Doctor Q&A

Hi doctors, I’m 166 cm tall, 55 kg, with a breast base width of approximately 11–11.5 cm. I have very minimal natural breast tissue and low body fat. I am considering Motiva Ergonomix 2 implants in the 235–250 cc range (mini size), aiming for a small, natural-looking result. My surgeon is currently deciding between dual plane and subfascial placement because I have very little natural breast tissue. However, he mentioned that he may not prefer dual plane in my case because Motiva Ergonomix 2 implants are lightweight and highly cohesive, and he is concerned that under the muscle they might not settle or “drop” in a way that creates a soft, natural slope. He suggested that the implant could potentially stay too high or not create the desired lower pole fullness. At the same time, I am concerned about soft tissue coverage due to my low body fat. Given my anatomy and the relatively small implant size (235–250 cc), would subfascial placement provide enough upper pole coverage and long-term aesthetic stability? Or would dual plane still be considered the more predictable option in a thin patient like me? I would greatly appreciate your professional opinions.

Hello, I am a 27-year-old female. I’m 5 foot7 and I weigh about 120 pounds. I’ve always been quite slim, but since I can remember, I’ve had an indent in the middle of my stomach that causes a B shape of my belly. It causes an upper and lower pooch, no matter how small I am. I have tried everything except surgery, because I’m unsure of surgery can help?

Hello! I was wondering the liklihood of getting this extra skin smoothed out.l I was not interested in a FDL, So now I am trying to manage expectations. I understand I have some flared ribs, But I’m referring to the skin that’s under underneath them

I’m wondering if I’m a candidate for a full tummy tuck (not a reverse tuck). I previously had abdominal liposuction followed by a revision, and I feel the loss of fat support has left me with persistent upper abdominal skin laxity, despite stable weight. My lower abdomen is relatively tight when standing, but sags when I sit, and my belly button protrudes due to the laxity. The upper abdomen looks loose and crepey and flattens when I stretch the skin upward. I’m not looking for more liposuction - just a tighter, smoother abdomen. Would a standard full tummy tuck be appropriate in this case?

Hi, I was told I have a saddle nose, and I am wondering if closed or open rhinoplasty is suggested for me. I do not like the look of the nostrils I see in open rhinoplasty. I also want my tip to be slightly refined, and I hear this is difficult with closed rhinoplasty

Hi doctors, I’m considering rhinoplasty because my nose looks wider and flares when I smile, and the tip also appears bibulbous. My concern is that I want my nose to look more refined and balanced with my face, but I do not want my smile to look unnatural or restricted. Could you please advise what procedures might help in this case? For example, would tip refinement, alar base reduction, or other techniques be required to reduce the flaring and width while maintaining a natural smile? My goal is a slimmer, elevated nose that suits my face but still looks natural when I smile. Thank you

I am an older male with thick facial skin. I have large vertical nostrils (photo attached). Would rhinoplasty be feasible to make my nostrils less vertical and reduce overall bulbousness? The nostrils are the most important factor. Thanks.

I have a procedure coming up in a few days for 360 Lipo, extended tummy tuck & BBL. I have an inverted triangle shape so it will be nice to have some hips however I am so scared of the BBL. Is fat transfer to just hips safer than full transfer to hips & buttocks? Will my results look odd if I ask for just fat transfer to hips as I have a relatively flat bum? How about long term implications of fat transfer as we age? My priority is safety, TIA

I got a BBL about a year ago.... after the first 6 months I started to notice asymmetry. Long story short surgeon is impossible to reach. Its been 2 years and I have worst selfsteem than before my surgery. Before my surgery I just had no butt lol now I have a very deformed one, its like every day is migrating more into my lower hip and i cant do anything to stop it. Its crazy how ever since I got my bbl I dont wear anything thight or short dresses, or bathing suits. I used to go to the beach on a weekly basis now I have tl go sunrise to ensure nobody sees this mounstrosity.... can this be fixed with excersice?

Hello, I am 35 years old, healthy , 5’3 , 123 pounds, I don’t smoke or drink and I am physically active. I ‘ve had silicon implants under the muscle 280ml since 2013 and would like to remove them. I also would like to get a breast lift done and a BBL with lipo 360. However some providers say they do not combine mastopexy with BBL and others do. What are the best options for me? Do all together at once , explant with BBL and wait if I need a lift , or separate the breast procedures and the BBL ?

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!

a 40yoF who has pendulous breasts despite 100lb weight los,. I am interested in breast reduction and lift. I am concerned I wont have upper pole fullness nor cleavage after surgery. I am a 36 H/I and want to reduce to a D/DD. Based on my pictures, are my concerns valid? And if so, would auto augmentation be a good and laating solution? I am not interested in implants

I wanna know how small I can go from 38G with breast reduction and lifting, is it gonna be possible to see under my boobs after surgery? And will I need FNG to be C cup? Will I be able to breastfeed? And for armpit fat can I get rid of that fat while breast reduction or liposuction will be needed? Plus I’m 5”3 and 150 pounds. Should I lose weight before surgery?

TL;DR No hope for implants w/o lift? 5'8 - 140lbs (had a 60lb loss in 2020, maintained since) Breastfed for 2 years (2016-2018) I had a virtual consult with CEC in Costa Rica because I've heard such good things about the Preservé method and the minimal scarring from the small incision. They suggested a lift as well, but I'm not interested, and they wouldn't know for sure until I was there in person. I don't want them perfect, just fuller in a non-deformed way. I actually like the teardrop type shape, but mine look like empty pockets. Obviously I'm not the expert, and would love to pulse check. Would most docs say the same?

Hi I’m 27 years old 5’5 122 pounds I want to get a breast augmentation. Skin stretch 2. PCSEF 60%. Base width 11.5 at most. I want something noticeable but natural. Not sure what size/profile to go with. I don’t want to look BIG. I’m a pretty fit person I have a good amount of breast tissue, I’m a small B cup. I do want some upper pole volume and overall breast fullness but I don’t want to look overdone. Any advice would help.

Im looking to go quite large, as large as I can go honestly. I dont mind some sagging and am not opposed to a lift in the future.

I am 25 yrs old and a mother to 3 beautiful children. I have breatsfeed all three of them and currently stopped about 2 to 3 weeks ago with my daughter who turned 1 about 3 weeks ago. I have gained and lost ALOT of WEIGHT 3 times. And i'm talking about 100 of pounds or less 3 times. So as you can imagine how saggy and ugly my breats now look as I 'am skinny again. So I have decided to get a lift and implants. I don't realy know what size i'am now. I say about a big A or a small B. Its to hard to tell cause I have so much loose skin, and where bra's of 34 C and stick big fake gel booby's in my bra to fill them up and make me look bigger. My doc advise me to go with 425cc and says that I will most likely be a full B to a C. But I would like to be a D. Also I have heard that since I'm getting the implants behind the muscle I will loose about 30 to 50cc. So to make a very long story short " I'am SO VERY confused and just so torned on witch way to go. I think 500cc will do me good. I have been walking around with rice in a stocking in my sports bra, 1 with 425cc and the other with 500cc. And I like the 500cc but still not sure what size I will end up with. He is putting cohisive silicone gel implants in me. I'm 5'8 , weigh 150, about a size 3 or 5 in pants, dress size 4 or 6 and have a size 10 foot. So i'am a bigger bone girl and have been all my life. So I want to look like I have breats and it looks natural and to my BODY!!! PLS HELP ANYBODY!! What size should I go? And I'am a smoker, its so hard to stop and my doc wants me too. If I cut back to like 1 to 2 a day will that make a difference? PLEASE HELP! From a mother of 3 who is soooooo confused.. Thank you so much!

I did a liposuction (with local surgery) on my flanks 9 months ago. 1 week after the lipo, I was super happy because my flanks looked flat and all but it's been months where I see that the flanks have almost returned to their original shape although I see an improvement by 50%. My surgeon says it's residual skin. what do you think ?

40 female. I got Radiesse 3/2025 for marionette lines and have since developed this fatty bulge above outer lip. Can it be removed?

I had flank lipo in 2024 and woke with severe pain at the bottom of my right ribcage. A CT scan showed that the hard lump I was feeling was a displaced rib. I've been in so much pain, going on a year and a half. Surgeon prescribed me gabapentin. I can't swim anymore, and working out hurts, too. It's been so hard staying positive. Surgeon (board certified) says it's too bad but he doesn't have answers. Could this be a compresswd nerve, and if so, can it be helped? I'm desperate for relief and to be able to move freely again. Thank you.

I got a lower bleph 1.5 years ago and still have small bags. They've looked like this ever since the swelling went down. I have also had a CO2 fractional laser treatment under my eyes to tighten up the skin but I don't see any difference. Any suggestions on where to go from here?

I am a 65 year old woman; what procedures do you recommend?

I just turned 40. I don't like my nasolabial folds and marionette lines. I'd like to look younger and more feminine (potentially heart shaped, but open to other ways to look more feminine in the face), instead of that "bulldog face shape" (I don't think it's that bad, but I'm not sure how else to describe it :)). I'd also like to lift my eyebrows a little to look more fresh. Overall I still want it to look natural, lifted as opposed to pulled back. I've had filler, botox, Sculptra. Everything bar the POD threads worked well. I'm now ready for something more envasive, but would prefer procedures that don't take as much downtime. I'm based in Ireland, ideally here or Europe. Many thanks!

I am a 41 year old female. I‘m 5’2 and weigh 140lbs. I’m noticing in the past 5 years my face seems to be getting more square with jowling. I’ve tried massater Botox and a Nefertiti lift but it hasn’t taken care of the jowling. I’m considering whether I would be a candidate for a mini facelift?