(Based off your single photo) - It seems as if one side has developed a double bubble deformity. If this is a flexing picture, likely you want to discuss with your surgeon about revising the pocket (can be because more release of the muscle is needed +/- mastopexy (lift) or changing it from submuscular to above muscle +/- mastopexy). Essentially you need a lift as well to properly replace your breast tissue onto the implant in the correct position and fix animation if it bothers you. I would suggest discussing all this with your surgeon and study the mastopexy scar to prepare yourself for possible outcomes and what the scar looks like. (I do this quite often with my patients - if they aren't ready for the scar, then hold off.)

Answered by Dr. ChangJune 6, 2025

Facelift

Q Sagging face at 23, what can I do? Am I a candidate for midface lift? (Photo)

(Based off your single photo) - would be good to see the full face with eyes and brows to give a full evaluation - but seeing you have NLF - you can benefit from a midface lift versus fillers / fat grafting - results will vary based off the extent of surgical invasiveness you want to proceed with. A hidden scar midface lift can be done to also incorporate some eye rejuvenation (or perhaps changing downward slanting eyes to more upward). Just all depends on what your goals are and the downtime / risks you want to incur.

Answered by Dr. ChangJune 4, 2025

Brazilian Butt Lift

Q Would I still look good if I only had Lipo 360 or would you recommend including a BBL? (Photos)

(Based off your photos) - If you have any desire or thoughts of wanting even a little more volume in the buttocks - then do the BBL instead of just lipo 360 (and essentially removing the fat and will not have anything for future fat transfers). Lipo 360 for someone who is skinny and not fat usually does not give a big contrast with just lipo 360 (you will have minor changes to the waist, slight flatter abdomen) but if you don't add fat to the glutes or hip area - you won't see as much a difference. Also if the fat has been lipo'd once - in the future there will be likely very little fat to extract should you desire more volume to somewhere at that time. In my opinion, if a little fat was added to your mid butt, it would give you a little more projection - leading to a more athletic look, along with the lipo 360.

Answered by Dr. ChangJune 2, 2025

Breast Implant Revision

Q 4'10, 240cc, Mentor, subglandular - larger implants after an anchor breast lift & augmentation? (Photos)

Based off your current photos (a baseline preop photo would definitely help here) - but usually you have uneven IMFs to start (at preop) - a surgeon can adjust IMFs to try to match if there's a discrepancy enough that's worth the other possible risks of trying to fix it. Because we don't have a preop baseline photo, it's hard to assess if this the result of technique or your anatomy. And yes you can up size implants and possibly even ask your surgeon to retighten the pocket of your implant and skin envelope at that time as well. (Maybe even address the uneven IMFs and see if it's worth the risks.)

Answered by Dr. ChangMay 31, 2025

Arm Lift

Q Am I a good candidate for an arm lift revision? (Photos)

Based off your photos - (without an examine) I agree, more skin can be removed based off your current 9 month photo. The question is will the numbness come back as you get closer to the 1 year and more mark or will it stay about the same (difficult to assess - if there's no nerve issues - this can still be transient and still recovering; if there is nerve issues - scar tissue trapping it, maybe technical issues - then the chances of sensation coming back will be much less) - If the extra skin bothers you enough, I would recommend discussing with your surgeon the differences if you should pursue revision and seeing what can be done in terms of the sensation. If you're already numb and its manageable - usually removing more skin likely won't decrease any more sensation than you have already lost (sometimes if there's nerve trapped under scar tissue - this actually might help with rebuilding sensation back if the scar tissue is removed or excised) In the meantime, I recommend lifting weights to help build more muscle to your arms to help fill out the loose skin some more and still compress and massage daily (self message). This is a tough decision that you need to think and weigh the benefits / risks with by also discussing with your surgeon for this next revision procedure.

Answered by Dr. ChangMay 30, 2025

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