Doctor Q&A

Looking at my anatomy, what is the biggest factor that will determine whether I can achieve noticeable upper-pole and inner-pole fullness with augmentation alone? Are there any anatomical limitations that would make that goal difficult? My consult advised me I would achieve a very full but natural look with good inner/upper pole using a plan of UTM, wirh Mentor Boosts 400-500cc and felt very confident that I would not need a lift - but I can’t help but worry I’ll end up with no cleavage and bottom heavy result. Additional opinions would be greatly appreciated!

Hi, I’ve had 3 different consults and only 1 surgeon suggested over the muscle, the other two suggested dual plane. I am leaning towards dual since it has been suggested twice and because I don’t think I have enough breast tissue for OTM. However these are my concerns. 1. dual plane - i am wanting to eventually go back to doing shoulder presses and pull ups, but worried of the implant moving 2. Over the muscle - I just don’t think I enough breast tissue to make the implant look natural, worried of rippling Either option I would be doing Motiva approx 285cc. I’m approx 11.5cm width and about a 12a/b. Would love some advice as I’m quite stuck.

On average, how many weeks do you typically tell clients that are Flight Attendants to wait before returning to work? Job duties include closing overhead bins, pushing and pulling large carts, having to lift 50-70lbs of personal luggage into overhead bins on some aircraft, setting down and picking up trays from service (extending body to reach over some seats). Additionally, what limitations on flight time or duration do you typically impose on patients post-op? Procedure is primary breast augmentation, dual plane and simultaneous nipple/areola correction. Using Motiva Ergonomix 2 implants, size undecided but likely 400-450cc And of course, “always discuss with your surgeon”, which I will do of course, but I’m trying to gauge a realistic baseline of expectations for returning to work. Thanks for your insights and responses!

Recent consultation the surgeon said up lift would not be needed with 500cc round implants as this will lift the nipple. I’ve always thought I’d need a lift too. What do you think

I had a breast augmentation in November of 2025. I bottomed out at 12 weeks only on my right side. In April he did an Inframammary Fold Repair w sutures and removed stretched skin. After 10 weeks I bottomed out again. Now, I am scheduled for October 8th to have Galaflex mesh added to the tissue on the outside of the capsule. I’m now an additional $3000 in and I don’t have the confidence that this is going to fix it. My surgeon said my body failed to make a capsule on that side, but I have suspicions that the internal pocket was over dissected on that side to accommodate a slightly larger implant due to asymmetry. So my question is, will addeing mesh on the outside of the capsule fix the issue? Or will it eventually give out again if there is no internal pocket work done? I had Motiva 425 cc on left and 475 on right. I am 5’7” and 120 lbs.-47 years old.

I have psoriasis in my belly button and wonder if I can just have it removed and a new one created rather than try to attach the old one (which will have associated skin problems)

I am 5’4 125 lbs and 49 yrs old

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. .

My nose has been my biggest insecurity, i feel like compared to my eyes and lips, my nose is way to big. It droops down when i smile, and the alas are way too horizontal and big. I have typical south asian nose, and i feel a smaller upturned nose, with a less bulbous tip will make me look more feminine and pretty. Im asking this because i dont know if this is all in my head or do other people see it too? Should i just accept my natural nose, or get a rhinoplasty and get confidence. Is the rhinoplasty going to be worth it or should i just let it be?

Im interested in a cartilage rhinoplasty to fix my button nose. I live in the United States and was wondering if it was worth it to go to other countries (Thailand) to get the procedure done. Im also wondering how much I can expect my nose to change with the surgery.

1 year after rhinoplasty — is my radix still swollen or structurally too full? I’m about 1 year post-rhinoplasty with rib cartilage and thick skin. My main concern is the radix, which still looks rounded, wide and somewhat asymmetric. After my original rhinoplasty, I had excessive radix swelling/fullness (shown in the last photo), and my surgeon performed a revision about 2 weeks later to correct it. The radix still feels slightly soft rather than like a firm bony structure. Could this still be swelling or scar tissue from the surgeries, or does it look more like a structural issue? Is further improvement over the next 6–12 months still possible? I’d really appreciate opinions from rhinoplasty surgeons.

Hello, I am a non-binary person, assigned Male at birth, and I would like to have a BBL for gender affirming purposes to give me a more feminine shape and some extra volume. I have a rather lean build due to the gym, and I understand that will likely make it difficult for me to get a BBL. I understand for some patients, surgeons can recommend weight gain, but it cannot be rapid weight gain. I am doing my research in advance to understand my options, but I can't find any information about how these patients are supposed to gain weight. What is the recommendation? Gain weight through caloric surplus over a number of months? I would really appreciate the insight as I continue to learn about the options. I have ruled out implants for personal reasons, and that leaves me learning about Sculptra and a Lipo360 BBL.

I’ve had a BBL 1 year and a half ago and I developed a deep infragluteal contour depression after my BBL that was not present before surgery. I haven’t seen or heard about this in anyone else but me. So I’m a bit concerned. I would like to know whether this is an adhesion/tethering or a volume deficiency, and what would be the safest way to correct it I developed also cellulite that wasn’t there before. Could someone please give me an advice and tell me if there is any way to correct this?

HI, I know alot of surgeons do a tt same time as bbl, but if you have the time to recover, isn't it logistically safer and better to do them separate to allow for better healing. When sitting on bbl pillow, aren't you putting pressure on lower thighs and cutting off some circulation to buttock?

I’m a 35-year-old and I had a pregnancy when I was 16 and through the years I’ve been gaining and losing weight and I feel very uncomfortable with my body specially, my breast after I had my baby my breast got saggy and has been bothering me for years. Do I really need a tummy tucktuck? I’m planning on losing more weight. It’s been hard. It’s not easy anymore. I do want my back and waist to look slimmer and I’ve seen that some surgeons make the belly look with muscle and pretty. I don’t think I need a BBL but maybe a lift would be OK cause I do have good volume in my butt. I am very worried about the tummy tuck scar. I’ve seen some are pretty bad and I’ve seen some doctors make i the scar look thin. I do have a scarf from a myomectomy from 2024. I’m curious to see how much will it cost me in what I need in my body. Thank you.

I F36 5.3 feet(160 cm), 127 pounds (57 kg) have low body fat and high muscle mass (not body builder). I discussed sizing and procedures with my surgeon and surgery is booked in less than 10 days. I am still dwelling between Motiva Ergonomix 2 or round implants. The sizing we discussed is Demi projection and 285 CC placed over the muscle as I love to live a very active lifestyle. I feel my breast’s are pointy and I’m wondering if rounds will look good with this type of breast? The surgeon said that Ergonomix would help the nipples move more upwards. I am also getting a lift at the right breast. I also heard that the round shape will give less of a risk of rippling. The surgeon can do fat transfer but says o have too little to do this.

I got my breast augmentation in 2018 in Medellin Colombia by Juan Diego Mejia Jimenez. i got 425 ccs gummy implant placed under the muscle. Ive been pregnant twice since my surgery in 2018 My first pregnancy i had no complications, my secong pregnancy my nipples started leaking clear fluids. At first the leaking would come and go but now there’s more fluid. The fluid is clear/slightly yellow and it makes my nipple stick to my bras and pulls the skin off the areola. What should i do? I got my breast augmentation outside of my country and to my knowledge , the surgeon who performed on me no longer does breast augmentations.

My skin has changed drastically over the last few years, sagging jowls, extra skin laxity and hollowing in the temples and eyes. I have had various botox and fillers over the years and sculptura to the midface 1.5 years ago and threads 4 years ago which I don't think helped much. I currently use retinols and hgf/exosome serums for my skin.

Hi, I am 24 years old and I have lost over 30kgs over the past 2 years. I am currently 56kgs ans 157cm however my arms are still quite big and holding on to fat. I have also noticed laxity in my arm and underarm area and whole tricep area is all stretch marks. I feel like my skin is thin and I’m not sure if lipo will help or if any procedure would be better

In 2021 I have my large intestine removed and reversed , I now have a jpouch I wanted to know can I still have a lipo

I have already followed up with my original surgeon and now seeking additional input. I cannot seem to find any examples of my situation and it's very frustrating. I'm 52 and had an insurance paid for upper bleph to address drooping lids on my hooded eyes. I wanted a conservative approach. My results looked great for 6 months and then suddenly they became worse and worse developing a crease under each brow along with some skin laxity where the lid skin is just not taut or draping right. I definitely had some laxity/wrinkles going on before thus upper bleph alone prob didn't address/made worse. I would love to know: 1. is this a common occurrence? 2. what is happening anatomically to cause it? 3. what can be done to address it to achieve as natural result as possible to my original eye shape? A brow lift was offered during my initial consultation but my surgeon said I appeared to have okay brow positioning that I could approach a brow lift later, I also wasn’t looking to raise my brows or create a “surface” for better makeup application etc. I just wanted my sagging lid off my lash line. It appears whatever is needed now would be a multi pronged approach. I attempted some upper face botox and that only somewhat accentuated the issues making my eye more open but exposing more of the laxity in the lid along with brow crease. I don’t feel like filler or resurfacing would be helpful either long-term. Thank you in advance for any advice.

Hello. I have been covered under our medical services plan to have an upper blepheroplasty to improve my visual field due to excess skin, but I am also concerned about aesthetics, and the apperance of "hollowing". I don't feel like I have excess fat or fullness in my upper lids as it is, so I am wondering whether you feel just having the excess skin removed, and a bit of fat from my left inner nasal area is sufficient (as indicated by the Dr would be "okay"), that it won't then look like a "sausage" on my upper lid (just beneath my brows) afterwards, will it? I saw the opthamologist today, and she said that's what she'll do if I'm concerned with hollowing, but she mentioned a potential sausage look afterwards. I don't think I have that much fat in order for it to look like a sausage afterwards, do I? She said that most people opt to have some fat and muscle removed so as not to have the fullness, but I honestly can almost only feel just skin and bone right underneath my eyebrow (not fat), so I would otherwise be concerned that too much fat &/or muscle would be taken out, and I would look skeletal. I am not concerned with the look of my upper eyelids, other than the excess skin. Is doing less (just skin removal) better in my case? I am due to have surgery next Tuesday, June 16th. Pictures were taken today, June 8th, and I am 52 years old. One of both eyes are with my eyebrows raised & the other is without them raised. Your opinions are greatly appreciated!