Sören Könneker, MD

Hi,
sorry to tell you but the colleagues were right. Without a lift the nipples will hang under the breast resulting in an awful result when augmentation is performed.
You have to decide between some scars or the form of your breasts now. In good techniques the nipple will not be stretched and scars will be difficult to find and not visible around the nipple, but maybe from the nipple to the inframammary fold. It‘s according to your preference but there is no alternative for a really good result.

Hi,
this is a very good question. First, it is difficult to advice you without a direct examination. But you told here that you do not have any loose skin. It is possible to do a rectus repair laparoscopically without visible scars, but in your case with just a thin layer of subcutaneous fat this procedure will produce skin excess in the midline.
By the way, a rectus diastasis cant be improved by exercises. In summary, there is one perfect option for you: a modified mini-tummy tuck with rectus diastasis repair (minimized scars and without new insertion of the belly button (unless you want a new one).

Hi,
buccal fat removal is a procedure to narrow the middle and lower face. A perfect candidate is someone with a round and full face. A buccal fat removal won‘t improve the nasolabial fold. Without the right indication aging signs of the face will be worsened in the future after this treatment.

Hi,
according to the pictures you provided there is less to do in the inner thighs. Your waist cant be judged on the fotos. For the outer upper thighs liposuction will have a great impact on saddle bags but the surgeon has to be experienced due to the risk of irregularities after treatment.
CoolSculpting (freezing the fat) would be the best alternative if you are keen to avoid surgery but it is less effective and needs to be repeated for a couple of times for inferior results.

Hi, thank you for your question. Liposuction alone will reduce the fat deposit but will increase the skin excess of the lower abdomen that is overlapping the pubic mount. Only a tummy tuck can address both, the fat and the skin excess.