Doctor Q&A

Hi guys, I had a breast augmentation over 20 years ago. I had saline under the muscle for 450 cc it adds up to be about a DD. Since then, I’ve had four children all have breast fed. I’m looking to replace my implants, it’s just time. when I first had the implants, I had normal swelling, but I actually loved the way sat on my chest. They were really high really &noticeable. After a few months, they started to drop and I wish they would have maintained that swelling. Now that I’m getting them redone, I’m looking for advice on what to ask my plastic surgeon. cannot ask my former surgeon he’s currently in prison And i have no records.

I'm having a BA in about a week. My right breast hangs a bit lowers and is about 17cc fuller. My doctor said i dont need different implants. I'm worried my BA will enhance my asymmetry instead of correcting it. Is there anything besides using different implants that can help correct my asymmetry?

Hello! I'd like to get subfascial implants done to restore volume after two babies. I would really like to avoid vertical scars if at all possible, and I'm not even sure if I need a lift or not too? I don't mind more natural sitting breasts that are a little lower than high and tight, but I don't want a rock in a sock look. I'm thinking motiva preserve method with ergonomix implants?

Just wondering how a nipple more lateral than the other would be fixed, would a different size implant need to be used

My breast face outward and I have a lot of space between them . Is there a way I can move them closer together and create cleavage ? I’m not too concerned with size (although I would like to go up but the overall shape is my main concern )

I’m currently a 30 y female who lost 130 pounds at age 22 and underwent a long line tummy tuck to remove excess skin (as well as breast reconstruction which also didn’t yield good results.) Ever since the procedure I have had a large horizontal indent above my belly button. I’m aware that this is because the surgeon pulled my skin down and it didn’t fix the horizontal skin issue. I should have gotten a full fluer-dis-lis procedure. Even when I got to an underweight BMI, the large indentations were still there. I wanted to know what my options could be.

Could this be a problem? Do they go near your bladder and will there be scaring around the area ?

I’ve been told that I’m right and on the borderline of mini vs full tummy tuck candidacy, and hoping to collect more opinions. My priorities are to improve my contour, revise an old scar, and repair muscle while avoiding risks: contour irregularities or divots, fake overstretched look, high horizontal scar, and anything unnatural looking. I am accepting of scars (luckily have great healing history) and can accept bb relocation result risk if it necessary to achieve my goals. My laxity is not significant to the point of overhanging, but the skin stacking on itself results in a cellulite like contour even at low BMI. When I bend it results in small rolls, but in a plank it hangs off, minimally above the bb and more so below. If I physically pull down my lower abdomen with my hands, that amount of stretch is sufficient to get the level of smoothness I want. I have been offered a mini with float that I’m told will get me the right balance of outcomes, but I’m worried I will end up with too low a bb that would look unnatural, or, would not be able to smooth out the contour. I’m also worried that the included lipo may result in additional laxity. So I’m curious if the laxity I have is sufficient for a full TT and what other professionals would propose given my goals and anatomy.

I am 66 years old, 5'2", weigh 100 lbs. I work out five days a week, I'm on natural hormone replacement ,therapy but have loose skin above my c-section, had one birth when I was 41. I am wondering if I am too old to have a tummy tuck?? I went for a consult and the doctor said he doesn't operate on women my age because he can't guarantee elasticity of the skin. He said I have diastasis and umbilical hernia and all the workout in the world will not make me narrower. I am in great shape everywhere else. HI spent my 40s and 50s caring for my son and now I feel great, but am self conscious about my middle. Am I wasting my time? I take no medications, very healthy.

Could I get some advice on what can be done with my nose please? I have a weird split in the middle of the bone and the tip is also bulky and droopy. I would like to have as little surgical intervention as possible, can the bone be fixed with nose fillers so I can only have surgery for the tip? Thank you!

Do you think my nose bridge should be higher?

(Last picture is the edited one) Hi! Due to being mixed white & asian, I inherited a variety of features, but my nose bridge turned out absolutely terrible. Not only is the part in between my brows flat compared to the hump, but it doesn’t even match the front of my nose. The front of my nose is a button nose. Is there any way to lower the bridge to be similar to the last picture? I want to keep my button nose look in the front, so I don’t want any slimming done. I only want the hump removed. First three pictures are my nose right now, last is the edited result that I want to get close to. (of course a bit more natural, though) the lower bridge would match my face a trillion times more since I inherited the front of my mom’s nose, and her side profile is a lot like the result I want.

Hello, I’m 25 years old. I’m currently 5 feet and 2 inches and 115 pounds. I was wondering if I’m a good fit for a skinny BBL because I have some hip dips and loose skin and fat on my belly and my back I would like to fill the hip dips and then give them more a plump look on my butt. I’m also looking to have a kid in like the next four years would my BBL will be wasted if I am pregnant and going through a childbirth. thank you so much and also I have been working out for one month

I’m 23 and weigh 110 pounds at 5’3 for height. Am I currently too skinny to get a bbl or if I could get one currently, would the results even be noticeable? Should I gain more weight?

I am female, 38 yrs old. In the past year I have gained about 30lbs and my butt is doing this weird thing

Hello I am a 35 y/o wife and mother. I am 5’1“ tall and weigh 143 lbs I am pretty active and work out consistently. I will be haunt a mommy makeover consisting of an extended tummy tuck, breast lift & augmentation, with a lipo on my back, flanks & abdomen. My Dr also stated that he would include the fat transfer to my glutes with the procedure. But I’m wondering is the fat transfer to the glutes pushing it too far and should I opt out and maybe do this in another surgery ?? Thanks in advance

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!

Hello 12 years ago I had a breast augmentation and lift. 2 yesrs after, I had to have capsuluar contraction surgery to fix the R breast. Come present, I had a revision done in 2024 and replaced the implants due to some drooping. 3 years later, capsular contractions again. My question , I’m planning on having surgery to fix the capsular in the R breast again, but since I have to have surgery again, I want a reduction. I have 350cc’s presently, but was wondering if it’s possible to have a breast reduction surgery and have implants (smaller) to achieve the desired “perky” results ? And am I a good candidate for this procedure? I’m currently a D (possible DD) cup and would like to be a B cup. I’ve always had a lot of breast tissue and never wanted to have Big breasts, just back to my youthful self after 3 kids. So having a lift with implants is what my doctor recommended. I feel that I don’t even notice the implants with the extra breast tissue that I have.

I am 35 years old, 5ft3 and 160lbs. I broke my neck 8 years ago in a car accident and had a cervical fusion. I had a breast reduction 3 years ago and it took me from a g36 to a d36. I still feel like they are too big and causing me more pain than i need. Would i be a good candidate for another?

After my breasts dropped I noticed wrinkling and sagging where my cleavage should be flat and smooth. I’m guessing the weight of my breasts is causing it and I’m really worried there’s nothing to be done. I went from 38 J to 34 DD though I had hoped to go smaller. This looks really bad in bikinis and low cut tops. please tell me it’s fixable!

It's been two years since I had a breast reduction with a lollipop incision. My breasts were originally estimated to weigh approx. 1200 grams each. About 400 grams was removed from each breast. Needless to say, this has not provided the relieve I desperately sought. The surgery was paid for out-of-pocket, as I did not meet the removal requirements of 650 grams to be covered by my insurance. I'm at a loss of what my next steps are. I am terrified to put my trust in another surgeon and put my body and bank account through further trauma. But I am desperate for relief from the shoulder and neck pain, as well as the skin-on-skin contact. Plus, I have additional pain from internal scar tissue caused by a wound that took 6 months to heal. Unfortunately, removing the equivalent of two cup sizes was too conservative to produce significant relief, and I feel cheated of not only a good result but a pleasant experience. Yes, i already discussed this with my surgeon on multiple occasions. I felt my concerns were dismissed; therefore, I no longer feel comfortable in her care. I am deeply saddened and demoralized. This was a $32,000 investment. Any professional advice, words of wisdom, or experience with BR revisions? Thank you!

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

I have had my implants for over 10 years now. They are silicone and put under the muscle. Everything seemed to go beautifully. One very strange thing that I noticed a couple months after the surgery is when I bent over specifically in the shower to shave my legs, a feeling of my left implant getting stuck to something occurred. I am assuming this would have happened immediately. I was just pretty cautious with my movements for a while because of the surgery. Anyhow, this would continue happening throughout the years, but it seemed that if I kept my back very straight while bending over and not slouch, it would not happen. Fast-forward to now which is over 10 years later, it’s happening all of the time and not just in the shower. They started about six months ago. At first, I didn’t even put two and two together. I thought there was something wrong with my heart. Through much testing on my heart, my heart is just fine and that is not the problem. This brings me to realizing that this all started after I got my breast implants well over 10 years ago and things are now getting much more frequent and worse. What could this be is the implant getting stuck on a rib or something? I get regular mammograms which my implants are moved around, etc. So it’s not like it is stuck all of the time. Please help this is very weird and getting scary!!

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?

I am currently 34b but have no volume up top. my left BWD is 11 and my right is 10cm. I want to be no bigger then a nice full c with more volume up top and im stressing about how many cc to get. I am also worried they'll look too far apart because of my wide cleavage? with high profile make that look weird or suit my frame size well? Im stressed any help would be great!!

Hi. I'm a 45 year old female and at one point I weighed almost 600 lbs. For the last 10 years or so I have had what I call my pooch. I can't wear pants or shorts anymore because of this and it is very heavy and uncomfortable. I am terrified of surgery so other than having loose skin, would just lipo be able to remove this? Thank you so much.

I'm getting a breast reduction / lift this year. I'm interested in some stomach liposuction at the same time. I'm kind of feeling like it may be an option - rather than a full tummy tuck - as I don't have a lot of excess skin? Would I be an ok candidate for lipo over a tuck? I see a surgeon next month.

I had a c section almost 9 years ago however I’ve had 2 kids since with another one on the way due in less than 10 weeks. I was wondering if liposuction would help get rid of the little hang over tummy pouch I have from the c section once of course the little one is here. I am absolutely disgusted with the hang over and it makes me feel gross when trying to wear cute outfits. Thank you for any feedback on which routes to take

Do I need an upper bleph to make my eyelids more even? Would I get it on just my left eye to remove the heavy fold or would both eyes need to be operated? I’ve also heard of people using upper eyelids filler but not sure if that’s the right procedure for this

Hi doctors, I’m a male in my mid-20s with naturally uneven eyelids and no history of eyelid surgery, glue or fibers, or eye makeup. I’ve attached a 4-frame blink sequence (eyes closed → open). • My left eye (your right in the photos) has a normal, stable single supratarsal crease. • My right eye (your left) is the problem side: the crease is weak, the skin doesn’t fold cleanly when I open my eye, and the skin gets pushed upward and bunches near the brow / socket. I can see several small horizontal lines instead of one clear crease. When I look straight ahead or slightly up, that eye can feel a bit heavy, like extra skin is sitting on top and making the eye look more tired. It’s not pain inside the eye, more like the fold is unstable. I study computer science and spend many hours a day on the computer. I don’t have any known eye diseases or general health issues. My questions are: 1️⃣ From these 4 photos and my description, what do you think is going on anatomically with my right eyelid (weak supratarsal crease, mild ptosis, brow compensation, something else)? 2️⃣ What would you usually recommend to make this eye match the other one – non-incisional double-eyelid procedure, full incision, ptosis repair, or something different? Would you treat only the right eye or both for best symmetry? I’d really appreciate your interpretation of the photos and your suggestion for a realistic, long-term solution. Thank you.

I’m 18 years old and female and was curious if it’s possible to make an eyelid crease less visible, I hate how mine makes my eye look sunken in and I wish my upper eyelid looked more flat, just curious if something like that is even possible

37 yr old, fair skin, 5’5” 116lbs - One photo has my eyebrows raised

Hello, I’m a 28 y/o male looking to see if there are any treatments to reduce the appearance of expression lines on the lower eyelids and crows feet? Could this be treated topically (serums) instead? What is the likelihood that this is due to dehydration or weight loss? I’ve recently lost 10 lbs. Is surgery necessary?

I went in for a consult and the Surgeon wants me to come in two weeks before the surgery to apply Botox in my face. Is this normal? He also states on the paperwork that any revisions needed are an extra cost. I’m thinking that once the Botox wears off then you will Then see any potential symmetry problems

What would be the best option for a face lift 58 yr old male , I want to remove all the wrinkles on my face, forehead, and neckneck,?

Hi there, Ive always been bothered by my weak chin and jowls. I have an overbite too. Im only 28 so I’m not sure what this is caused by, but these lines bother me. I’ve had chin filler to try bring My chin forward and also nasolabial filler. Do I need more, or should i consider a facelift of some kind? Are non surgical options like threads, facetite or ulthera worth it (in the sense that it lasts longer than 6 months)? Would this be considered a perioral mound worsened by my years of building up lip filler? I haven’t done lip filler in over 5 years. Thanks so much!

Hello, I have Trigeminal neuralgia and occipital neuralgia with TMJDD. I am only 40. I already need a facelift, neck lift necklift and lower bleph. I am concerned about any LASTING pain. Right now I'm am pretty controlled controlled without medicines but I just avoid touching that side. I don't don't want to lose any facial function or be incapacitated with severe pain either. Can you advise me about what I could reasonably expect as well as what to advocate for?

I have been dealing with these stubborn festoons for the last four or five years. . I I have tried multiple non-surgical modalities, including radio frequency and micro needling, PDGF injections, several rounds of CO2, etc, to no avai. I even had two rounds of CO2 under sedation so they could go deeper and it did not help.. I do have some overall skin laity, so I have been looking into the option of a mid face lift.. Would love to hear if this procedure has helped anyone with a similar situation as well as looking for a provider in the Los Angeles/Orange County area who has had success treating this issue through a facelift..... of course open to other suggestionssuggestionsl (as an aside, I have consulted three oculoplastic surgeons and none of them felt a lower bleph would work for this...