Dr. Brucker is a skilled La Jolla plastic surgeon with more than 19 years in practice. Combining both technical experience and an artist’s intuition of the human form, he provides patients with the natural-looking and aesthetically pleasing changes they seek.
Asked By: CMBoobs
ANSWER
This is a common concern I see in my practice and if this is something that bothers you, yes, a revision can improve this concern. It is normal after pregnancy and breast feeding to lose some of your native breast tissue. You would require an in-person exam to discuss your best options but based on your photos, I generally favor the use of Strattice, an acellular dermal matrix (ADM), to reinforce your pocket(s) and provide a layer of coverage where it is lacking. Today's more cohesive silicone implants are also less prone to rippling and employing the use of both of these should greatly help.Another factor to consider before deciding to undergo revision surgery is whether you plan to grow your family or if you are done having children. If your desire is to have another child in the next year or two, I would recommend waiting until you are done to avoid potential additional surgeries. As always, I recommend consulting with reputable board-certified plastic surgeons to formalize a surgical plan when you are ready. Best of luck!
Asked By: rachelrachel___
ANSWER
This area can definitely be improved by using a hyaluronic acid filler and not Botox. Botox is a paralytic so it would not be used under the eyes. I would recommend a consultation with an experienced cosmetic injector or plastic surgeon to discuss this treatment option for you as injecting under eye filler properly requires advanced techniques. Best of luck.
Asked By: TooNic3
ANSWER
An in-person assessment is the best, however, based on these pictures it appears that you may benefit from 1 cc or possibly more of hyaluronic acid filler. My choice of filler to this area is Vollure, Juvederm, or Restylane. Going to someone who is qualified is more important than price so make sure you feel confident with the experience and technique of the person performing your injections.
Asked By: amy355
ANSWER
It appears that you have some overfilling to both your upper and lower lips as well as asymmetrical placement. I would recommend dissolving the product first, then returning the following week for rebuilding/refilling of the lips properly by an experience cosmetic injector or board certified plastic surgeon.
Asked By: RSProfile4377090
ANSWER
I recommend starting with one syringe of Juvederm Ultra to add volume to the lips and one syringe of Volbella to treat the perioral lines ("lipstick lines") around the mouth. If after these two syringes are done and you feel like you could benefit from a bit more, your injector can then add another syringe or partial syringe very easily.
Asked By: daina05
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It is very unusual to be swollen for so long after fillers. It appears your under eyes have been overfilled and I would recommend dissolving the filler first. If there is any residual discoloration to the area I would recommend treatment with an IPL/photofacial. After everything has healed the area should be assessed for need to refill correctly by an experienced cosmetic injector or board certified plastic surgeon.
Asked By: sscott18
ANSWER
Your overall result is not bad but there is some room for minor improvement if you are unhappy. Your preoperative photos show pre-existing asymmetry with the right breast being larger than the left. Your post-operative photos seem to show that this asymmetry is reversed and the left breast appears slightly larger and/or higher than the right. Were two different implant sizes used in an attempt to correct your pre-existing asymmetry? I generally prefer using two same sized implants and reducing natural breast tissue on the larger breast because two different sized implants can create the look you now have. If two same sized implants were used, does your left breast feel firmer than the right? If so, this could be capsular contracture which can cause the implant to raise and look asymmetrical. Capsular contracture tends to worsen over time so it will likely need surgical intervention to improve. If the scars underneath your breasts bother you, they can be revised. Remember, the goal of surgery is improvement not perfection and while you could benefit from a revision your result is not terrible and there may still be some asymmetry afterwards. Some asymmetry may be related to your frame. You hold your right shoulder lower than your left and your right hip is fuller than your left. This could be from scoliosis (spine curvature) which is not uncommon so I would also bring this up with your surgeon. If your asymmetry is due to the way that you naturally hold yourself, your surgeon can compensate somewhat for it during surgery but understand that it will be difficult to have better symmetry.
Asked By: funnybear813
ANSWER
While it doesn't appear that you have dog ears per se, you do have some residual fullness above your scar which can easily be liposuctioned for a smoother effect and overall improved contour of your torso. I do also notice areas of thickened scar which can be injected and/or revised for a better appearance at the same time. These are easy procedures with minimal downtime so I wouldn't hesitate to follow up with your surgeon for a touch up.
Asked By: bkc1983
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I always counsel patients who are considering breast reduction to be prepared for the inability to breastfeed. A lot of breast tissue is removed during this operation and the milk ducts can be disturbed. This is not to say that you will definitely not be able to breast feed but there is the likelihood that this ability will be affected. Some women are not able to breastfeed regardless of having breast reduction because they don't produce enough milk or various other reasons. There is no way to predict who will be affected regardless of technique, unfortunately.
Asked By: jelllyb
ANSWER
I agree with the need for a private nurse with experience caring for plastic surgery patients for at least one night following a face lift or abdominoplasty. These procedures involve drains and it is helpful to have an extra set of eyes on you to watch for any unusal bleeding or swelling during the first night. While these complications are rare, it is in the patient's best interest to have professional post-operative care. Also, if you have young children or pets at home, you would have a more restful night away from home. I don't recommend that my patients stay overnight in a hospital, however, because you would be exposed to more antibiotic resistant germs. This is my personal preference and your surgeon may have reasons for wanting you to stay at the hospital.
Dr. Michael Brucker is highly praised for his expertise in cosmetic procedures, particularly in , , , and . Patients consistently report high satisfaction with the results, noting significant improvements in their self-confidence and body image. Dr. Brucker's attentive and personalized approach, thorough follow-ups, and ability to address complications post-surgery are frequently highlighted as key strengths.
