Doctor Q&A

Yes! A breast reduction would be a great way to reduce the weight of your breasts. This in turn will be less weight on your neck and shoulders, and so your pain should improve. I think this would fix your problems and give you perky, more youthful looking breasts too!

Thank you for your question. I have been in practice for over 30 years and revisionary breast surgery is a large portion of my practice. Over the years, I have seen so many patients who want to avoid lift scars and fall onto the trap of having a larger implants placed. Actually, I wrote a paper termed "Poor Practice" in which the patients fall into this trap and end up with much larger and more saggy breast than they wanted. Thank of it this way, if you are already sagging and you place an...

Since it’s only been 6 weeks since you’re surgery, your breasts will most likely continue to change in shape as your recovery progresses. Allow about 4-6 months before assessing your results. If, by then, you’re still concerned, please speak with your surgeon.

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. In your case, You do not have excessively thin skin or thin bones. Your quite normal.. You do have a hanging columella and arched alar rims. This is the most common problem I see when addressing revision rhinoplasty. It is easily fixable. It is important to only...

You would benefit from a rhinoplasty. Your tip is slightly wide and needs to be refined. Also, the dorsum can be straightened. Your nose looks different from different angles because of the super tip hollow.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. Based on your photograph, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include differential nasal tip deprojection to pull your tip centrally and straighten your nose, tip refinement, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and...

Hi, thank you for your photos.
Yes, you can be a candidate, but only for a small / subtle BBL. At your size, there is limited fat available, so the result would be modest shaping rather than a dramatic increase. In that sense, I would advise to keep your goals realistic. If you want more volume, weight gain or focusing on liposuction only contouring may be better options.
— Andaç Aykan, MD, Assoc. Prof.

Hello and thank you for your question! I agree that you have a great frame/underlying shape. In my opinion, lipo 360 and BBL can certain enhance this shape and contour by subtracting the excess fatty tissue from areas like your abdomen, flanks, and lower/mid back, and adding some of this volume will help with the overall contour and projection of the gluteal region. The other important factor to address would be the excess skin. If you are not finished having children, I would ultimately...

Hi, great question to ask.
A free nipple graft (FNG) is usually used only when breasts are very large or very droopy and the nipple needs to be moved a long distance. In these cases, keeping the nipple attached may not be safe, so the surgeon removes it completely and grafts it back on. This is done mainly for safety.
If a free nipple graft is done, the milk ducts are cut. This means you will not be able to breastfeed in the future. Nipple sensation is also often lost.
Because you are only...

You’re asking a very real and very common question — and your symptoms are absolutely valid, even if insurance criteria don’t always reflect that.At 5’7”, 135 lbs with a 32DDD, your breasts may not sound “large” on paper, but on a petite, athletic frame they can be biomechanically very heavy. Pain with running and limits on activity are legitimate medical concerns.Why insurance is the sticking pointMost insurers use gram-based criteria (often ~500 g per breast) to approve reductions....

Thank you for your question. I have been in practice for over 30 years and revisionary breast surgery is a large portion of my practice. When considering breast augmentation above or below the muscle, it is the lesser of two evils. Usually, the animation deformity from breast augmentation is minimal, however when you place implants on top of the muscle, the complications are significantly worse - slide down and wrinkling. I have a whole gallery of patient's with long-term changes with...

Your tattoo is far enough away from your breasts that it most likely will not be affected by the implants.

Yes — at your age, it is absolutely reasonable to have breast implants without a lift, especially if avoiding scars is important to you right now.You’re also thinking about this the right way by accepting that you may choose a lift later in life if your priorities change.Do you really need a lift at 20?In most 20-year-old patients:Skin elasticity is still goodSagging is usually mild or borderlineThe issue is more volume than true droopIf your nipples sit at or above the breast fold, a...

Thanks for your question and the photos.
I think any time you are concerned about results after surgery you should absolutely discuss with your primary surgeon. In particular, with ptosis surgery, I would make sure you are seeing a plastic surgeon with specialty in eyelids or an oculplastic surgeon. I agree it looks like you still have some drooping of the upper eyelid and depending on their exam, it might be worth considering a revision, though there is certainly alot of nuance and...

Thank you for your photos. The correct position for the brow is to be at, or above, the bony orbital rim of the eye socket. Your brow appears to be above your orbital rim and elevating it further with a temporal brow lift would not provide an aesthetic improvement. An upper blepharoplasty, with only skin removed, would help to freshen and rejuvenate your upper eyelids while retaining all the youthful volume in your upper eyelid. This is commonly done with only local anesthesia, plus/minus...

Surgeons who perform a “skin pinch” love the notion implied by the nickname of this procedure: what could possibly go wrong. However, this is still a transcutaneous lower blepharoplasty and it is a not so uncommon reason people show up to my Beverly Hills office to fix botched eyelid surgery. A canthopexy or its stronger sibling, canthoplasty will not fix your lower eyelid retraction. It will not prevent well meaning surgeons who claim to be in the fix-it business from trying canthal tig...

Your eyebrows are below the level of the orbital rim, you have excess upper eyelid skin, excess lower eyelid skin as well as mid face descent. You would benefit from an extended browlift. This will pull up the eyebrows, help with the upper eyelid skin and pull the mid face tighter. After this, you may or may not need a revision of the upper and lower eyelids.

Best Wishes,

Gary Horndeski, M.D.

It is very difficult to evaluate underlying deformity (hollowing) on these photos. A condition is known as malar hypoplasia, small cheek bone. Depending of the extent of hollowing correction with the cheek implant would be my first thought. Milder hollowness can be corrected with fat grafting or even bone grafting. In person consultation with a board certified plastic surgeon with experience in this type of correction is recommended. Good luck.

Due to the lower nipple placement on the right breast (left in the photo), a lift would be recommended to improve symmetry.

For your body type and goals, the best option is a breast lift combined with a Preserve-style implant placement using a round, low-to-moderate projection implant — not a shaped (teardrop) implant.A Preserve + lift approach will give you the natural contour you want without the ‘tennis ball in a sock’ look, while avoiding the downsides of shaped implants.Why shaped implants are often over-recommendedShaped implants are frequently suggested for patients who want a “natural” look, but in ...