Doctor Q&A

I have always had small breasts and struggle to create a cleavage. Do I just have very small breasts or is there an element of symmastia? I’m not keen to have anything major done, however would liposuction be an option?

Hello doctors, I am a transgender woman living with HIV, and I have been undetectable for several years while consistently taking my medication. My overall health is good, and I am considering breast augmentation as part of my gender-affirming journey. I have a few questions: * Does being HIV-positive but undetectable increase the risks of breast augmentation surgery? * Are there any specific requirements regarding my viral load or CD4 count before surgery? * Are silicone implants safe for someone in my situation? * What is the average cost for breast augmentation in Southern California? * Is there anything I should discuss with my infectious disease doctor before scheduling surgery? I appreciate any advice or recommendations. Thank you for taking the time to answer my questions.

My doctor says my tummy tuck surgery will be challenging due to scar tissue from 2 past liposuctions done 20 years ago, that I may not get as smooth or as tight a result. I am 70 years old, no pregnancies, fit, BMI 21. I don't know if I should have muscle tightening. Have not read anything about past lipo presenting problems and would like to understand this better. Am I not a good candidate? Don't PS's deal with this all the time? Pics are w/tummy pulled in & tummy relaxed.

Updated: Tummy tuck & BBL. - My belly button was not on the right side. She was too busy to get off the phone when she marked me and marked my line off-center. Never was my belly button to the right of my center. She has avoided me from the first office visit after surgery when I asked about it. Beware of doctors that blame the patient. .

I have a drooping bulbous nose tip and deep alar creases. Can the deep creases be fixed in a rhinoplasty and/or alarplasty? Or would I be able to get piriform fossa filler either before or after the surgery? Finally, I have a dorsal hump that I don’t mind. Would a surgeon be willing to leave a hump alone and just focus on a tip plasty?

Hi, I got a closed rhinoplasty 3 years ago. I have been contemplating more and more about a revision because I am not too happy with my results. I knew I had thick skin, so the refining of the tip would be hard, but it is extremely bulbous. Moreover, I feel as though my nose has become more lopsided and I have a very prominent bump (bone callous maybe) on one side that sticks out. Do I need a revision?

I am 37 ,iI have bulbous fatty wide nose,want my nose slim sharp tip ,significantly natural nose.any expected result please how my nose would be like after the procedure please .iI have thick skin .

Why does my nose look like it’s pinched in at the top? It created these weird dark indentations and it makes my nose look bulbous.

What would I need to have done to get me from this, to this? Nasal bridge reduction and nostril reduction? I don't have a problem with my side profile, I just want a smaller version if my nose.

I am a 65 year old woman weighing 120 lbs.

I was approved for $13,500 in financing . Care Credit ($7000) & Alpheaon Credit ($6500). I’ve been speaking with places and they stated they wanted a cash deposit to hold my spot & that I couldn’t use any of my financing . I was just curious is that common or or are there some places that except the financing for the surgery and the deposit ?

I am 31 year old male, current weight 180lbs and I have lost 30lbs recently and prior weight loss of 50lbs about 10 Years ago. I’ve lost volume in my butt and it’s become somewhat loose and squishy, I have been thinking about surgery for my abdomen and chest for many years but now I am considering this also. I’m not looking for a major change but I’m thinking a little more volume is what I’m looking for. Would this be recommended doing with some abdomen and chest work? What would be the best route for my abdomen and chest? I am in Arizona and have not had any consultations.

I am 40 y/o 5’2 158lbs. Ive struggled with having excess weight around my midsection my whole life mostly due to PCOS. I have recently lost around 75lbs. Would I get good results with a ex tummy tuck? I would also like my breast to be lifted. What procedure would you recommend for both?

What qualifications should patients look for when choosing a provider for Botox injections? How do experience, facial anatomy, treatment goals, and safety practices affect the results? What questions should patients ask during a consultation before deciding on treatment?

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...

Not so sure I want to try Botox.  Are there good alternatives that will help me get rid of wrinkles on my forehead the same way Botox does? 

I have gone to a few different surgeons for consults and my most recent one (the one I’m booking with) is suggesting the largest of them all. I tried on a 300cc sizer (he said that’s approx what a 345cc mod profile would look like on me placed under the muscle and it felt so large and like they stuck out too much. With my BW of 12.5 he said my next option below that drops to low plus profile of 285 (which would look more like a 225 placed under the muscle). I’m leaning towards this as I really don’t want breastthat project outward a lot and look like two round balls I am wanting a nice slope and also want them to look nice in a hoodie/baggy clothes. I am fairly petite and when I tried a hoodie on with a larger implant I felt huge as they made like a “tent” Anyways.. will I be disappointed with 285cc low-plus profile like he says I will? Or is he just used to patients who want larger breasts?? I really wish I could do like a 300 moderate profile implant but he said they don’t have any that fit my BW I currentlt have barely any tissue (after breastfeeding 3 children) but I was so happy with my breastfeeding breast and kind of want that look but slightly larger. (I’m attach my breastfeeding breast photo)

Current Stats - 34AA/AAA with minimal breast tissue. Breast width is 13.5. Height and weight is 5'7 and 127lbs. During the consultation I was able to try on sizers and I ultimately gravitated towards the look of the Motiva mini 400cc round implant just because the side profile of the breast looked wider/taller compared to the other sizers they had me try on. I do not want my implants to look like two balls stuck on a flat washboard and I am fearful that the implants will be pushed towards the outer sides of my chest, giving that huge gap in the middle. If I did want more projection, I'm assuming that I would have to get a larger volume implant to get that same implant diameter, correct? Is a higher profile going to give me that washboard and two balls look?

Hello! I’m 25 years old, around 125 lbs and 5’4”, and I’m considering having a breast augmentation. I’ve had two consultations so far. One surgeon suggested 250 cc, while another suggested 300 cc, both placed above the muscle, as I have enough breast tissue to cover the implants. My main concern is that 250 cc might look too small on my frame, while 300 cc might end up looking too big. I also have a fairly wide rib cage, so it’s been difficult to compare myself to other women online, as many seem to have a much narrower chest. How much difference 50 cc would actually make in this situation?

I had a breast reduction over a year ago through insurance and about 400 grams was removed from each breast. I terribly miss the size and regret the reduction. If i get 425 cc implants will they be the same size as before? do grams of fat and cc of implants correlate in that way?

I am getting a primary breast augmentation with silicone implants in two weeks. I recently had my pre-op appointment. Based on my goals and having tried on various sizers, my surgeon and I selected Sientra high profile 385cc round implants, dual plane.My rationale was that I loved the look of the 355cc sizers, but my surgeon advised that the healed implants would look a bit smaller and less projected. So, with that in mind, we felt it better to go a smidge bigger to account for the compression that placing it under the muscle will add, hence landing at 385cc.My question lies around my breast width diameter. My BWD was measured both physically and digitally at 10.5cm, whereas this implant has a base diameter of 12.5cm. Will this automatically spell doom for me?As we discussed at our consult and pre-op, I am hoping for noticeably fuller breasts with nice softness, more lower pole fullness than upper pole, nice cleavage, and a natural profile/slope.Does all of this sound reasonable? Should I be going with a smaller high profile implant to be closer to my BWD, or is it true that there is some wiggle room with respect to BWD and implant diameter, and that surgical skill plays a big part? I guess my only hesitancy with going forward is that the implants would be under too much tension and feel less soft than I'd like.I am 5'2" and 122 lbs, currently a 32B hoping to gain at least 2 cup sizes. My measurements right now are 33-26-38. I am petite in height but fairly curvy.

Hello, I am a younger patient with laxity and volume loss from another procedure. I have had many consultations however there has been a variety of responses - the main contrast is surgeons saying fat grafting alone would be the best choice, and others saying a deep plane facelift with fat grafting is a better choice. Considering the invasiveness of the facelift I am considering trying the fat grafting to see how I "feel" afterwards and if it's enough. If it's not, and I plan for the facelift after how long would you generally have to wait between surgeries? This is assuming only conservative facial fat transfer is done. Additionally, does this sound like a bad idea and should I do it all at once? It is true that fat transfer won't fix laxity but my main issue is definitely volume loss, however I do not want to make my face look "heavier" by mistake. Thank you for your thoughts

Hello. I'm a woman in my mid 30's and I'm dealing with sagginess, puffiness, and overall tiredness look around my eyes and cheeks area (midface area) I'm wondering what procedures would be more beneficial for me. I do tend to get very puffy around my cheeks (malar area) as well as my eyes and I also have laxity. The wrinkles under my eyes really bother me I don't like fillers but anything more permanent would be very helpful. Thank you

I am 32, 75kg and 180cm and looking to get liposuction to remove excess fat from my upper arms. Would I be able to get a good result with traditional liposuction or am I likely to need an alternative option e.g. vaser liposuction?

I’m concerned that my upper abdominal area looks uneven and does not match the smoother contour of my lower abdomen. I had expected the overall result to look more continuous and balanced as opposed to what appears to be a pinachable roll of fat that hangs and sags a bit especially when wearing high waisted pants. I’m trying to understand the best path forward, as I feel self-conscious wearing bikinis or athletic clothing that exposes my upper abdomen. I’m 5'4" and 117 lbs and previously underwent a mastopexy with lower abdominal and flank liposuction. I had been under the impression that my entire abdomen would be treated from top to bottom, but I was later told that the upper abdominal area I’m concerned about was not treated. I would really appreciate input from board-certified plastic surgeons on the following: Does the area above my belly button look like something that could benefit from revision liposuction? If so, is there a risk that it could make the contour more irregular? What is the likelihood the skin would retract as well as my lower abdomen result did? What revision options are typically considered for this type of concern? Is there another procedure that would better suit my concern? I understand that photos and an online post cannot replace an in-person evaluation. I’m mainly hoping to better understand what my options may be and what questions I should ask during a consultation. Thank you for any professional insight.