Doctor Q&A

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.

Had my original surgery 10/29/23, was swollen but flat initially. Currently look like in the pictures. Is this a failed Mr or swelling? Do I need more lipo? I'm going in for a revision on Friday and my doctor believes I only need some mr tightening and fixing dog ears and minor revision to belly button. Will MT tightening resolve the bulge or do I also need to ask for lipo?

Do I need a tummy tuck? I have some loose skin and I am not sure if I have fibrosis? I had lipo ten years ago and my stomach has since looked like this. I am thinking I need a tummy tuck when in reality all I want is a flat stomach. Im really hoping I can achive that with just liposuction & hopefully get rid of the fibrosis (i am not sure ehat to call it).

Middle eastern nose, was looking to straighten the bridge , while still keeping a masculine high bridge, fixing the top and have a defined tip while not widening the nose or lengthening the philitrum

Ive gotten a nose job like a year and 10 months ago, and the results are sk weird. I asked for a nose like cindy kimberly and I had a VERY bulbous nose it was hugeee. I have arab thick skin and the results vary everyday it is draining me. I still tape my nose every single day bcs if i dont, i wake up its hugr and bulbous! When i feel cold kr so my nose is so tiny and beautiful i love it. Then when its hot or i sweat my nose is BULBOUS AND BIG and i hate it. I took a steroid almost 2 months ago and did something but its still big.. do i consider a revision?!? like why it looks amazing in the damn cold.. First picture is how it looks after i remove the tape/ when i feel cold Second is when tempera is slightly hot

Hello. I have a "very minor" (according to ct) deviated septum and bone spur. Despite being described as a minor deviation on scans, my left 3/4 profile looks drastically different than my right 3/4 profile. Is it possible to correct this without drastically altering the overall nose appearance? Would just septoplasty be best, or would septo/rhinoplasty be ideal? I don't hate my nose overall, but I wish it looked more similar on each side and was slightly straighter from front view.

I have a bulbous nasal tip that points downward quite noticeably when I smile. Because of this, my upper lip covers a significant portion of my upper front teeth, resulting in a relatively low smile line. I am planning to have a rhinoplasty and was wondering whether lifting the nasal tip during the procedure could also improve my smile, allowing more of my upper teeth, and ideally a small amount of gum, to show when I smile. I have noticed that when I lift my nasal tip upward with my fingers, my upper lip also lifts and significantly more of my teeth become visible. This makes me wonder whether the position of my nasal tip may be affecting my upper lip movement when I smile. Could this potentially be corrected as part of a rhinoplasty? If not, are there any other procedures or treatments that could be performed in addition to rhinoplasty to address this? I would preferably like to avoid a lip lift because I do not want a scar or to change the overall position of my mouth. The issue seems to be that the inner part of my upper lip covers my upper teeth when I smile (in the middle). I would really appreciate any advice from surgeons who have experience with this type of issue.

Im 18 years old, and no matter what i do i cant achieve any butt growth nor weight loss i plan on doing a lipo360/a bbl, Im 5,8 and i weight 170, I have minor scoliosis too so i want to make sure the shape matches my body, and i dont want anything too big i want something that looks natural for my body type plus me being tall, im also a brownskin female :)

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.

Hello, I am currently 167 pounds and 5’8 and 31. I have never had a butt. I am trying to get rid of my stubborn fat so I want to schedule a Lipo 360 and a BBL. However, I have a wide rib cage and not a lot of hips. Is it possible for me to have an hourglass figure.?

I am pregnant now and I'm extremely eager to get plastic surgery after giving birth. You hear about celebrities receiving tummy tucks the same day as giving birth. I would like something like this. I am dreading the post baby fat stomach and don't want to wait. Any suggestions? I live in Philadelphia.

I am a 52 year-old woman, and I am scheduled for a mommy makeover in March. When I was interviewing surgeons, I discovered that some use drains and some do not. I'm not looking forward to having drains, and I'm wondering why some surgeons don't use them. What are the advantages/disadvantages of using them, are there greater risks one way or the other, and should I reconsider my surgeon if he uses drains? Thank you in advance for your response!

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!

How effective is this procedure please

I am the same weight with a healthy BMI of 19-19.5. How can I lift and reduce my lower face. I hate my jowls

What face/neck lifting method is best for a 30-year-old who lost 55 lb (25 kg) 2 years ago and wants to lift the midface, lower face, and neck—especially the lower face to the extent shown in my manual-lift photo? Since there are so many variations within each category, what specific type of mini/limited facelift, SMAS facelift, or DPFL would you recommend for me? Feel free to stop reading here; more context below if helpful. I’m confused by the conflicting advice. Some surgeons argue mini facelifts because of the limited dissection/inadequate release/repositioning of the deeper tissues can lead to a pulled/less natural look, increased tension on incisions, limited effect on mid/lower face & deformities like sweeping/pixie ear, and argue that a more complete release DPFL can look more natural even in younger patients. Others say a DPFL is too extensive at my age and recommend a mini or SMAS lift instead. I’ve also heard criticisms of SMAS lifts, including a less natural look, more tension on incision, greater skin-SMAS separation which can cause surface irregularities or a dull skin appearance. I’ve also considered hidden incision endoscopic full face/neck lifts using hairline and behind-ear incisions to address the midface, lower face, and neck. I’ve heard conflicting opinions on how well they lift the lower face and have noticed some results with cheek/temple widening, indentations, or visible pull lines creating that alien look.

In April 2024, I underwent a SMAS plication, a neck lift, and an extensive upper and lower blepharoplasty. Now, almost two years later, I still experience a pressing sensation behind my ears and a tight, stretched feeling in my cheeks near my ears. The sensation in my cheeks is reduced; for example, I do not feel cold there as I do in other parts of my face. When I smile or use facial expressions, my cheeks still feel tense and tight. Could these symptoms indicate delayed healing (for example, due to scar collagen remodeling), or should I be thinking about neuropathy because of the tight band-like sensation and the altered sensitivity in my cheeks? If this is neuropathic pain, is it likely to resolve over time?

I had an upper blephorplasty 12 months ago and I’m really unimpressed with the results. I was told at my post op that no more skin could be taken off, otherwise I wouldn’t be able to close my eyelids but I do not feel this is the case. Can anyone provide any advice? I’ve attached a photo.

Hi! I'm 24 and I've disliked my under eyes pretty much my whole life. They have looked like this since I was a child, and I have already undergone a fat transfer to that area (a surgeons recommendation) but found it did absolutely nothing to achieve what I was looking for. I would like to improve the line that comes down to almost the centre of my face. I am aware that it is difficult the closer you get to the eye area, so I am focussing more on that particular line. I will attach photos of my undereye area without makeup, with makeup, and when I was a child to show what I'm talking about. What would help improve this? Is there a way to improve eye bags that are genetic? Would it be surgical/non-surgical? Is this a hyperpigmentation issue? I use undereye creams and spf Thank you!

I’m wondering how to take care of my eye hollows. The issue here is that one year ago yesr ago i got cheek augmentation under the advice of a derm doc and it didnt really help. (Please dont suggest t eye hollows its thr wrong move docs..). The worst oart is that on my right side, it was either placed in the wrong plane or someone screwed up, because it never looked right. I tried to have it dissolved but we were unsuccessful (we we supposed to go at it for an hour or two..?). Now it looks worse, the fillers are a year old, partially dissolved, im getting older (40), AND it was suggested i out some filler in the midrange to blend the bad filler. it was ok, i feel neautral about it, didnt really help. What they heck do i do?

I’ve noticed my uneven eyelids for quite some time now and it’s bothering me and I’m curious what the fix for it is. To my understanding my options are upper eyelid filler and/or a blephorplasty, would there be anything else to fix the asymmetry?

I've been considering an upper bleph for a while now, but the sutures/recovery keeps giving me pause. While researching it once again, I came across a new technique called Ziplyft. It looks like there are a few providers who do it, but reviews are hard to find. Is anyone here familiar with it, and can you share your thoughts about it?

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?

I am 45yo with DDD breasts that have been bothering me for years. I have a phobia of general anesthesia which has kept me from seeking a traditional breast reduction. I’m at my whit’s end with these heavy knockers and would love to hear from some doctors who have performed breast Lipo under light/twilight sedation. I have scattered fibroglandular breast tissue, and am 5’3” 150lbs, menopausal and finding weight exceptionally hard to shift now and breast tissue much bigger than 10 years ago.