Doctor Q&A

Are implants with no lift a good option for me? First two are me now and the last is my goal (excuse the bad photoshop could I get over the muscle implants with no lift, I don't care about sagging or nipple placement. My main goals are better cleavage, symmetry, and a more rounded look. I just want bigger boobs with them staying as natural looking as possible.

I’m 43 years old and 4’11”. I’m already slim, so part of me worries that undergoing a full tummy tuck with muscle repair may be unnecessary or a waste of money. However, I remain very self-conscious about my lower abdomen and do not feel comfortable wearing a bikini. My surgeon recommended a full tummy tuck with muscle repair and told me that I will also have a short vertical scar on my lower abdomen, in addition to the horizontal tummy-tuck scar. Based on my photos: 1. Does a full tummy tuck with muscle repair appear appropriate for my anatomy? 2. Is muscle repair likely to provide a meaningful benefit for someone who has never been pregnant? 3. Does the short vertical scar appear necessary? 4. Could a mini tummy tuck, skin-only tummy tuck, or another approach improve my lower abdomen without the vertical scar? 5. Would the improvement likely be significant enough to justify the procedure for someone who is already slim? I understand that photos cannot replace an in-person examination. I’m seeking additional professional opinions before making my final decision.

I have consulted with a plastic surgeon local to me. I am in the process of looking for a surgeon for a second opinion. Background info: I am a 28 year old female, 5’10 and 165lbs. 8 years ago, i had an open liver resection due to a 16cm Hepatic Adenoma. All is well health wise, my liver specialist cleared me to have a tummy tuck. I am done having children. The first surgeon i consulted with had recommended an FDL tummy tuck and possibly removing the vertical section of scar from my liver resection. is there a specific approach I should be looking for from my surgeon? I also was researching a medical school in my area and their plastic surgery senior resident clinic but was not sure if my case may be too complex for that Should I try to lose any more weight as well beforehand? Its hard for me to tell what is still fat and what is excess skin. Would just a tummy tuck give me a better silhouette?

I'm just about 44 and had two surgeries to repair diastasis recti. The first was a laparoscopic mesh repair in June 2024, which caused lasting damage and led to greater ab separation and bulging than before the surgery. The next was a mini tummy tuck in June 2025 to repair the damage from the previous surgery. My muscles are now together and much stronger, but I still have muscle bulging (probably from the mesh) and a large amount of swelling just over the incision line (abdominal shelf). The surgeon says it will go down, but it hasn't wavered since the surgery regardless of what I do. Can anyone tell from the photos if this is lymphatic swelling or scar tissue? If so, is there a way to lessen it? Besides that it's not aesthetically pleasing, it's hard on my back to have any unnecessary bulging, as I have fairly significant scoliosis.

I’ve had several consults but drastically different opinions. Some same I don’t have enough skin for a tummy tuck and recommmed a reverse or umbilical float where as others have said I have too much upper laxity and would end up with an abnormally low belly button and recommend a full. I have spent over 10k on noninvasive abd nothings helped much.

I had a septorhinoplasty done in September 2024. deviated septum was corrected, bulbous tip reduced, and dorsal hump shaved down with spreader grafts. However, I still have extreme difficulty breathing and it seems to swell and develop excessive mucus whether I’m walking, talking, eating, etc. I have nasal dilators in my nose every night to get quality sleep otherwise my nose is completely swollen and clogged and I mouth breath all night. I have found most relief is when I flare my nose to breathe in or gently place small q-tips along the upper valve in the middle of my nose to widen the space. My original surgeon said he saw no issues and I did all my follow up care with him and the only thing he recommended was some oral maxofacial surgeon specialist out of state. Is it possible that I may just need an ENT procedure like a balloon sinoplasty or vivaer to reshape the tissue? Or will I need to find a different revision specialist to see about getting more or better spreader grafts? If I have to have another surgery, does it need to be with a revision specialist or can it just be with an ENT? HELP?

Recently lost 70+ lbs 5ft 157lbs now and I’m wanting to get a bbl but unsure if I should get a tummy tuck or bbl first? Some surgeons advised I do tummy tuck first then lipo with bbl but wouldnt that make me have loose skin on my stomach?

I have a family history of blood clots, so I had a blood work done to test for a blood clotting disorder before my planned lipo 360/BBL. Everything was normal except pretty elevated Factor 8 & Factor 5. I met with a hematologist, who recommended prophylactic blood thinners either before or after surgery. He is coordinating with my surgeon about the timing. I’m now very worried about developing a DVT or PE. Does elevated Factor 8 mean I’m likely to develop a blood clot from this surgery, or is it simply an additional risk factor that can be managed with appropriate clot-prevention measures? Would this finding make you advise against elective lipo 360/BBL altogether?

13 months post op bbl lipo 360 and on the right side where I had a right hip replacement 7 years ago has drooped. Can it be fixed?

Two years later and I ve been experience pain in my hips and certain parts of my Butt. At first is was on one side and I also noticed that a huge dip on my hip/side butt had appeared last year by the time of my 1 year post op appointment. I've expressed that concern to the surgeon who at that time, advised me to get hip dip filler to correct the dip. I never got he filler because Im nervous about it migrating. However fast forward to now and the other side of my hop is also aching. I don't know what is going on. My surgeon also has stated he doesn't know. if anyone has any information about the please advise what is causing it to hurt after two years. I feel it more when I sit or lay on my butt/ sides.

Hi, Please give your honest opinion on when I should safely fly (3.5 hour flight) after mummy make over (abdominoplasty, liposuction and breast reduction). I have booked my surgery (in Istanbul) and current plan is to fly home 7 days later but I am concerned that this is too soon and could risk complications. Thank you, Melina

I am 35 y/o, 5'7", 140lbs and have one 11 year old boy. I am your typical makeover patient, lost volume in my breasts, abdominal stretch marks, and unhappy being naked. My makeover will consist of a Benelli Mastoplexy (donut lift), silicone implants, and a full tummy tuck. Is there any benefit to working out prior to my procedures? Will wokring out deminish the recovery time? I currently do not work out and blessed with good genes.

I would like to have a breast lift, a breast augmentation and a tummy tuck w/ liposuction on the sides next year. I work at a desk job and have to request the time off. To give an idea, I was up and cleaning about 5 days after my c-section, although it would still get sore at the end of the day. How soon can I be at my desk job? Is 10 days sufficient? I sit down most of the day and if it helps, I am 24 years old, 5'4" and weighing 116 pounds.

Wondering if it’s possible to have a partial hysterectomy and abdominoplasty at the same day?

I am struggling to explain what I am wanting during my consultations. I am currently a DD and would prefer to be a C cup. However, I would also like fullness in the upper breast and don’t want to have to rely on a bra for cleavage. So, I want to be approximately a C—but I don’t want the deflated upper-pole appearance I see in many reductions. I want noticeable upper-pole fullness and projection, while still having a natural breast position and contour. I don’t want them sitting excessively high or looking large or obviously implanted. Is this even a possibility? Many consults have told me that a lift with implants defeats the purpose and I 100% understand that too. I am 49 yo, healthy female. Please help!

I have two consultations for breast reduction scheduled for next month. I have large breasts (40J) and know breast reduction would be beneficial. Insurance won't cover it, so I'll pay out of pocket. Surgeon 1 is certified by the American Board of Plastic Surgery and has only a few pictures on his website, but they're all of patients with smaller breasts than mine. Surgeon 2 is certified by the American Board of Cosmetic Surgery and the American Board of Surgery; he also has multiple pictures of his work on his website with patients who look similar in size to me. My question is: What is the difference between these certifications? Should one be considered over the other for a breast reduction on larger breasts? Thanks in advance for taking the time to answer this question!

If so, is there anything I can do to make them appear more wide set? Can Botox between the eyes achieve this look? Any eyelid surgery? Thanks?

The LT side of my face is embarrassingly different. Head on is not that obvious but from any other angle, I look like two different people. I am no expert but I’ve palpated the muscles around my face and LT side is larger, tighter, and more tender. I’ve read into Botox to fix facial asymmetry but have not found case studies with similar situations to mine. It appears I have more than one muscle involved. I don’t suspect underlying bone differences, however I only saw an XR of my skull in the regular anatomical position so it is hard to tell. Please advise thank you

I’m a 30-year-old woman, and I’ve always had an awkward-looking soft smile that happens naturally when I’m not paying attention. When I give a relaxed/soft smile, my upper lip rises and exposes the upper part of my top teeth and gum line. But if I give a full smile, it looks fine. How can I fix the issue without losing my full smile that I love

Hello doctors, I underwent buccal fat removal surgery several months ago because I wanted to achieve a bony, chiseled, hollow-cheeked look with slim cheeks (similar to Margot Robbie, for example). The surgery was successful, but I would like even more pronounced results. Would Masseter Botox treatment enhance these results? I am not looking for a V-shaped face or a reduction of the mandibular ramus/jawline, but rather more hollow-looking cheeks. Two different doctors have already recommended this to me, noting a very prominent masseter muscle during their in-person assessments...

My facial anatomy paired with recent weight loss have resulted in some series bulging beside my nose when i smile. I don’t want my nasolabial folds filled, and I want to know whether it’s coming from my levator muscles and whether conservative neuromodulator treatment is appropriate. Im open to suggestions, and really appreciate the help! (PS i just got my lips done, dont mind the bruising)

Do I have enough breast tissue to have an implant that looks natural and jiggles as natural breast ? I am 39, breast fed 1 for 6 months. I am a small-medium 34 c, 171 cm tall. I want to be a large 34 D. How many cc implant would I need to get to get a natural looking breasts ? Will it squish and move like natural breast ?

I have been advised by a surgeon to have anatomical implants for a natural look. I dont have breast deformity, no sag. Starting at a 32B. I prefer the idea or round and worried about textured implants. I am 5ft 6 126lb going with dual plane. He is looking at around 295-340cc medium to full profile.

My weight of 112 lbs has always been stable. I have thick, oily skin without fine lines/wrinkles. I have always had fat pads in a location which is too low on my face and deep nasolabials. I just tried Restylane to the pyriform fossa, no improvement. My goals are to restore a smooth transition from the cheek to the lower lids, to reduce the heaviness of the cheek tissue, and in general to lift a descended central facial structure, from the lower eyes to the perioral area. Thanks in advance for recommendations.

I am 56, 5'6 & 114lb. Very fit and I eat healthy. I feel very young on the inside and just want my outside to match! Am I good candidate for a facelift and how much would that cost?

I had lipo over 15 years ago. I had a revision with fat transfer shortly after, but I still have irregularities that I am very self-conscious about. I’d like to finally address it once and for all. Is a tummy tuck my only option (if it even is an option)?

Hi, I’m 36 years old and had 3 kids. I’m about 185pds and 5”5. I mostly just want to remove the fat in my abdomen And have less downtime but scared I may have loose skin , should I get tummy tuck or lipo?