Sean Hill, MD

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:

Thank you for your thoughtful question and for sharing your photos — they provide valuable insight into your anatomy and concerns.

Based on your images, you appear to have significant breast skin laxity and low nipple position (nipple apposition to the lower breast pole) — both of which are very common with aging, gravity, and prior volume loss. In cases like yours, implants alone will not provide an ideal result, as they cannot reposition the nipple or adequately tighten the skin.

To achieve a natural, youthful, and lifted appearance, a breast lift (mastopexy) is strongly recommended — often in combination with an implant if additional volume or upper pole fullness is desired. The lift will:
• Elevate the nipple to a more youthful position
• Remove excess skin and reshape the breast
• Improve overall symmetry and contour

Implants alone in this scenario would likely exacerbate the sagging and lead to a bottom-heavy or unnatural appearance over time. A combined lift and augmentation can restore both shape and volume in a balanced, elegant way.

At Lone Star Plastic Surgery, I frequently work with women in their 50s, 60s, and beyond who want to restore their figure while maintaining a natural and age-appropriate result. The most important step is a consultation where we can discuss your goals, assess your tissue quality, and create a custom plan.

And as always, make sure your surgeon is board-certified and highly experienced in lift-augmentation procedures, to ensure both beautiful and long-lasting results.

Warmly,
Dr. Sean Hill
Board-Certified Plastic Surgeon
Lone Star Plastic Surgery – Frisco, TX

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:

Thank you for your question — and for sharing your photos, which give a helpful view of your anatomy and concerns.

After pregnancy and breastfeeding, it’s very common to experience skin laxity, loss of upper pole fullness, and a drop in nipple position, all of which can impact breast shape and projection. Based on your photos, you have a moderate degree of skin laxity, and your nipple sits slightly below the ideal position — which suggests that a breast lift (mastopexy) may be recommended to achieve the best result.

Here’s a quick breakdown:
• Implants alone can restore volume and improve fullness, but in cases with significant laxity, they may not lift the breast enough on their own — and could even make sagging more noticeable over time.
• A lift with implants would allow us to reposition the nipple, tighten the skin, and restore fullness, especially in the upper pole — giving you a perkier, more youthful contour.

At Lone Star Plastic Surgery, I always tailor the approach to your goals and anatomy. Some patients want the most natural shape possible, while others prefer more volume and upper pole fullness — and those details help guide the best surgical plan.

A consultation is the next step to measure breast position and discuss your desired look. Whatever you decide, make sure you’re working with a board-certified plastic surgeon who performs these procedures regularly and can offer an honest assessment of what will give you the best, most long-lasting outcome.

Warmly,
Dr. Sean Hill
Board-Certified Plastic Surgeon
Lone Star Plastic Surgery – Frisco, TX

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:

Thank you for your question and for including photos — they’re incredibly helpful in evaluating your current results and concerns.

First, I want to say your results look very good overall, especially in upright positions. That said, I can understand your concern about the asymmetry and the implant shifting when lying down — particularly if it feels unnatural or uncomfortable.

In patients with a history of significant weight loss, the soft tissue support around the implant can sometimes weaken over time. What you’re describing sounds like possible lateral implant displacement, where the implant migrates too far outward on the chest wall — something that can become more apparent in thinner patients or after tissue changes.

If this bothers you or is progressing, you may benefit from a revision surgery with internal support, such as the placement of surgical mesh (internal bra). Mesh can help reinforce the implant pocket, reposition the implant to a more ideal location, and prevent it from shifting — especially when lying down or over time.

At Lone Star Plastic Surgery, I frequently see patients seeking revisions after weight loss or implant-related issues, and the goal is always to restore both aesthetic balance and long-term stability.

A full in-person evaluation is the best next step to confirm if mesh is appropriate and to review your implant positioning, capsule integrity, and tissue support. And as always, be sure your surgeon is board-certified and experienced in revision breast surgery for the safest, most effective outcome.

Warmly,
Dr. Sean Hill
Board-Certified Plastic Surgeon
Lone Star Plastic Surgery – Frisco, TX

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:

Thank you for your question and for sharing your photos — they’re very helpful in understanding your concern.

At 8 years post-rhinoplasty, the healing process is long complete, so when patients notice a “new bump” this far out, it’s often something that’s been present but has become more noticeable over time. Based on your photos, it looks like the area in question may be a cartilage tip graft — a common structure placed during surgery to shape and support the nasal tip.

These grafts can become more visible over the years, especially if:
• The skin has thinned, which can happen naturally with age
• There’s been minor trauma or pressure to the nose
• There’s a gradual shift or resorption of surrounding tissue, making the graft more prominent

If the bump is firm and doesn’t move, and you can feel its outline clearly, it’s very likely the underlying cartilage graft and not a new growth or swelling. That said, if it’s bothering you aesthetically or feels uncomfortable, revision rhinoplasty or minor contouring may be an option.

At Lone Star Plastic Surgery, I see many patients for secondary rhinoplasty and always recommend a conservative, personalized approach — especially when tip grafts are involved. And if you’re seeking further treatment, be sure to consult with a board-certified surgeon who is also a member of The Rhinoplasty Society, as these cases require advanced experience and a nuanced understanding of nasal anatomy.

Warmly,
Dr. Sean Hill
Board-Certified Plastic Surgeon
Lone Star Plastic Surgery – Frisco, TX

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:

Great question — and one that comes up often from patients considering surgery to improve breathing.

Septoplasty is a procedure designed to straighten a deviated septum, the internal wall between the two sides of your nose. The primary goal is to improve airflow and correct functional issues — not to change the external appearance of the nose.

In most cases, a septoplasty alone does not noticeably alter how your nose looks from the outside. However, there are exceptions. If your septal deviation is severe or involves the bridge or tip, or if there’s structural collapse, then correcting the septum may cause subtle changes in nasal shape or alignment. This is especially true if cartilage is removed or repositioned in a way that affects support.

If you’re also concerned about the appearance of your nose, you might consider combining septoplasty with cosmetic rhinoplasty — a common and safe approach when done by an experienced surgeon.

At Lone Star Plastic Surgery, I evaluate both form and function together, so you can breathe better and feel more confident in your appearance — whether that means septoplasty alone or in combination with other refinements.

And as always, choose a board-certified plastic surgeon or ENT specialist, preferably a member of The Rhinoplasty Society, to ensure you’re receiving care from someone with advanced training in both the aesthetic and functional aspects of nasal surgery.

Warmly,
Dr. Sean Hill
Board-Certified Plastic Surgeon
Lone Star Plastic Surgery – Frisco, TX