding result. you can look under some of my real self posted photos and see what I’m talking about. Good luck on your body contouring journey. I think you should be able to get a outstanding result.

Thank you for your question. To really be able to answer your question thoroughly I would ask you what your ultimate goals are after surgery. In my practice, I like to have patient show me pictures of their ideal breast, and then based on the results of that would dictate what I would recommend. Looking at your pictures that you’ve posted it looks like your nipples are sitting low to me and a breast lift of some type might offer a significant improvement of our breast shape, and contour. In general, I think you have a good result for what was done but it does seem like your breast tissue swallowed up that 415 cc implant and your overall body size and width could certainly handle more implant depending on the kind of luck you’re looking for. Click on your breast surgery journey.

Thank you for your question. The lumpy bumpy of your abdomen most likely is the result of internal scarring. It’s probably made a little bit worse in your case simply by the fact that you are so thin and you don’t have a whole lot of a fatty blanket to hide this irregularities. One of the things that can be done is to go back into surgery and simply do an equalization technique. With the help of a basket cannula that might allow for freeing up and stretching of the internal scar tissue and then hopefully it would be a smoother. Frequently, in cases like this, if I can also add some fat and a fat grafting technique once you freed up the space and scar tissue, then put the fat in to hopefully allow it to heal in a smoother way. I would tell most people that I could get about a 50% improvement from where you are right now with this technique. Another option might be to just go back and redo the tummy tuck. The downside of that would include a little longer recovery. The stiffness and lack of excess skin in the abdominal wall. At this point in your life, probably would not allow for a lot of skin removal, and as a result, the defect where the belly button is, will most likely have to be close is an up-and-down scar along the midline of your lower abdomen. It’s also very possible the tissues are stiff enough that it’s not gonna move much at all, in which case you could just do a float technique of the belly button, and then simply open it up to release the scar tissue, put a little bit tighter and then re-close. I would discuss all of these options with you if you are in my office considering surgery. Good luck on your body contouring journey.

Thank you for your question. Even though you may have plans to get pregnant down, the road, liposuction is an option. Life360 can be done to help improve contour of your Admin waist, upper and lower back. I might also suggest using some of that fat to fill in the flat spots on the sides of your hip any of the buttock area. Well pregnancy may ultimately cause your body to gain weight and some areas. The general shape created by liposuction will be preserved and then if you’re done having kids, a tummy tuck would be a nice way to restore the shape and contour of your abdomen. Good luck on your body contouring journey.

Thank you for your question, and congratulations on all that weight loss. You could certainly have a breast augmentation without a lift. The best results really would need to have a full scar breast lift . You have what we referred to as grade 3 ptosis where are the nipple areola complexes is at the bottom portion of your breast, looking down at your feet. Proper nipple position will be much higher up and putting an implant will not address repositioning of the complex. NAC complex being in the right spot is an important aesthetic aspect of an attractive and youthful looking breast. Just to let you know, I think in general, you could get an outstanding result with a mommy makeover that would include a full scar mastopexy with her without implants, tummy tuck with additional liposuction of your lower and mid back. Ultimately, though you would also be a candidate for a dermal lipectomy of the upper back to help with those brush trap rolls, and possibly even a lower body lift to address laxity of the buttocks skin, and some in the thigh as well. Good luck with your body contouring journey. I hope this has helped.

Thank you for your question. I’ll liposuction I think and make a nice improvement in your overall shape and contour. It most likely is not going to adequately address the skin laxity issue that you have. In addition, if you have any diastasis from your pregnancy, it will not interested as well. And based on your photos, I believe you’d probably be a much better candidate for a tummy tuck with liposuction of your upper middle and lower back at the same time. That operation related address, all levels of the problems that you have which include skin fat, as well as the potential for a muscle fascial weakness. I have a number of patients that understand the best results may come from the surgery. I just described the liposuction sort of fits their lifestyle, limited recovery, and desire not to have the extra scars. With that said, I think you can have really good change and if your skin ultimately is not tight enough for what you want you could still go back and have a tummy tuck with excellent results. Good luck. Let me know if I can help .

Thank you for your question. Looking at your photos and comparing the two breast it seems that your left breast is sitting high due to most likely a capsular contracture. Remember, a capsular contracture is simply the scar tissue that forms around the implant. If you were eight years out from your revision surgery, there is a small chance that you’re in pain could be rupture, which is stimulated more scar formation, i.e. more capsule. I don’t really feel like there’s probably any exercises you can’t do but if there is a chance you have a ruptured implant it would start with a mammogram to take a look. If that is not diagnostic, then you may need an MRI. If you wanted to avoid upper body working out, particularly those related to the pec major, it wouldn’t hurt, but I’m not sure that it’s gonna make a difference when it’s all said and done.

Thank you for your question. In my opinion, you are not a candidate for suction reduction. The problem on your right breast is that it’s already got too much skin and it’s too droopy and doing suction might actually make things even worse. Unfortunately, the asymmetries you have can only best be corrected with some form of lift operation on your right side. The volume differences between your two breast could be compensated for with different size implants, but the skin laxity issues cannot be corrected with implants. While I know, most people aren’t excited about the scars that a breast lift has they do fade nicely over time, and they become a means to an end for the kind of shape form in symmetry that you’re looking for. good luck in your pursuits and if you have any other questions regarding it, you’re certainly welcome to write back.

Thank you for your question. At this point it looks like you’re healing well and is unclear as to whether or not you would need any future surgery. I would recommend that you not think too much about for at least six months and at that point if you’re unhappy with your scars have a conversation with your plastic surgeon with respect to revision. The but passed on what I’m seeing  in your pictures today you should heal beautifully.