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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. 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?

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.

Although you should definitely avoid tanning beds, botox injection could rarely lead to swelling. The condition could last from a couple of hours to a couple of weeks. Cold compressions can&nbsp;temporarily suppress the swelling, whereas rising temperature of the skin during tanning-bed session could re-induce it. You should consult your doctor if the swelling persists.&nbsp;

I went tanning after i did botox and i’m afraid i might have made a mistake. The area where i got botox shots is swollen. Is that normal? i’ve been using cold compressions to help it go away but it seems as if every time i go tanning, the area becomes swollen all over again.

Is it fine for me to go tanning in a tanning bed after Botox or is there a certain amount of time I should wait before going?

Patients ofter think that they have to choose between looking old or looking frozen, but this is only a misconception due to poor results.&nbsp;
Botox is&nbsp;a great tool in cosmetic medicine that can give you a fresher look and still maintain movement. Natural botox&nbsp;results are achieved&nbsp;through a combination of amount of&nbsp;units injected,&nbsp;injection spots and depth of injection.&nbsp;

I would like to soften the lines in my forehead but I'm concerned that I will not be able to make expressions. I'm an actor and my job depends on it. It also helps to look my best!

Can I still move my forehead after Botox?

Hi, unfortunately CoolSculpting only aims at fat cells and does not have any skin tightening&nbsp;results. The optimal treatment for post-bariatric patients is&nbsp;surgical removal of skin which can be combined with liposuction in areas of persisting fat. You should consult with a board certified plastic surgeon in order to understand your options and limitations. I understand that going through another surgery does not sound appealing right now, but it is the only treatment that,&nbsp;when properly performed, will give you the desired outcome.

And maybe legs not sure but I'm on medicade will it pay for cool sculping I know it will pay for skin removal please let me know asap id rather do that than more sureries thank you

CoolSculping vs skin removal: I had gastric sleeve, I'm needing skin removal on my stomach/arms.

Hi, thank you for your question. You don't have to worry about blindness when it comes to botox injections. Cases of diplopia (double vision) have been reported, but it is extremely&nbsp;rare and since it is due to leakage of botox into the orbit and not direct injection, diplopia lasts less than the expected 3-6 months duration of botox effects.
Fillers on the other hand can cause blindness and/or facial necrosis. Your physician should be very well trained in order to avoid injecting fillers into any&nbsp;major facial vessels in the treated area. Right choice of fillers, injection technique, diameter of needle or cannula used are some&nbsp;factors your physician&nbsp;should take&nbsp;into consideration in order to safely achieve the desired results.&nbsp;&nbsp;

hello i'm 25 years old i would like to get botox around my forehead and fillers on my lips and cheeks, but i'm i'm concerned about the side effects i've read in different places that filler could cause blindness ? is it the same with botox and is there another solution other than injectable fillers and botox ?

Does Botox cause blindness like fillers?

I understand that a surgical solution seems appealing to most patients&nbsp;and that the&nbsp;cost&nbsp;will be lower compared to botox treatments in the&nbsp;long run. You should however consider the general risks associated with operations and also the risk of damaging the facial nerve. If your problem is mainly aesthetic, I would suggest to talk with a plastic surgeon in order to determine if your aesthetic goals could be better met&nbsp;with a combination of bone and muscle reduction. If that is the case, I would suggest surgery.&nbsp;If the problem is the masseter only, then I don't think surgery worths&nbsp;the trouble or the risks.

Hi, so I've been getting Botox in the masseter muscle for about two years now, and are looking for a more permanent solution as it is getting quite expensive, since I have masseter hypertrophy, I have to get 20 units of Botox on each side. I spend around $600 every 3 months. I know that some surgeons can trim a little bit of the muscle and I'm really interested in this procedure and is wondering what the cost is for this. Thank you! I saw a youtuber who got this done and she looks amazing!

Masseter muscle reduction. Is there a more permanent solution than Botox?

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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