Ned Snyder, IV, MD

Thank you for submitting your questions/photos! With saline implants, if there is a rupture causing them to deflate, you would notice a big change in breast volume very quickly. Patients tend to wake up in the morning and notice a “flat tire” on one side. It is normal to have breast changes over a period of time due to many factors, such as hormone changes, weight fluctuations, etc. I advise you to seek out a board certified plastic surgeon to examine you and make recommendations. Good luck and thanks again for reaching out!

Thank you for submitting your questions/photos. I’m sorry you are experiencing some breast asymmetry after your augmentation. Based on your photos, you have several options. You can revise the left breast by opening the capsule around the implant and letting that implant sit lower in the breast pocket. There’s a chance this could return with time. Another options would be to move your implants from beneath the muscle to on top of the muscle and support them using a small piece of dissolvable mesh. This would reduce the risk of the implant creeping back up on the chest wall. I highly recommend you seek out a consultation with a board certified plastic surgeon to review all of your options. Good luck and thanks again for reaching out!

Thank you for submitting your questions/photos! Congrats on your weight loss! I would definitely recommend a lower body lift in order to remove the excess skin and contour your waist. This will also help with glute definition. You don’t seem to have too much excess adipose for fat harvesting to use for a BBL. You may be a better candidate for injectable adipose filler, which can be used at the same time as the body lift procedure. I highly recommend you seek out a board certified plastic surgeon to review all of your options. Good luck and thanks again for reaching out!

Thank you for submitting your questions/photo! Two weeks of wearing compression “full time” should be adequate if lipo is not utilized. After two weeks, you can slowly start weaning out of your garment over a period of 2-4 weeks. By 6 weeks, you should be completely done. Of course, you can always f/u with your surgeon at 2 weeks after surgery to get the official clearance to start weaning out. Your surgeon will be able to tell if you need to stay in it continuously for a little longer. Good luck and thanks again for reaching out!

Thank you for submitting your questions! Yes, you can place an implant that is 1cm wider than your natural breast width. I would not recommend much wider as you run the risk of implants touching in the middle (over the sternum) or creating too much “side boob” that’ll get in the way of your daily activities. Good luck and thanks again for reaching out!

Thank you for submitting your questions/photo! This contour irregularity can absolutely be fixed. The plastic surgeon should open the breast capsule in this area and help fill in this space with a slightly larger implant. I would not recommend a breast lift. Good luck and thanks again for reaching out!

Thank you for reaching out and submitting questions/photos. First of all, CONGRATS on the weight loss. This is not an easy thing to accomplish! When a large amount of weight comes off, it can unfortunately cause some skin laxity. The best way to improve the contour would be to surgically remove the excess skin and re-contour the waistline with either skin removal and/or liposuction. You may require a lower abdominal incision that carries around to your backside to tighten the entire trunk. Please seek out a consultation with a board certified plastic surgeon to go over your options. Good luck and thanks again for reaching out!

Thanks for submitting your questions and photos! I'm sorry that you're not completely satisfied with your results. Based on your photos, a mastopexy revision with tightening of the lower pole skin would be a good option. Usually, once more skin is removed, this won't be a recurrent issue. However, you may notice breast enlargement and loose skin if you have significant weight changes, have a pregnancy, breastfeed, etc. It is important to feel confident in your plastic surgeon's plan, therefore, I'd recommend getting a 2nd opinion if that's what you need in order to feel comfortable moving forward. Good luck and thanks again for reaching out.

Thanks for submitting your questions and photos. Based on the photos submitted, you are a great candidate for a breast augmentation. Your nipple position is lower on the breast, which makes you also a good candidate for a breast lift. A lift would make the implants sit higher on the chest, which may look too "augmented" if you want to have larger implants. Unfortunately, there's not a great option to do the lift without the visible vertical scar. If your main objective is just more volume, then a simple augmentation would be a good option. You'd be able to hide the scar under the breast and the implants would sit lower on the chest, giving a more natural look. I recommend consulting with a board certified plastic surgeon to review your options in more detail. Good luck and thanks again for reaching out.

Thank you very much for submitting your questions and photos! I'm sorry you aren't completely satisfied with your results. Unfortunately, loose skin above the belly button can be a tricky thing to improve. A full tummy tuck would have required a vertical scar towards the bottom of your abdomen as the skin above your belly button wouldn't have stretched down that low. There are some nonsurgical options that can help tighten and firm up the skin. We have seen good results with treating the area with Morpheus 8 and ultherapy. Please reach out to a board certified plastic surgeon or dermatologist to go over these options further. Good luck and thanks again for reach out!