Tamy M. Faierman, MD

Great question! Based on your photos, you are a candidate for a TT with liposuction of the hips and flanks. I do recommend that you consider whether you are going to have children in the next couple of years, bc that will affect the timing of your surgery. In the meanwhile, I recommend beginning some lifestyle changes that will help you get closer to your ideal weight, and healthier for possible future surgery. I am a Holistic PS and have a Wellness Center, and so I have my patients begin improving their overall lifestyle even before any surgery, like nutrition, exercise, stress reduction, lymphatic drainage massage, meditation, etc. That way you are taking care of yourself in a comprehensive manner, not just focusing on the belly. Hope this helps! Good luck! Dr. Tamy 

Thank you for your question. Your breasts look well positioned and aesthetically pleasing at the current size. I would not suggest going any bigger, as you will stretch your skin envelope and increase your risk of complications significantly. As the implants get bigger, it becomes difficult to maintain a natural look. Good luck! Dr. Tamy

Thank you for your question. Based on your photos, you need to have a breast augmentation with a breast lift. It is not likely possible to get a pleasing aesthetic shape with implants only, given your anatomy. The scars tend to heal well since they are placed in discreet areas, but all in all you are improving the shape of the breast, and accepting a scar. Hope this helps, good luck, Dr. Tamy

Sounds frustrating! This is a challenging problem, when it persists despite several revisions. Botox may be a worthwhile option for short term relief. Good luck! Dr. Tamy

Great question! Base diameter of the breast is just one of the measurements plastic surgeons use to assess which implant to use. It is not an exact science and will have some variability between surgeons. The most important consideration in my opinion, is a thorough comprehensive consultation with your BC PS so that you are both on the same page as to the size and shape of the breast you will be getting. I use sizers during the surgery to assess the right width and volume of the final implant to be used, the sizer is a temporary intra-operative implant used for this purpose. But the preoperative communication between patient and surgeon remains the most important tool for success! Hope this helps, good luck! Dr. Tamy