Kendall Roehl, MD, FACS

Hi! To achieve the best cosmetic results and reduce the risk of complications, patients should be at their ideal weight with a BMI of around 30. Patients considering childbirth or significant weight loss should first consult a board-certified doctor, who may advise deferring surgery until their weight is stable.

Hope you are doing well after your incident. It is highly unlikely that your breast implants will burst after a fall. However, if you notice bumps in your breasts, deflation, chest pain and/or swelling, or if your breasts suddenly become hard, it is very likely that your implants have ruptured and I advise you to see your surgeon immediately.

Hello! I advise my patients not to lie on their stomachs for the first few weeks after breast implant surgery. For added comfort, you can place a pillow on your side to maintain your position. You can also sleep at a reclined angle with the support of pillows behind you to reduce the pressure on your implants so they can heal faster.

Hi! I typically advise my patients not to sleep on their stomachs after breast augmentation surgery for as long as possible until they are fully recovered. The reason for this is to give the scar capsule enough time to form around the implant and to eliminate the risk of deformity that can be caused by the pressure of sleeping on the implants. Instead, I suggest that my patients sleep on their side with a pillow behind and in front of them so they do not roll over in the middle of the night and put pressure on their breasts. That way, they will still be able to lie comfortably without possibly affecting the outcome of the procedure.

Hi! A breast lift surgically reshapes the breasts, tightens sagging or loose skin, and lifts the breasts to a more youthful position. Patients who undergo a breast lift usually suffer from drooping breasts, whether due to aging or pregnancy, and would like to restore its appearance. Breast augmentation involves the use of implants to improve the shape of the breasts. Breast augmentation can also help correct pronounced asymmetry in patients' breasts.

You do have some asymmetries in your liposuction. I would definitely see your surgeon, hopefully a board certified plastic surgeon and discuss a revision. I know it could be much improved.

With well-placed incisions, I feel knees can be suctioned well and dramatic improvement is often seen.

Liposuction can definitely be done. I suggest waiting until your BMI is closer to 30 before doing so.  If the abdomen is suctioned aggressively, you will likely have some prominence of your lap band port. A more conservative suction may allow for more camoflauge.

700cc per arm is a rather large amount of fat removal, yes. Every arm is different and how people carry fat differs so widely.

Congrats on your weight loss! And yes, these are the two most common combined surgeries in women after children and after massive weight loss. The recovery from a tummy tuck is the hardest part, and adding breast surgery doesn’t change the recovery period much if at all. These two combined procedures tend to make weight loss patients extremely happy and feel like their bodies now match their new-found self confidence.