Leland Deane, MD, FACS

First of all, from your photos, I don't believe you need a mastopexy. I would recommend a modest-sized breast augmentation, which I think would give you nice shape and fullness. The implant manufacturer is of less importance, and the surgeon's preference is key. I'm available to do virtual consultations if you wish. I hope this helps.

I think it would be best for you to have a high lateral tension abdominoplasty procedure, which could address both the belly and the thighs and outer portions as well. You should see a surgeon experienced with these procedures.

Without knowing more specifics, the chance of repeat capsular contracture is higher if already present. You're in a good position, however, to remove the implants completely and let the situation resolve. The good thing is that the capsular tissue will soften without the implant present, so capsule removal is usually not needed. I'm happy to answer more questions virtually. Best of luck.

Thank you for your question, and I'm sorry for your troubles. From your photos, it appears that you have round, unnatural-looking breasts, but at least there is no over-dissection, and I think the situation can be rescued. Under the muscle placement would definitely help, but this has to be done by someone experienced. I would not go larger on implant size, as I think this would compromise the shape. Above all, shape is most important. I hope this helps.

I'm sorry, but now your options are very limited. This decision fell into the typical trap of thinking that liposuction is an 'alternative' to properly done abdominoplasty. It is not. An experienced, qualified plastic surgeon will understand this and, from your preop photo, I would have recommend an abdominoplasty and we could have discussed the benefits. Now, with the ripples and dents from your liposuction, there are a few options but they are limited. I'm happy to discuss via a Telehealth, because I'm assuming that you're outside the US.

The answer to almost all these questions is 'yes'. I'm local to you if you'd like to come in for a consult and that is the best way to get a good plan in place.

You need, in my opinion, a high lateral tension abdominoplasty and this would restore your contour. I do not see a vertical scar as being necessary. I'm happy to do a virtual consultation with you if you wish.

You would do well with a high lateral tension abdominoplasty. This would restore your core strength and contours and make your torso more narrow again. You should go to someone experienced in this technique.

Thank you for your email and inquiry. I'll try my best to answer. As you say, the major problem is an enlarged areola and a sagging look to the breasts. There is plenty of breast tissue otherwise. The major problem you have is the desire to have the areola smaller and the breast shape better and to have it last and stay in good position. I believe this is all possible but you need a surgeon who is comfortable and experienced with suture and reconstruction techniques that can do this. I'm happy to do a virtual consultation with you if you wish and I can explain more.

You would do well with a breast reduction, which always, in my practice, involves a 'lift' to give the breast a better shape. Given your photos, I see you getting an excellent result.