Patrick Tansley, MSc, MD, FRCS(Plast)

Dear Cj2475, Thank you for your question. Amongst a number of features evident, you appear to have an asymmetrical submental scar, bulky submental soft tissue, platysma bands and loose neck skin. Whilst I do not know the scope of the surgery you underwent, it may be possible to address some of the matters identified through isolated submental access, but you ought be cautious about the interplay of any associated result with the jowls above to avoid a dysjunction effect. That is likely how the suggestion of revision facelift has arisen, which may indeed be most appropriate to redrape your tissues optimally. I suggest you seek the counsel of a specialist plastic surgeon trained and experienced in facial aesthetic surgery. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Reliable534671, Thank you for your question. Such generalisations are difficult to address given the variety in facial aesthetic surgical techniques and scope of surgery required in an individual case, all in conjunction with numerous local influencing factors. In addition, consideration of factors associated with risk of anaesthesia type may also surprise you. I suggest you seek the counsel of a specialist plastic surgeon trained and experienced in facial aesthetic surgery. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Ozzy65, Thank you for your question. Offering the best treatment 'option' now depends upon the nature of the underlying problem(s). It is possible that such contour defect(s) may relate to suture placement/fixation, internal scarring and/or buccal fat pad resection. I suggest you discuss the matter in detail with your surgeon to understand fundamental causation and ensure that you consult are a specialist plastic surgeon trained and experienced in facial aesthetic surgery. Kind regards, Patrick Tansley, Specialist Plastic Surgeon (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear anne6505, Thank you for your question. From your photographs you appear to be carrying significant weight internally aswell as externally, likely with limited external abdominal wall laxity. Whilst you will need clinical examination to facilitate any appropriate surgical plan, you may wish to consider more limited excision of the lower wedge of overhanging tissue. I suggest you seek assessment and advice of a specialist plastic surgeon experienced in plastic surgery of the abdomen. Best of luck. Kind regards, Patrick Tansley, Specialist Plastic Surgeon (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Good426378, Thank you for your question. Several issues seem apparent from your photographs, including but not limited to, breast implant malposition and asymmetry. However, more information is needed to understand your situation properly before recommendation(s) can be offered. FYI - the gel within Ergonomix implants is softer in consistency than the alternative Motiva range; your comment that they 'feel hard' (in conjunction with features in the photographs supplied) may suggest capsular contracture - the commonest complication affecting anyone with breast implants. You may wish to consider seeking the assessment and advice of a specialist plastic surgeon experienced in revisional aesthetic breast surgery. Best of luck. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Danelectro67, Thank you for your question. Multiple issues seem apparent from your photographs, including but not limited to, low eyebrows, high upper eyelid scars, bilateral 'A' frame deformities, bilateral medial fat pad prominence and periorbital volume deficits. You may wish to consider seeking the counsel of a specialist plastic surgeon trained and experienced in revisional aesthetic surgery. Best of luck. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear young facelift, Thank you for your question. The focus of consideration of rhinoplasty must derive from concerns, if any, held by the patient. You have not described any such concerns. In addition, the two photographs supplied, whilst demonstrating only limited visibility of your nasal morphology, suggest you have a nice nose that does not need any improvement. I would therefore advise you to consider carefully whether any surgery at all is warranted. No surgery is often the wisest approach. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Diligent564279, Thank you for your question. From your photograph you appear to have excess upper eyelid skin, perhaps a little moreso on the right and your brows appear to have ptosed to some degree. The upper eyelid and forehead are considered together by plastic surgeons as a single unit; if they are not managed appropriately, either together or in isolation, future complications can be significant. Accordingly, I would advise you to seek the assessment of a specialist plastic surgeon, trained and experienced in aesthetic surgery. Best of luck. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Caring219060, Thank you for your question. The answer, in short, is 'yes' - fat grafting, like all cosmetic surgery, does require a great deal of skill on numerous bases. The anatomical region in which you indicate a desire for it attracts particular risks, including blindness. Further, having cosmetic surgery abroad attracts its own risks including but not limited to clinical assessment, operative facility, instrument sterility and post operative care. I would counsel you to be particularly cautious about such endeavour and advise that you seek professional guidance in Australia from a specialist plastic surgeon trained and experienced in aesthetic surgery. Kind regards, Patrick Tansley, Specialist Plastic Surgeon. (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).

Dear Mottly Skin, Thank you for your question. From your photographs you appear to have loose skin and therefore soft tissue laxity above your umbilicus which is a requirement for a full abdominoplasty (tummy tuck). However, you also appear to have a long tissue segment beneath the umbilicus which requires careful consideration. In context of your clinical history, this makes accurate clinical assessment vital in order to advise you regarding any next steps. I suggest you consult a specialist plastic surgeon trained and experienced in aesthetic and revision aesthetic procedures for advice. Kind regards, Patrick Tansley, Specialist Plastic Surgeon (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery).