Marcelo Ghersi, MD

This should not be a difficult rhinoplasty to perform, as long as it is done by an experienced rhinoplasty surgeon. One of the things that people don't often realize is that to change a nose even those the physical changes may be small it requires a lot of internal work. So even if it is just a small hump or a little bit of lifting that you desire, you still need to do a full rhinoplasty. When I go in to a patients nose, I go under the skin, work on the alar cartilages, nasal bones to give you a nose that looks well and works well.

This should not be a difficult rhinoplasty to perform, as long as it is done by an experienced rhinoplasty surgeon. One of the things that people don't often realize is that to change a nose even those the physical changes may be small it requires a lot of internal work. So even if it is just a small hump or a little bit of lifting that you desire, you still need to do a full rhinoplasty. When I go in to a patients nose, I go under the skin, work on the alar cartilages, nasal bones to give you a nose that looks well and works well.

I think that either a 300 or 350cc smooth round high profile silicone implant would look very nice on you because the shape of your breast is quite optimal. The best tools for you to anticipate the size are either sizers that your surgeon can do or actually do a search online for 300 cc implants or 350 cc implants. Look for women who have breast similar to yours beforehand, I actually on the contrary to what your surgeon suggested think would be more help so that you can see what a 300 cc implant looks like in a breast that is similar to yours. You can do some research or go on Instagram pages of some surgeons. Once you have gotten this information, it will put you at ease for what you are searching for.

This a fantastic plan and what I would recommend if you were my patient. You definitely need a lift. But after a lift, the upper pole will be deflated and the breast will not be fully round. With a small implant, when I mean small is somewhere between 200-300 CC we can give the breast a much prettier, perkier, and rounder shape and add upper pole fullness without adding a whole lot of volume to the breast and making the breast big. I would recommend a high profile or a moderate plus profile cohesive gel or gummy bear implant to achieve this result.

Unfavorable healing of those is a very real and common problem we encounter in nasal surgery. When the nose swells a significant amount and the swelling does not subside that swelling becomes fibrotic scar tissue. Kenalog injections do help with this tissue for about for the six months to twelve months. After a year, Kenalog injections do not really help a whole lot and they actually cause problems because it will thin out the skin. In my practice, after a year when a patient has a bump or contour anomaly that I cannot take care of with injections. It becomes time to consider a revision surgery to remove scar and reshape the nose.

The debate of whether an open or closed rhinoplasty is best has been going on for several decades now. Both techniques can achieve beautiful results in a wide variety of noses. Today, most expert rhinoplasty surgeons are performing open rhinoplasty, that is because of the open approach surgeons are better to address the issues of the nasal tip and to give more a precise result. However, there are a number of very talented of rhinoplasty surgeons who perform close rhinoplasty with very decent results.

You are an excellent candidate for a lift with implants. This procedure would entail removing a lot of the excess skin making the breast small and tight and then placing an implant. Most likely a gummy bear or a cohesive implant under the muscle so that the breast can look perky and full and round. You will always have the issue of having thin skin and depending on the quality of your breast tissue, you may actually be a good candidate for a dermo matrix. Any well breast specialist should be able to give you recommendations on this. Good luck.

At nine months post surgery, most swelling should be gone. What you are looking at now is not so much swelling but rather scar tissue due to unfavorable healing. My recommendation is that you seek the help of a rhinoplasty surgeon whether it be your old surgeon or you trust someone else to consider a revision. A revision a would certainly enable the surgeon to give you a much prettier, more attractive, and softer look. Good luck.

Thank you for your question. You definitely have a crooked nasal deformity that would be very minimal to treatment with a full septo-rhinoplasty. Naturally this will not affect the the asymmetry of your face but certainly will make your nose look better and the face more balance. The tip can also be elevated in the same operation making your nose more attractive. Any experienced rhinoplasty surgeon should be able to help you with this. Goodluck.

I agree with you. If it bothers you to the point that its giving you symptoms everyday then it is not unreasonable to go back into surgery and get them removed. The problem about this is that you will not be able to breast feed for a few weeks after you take the implants out while your breast heal. That is probably what the other doctors had in mind. But if you can pump and save milk or consider formula that may be an option.