Austin Plastic Surgeon
1400 N Interstate 35, Suite 320
Austin, Texas 78701-1926 US
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24 years experience
21 expert answers
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Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society of Plastic Surgeons (ASPS)

Consultation Fee



  • Undergraduate & Medical School

    Medical: MD, University of Texas Medical Branch, Galveston, TX
  • Post-Medical School Training

    Internship: Walter Reed General Hospital
    Walter Reed General Hospital, Washington, DC
    Fitzsimons Army Medical Center, Denver, CO

Treatments offered by James R. Cullington, MD

Most popular answers from James R. Cullington, MD

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I've had my implants for 8 years but now my left one causes severe pain an looks different an has moved more into my armpit?

Asymetry is the number one disturbing complaint and you need to be seen examined and get a plan specific for your needs. READ MORE

What Can I Do for This Turkey Neck? (photo)

This a common aging problem Depending on your desire and cost this can be improved many ways a focused neck lift a full facelift sometimes liposuction... READ MORE

Could Deviated Septum Be the Cause my my Constant Breathing Issues?

A deviated septum is a very common cause of nasal obstruction and inability to breath well or easily Often one side worse than the other Also... READ MORE

I have an umbilical hernia that needs to be repaired. Can u do a tummy tuck as well? (Photo)

This is common to repair all ventral hernias at time of abdominoplasty as well tightening any weakness there READ MORE

I need a Septoplasty but my ENT says I need to wait "fully a year" after having done any amount of cocaine. True?

Drug abuserd are not great candidates for elelective surgery cocaine is especially bad for noses Of never use again and don't abuse other drugs no... READ MORE

Is a tummy tuck my only option? (photos)

The loose skin the ideal weight a good body contour dictates the only answer is a tummy to restore most of your contour with one scar you will love... READ MORE

Implant Size 500-600cc take me from a 36D to 36DDD?

In general 300cc is equal to a cup size so an the surface 600 cc should do the job 36 to 38 is chest size and wil not change with implant Bra cup size... READ MORE

Can you look at my Dr.s before and afters and guide me in what you would do in this situation? (photo)

Asymetry is always a risk First most people are slightly uneven in size in position of fold and in shape your right breast and nipple were slightly... READ MORE

Full Tummy Tuck and Hernia Repair as Separate Procedure, Is This Common? (photo)

These are often done together There are coverage problems for reimbursement so that must be worked out if done separately then do the hernia first... READ MORE

I have one breast that is larger than the other. Can this be easily corrected with breast implants?

Yes you can enlarge the small one or reduce the big one implants are easy small scar Reduction leaves a bigger scar but is all your tissue READ MORE

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.