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Hi, thank you for your question. Fat transfer should definitely improve the shape of your breasts. However, since you have fibrocystic breasts that, according to your description, have large cysts inside the breast parenchyma, I would suggest you should consult with your breast doctor about BodyTide and fat transfer because these procedures could compromise your follow up imagine diagnostics.

My question is will getting fat transfer to the breasts in addition to BodyTite for breast lift provide a better look to the breasts. I could use more volume and I have mild ptosis. I do have fibrocystic breasts and also am concerned about the shape as these cysts seem to make the breast misshapen. Anyway to remedy that?

Will getting fat transfer in addition to a breast lift via BodyTite add more volume? (photos)

Hello, thank you for your question. Coolsculpting doesn't produce an electromagnetic field at the site of treatment and therefore should be safe to use near metal pins. However if the area treated is in close proximity to the metal pins you mentioned, the suction applied may force some of the metal pins to move from their original position. To be on the safe side, I would suggest not to proceed with coolsculpting in the area because only the doctor who initially put the metal pins would know their exact location.

Cool sculpting under chin and metal pins in neck

I am considering Coolsculpting under my chin. After an accident I have a large amount of metal pins in my neck. Is this ok?

Hello, thank you for your question. Yes you can do botox now. PDO threads will be creating connective tissue for the upcoming 3 months, softening the crows feet. Botox will minimise the contraction of the muscle providing a better environment for the threads to work.

Hello, I had pdo threads done on my under eye area, 3 threads each side for crows feet. This was about a week ago. Is it okay to have botox done on my crows feet now or should I wait longer? Thank you.

How soon after PDO Threads can I get Botox?

Hi, thank you for your question. Generally speaking an attractive feminine face has more volume in the mid face, less in the jawline and we overall aim at balanced proportions. From what I see in your pictures you are have a nice bone structure to start with. I would suggest that you add some volume (fillers) in your cheekbones to balance your buccal fat, treat your tear draft with hyaluronic acid to remove the fatigue from your eyes, enhance your upper lip (hyaluronic acid), add some volume to your chin (fillers) to achieve a more balanced projection and finally have some lipolytic sessions with kybella to reduce your double chin.

I would like to get non surgical procedures to get a more feminine/attractive face however doctors that offer comprehensive facial consultations are far and few In between . Any recommendations?

What can I do to have a more attractive/feminine face?

Hi, thank you for your question. Each one of these procedures is considered to be major. Your main issue would be fluid equilibrium and pain during recover. I would consider performing all these procedures on the same day only if the amount of fat to be removed is less than 3 litters and the tummy tuck is minimal. Be prepared to have a difficult recovery period and arrange to have people around to assist you with your everyday needs.

Is it safe to have a drainless tummy tuck, lipo360, BBL, mastoplexy with silicone implants done on the same day?

Hello, Thank you for your question. Drains are one of the major causes of discomfort during recovery from tummy tuck. In order to make recovery easier, plastic surgeons have introduced the drainless tummy tuck which consists of a combination of: bleeding control, seroma reducing techniques and anchoring of the flaps to minimise dead space. Nowadays drainless tummy tuck is the becoming standard of care, however certain conditions may still opt to the usage of drains. The risk involved is haematoma (accumulation of blood under the flaps) and seroma formation. Recovery time is the same, but the recovery itself should be easier than a tummy tuck with drains.

Hi, I been reading and researching about a drainless tummy tuck. What it’s the difference between a tummy tuck with drains and one without it? Do you recommend it? Any risks? Recovery time difference?

Do you recommend drainless tummy tuck?

Hi, thank you for your question. Arm lift is the gold standard when it comes to tightening the skin. However, since you have sun damage, it is this sun-damaged skin that you are pulling when performing the arm lift. A combination of treatments will give you the optimal results. Based on your description, I would suggest to do an arm lift and after 6 months to treat the skin with sculptra or radiesse to get a much youthful look (that will also help you in the area of forearm where arm lift won't work). It goes without saying that sun protection is mandatory.

I am 57 and look young for my age but my arms are a mess mostly from sun damage because of my job. Is there any way to get rid of deep wrinkles and crepey skin on arms. I went to some really great dermatologist who said you may get 20 % to 40% improvement from fillers (sculptra) and lasers or maybe none at all. What about an arm lift? I also have heard a lot about hyperdiluted radiesse.

Is there any way to get rid of deep wrinkles and crepey skin on arms?

Thank you for your question. Judging on your photo and the desired results, you will need a combination of procedures. Sculptra is not an option for you since the amount of volume is far away from your desired outcomes. I suggest you should consider: 1) Liposuction on the lower sides of your buttock 2) Silicon Buttock implants 3) Fat transfer

Wondering what it will take to get a nice booty again

Which would be best for me - Implants or Sculptra? (photos)

Thank you for your question. Judging from your photo, you are not a typical abdominal etching candidate since your abs are well defined. You could enhance your abs with 3D or 4D LIPO but that won't tighten your skin. You should consider VASER liposuction, Laser assisted liposuction, Body-tight or J-plasma to achieve some tightness of the skin. All mentioned methods can lead to skin tightening but you should consult with your plastic surgeon in order to explore the degree of tightening that you could achieve. Most patients opt for a mini tummy tuck.

I had a lipo 4 years ago, and I have a loose skin in my belly, I want to know what is butter to tight the skin, lipo with jplasma, lipo 3d Or abdominal etching?

Lipo with J-Plasma, abdominal etching or lipo 3D? (Photo)

Thank you for your question. Actually most types of non-surgical skin tightening work through producing some kind of scar tissue under the skin. PDO threads are no exception, so yes it could theoretically make face and neck lift more challenging for the plastic surgeon. In practice though, the scar tissue from PDO threads does not last long, so as long as you don't go through a facelift within the first year after PDO threads procedure that wouldn't be a problem. Problems could rise from poor quality of PDO threads that tend to leave particles of non absorbable substances behind that can cause long term inflammation.

I currently have pdo threads. In the future, when I have more sagging and jowling, I plan on having a facelift/necklift I have heard that pdo threads could cause scar tissue, which would affect the results of a future facelift/necklift. Is this true? I have heard that the surgery would be more difficult for the surgeon to perform because of all of the scar tissue build up in the face. Please advise.

Will PDO threads affect a future facelift? Heard that they can cause scar tissue.

Vasileios Pagkalos, MD, MSc, PhD

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Plastic surgeons specialize in the full spectrum of cosmetic and reconstructive surgeries for the face, eyes, nose, breasts, and body.

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I had a rhinoplasty with Dr Pagkalos after consulting with lots of plastic surgeons. I insantly felt that he was a doctor that would listen to me and respect my face. I had very fast recovery and totally loved the results. 
Excellent surgeon, great bedside manners, attention to detail, highly recomented!

I had very fast recovery and totally loved the results​

Xrysaxtz

17 Answers from Plastic Surgeon Vasileios Pagkalos, MD, MSc, PhD See Education, Board Certification, and Treatments Offered.

Meet Vasileios Pagkalos, MD, MSc, PhD, a trusted Plastic Surgeon. See 17 expert answers, 21 before-and-after photos, credentials, treatments, and 1 real patient reviews. Book a consultation today!

General Surgery, Army's Veteran Hospital, Athens, Greece

Plastic Surgery, Soroka University Medical Center, Ben-Gurion University, Israel

Cosmetic Plastic Surgery, Akademikliniken, Stockholm, Sweden

Hand Surgery, Soroka University MC, Israel

Cleft Lip and Palate Surgery, Soroka University MC, Israel

Mohs Surgery, Soroka University MC, Ben Gurion University, Israel

MD, School of Medicine, University of Crete, Greece

MSc, UOP - Patras, Greece

PhD, School of Medicine, University of Crete, Greece

Senior Research Consultant, Research and Development in Plastic Surgery, Ben-Gurion University, Israel

I had a rhinoplasty with Dr Pagkalos after consulting with lots of plastic surgeons. I insantly felt that he was a doctor that would listen to me and respect my face. I had very fast recovery and totally loved the results. 
Excellent surgeon, great bedside manners, attention to detail, highly recomented!

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Meet Vasileios Pagkalos, MD, MSc, PhD, a trusted Plastic Surgeon. See 17 expert answers, before-and-after photos, credentials, treatments, and 1 real patient reviews. Book a consultation today!

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I had very fast recovery and totally loved the results​

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I had very fast recovery and totally loved the results

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