Board Certified Plastic Surgeon
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Dr. Volpe is a highly trained and skilled surgeon in cosmetic plastic surgery of the face and body, renowned for his artistry and exceptional results.
Asked By: pillowface
ANSWER
When being evaluated by a plastic surgeon for possible breast implants or lifting, one of the more important measurements is the distance from the nipple to the crease under the breast. Also the relationship of the nipple to the location of the crease is similarly quite important. When standing, if the nipple is lower than the crease, often a lift is required. The downside with lifting procedures of course are the resulting scars which are more substantial than just implants alone. By the photos, it is quite possible that implants alone can be used and will give upper pole fullness but this depends on a number of factors. Obviously, a larger implant will have a larger diameter and will be more likely to increase upper breast fullness.Also the type of implant profile of the implant is similarly important. Saline implants provide probably the most upper breast fullness but in a lien individual, often one can feel the implant. Silicone gel implants have undergone significant shape changes over the last 15 years or so and it is possible to get silicone gel filled implants that can help maximize upper chest cleavage. For example, the mentor SMHX Gel implant Can be a good choicewhile maintaining reasonable diameter and upper pole fullness and softness.Of course, having cleavage is a subjective term in it would be wise to bring photos with you to your consultation showing what you feel would be your best wishes and your surgeon will be able to tell you if it is realistic or not and also discuss with you why and other possible alternatives.
Asked By: Exuberant917998
ANSWER
It is certainly possible to have recurrence of gyneomastia following treatment. Especially if one has had treatment when one is a younger teenager, the chest is still developing. There is always some breast tissue left behind following correction of gynecomastia and it is possible for this to enlarge. Also, with weight gain, obviously fatty tissue can build up also and cause a recurrence. The most common sense management would be to seek out your original gynecomastia surgeon for evaluation. He or she will review possible reasons for recurrence-could this be partially medical or partially weight gain? The original surgeon would also know exactly what had been performed on the first surgery and may be able to counsel you as to what the next best steps are.
Asked By: Sincere261867
ANSWER
For sure one can have a mini tummy tuck if there is a pre-existing scar. Obviously a good physical exam is necessary to determine placement of the scar and whether it would encompass or treat the pre-existing scar. One thing one would want to do is if the pre-existing scar is not within the skin to be removed, it would not be advised to place a second scar very close to the existing scar. Most surgeons would advise continuing on one's weight loss journey until one has reached the lowest weight and has plateaued for a bit of time prior to performing a mini tummy tuck or a classical abdominoplasty. What cannot be determined from the photo is the quality of the skin, the thickness of the fat and also importantly the amount of loose skin above the umbilicus and below the breast bone. These and other factors would help determine if one is a better candidate for a classic abdominoplasty. Also, assessing the abdominal muscles plays a role to determine if they are stretched out or not.
Asked By: Jgb46
ANSWER
When one has significant sagging of the lower face with a resulting jowls and also sagging skin in the front of the neck, the most effective treatment by far his surgical. This is essentially what a facelift is designed to do. There are a number of techniques for facelifting and with each technique there are a number of sub techniques and your surgeon will discuss with you all aspects of this and how it relates to your particular concerns and your anatomy. Unfortunately, other modalities have failed to live up to marketing claims for this. Lasers or radiofrequency type treatments or even ultra sound and armed threads have not stood the test of time in improving jowling and tightening neck skin to any significant degree. Mild results are sometimes achieved but by far, a facelift is the correct solution.
Asked By: MumAY1
ANSWER
There are a number of reasons why we had fat to the upper face although in general we do this to add volume in areas that we want to increase either replacing what has been lost or enhancing an area. If one has undergone significant weight loss and sometimes even just from the aging process or becoming more lean with exercise, fat cells become depleted in the face and this can result in a more gaunt look, loss of volume in the upper cheekbone area, or even in the temple region. If you have already had fat grafting, you still may require more volume and it is perfectly reasonable to undergo a second fat grafting procedure. When fat is placed, a certain percentage of it is lost in the transfer process. The percentage varies dramatically on many factors including techniques, the location where it is placed, the care that is taken over the next several weeks in that region.
Asked By: Gentle102632
ANSWER
The end result of breast augmentation, or for that matter all cosmetic surgery, this to make you happy with the result. It is true that one cannot always get what one wants, and it is also true that one should be aware of pros and cons of one one chooses to do. The photos do not show the amount of ptosis in the breasts nor quality of skin, stretch marks and all that. In general, 450 mL implants can certainly fill out some breasts that have pseudoptosis. Larger implants may also. Larger implants do put a bit more weight and there could be future sagging although this depends a lot on one's anatomy, skin condition and all. If you feel that 600 mL implants achieve your goal and 450 mL implants don't and if your surgeon feels that you are a candidate for that size, it would not be an unreasonable choice to do that. Of course waive the pros and cons and an honest discussion with your surgeon can help elucidate what those are for your unique situation.
Asked By: magicjam
ANSWER
My 1st impression is that they are not bottoming out. It does appear that the fold under the breasts are still there although without a physical exam it is hard to tell for sure. Bottoming out usually happens when the implants lose support of the small ligaments under the skin that create the fold under the breast which then allows the implant to descend below the fold of the breast. This usually takes some time to occur. There is no mention as to how long after surgery the photos were taken but if it has been a number of months, it looks as if the breasts are healing appropriately. If you have concerns, it should be discussed with your surgeon. It is hard to tell by the scar whether someone is bottoming out as some surgeons place the scar exactly on the crease and others slightly above the crease. I favor above the crease by a half inch or so. That allows one to raise one's arms while wearing a bathing suit top without the scar peeking out at the most bottom part of the breast.
Asked By: PennyLane77
ANSWER
I could not find the photos for this question. I do perform liposuction on breasts to reduce the size of them in appropriate individuals. By far more breast reductions are performed with traditional surgical techniques and scars. I tend to reserve liposuction more for breasts that have minimal sag. They may be quite large but they usually do not have stretch marks which may cause significant sagging of the breasts. Often candidates for liposuction of the breast are younger although I have performed on individuals up into the 50s. I have been impressed by the amount one can reduce, often 2 cups not including liposuction in the armpit area which sometimes accompanies this and makes one's breasts feel much smaller. However, I have not been very impressed by how much lift liposuction allows. Therefore I tried to reserve with those who of only mild descent of their breasts. I think it is also very important to provide good support during the healing process and in order to optimize results, I instruct patients to utilize an appropriate bra that gives good support for up to 2 months. Hope this helps.
Asked By: youngfacelift
ANSWER
Obviously the answer to this question should be what bothers you about your nose. However, without that information and also without a good profile picture, it does appear that in the photograph the nose is somewhat out of proportion in larger relative to the face. Do remember when taking photographs with a cell phone, it does tend to enlarge the center part of the photo relative to the outer parts of the photo. This can make a nose look a bit larger. I'm not sure if these photos are from a cell phone or a portrait camera. But assuming it is a good representation, the nose does appear somewhat wide especially at the tip region. I cannot comment on the upper part of the nose without a profile photo. But the tip does appear full and could benefit from more definition. This could mean utilizing stitches in the cartilage that form the tip of the nose to narrow it a bit along with very judicious trimming of cartilage. This could create a more defined tip and could also elevate somewhat the lower part of the tip. The upper half of the nose does appear relatively slender although this would need to be confirmed with a physical exam. But I think reducing and defining the tip would bring this nose into better proportion.
Asked By: ajeo24
ANSWER
there is controversy as to whether breast implant illness exists. I am not suggesting that it does not exist as anecdotally there are women who will tell you that they find relief from autoimmune type symptomology when removing their silicone gel implants. However the numbers are extremely low. Multiple studies over decades have failed to show an increase in symptoms in women with silicone gel implants consistent with breast implant illness when compared to women without gel implants who seem to develop these symptoms in the same number. This does not prove that silicone gel implant illness does not exist although does suggest that if it does exist, the risk would be quite low. After 30 years of breast augmentation surgery, I have seen about 3 to 5 women who are sure that they have it. Do remember that these are generalized symptoms and can occur from a host of other reasons. In women who do not have breast implants but do have these symptoms, only about half of the time are we able to determine the nature and originof the symptoms.
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Dr. George Volpe is highly praised for his expertise in cosmetic procedures including , , , and . Patients appreciate his thorough explanations, supportive nature, and successful outcomes in restoring natural appearances. Many note the importance of patience during recovery, especially for procedures like and , as results take time to fully manifest.
