Based off your photos, you potentially can have only tip work done without doing any dorsal bridge or bone work. One thing to keep in mind is once the tip is reduced with cephalic trim and some tip work, you will likely see your dorsal hump and bridge become more significant. By doing dorsal preservation and reducing your dorsum that will also help deproject your tip and not have a long looking nose also.

Answered by Dr. ChangMay 16, 2025

Brazilian Butt Lift Revision

Q One Side Bigger, Visible Dents, Fat Doesn’t Hold. What Can I Do? (Photos)

Based off your photos (without an exam) - first thing I notice is likely you gained weight (I don't have previous pics to compare it to but I can see areas that have more growth secondary to weight gain. BBL is a procedure that will not look good if weight gain happens after and there are NOT a lot of solutions to fix all the things that can happen after weight gain either. I recommend trying to lose a decent amount of weight with weight lifting for the glutes (you need to cut down on your body fat content to reduce these dents and cellulite areas). Filling them with sculptra or more fat is not going to help much with it especially if you gain more weight.

One side is more than the other and this can happen because first your butt cheeks are asymmetric to start with (even before the first surgery), two - fat grafted could have been different at any time to address the asymmetry, resulting in asymmetric fat survival which leads to different butt cheeks, three - you've had many surgeries, each time can be something done to one side more than the other, four - gaining weight with more fat cells on the bigger side shows more.

The main thing for you if you were my patient would be weight loss with weight lifting. You won't be able to fix the dents or cellulite and any more weight gain only makes that worse. You need to tighten your butt skin by losing weight slowly and building muscle to counter the sagging skin possibility - so that is the hardest part. Then after you've achieved a noticeable decrease - a revision surgery can be done to only clean up some things - not make anything symmetrical, not fixing the dents.

Answered by Dr. ChangMay 7, 2025

Breast Lift

Q Breast lift type for 21 year old, do I have mild, moderate or severe sagging? (Photos)

Based off your photos - your breasts have ptosis (sagginess) and asymmetry that need an anchor lift in order to fully lift and reshape. The crescent or donut lift are very limited in certain breasts that need only nipple positioning and have mild lower pole reshaping needed. In your case, the larger one would need more tissue removed to get it closer to but not be the same as the smaller side. (If you aren't ready for the scar and potential issues that can be associated with the anchor lift - hold off until you are.) If you choose to do the lift and in the future you fluctuate in weight or become pregnant - likely the breast will enlarge and stretch and need another lift if you desire.

Answered by Dr. ChangMay 2, 2025

Mini Facelift

Q How can I reduce the deep hollows next to my nose without filler or RF? (Photos)

Based off your photos - its hard to give a full assessment without seeing the entire face including eyes to help evaluate what you could benefit from - but likely need to dissolve the fillers to help see your baseline at this new weight. You likely could benefit from a mid face lift to help with the descent under your eyes as well as closer to your nasolabial fold (likely from weight loss) along with fat grafting to these areas. A cheek implant could be placed at the time of surgery as well for more projection but would need a full face analysis to fully determine that. (You could try fat grafting first then later on if the projecting is not achieved try an implant).

Answered by Dr. ChangApril 26, 2025

Neck Lift

Q I want a more defined jawline - Do I need a neck lift, lower face lift, or just chin lipo?

Based off your photos - you could benefit from some chin liposuction and J plasma or some type of RFA treatment invasively to help with the skin. (I would do this and then see how you heal and if you are content no neck lift needed) Neck lift would be next option but that is also scarring behind the ear that your surgeon would discuss with you and this would ideally give you the most pull in your next to define your jaw line. As far as buccal fat removal goes - that will help slim your cheek and not address the jawline much. A mid face lift (helps with some of the jowling) and some fat rejuvenation to your malar region would help with some of the facial descent you are experiencing and also will address some of the jawline as well.

Answered by Dr. ChangApril 23, 2025

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