Nicole L. Nemeth, MD

Hi— Thank you for the question and pictures. You have loose skin and abdominal wall laxity localized just around your belly button and really no where else—a testament to how well your body has bounced back after 3 pregnancies.  I think you can benefit from a tummy tuck so we can unfurl and remove the loose skin, repair the rectus muscle separation, and fix your belly button.  The one caveat would be that in addition to the traditional tummy tuck scar, you would also have a vertical scar below your belly button. If you can accept these scars, then I think you would have a nice improvement. Wishing you the best! Dr. Nemeth

Hi— These are common areas of concern for most women, so many plastic surgeons will likely be able to perform this for you.  The key for finding the right surgeon is someone who is not only board-certified and well-versed in cosmetic surgery, but also good at listening to your concerns and explaining the type of results you may expect. Good luck! Dr. Nemeth

Hi— In my observation, you have low positioned breasts (they sit low on your chest, but your nipple-areolar complexes are relatively centered on your breast.  One option for someone who, like you, who wants the fullness of an implant and to minimize scarring, is to do a breast augmentation alone.  I believe this will fill your breast envelope and give you more superior fullness as well as a certain degree of a “lift.”  A more formal lift can be added for improved nipple and glandular position and / or to create symmetry if the implant alone doesn’t give you the results you desire.  To answer your question about breast feeding, the majority of women (who could have breast fed before the surgery) are able to breastfeed after a lift and/ or augmentation. Of course, an in-person consultation is essential to discussing your options with a board-certified plastic surgeon.   Good luck! Dr. Nemeth

Hi— It is difficult to adequately assess your concerns with these pictures alone.  Some procedures that can improve buttock shape and remedy loose skin include a lower body lift, a buttock lift, an autoaugmentation, liposuction with fat grafting, and / or a combination of these. Please seek consultation with a board-certified plastic surgeon who is familiar with body contouring after massive weight loss. Best of luck, Dr. Nemeth

Hi— Thank you for your question and photos.  I would need an in-person exam to determine the position of your implants and their relationship to your inframammary fold, their degree of asymmetry, and any evidence of hardening or contracture.  Depending on these factors as well as the past modalities that were attempted to achieve the symmetry you desire, breast implant revision may still be able to provide you with a better appearance. As always, seek out a board-certified plastic surgeon who can listen to your concerns and provide you with realistic expectations. Best, Dr. Nemeth

Thank you for your question and congratulations on your baby!  First off, you mentioned that you still want to lose some weight, so I definitely recommend to continue working towards your goal weight.  At that point, you may still have some loose skin and abdominal wall weakness, both of which can be improved with a tummy tuck (abdominoplasty).   Best of luck! Dr. Nemeth

Hi— You may be a decent candidate for either liposuction or Coolsculpting.  I would say liposuction would be more effective and give a more predictable result, as Coolsculpting takes multiple sessions for only an approximate 20% reduction in fat.  In my opinion, you would have a very nice result with liposuction! Definitely seek consultation with a board-certified plastic surgeon who is knowledgeable in your options.   Best of luck! Dr. Nemeth

Hi— I think you would have a really nice result from liposuction—possibly adding fat transfer to your hips for shaping and to accentuate your curves.  More pictures and an in-person consultation would help me further tailor my recommendation. Good luck! Dr. Nemeth

Hi— It’s really hard to tell just from your pictures if what you’re describing is an expected amount of bruising / swelling from the procedure or if there is in fact an infection starting.  (You also mention redness and warmth, both of which can indicate infection).  I would definitely see your plastic surgeon!

You are only one week post-op, and your breasts need some time to heal.  I wouldn’t recommend a reoperation until things are better healed (minimum of about 3 months). However, if this is your final result once fully healed, then I would consider your desire for a smaller implant combined with a breast lift (you will likely benefit from at least a lollipop type scar instead of just a periareolar scar).  These two changes can help with a better shape while maintaining fullness—and improve the sense that your breasts are too big.   I recommend in person consultation with a board certified plastic surgeon to help guide you. Best of luck! Dr. Nemeth