Mark D. Epstein, MD, FACS

Hi there, yes you should get the microchip formally known as Q Inside Safety Technology, or Qid. Qid does not have any personal information and only carries the information about your implant. Should you need to replace them and do not go to the original doctor, they can scan over your breasts if you do not have your records and do not remember the size.

Based on your photos it looks like you may need a labiaplasty, as well as a lateral hood reduction to reduce the amount of skin and a hood elevation to elevate the hood.  My final recommendation pending a physical exam and consultation.

This is where Bellafil does well. I recommend Bellafil for patients who have already had HA (Hyslauronic acid) fillers and want something longer lasting. If you have never had a filler injected, you may do better with one of the shorter lasting fillers (1 yr or so) and see if you like the result. If you do, then move to Bellafil. Bellafil cannot be easily removed, do you want to make sure that you will be comfortable with the results.

the physicians below addressed this pretty well. I have not been particularly impressed with the results that I saw from laser resurfacing of the skin for acne scarring. For the "rolling" type of acne scars - wide, faint gradual borders, Bellafil works nicely. It is not for punctate, "ice pick" scars. Bellafil restores volume whereas a laser does not.

From the photo you submitted, it looks like there is a volume defect, not a wrinkle due to muscle movement. This is why Botox did not work. You need to add volume, and most fillers will work. I would suggest trying a HA (hyaluronic filler) first, to make sure you like the result. Then, when the HA wears off, you can use Bellafil. My suggestion is to make sure that you get the correction you want, because Bellafil will last for several years, and if you are not happy, you will be stuck, because you cannot dissolve it. I love Bellafil, but discretion must be had when using it for matters that are not usual and routine. Just my opinion.

The manufacturer does not recommend it. This is a fantastic tool, but understand that you cannot dissolve it and it lasts for a long, long time. Under the eyes is a finicky area to correct, and if you do not get a good result, and that could be not because the injector did anything wrong at all, you will be stuck with it.I advise volbella, restylane silk, belotero as an alternative. Totally agree with Dr. Emer on the use of microneedling and PRP. 

I agree with the answers given below. While I am seeing some encouraging results (early so far) with non-surgical radiofrequency skin tightening for the breasts, massive weight loss usually results is such dramatic loss of skin elasticity and loss of firmness to the breast tissue itself (gland and fatty tissue inside the breasts), that radiofrequency treatments will be useless to treat this.Surgery is usually the best way to approach this, and for massive weight loss in particular, most commonly I prefer what is called a "dermal suspension and parechymal reshaping" procedure, as first described by Peter Rubin. In these cases, there is no way around surgery and you must accept the scars, but when combined with mesh for internal support of the breast tissue, I find the results to be excellent.

I am a big proponent in this area. It is important to have a consultation from a surgeon experienced in this procedure as many women are not good candidates for it. This is best for individuals with mild to early-moderate skin excess/laxity. It will not treat excess fat (need liposuction). However, for those who are good candidates for this, it is a nice way to go. You will not have the same degree of tightening as with an abdominoplasty (tummy tuck) but if you are against surgery, this may be for you. The best technology at the current time (in my opinion) is BodyTite. I believe this to be an improvement over the previous ThermiTight. I have used both of these technologies. It is essentially radiofrequency energy "injected" under the skin using a subcutaneous probe. I believe that this has surpassed laser technology which does not reach the target tissues with the same degree of energy and efficiency.One note of caution - this will probably not do much for stretch marks, but then again, I have not been impressed with anything else I have seen for this problem, either.

Dr. Petti below gives some excellent suggestions and repeating them here is not necessary. However, I would add the following to her answer:The trend is now away from lasers and towards radiofrequency to tighten skin. It better addresses not only the dermis, but the underlying subcutaneous tissue and fascial network as well, which is essential to get the best tightening of the skin. For a few years, I have used ThermiTight for this, however, there is more superior technology available. FaceTite (inMode corp) is the best technology available to tighten the skin of the neck and around the jawline. This can be done under local anesthesia, takes about 30 minutes and requires only a few needle punctures in the skin. Downtime is minimal. 

While it is true that heat results in skin tightening - just as when you cook food, the protein congeals and shrinks, there are, in my opinion, much better ways to do this than with a laser. It is the dermis and the subcutaneous tissue fascial framework that needs to be heated to cause skin contraction. If you apply a laser to the skin, then you must burn through the epidermis and heat the dermis. This will not reach the underlying fascial framework. So yes, a laser can give you skin tightening, but not the best result nor the most efficient with the least downtime.Over the last few years, the trend is towards applying radiofrequency energy to tighten the skin. While early attempts to do this to the surface of the skin (ie Thermage) have failed miserably, the proponents of this technology were in the right ballpark.For a while, I used ThermiTight to tighten the skin and it really does work. A long probe is inserted under the skin, an electrode at the tip is energized and the underside of the skin heats up, causing dermal and subcutaneous tissue tightening. I have seen some very impressive results with it.However, as technology improves, other devices emerge. The best one, in my opinion, is BodyTite. This operates under the same premise as ThermiTight, however, there are some technical differences. Suffice it to say that the energy is delivered at a higher power with BodyTite and it is bipolar as opposed to the unipolar ThermiTight, making it more "efficient" in its task. The last thing about BodyTite that I really like is that there is better thermal protection to prevent skin burns, than when using ThermiTight (although burns have not been a problem for me with this technology).I see that you live in Boca Raton. My colleague Jason Pozner is extremely experienced with this technology and I recommend that you see him. He taught me to use this technology and I am very happy with it. Good luck.