The beard and lens distance make it difficult to assess by photos alone.  An in-person consultation is always preferred. I suggest you have 2 or 3 consultations and, instead of going in and telling the surgeon what type of facelift you need, tell them what your problems are and let them tell you how they would address them. Then decide which surgeon and what procedure makes the most sense to you.

I lost about 130lbs, and left my face looking deflated. I know I definitely need a fat transfer to my cheeks and possibly temples, but otherwise I'm kind of lost on what type of facelift I need. I only have mild looseness in the neck and in the face, not a ton. I really just want the Midface lifted on the deep plane, but I don't understand what the difference between doing that via the endoscopic and via the ear incision is? And if a Midface lift is going to require an incision all around the ear, then what's the point of doing that and not just doing a full deep plane?

What type of facelifts are appropriate for someone who is 38 and lost 130 pounds?

Facelift

Cannot see everything on a single photo but I agree with the other surgeons that the nipple position is not too high so much as the breast tissue sits too low. Additionally you have poor scarring, asymmetric areola size and retained areolar pigment in the vertical scar. The best solution is revision mastopexy keeping the nipples in the same relative position and pushing the breast tissue upward so it is in the correction position behind the nipple. I would also use GalaFlex mesh to support the breast as I suspect your inferior pole skin is  very thin.

I am F29, 5'3. I had a breast lift 5 years ago with terrible results, really bad scarring and extremely high upwards pointing nipples. I have been advised by a couple of surgeons that the nipples cannot be moved down and only a incision under the breast can be made. crescent. Due to the length from the collarbone to the my nipple. I am desperate to have them moved down even slightly, even if this means there is a scar that needs addressing on top. Is there anyone that could help in any way?

5 years post op -r eally bad scarring and extremely high upwards pointing nipples. How can I fix my botched breast lift? PhotosP

Breast Lift

If you have a seroma still present over a year after surgery it's probably there to stay. Typically the fluid is absorbed but the wall of scar tissue that develops around the seroma cavity stays, which can sometimes distort the overlying tissue. Not sure why your seroma would persist. The place your PCP sent you for the ultrasound probably has an interventional radiologist who can insert a drain with ultrasound guidance.  That may be the easiest approach.  

I had a tummy tuck in October of 2023 in Tijuana. The surgery went well but as I was healing I noticed a small bulging above my belly button. The longer I’m on my feet the more bulging is noticeable. My primary care doctor ordered an ultrasound because she thought it could be a hernia but it’s actually a small Seroma measuring 3.6 x 2.4 x 1 cm . I am not sure I want to go back to Tijuana to remove it but am having a hard time finding a surgeon here in Seattle area who will . I have been told this is a straight forward procedure. What will happen if I never have it removed?

Small seroma after tummy tuck. Do I have to have it removed? (Photos)

Tummy Tuck

In my opinion you need surgery to narrow the nasal bones. Injecting filler anywhere on the upper nose other than the midline carries rare but significant risk, especially after a rhinoplasty.  Also I believe nasal fillers should only be performed by surgeons who are trained in rhinoplasty. 

My profile is straight, but from the front/oblique I see a bony flare near the rhinion (not a hump — more horizontal). Can filler help smooth this nd improve my appearance, or would it make it look wider? Or do I need surgery to narrow the nasal bones?

Can liquid rhinoplasty fix bony flare near rhinion or do I need surgery? (Photo)

Rhinoplasty

In my practice 9 times out of 10 a patient that has lost that much weight needs a lift in addition to implants. However your skin has responded remarkably well and I would advise just getting implants. The unknown is how your skin will respond to the added weight of the implant.  So it could sag more than you like in the short term or in the long term.  But a lift could always be done later if indicated. 

Just need some advice on best procedure after loosing 30kilos naturally from diet and exercise . Thanks

Breast augmentation or lift after loosing 30 kilos? (Photos)

Breast Augmentation

Breast Implant Revision

Breast Lift with Implants

Breast Reduction

Gene Sloan, MD

Mimi Lee, MD

Doctors MedSpa

Virginia Lowther

Lower Facelift

Nonsurgical Facelift

Nipple Surgery

Neck Lift

Natrelle Breast Implants

Mommy Makeover

Mini Tummy Tuck

Mini Facelift

Microneedling

Microdermabrasion

Mentor Breast Implants

Nonsurgical Nose Job

Liquid Facelift

Liposuction

Lifestyle Lift

Latisse

Laser Resurfacing

Laser Hair Removal

Kybella

Juvederm

Jessner Peel

Voluma

Ultherapy

Tummy Tuck Revision

Strattice

Skin Tightening

Skin Rejuvenation

Septoplasty

Inspira Breast Implants

Scar Removal

Revision Rhinoplasty

Retin-A

Restylane

Radiesse

QuickLift

Cheek Augmentation

Buccal Fat Removal

Brow Lift

Breast Reconstruction

Breast Implants

Breast Implant Removal

Breast Fat Transfer

Chemical Peel

Botox

BodyTite

Blue Peel

Belotero

Belly Button Surgery

Asian Rhinoplasty

Double Eyelid Surgery

African American Rhinoplasty

Ear Surgery

Ideal Implant

HydraFacial

Facial Fat Transfer

FaceTite

Facelift Revision

Eyelid Surgery

Exilis

Earlobe Repair

Dysport

Dermapen

Dermabrasion

Derma Roller

CoolSculpting

CoolMini

Genioplasty

Chin Liposuction

Chin Implant

Excellent experience with Dr Sloan and staff. He is a wonderful surgeon and I would recommend him to anyone. His attention to detail is outstanding and he really takes the time to provide individualized care in all situations.

He is a wonderful surgeon and I would recommend him to anyone

At 8 years old, I broke my nose in gymnastics and had a terrible hump in my bridge. I was also born with a deviated septum that impaired breathing in my right nostril. Dr Sloan changed my life for the better. My confidence has never been this high.

Life changing - my confidence has never been this high

I have had issues with one breast for 3ish years. Went in and it appeared i had made a double capsule and developed mastitis.. I thought it was a radio tire at the time. Fast forward to about a month ago when I went to make sure we were on the same page with what was discussed 3 years ago. I have a possible rupture. Which, is what I'm hoping for because then some of my money will come back to me. We decided on an overall better shape.. so the plan is to take out implants, capsulectomy, do lipo to take out a lot of my own tissue and then go in and fill the space with implant and internal bra. I am nervous and excited. I am nervous about having drains! 
 
Updated on 15 Jan 2022:
 
Had my surgery done 2 days ago. 
Checked in an hour early, they gave me a hot Blanket and hooked up a machine to help me warm up so they could place my iv. That took a while and they ended up having to place it on the underside of my wrist. Dr Sloan came in and drew out his plan, the anesthesiologist came back in and gave me happy juice and off we go to OR. I remember getting on the take, but that’s it. Woke up in recovery having dreams about Real Housewives. a lot of burning on the way home and just overall grumpy. I really eyed my sweet bf there with me, but he had too much going on. My momma went with me and helped me out. Got home about 8pm, went to immediately change into my new pajamas I bought to be comfy in and went to sleep. Pain meds helped for about 2 hours then back to extremely sore. I decided to take Tylenol for breakthrough pain PRN. By about 24 hours after surgery, I skipped my dose of pain meds and opted for Tylenol only. Probably not my brightest idea, but that’s ok. Everything looks great. Drains aren’t as bad as I expected. I did for sure have a rupture, so I will get to recover some money back. Yay! Very happy with everything so far, even if it hurts like crazy! I think they’ll be beautiful! Will update more as I can. 
 
Updated on 18 Jan 2022:
 
I’m about 5 days out no. Pain is minimal… very high and tight. I hd a post op appointment today and was hoping to get my drains out, however, i was still outputting a lot of fluid, so they will stay a little longer and that’s just fine with me. They look amazing and I’m so very happy. I hope they drop a little and soften up some soon. The drains pull a little, so that uncomfortable and a little annoying, but better to be safe since last time i developed a lot of fluid free and my incision ended up opening up. Muscle relaxers help the most right now and I’m ready for the swelling to go away. I can do quite a bit i didnt think I would, but I do tire very quickly and try to not overdo it.

Decided on an overall better shape.. implant exchange, mini lift, lipo, and Galaflex

I couldn’t be happier with the results. For 20 years I was embarrassed about the size difference and after kids the sagging.  Now I’m actually happy with my body.  The surgery and recovery afterwards were so much easier than I expected.  The scarring isn’t that even that bad three months out.  So glad I made the choice and worth every penny!!!!

So Glad I Made This Decision.

I've known for a long time I wanted this procedure. I've personally known others who have gone through with it. I decided at my consultation the Dr knew best. Compared to other local surgeons I believed his to be the best work. I ended up with 300cc and feel like they fit my body well. I will upload photos at a later time

From 30 A to 30DD

Setting up an appt was easy and took no time. They emailed me my paperwork to fill out before the day of my appt. That made check in/wait time in waiting area minimal. The staff treated me at check in was very friendly. Once I was called back each staff member I met was smiling and friendly. I answered a few more health questions, they took my measurements and noted a few things. Dr. Sloan came in and introduced himself to my husband and me. He then examined me and took a couple more measurements. Recommend to go ahead with a lift with the augmentation due to nursing my children. I expected him to say I would need one but one can be hopeful lol. He suggested removing some tissue from one side to even out the breast, then using the same size implant on both sides. Once he finished he had his assistant/tech work with me in sizes and different implants. Between their recommendations and my preference I was able to make my decision. The facility was clean and the robes they have are super comfortable. They offer financing from two different companies. I will be calling soon to book my appt.
 
Updated on 28 Feb 2020:
 
I met with Dr. Sloan's staff today for my Pre-op appt. Surgery day is in a week! I watched a few videos that went over the general pre-op info. Things to and not to do before and free surgery. Then had pictures taken for my file. After that I looked at the implants and sizes again to make sure I was good with my decision. I took pictures with and without the implants to compare. Once we finalized the size we discussed the surgery in detail. We went over all the consent forms, what to expect, my prescriptions, and what to do between now and arriving for the procedure. I can't ay enough good things about the office and the staff. They are AMAZING! Very helpful in answering all my questions and super sweet people! 
 
Updated on 2 Mar 2020:
 
I received a call today from Joni at Dr. Sloan's office. She called to see if I had any questions or concerns and how things were going. She also informed me of an opening on their schedule and offered a discount. I had a few questions about sizing and pricing, which she was able to help me with. She did offer to make me another appt/consultation if I was still interested in changing my implant size. I decided to stay with the recommended size. After speaking with my husband this afternoon I decided to go ahead and book for Friday. HOW EXCITING!?!?!? 
 
Updated on 6 Mar 2020:
 
Had a hard time sleeping last night due to all the emotions, mostly excitement. I’m excited and keeping an open mind about the surgery. Recovery on the other hand, I’m kinda nervous about. Preparing for the worst and hoping for the best. Check in is in an hour and surgery is in two hours. I will update after surgery as soon as I feel up to it. Just a few more before pics. 
 
Updated on 6 Mar 2020:
 
Check in was at 845 this morning. Surgery was at 945. I arrived about 15 mins early. Waited in the waiting area to be called back. Once the nurse came and got me she had me change and pee in a cup for a pregnancy test. Just in Case. She then had me get in bed. She put leg compressors on to help others circulation. She started my IV and made sure i was comfortable. That’s when my husband was allowed to come back. The anesthesiologist came in and asked some question and told me his plan. Dr Sloan came in and spoke to us about the “game plan” and sent my husband on his way lol. He then marked me up. The anesthesiologist came back in and gave me some “happy juice”. Just to help calm down any emotions and then they rolled me into the OR. I switched over from my bed to the OR table. They had me breath in a little oxygen and the next thing I knew I was waking up in recovery. I had a wonderful nurse! And actually all of the staff was amazing!!!! I had some pain in the beginning but now it’s mostly just discomfort and soreness. I’ve been able to get up and move around to evening. I am soooo appt with the results already. When I took my sneak peak I cried! I was overwhelmed with joy! Excited to see them drop and fluff and the final outcome! 
 
Updated on 7 Mar 2020:
 
Last night wasn’t to bad. I’m not a back sleeper so that didn’t help. But I made it through the night. The hubby made sure I took my meds when needed and helped me get adjusted. Not really in pain so far this morning just a lot of soreness. I have the anchor cut and my bottom incisions “burn” a little bit. More annoying than anything. Still in love with them and can’t wait for the drop and fluff. 
 
Updated on 8 Mar 2020:
 
Had surgery Friday. Feeling better today. Tightness/soreness in my chest. No real pain. My bottom anchor incision on my left side burns here and there. More annoying than anything. I was able to shower yesterday with help and today on my own. My husband has been a trooper helping me. Still overjoyed with the results. Can’t wait for the “drop and fluff”. Took meds to travel home and that’s about it for the day. Minor discomfort while traveling. 
 
Updated on 24 Mar 2020:
 
Thursday the 19th was my 2 week post op appt. The dr said all looked good and I’m healing well. I was very fortunate and had very little bruising. They had to remove 3 stitches that were left. I have been released back to “normal life” if you will lol. I’m still overly excited about the outcome. My husband tells me he really believe I ended up with a D cup vs a C cup. 
 
Updated on 7 Apr 2020:
 
Yesterday made 1 month post op. Still over the moon happy with the results. Ready to be done with taping and un-taping.they have dropped and no longer hard. They have a nice squish to them. Still some tenderness along the incision lines. Left nipple has feeling. Right nipple still had numbness. As does part of my incision lines.

Perfect Consult

I have reached my goal weight and have held that weight for a few months now. I have a breast augmentation scheduled, and I decided to consult the plastic surgeon that I had chose to do my breast aug. I wanted to see what I could do to get rid of my c-section shelf as well. I have always hated my scar...my incision had gotten infected a few days after my firstborn was delivered via emergency cesarean section. About 1.5" of the incision opened, it had to be cleaned and packed twice a day for 5 weeks. The scar and shelf are crooked, which is the most bothersome to me. I have perfectionist tendencies, and I have just had to get over that imperfection for the past 10 years. My scar is hypertrophic and hyperpigmented. I had 3 more babies via VBAC (vaginal birth after cesarean) because there was no way I could sign up for another nightmare c-section. 
At the consult, I asked if coolsculpting would fix the shelf or if I would need a mini tummy tuck or just a scar revision. Dr. Sloan said coolscupting wouldn't work for the shelf and that I didn't need a mini-TT. He said I didn't need muscle work, and I really don't have enough skin for a real TT or Mini-TT. He said he would make an ellipse cut around the scar, which would require a cut and new scar that would be about 1-1.5" longer on each side of my CS scar. That will cut out the scar and fix my shelf. He warned me that it's possible that I still won't like the new scar. I decided to go home and think about it. I got the quote to add the scar revision to my breast augmentation surgery day. It added $1570 to my previous quote for breast aug alone. $800 for the revision plus OR and anesthesia. It would be a lot more if I chose to do it at a later date instead of combining it with my BA. 
I spoke with my husband about what was discussed during my consult. I am worried about the scar because I am bi-racial (50/50 Caucasian and Asian). I tend to not scar that great. 
So...I thought, I could keep my current shorter, ugly, and crooked scar along with my crooked shelf that is visible in some clothes and swimsuits, OR I could have a longer scar that will still be hidden, look better than my old scar, AND get rid of my shelf....the pros to the revision beat out the pros to as-is scar and shelf 
 
Updated on 15 Feb 2020:
 
I had my pre-op appointment yesterday. They took before pictures, and I paid my balance. I’m so excited!! 13 days until the big day! 
 
Updated on 1 Mar 2020:
 
I’ll post again later when I ‘m not so loopy. 
 
Updated on 2 Mar 2020:
 
So far, so good. I haven't felt any pain from the scar revision. I still have tape covering the incision, but it does look a lot flatter now. It looks like the shelf is gone. The incision is a little longer/wider than I had anticipated. I think if the shelf is gone and the healing goes smoothly, I will be very happy with it. I can deal with a longer, thinner, less noticeable scar and being without the shelf much better than having the shelf and being able to see it through clothes. 
 
Updated on 5 Mar 2020:
 
I went to my first post-op appointment today. They took the tape off of my BA incisions. They went ahead and changed the tape over my csection scar revision since it was significantly coming up on one end. I got a glimpse of the incision. It’s still pretty rough and angry looking. They put thinner, brown paper tape on it that will stay on until my one month post-op appointment. 
I don’t know how it came up other than mentioning that I was carrying about 10lbs water weight since the surgery. He said that was normal, then he told me he took 7cm vertically of skin, like skin above and below the old scar equally 7cm....that’s 2.75”!!! I knew that my pubic hair line was much closer to the incision that it was before, but I had no idea he took that much above the old scar too. I could tell the shelf was gone, and I knew he was going to take an elliptical cut around the old scar to remove it. I just assumed it looked to smooth from cutting that out and releasing the tissues making it smoother. AND how did he do that and not have to make an even longer incision... 
When I first saw the incision after waking from surgery, I thought it was longer than I had expected. But I was still anesthesia and pain med drunk. It really is just the length he told me it would probably end up being when we spoke at our initial consultation. 
Anyway, I could kiss him!! To me, he really did basically gave me a mini tummy tuck, and that’s why I’ve placed my review in the mTT section on real self. Plus there isn’t a category for csection scar revision...here should be. More mommas need to know how awesome this is. 
Check the pics, the incision has quite a ways left for healing. That is to be expected. I am half Asian, and I tend to have hypertrophic scars. My doctor’s wife is Chinese, so I knew he would know how to work with my skin type. He’s not the cheapest in town, and he is known in town and my his colleagues as “The Breast Doctor.” My friend who works for her uncle (another local plastic surgeon that is know for his face work) told me that he sends difficult breast cases to my doctor. He really gave me an excellent deal on my csection revision add-on surgery to my BA. I paid half what he normally charges...he really charged me more than 50% off his norm because his surgeon fee was only $800, the rest was to the anesthesiologist and surgery center. My doctor normal doesn’t charge less than $2000 for any one surgery procedure. I am so thankful....I wouldn’t have been able to get this done if he had charged his normal fee. So, add this on if you need it and will already be under for another procedure. I do know that it’s always cheaper to do procedures lumped in one surgery time than to do them at separate times. The first hour of anesthesia is the more expensive than subsequent hours under. 
Check out my pics, like I said...I’m swollen. 10lbs of swelling all over !! I can feel the swollen tissue above and below the incision. 
 
Oh! My PS said he removed skin but left most of the fat that was in that shelf because if he had taken the fat as well, then the healed result would be similar to having the shelf. It would leave a divot, so he leaves the fat to fill in below the new incision. That makes sense to me. 
 
Updated on 5 Mar 2020:
 
There is so much swelling above the incision that the skin feels hard a couple inches above it. I can’t wait to see it once this 10lbs of water leaves me. Doc said it should be gone within a few days, if not he will prescribe a diuretic. 
 
Updated on 19 Mar 2020:
 
My tape was starting to peel up, and I still had 2 weeks until my post on when they are to be removed for good. The nurse gave me a roll of tape just in case it didn’t hold and needed fresh ape. So....I grabbed a few pics. I’m reserving judgement on the incision and everything. I still get swelling 1-2” above my incision off and on throughout the day. I’ve been eating like crap during this covid-19 quarantine/SoCal distancing. My one month post-op appointment has been cancelled, but they are going to call me on the day I was supposed to have it. They might ask for me to send pics, other than that...I should be able to start silicone tape and scar therapy. Anyway, these pics are from 17dpo. 
 
Updated on 26 Mar 2020:
 
I had my one month post-op appointment over the phone. I had to text them pics of my incision. All is good. I was told to take it easy as far as working out goes. I have to tape the incision for another two weeks. I was cleared to use silicone tape if I wanted. I’m sticking with the Micropore tape for now. If I used silicone tape, I’d have to remove it daily to wash, allow it to air dry, then I can reuse it. That’s too much trouble for now. 
I still feel swelling above the incision. And this Covid quarantine/social distancing isn’t doing great bings for my waistline. Too much snacking due to boredom...and being cooped up with my cooped up kids. 
 
Updated on 19 May 2020:
 
I love that I don’t have the shelf anymore and my stomach is smooth in fitted dresses. 
 
Updated on 19 May 2020:
 
I have this old swimsuit that I bought and never wore almost 20 years ago. I. Not going to wear it, but I wanted to see how it looked. I’m thrilled about how I look in it. 
 
Updated on 14 Jul 2020:
 
I had my final post-op appointment. It was really nice to see the side by side. The doctor was really impressed with what a difference the csection scar revision made. He said he didn’t think it would really make a difference at all. He did take almost 3 inches of skin wen he cut out the scar. I’m so glad that he did!! He said that my scar will continue to lighten, but I’m thrilled with the results. 
 
Updated on 16 Sep 2020:
 
I am so confident wearing bikinis and cropped tops now. I much more at ease in my skin. Of course, I still have stretch marks, but I don’t really mind them. I have had four humongous babies....I earned those stripes. ???? 
 
Updated on 18 Nov 2020:
 
I just wanted to do a quick photo update and comparison collage. I still love the results, but now I really want to get my stretched out belly button fixed.

C-Section Scar Revision; 5'4" 120-125lbs, 38 Years Old, Mom of 4

Natrelle Inspira Soft Touch SSX 545CC Extra-Full Profile 5'4" 122lbs, 38yo Mom of 4, 10 Years of Breastfeeding

From beginning to end and everything in between, every person I came in contact with was helpful and professional. I was nervous, and they put me at ease. I’m very happy with my results and would highly recommend Dr. Sloan!

I’m very happy with my results and would highly recommend Dr. Sloan!

Dr. Sloan and his entire staff are amazing!  Love the results of my neck and eye lift. I would highly recommend using Dr. Sloan to anyone who feels like they're looking tired. My results are perfect! My eyes look like I just woke up from a refreshing nap and my neck and face look like I did ten years ago!  Dr. Sloan was kind and gave me fantastic results...I don't look like I've had "surgery" just look refreshed. He and his staff took great care of me.

love my results!