Roxanne Sylora, MD

To improve your result, it depends on 1) how much your pain tolerance is and 2) how your procedure was done. Local anesthesia hurts when injected, and the more that has to be numbed, the longer you will feel some of this. So part of the answer depends on you, your anxiety level, \and how much you want to remember about sounds and smells during a revision. Without seeing you in person (photos only tell part of the story) the fix could be relatively simple or could be more complicated. The nipple position looks high but it could be that you have too much skin at the bottom. Complicated fixes would be more difficult to tolerate under local anesthesia.

The answer really depends on what kind of results you are looking for. It looks like for optimal arm contour you might benefit from a regular brachioplasty. if it's just the part near the armpit, you might be able to get away with a shorter scar, but if you pull it too tight you might change the shape of your arm and it might look unnatural. (Looks like you have a nice bicep!!)

Its definitely possible for implants to flip. People who sleep on their stomach or side are more probe to implants flipping than others. If you lean forward you can try to flip it and see if the shape improves. But It’s best to have an in person evaluation with your surgeon.

Final results for almost any surgical procedure can take several months to a year to be fully seen.  In the meantime, if you are unhappy or worried about your results, you should go back to your surgeon and discuss your concerns.  Flat cheeks can easily be addressed by fillers or fat if needed, and this may reduce the fullness you notice in your jaw line.

It depends on what your mommy makeover involves, and what you have to start with.  If you are doing a tummy tuck, you will have scars. How nicely the scar heals has a lot to do with your genetics and your skin quality.  No matter what, the scars are permanent.  How visible they are has to do with your skin and healing.  That's also true for whatever breast surgery you have.  Long term effects from any surgery, including breast surgery can include scars, numbness, shape changes.  Implants, if used, may need to be followed to make sure they are not leaking or causing other issues.  In general, there are minimal bad long term effects to any of these procedures, hence their popularity.Speak to a plastic surgeon certified by The American Board of Plastic Surgery to get more of your concerns addressed if needed.

Based on your photos, you may be a great candidate for a minimally invasive treatment using radiofrequency energy known as faceTite.  It usually involves 2-3 small access points in the neck region and a small probe is inserted underneath the skin and it heats it internally.  This one time treatment can generate collagen as well as tighten the skin.  It can also melt fat as well.  We have treated patients with a similar appearance to you who have gotten great results!  It is best to be evaluated in person, and radiofrequency energy requires your body to respond adequately to the stimulation generated from the energy applied, so it is difficult to guarantee results, but we have very few patients who don't see results.

These small areas can open a bit after a tummy tuck but can go on to heal normally.  It may take more time to heal, but this is what we often call “delayed wound healing”.  It may be best to try to cover this area when showering, as sometimes tap water can have some bacteria that like to live in this area and can make it take longer to heal.  Be sure to follow up with your surgeon to get this to heal as quickly as possible.  Sometime if the surgeon removes or cleans the wound by removing stuff the body doesn’t want, it can heal faster.

Certification by the American Board of Plastic Surgery requires several years of training in plastic surgery procedures and treating complications.  These years of supervised training add to the experience of a surgeon in doing these procedures on their own. In addition board certification requires passing a rigorous written exam and an oral exam by certified examiners where the surgeon presents their own work and is questioned about their knowledge of treatment options and treatment of potential complications. This whole process is designed to keep patients safe by passing/certifying  those surgeons considered knowledgable and safe. While that cannot guarantee future outcomes it is meant to help maintain standards of care in a specialty.  All medical specialties have a board certification process which examines doctors in that particular field. Most boards are regulated by the American Board of Medical Specialties.  It would be less advisable to consider a general surgeon to do this procedure, especially considering the increased risks associated with this procedure in particular. 

Without seeing you in person, it is difficult to give you much advice. However, if you want to have maximum projection (how far breasts go forwards from your chest), then you may want higher profile implants.  If you go too big, it may make you look heavier, especially as the implants increase in width.  That's why high profile implants can give you the look of big breast without looking too heavy.  Since it sounds like you are thin, going under the muscle will give them a bit more of a natural look.  It is more uncomfortable in terms of recovery, but this is relatively a short period of time, considering you are anticipating having these implants at least 10 years or more. Best to find a surgeon who can help you size them and see how they different sizes and profiles look.

It's very difficult to assess everything based on the photos you posted.  Your hair hides the sides of your face, so it would be difficult to recommend anything without seeing your whole face.  There are many different fillers, and it is fair to say that what matters less is the filler (which matters for duration and price), and what matters more is who is injecting it.  They need to have the same "aesthetics" as you, in other words, they need to have the same vision of what you would consider attractive for your face.  Filler in the wrong place can make you feel like you don't recognize yourself.Fillers can have some significant complications, so please make sure your injector is well versed in utilization of fillers and has a lot of experience. Board certification in plastic surgery or dermatology is safest.