Doctor Q&A

Hi, I’m interested in a small breast augmentation and would love your opinion on whether I could have implants without another lift. I had a breast reduction and lift in Thailand about 7 years ago, before having children. I was around a DD and was very happy with the results. Since then, I’ve had 3 children and breastfed all 3. My breasts are still relatively perky, but I’ve lost fullness and volume, especially in the upper pole. I’m interested in a small implant, around 250–300cc, possibly high-profile. I’ve been advised by some surgeons that I may need another lift, but I really don’t want another lift. If a lift is definitely required, I would likely choose not to have the procedure. Do you think an implant alone could restore some fullness without causing further sagging? And based on my previous surgery and current breast position, do you think a lift would be necessary? Thank you!

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 am in the process of planning my first breast augmentation, and feeling stuck regarding the techniques my preferred surgeon can offer. One technique, the Preserve breast augmentation (essentially a Motiva surgical kit that is marketed as "tissue sparing") sounds promising and could theoretically avoid general anesthesia altogether. However, the surgeon has far more career cases and overall experience performing the "traditional" method of breast augmentation, over the muscle. This is a surgeon who I vetted and trust, and they felt I would be a reasonable candidate for either due to the smaller size of my desired implants. For me, the choice comes down to a number of things, but the fact this surgeon has only done about 100 cases of Preserve total makes me hesitate somewhat. They didn't seem totally sold on it being any monumentally easier to recover from than their traditional OTM method either. So I am ultimately wondering from the surgeon perspective, whether I should weigh the surgeons experience most heavily over a technique alone.

Hi, I’m considering rhinoplasty mainly to reduce the width of my nose from the front. My nose is bony and slightly wide at the upper part, while the lower part is also a little wide. However, I like my nose from the side and I don’t want to significantly change my profile or projection. Do you think it would be possible to achieve a successful result by narrowing the nose from the front while keeping the side profile looking natural and attractive? Is this type of result realistic with rhinoplasty?

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?

I’m a female ,5’7 and weight around 150

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.

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 :)

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 coming up to 60 and would like a breast reduction , I’m 5 foot and currently a 36g/h . I have decided with navigating back pain , groives and neck ache and the weight of my breasts I need to have this done Not to mention my low self esteem . I currently have a 7cm hiatus hernia . I am been monitored by the hospital and take medication to manage it . I sometimes regurgitate albeit not often . My concern is would this stop me having a breast reduction . I would appreciate a medical opinion so I know if I can go forward with this .

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!

How effective is this procedure please

I don’t even know how to describe my chin? Is it protruding or just round? Is Botox something I can do to my chin to help balance my face?

Hi, 3 months ago I had my second Botox treatment for bruxism. 4 weeks after I went back to evaluate, and the doctor added some more. The same night I noticed the left corner of my mouth was frozen, and since then I have not been able to curve the corner of my mouth when I smile. My doctor said the Botox probably migrated to the risorius muscle, but that it is weird that I saw an effect on my smile the same day. Does this mean something else is causing the crooked smile, such as a damaged nerv?

I had a platysmaplasty in September 2020 but by mid 2022 my platysmal bands were showing again and I had some loose skin . I went and had a partial resection at the end of November 2022 however my neck is still a little lumpy and looks like this . The surgeon has reviewed and said issue might be scar tissue and hyperactivity of the platysma muscle and suggested Botox and an injection of Kenalog steroid . Advice needed

Had a breast aug just over a year ago, a couple months ago I noticed that when I bend over I get an uncomfortable pressure in my right breast. No pain or discomfort any other time. Have been to a regular doctor and they didn’t feel anything out of rhe ordinary. Unfortunately my surgeon is on the other side of the country from me but thinking about making an appointment with a surgeon here to look at it if needed. Wondering if anyone has heard of this before and what coukd be causing it. Do not have the same feeling on the other side. I go to the gym and lift 5 days a week (heavy lift) and have no pain or discomfort during that, only when I bend over I feel this pressure. 625ccs under the muscle, I am 6’1 and 175lbs

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?

About 15 years ago I had fat injection in my face that was not fully successful. Fat was injected in my lower face in addition to my cheeks which has been causing the shape you see in the picture. It keeps increasing if I gain any more weight. Now, I want to get rid of it but not sure which procedure would be best. I received different opinions regarding facial liposuction or lower face lift. Which one would be better?

Hi, I'm a 43 old female who is oncerned with the sagginess of my face, specifically, the areas around my mouth, my cheeks and under my eyes. Is a facelift an option?

Hematologist note that I could have facial hemihyperplasia

45 year old female, tall frame with long proportions. I've never had any surgeries. I lost 10-12 pounds a couple of years ago after the death of a loved one. I regained it back in terrible places. Target areas: abdomen, waist, flanks, full thigh, knees, circumferential calves, ankles, and upper arms. Wishlist: possible minor breast augmentation via fat transfer, 1/2 to 1 cup I believe I am seeking support for a continuous lower-body line transformation with circumferential lower-body harmonization. I want an ultra smooth, ultra natural taper for a long, linear leg line. I also want reduced upper arm size. Please let me know if I'm using the wrong terms. Given my interests and photos, am I candidate for a minimally invasive, low-sedation, or awake micro-liposuction protocol? I currently weigh 150-155, 5'9", within a healthy BMI, but is it helpful to lose a few pounds before any procedures? What would be my best next step? I've done some research, but really am relying on reviews. I am open to procedures in the US or interntionally.