Sirish Maddali, MD

 It would be extremely unusual to have a nipple to crease ratio of 0.5cm. That is way too small. A part of your procedure would require releasing the crease so that you can increase the length from nipple to crease. If you have a tubular breast, a part of the procedure is to release the tubular breast tissue with a procedure called "radial scoring." That is part of the augmentation and done at the same time. Good luck.

Liposuction is a great tool for breast reduction revisions. However, it really depends on what you need removed. Some surgeons will do liposuction as the first procedure for breast reduction, but not many. Most do liposuction as a part of the breast reduction procedure (for the sides), and some do it later as a revision. It is hard to give you a good answer without actual pictures. Good luck.

There is actually no formula that we use to determine this. It is based on the patient's size, height, frame, weight, and on the surgeon's experience. We can guess how much we will be removing, but that is truly a guess. We can never really tell until we are in the operating room. A very important part of this is a long discussion with the patient to determine their wishes. However, it would be unwise to remove more breast tissue just to satisfy an insurance company. For that reason, and that reason alone, many surgeons and patients do the procedure outside of insurance and pay for it just like any other "cosmetic" procedure. Good luck. 

This is a difficult problem. As most of the responses have stated, you should definitely decrease the size of the implants at the next (hopefully last) operation. The left inframammary fold should be raised and any capsular contracture that you can feel should be fixed (especially on the right). Good luck.

Your photo shows a lot of swelling in the entire abdominal area, not just at the ends of the incision. It is very common to have a lot of swelling after a tummy tuck, but I would recommend making sure that there is not a build up of fluid (seroma) under the skin.

To answer the question specifically about the "dog ears," it is hard to say, but the swelling there does not appear significant and seems within the norm for a tummy tuck. Good luck in your healing.

Short answer: NO. Yes, as you put it, you "are kidding yourself." The recovery from spinal surgery is quite significant and performing other elective surgery at the same time is NOT advisable. Heal up and consider your post weight loss body contouring surgery at another date. Good luck.

 This certainly varies by individual. In general, discomfort, pain, and swelling, will persist for 6-8 weeks. During this time period, it is quite common for libido to be reduced. It might take longer in some individuals, but that is not too common. Congratulations on your surgery and good luck with your recovery.

 This is quite common and is usually due to milk production from the gland coming through the ducts and out the nipple. It does not usually indicate an infection. Clear or milky discharge can last for a few days to a couple of weeks. If there are worrisome signs, such as redness, fever, odor, or discharge from the wound, make sure that you see your surgeon. Good luck.

It is possible for you to notice wrinkles in areas that were not present after Botox due to the interactions of the muscles of facial expression. It is usually quite treatable, and a little more Botox can be injected into the "new" areas. Go back to your doctor for some more advice. Good luck.

 Restylane given to the nasolabial folds should not affect your rhinoplasty procedure in the next two months. This is true even if you are getting alar base reduction during your rhinoplasty. Good luck.