Doctor Q&A

Im 32 and wanting to get breast augmentation. Have had 2 consults and 1 suggested dual plane with the other suggesting sub facia due to me training at the gym. Im quite fit and do lift heavy however am not a body builder or anything. I like the idea of sub facia however im worried that I’m on the thinner side so the breast implants might be visable (he has suggested Demi) hence why im hesitant and leaning towards sub facia - however the animation worries me.. i am happy to never do chest again aslong as i can do lower body (heavy) and moderate shoulder and back. I spoke to the surgeon again about sub facia as I’m concerned my breast tissue will not cover the Implant (he suggessed motiva ergonomic mini 245 or Demi 300) I said im leaning more towards dual plane as I will not train chest again (as I don’t really train it at the moment) however he said based on my pec muscles currently he wouldnt suggest dual plane as they are larger. Super confused now, as I don’t want too much of a drastic increase - would love to be a b-c however don’t want to be able to see the rippling of the implant in my frame nor do I want it to drop overtime and I’ve read that can happen with subfacia.. Australia doesnt seem to be as advanced

Hello doctors i had BA explanted 8 years ago i need major help. What would you suggest im . Ty i want minimally invasive .

I am a very thin patient with severe rippling from 10-year-old saline implants. My main goal is to reduce rippling as much as possible. For patients with very little tissue coverage, which generally gives better results: overfilled saline or modern silicone implants? Any advice or experience with similar cases would be greatly appreciated

When comparing how the two procedures differ, is it realistic to hope for the same "narrowing" waist shape with the circular TT and corset shaping to avoid the linear scar of the FDL?

Hi! Im a 38 yo female, non smoker. My stomach has been my biggest insecurity and I’ve lost quite a bit of weight over the last 2 years. I’m curious to know what type of tummy tuck I would be able to get. I have not had children so I don think I need muscle repair, but please let I am wrong to assume that.

Hello, I recently had a virtual consultation with a plastic surgeon in Newport who advised that I am not a good candidate for a tummy tuck because I do not have enough excess skin. I am 37 years old, 5'3", approximately 170 pounds, and have had two pregnancies. While I understand that assessment, I would like to get a second opinion regarding my options for improving the appearance of my abdomen. Based on my age, height, weight, history of two pregnancies, and the photos I have provided, do you believe I would be a better candidate for a tummy tuck, BodyTite, or another procedure? What factors would help determine the best approach? I have attached front, side, and angled photos for reference. Thank you for your time and expertise.

I am a female turning 50 yo. I had my 1st rhinoplasty at 18 yo. I wanted my nose to become thinner and shorter. I was happy with my nose after the surgery when I didn't smile, but when I would smile-my nose would twist to the left...My surgeon told me that he would have to take a cartilage from my ear and put it inside my nose. I've remembered that another patient next to me was complaining of having a flat ear after that procedure, so I decided to try another surgeon. So, 12 months after the 1st rhinoplasty I had a revision. The surgeon didn't explain how he would stop my nose from twisting during me smiling, but reassured me I would be fine. I saw a cartilage in a jar in the nurse's hands just before my surgery, so I realised that it would be inserted inside my nose. The surgery was badly botched, the nose became horrible. I knew if I waited for 12 months, I could have another revision. I went to the 3rd surgeon. He hardly changed anything. I think he just lifted the skin, got horrified and put it back on, as I didn't see any change in the shape or form afterwards. However, the nose became blue and it was blue for years. I had laser done to make the skin on the nose become less blue and to remove red huge capillaries on the nose. I used to smoke at the time (nobody asked me if I did), which worsened the blood flow even more. Thick scars appeared where nostrils are supposed to be. Now, 30 years later, is it worth doing the 4th revision or my scars can become worse?

Most concerned with tip projection.

When I was 13, I repeatedly pressed down on the left side of my nasal bridge and eventually experienced swelling and what seemed like a nasal injury. Since then, I've had a small dorsal hump on only one side of my nose. I'm now 18, and the hump is much less prominent than it was initially, but it's still present. One unusual thing is that I can temporarily press it flat with firm pressure, but it returns within seconds. My goal is simply to make that side look like the other side; I don't want to change anything else about my nose. If there was a very small natural hump before the injury, would that also need to be removed during surgery? What type of procedure would typically be used for this kind of asymmetrical dorsal hump? Could it be corrected with a closed rhinoplasty? I've attached photos, including some where I'm pulling the skin back to show the contour more clearly.

I had a BBL six years ago. The results were decent but not really that impressive. I think I lost a good amount of fat. I have been thinking of getting a second - and definitive - BBL to get the shape that I always desired and luckily this time more fat will survive and be more careful with the post-op care. I would like to know how much improvement can I have. (more aesthetic, round, symmetric butt) I'm 45 years old, workout, healthy diet, around 135 lbs, 5'3 height.

Wondering if it’s possible to have a partial hysterectomy and abdominoplasty at the same day?

My breasts are about 34DDD+. It's hard to do any physical activities without them being painful. I have tried losing weight, but they still sag pretty low. What do you recommend I do? I can never go out comfortably without being self-conscious about how large they look in T-shirts. When I don't where bras they hurt even more. My breasts are flatter towards the top and most of the weight is low if that makes sense lol. Should I wait until I'm older and try to fix it naturally or would surgery be the best bet?

I am 18 years old and I have a 30H. Realistically, how small can my breasts be reduced when I get a breast reduction?

I had a panniculectomy in January 2025. I now feel top heavy and want to have a breast reduction and lift. What would the procedure entail? Would I need to have my areolas moved? If so, would I lose sensitivity?

I'm a trans woman planning breast augmentation and I'm stuck between sizes. My stats: 5'9", around 100 kg, broad shoulders and a wide chest wall, about a 40" underbust and currently roughly a 40B. I have limited natural breast growth from HRT. My surgeon has shown me three Mentor cohesive silicone options, all placed subglandular (over the muscle) and all on the same base width — so the only real difference is projection: 470cc Moderate Classic (~35 mm projection) 600cc Moderate Plus (~46 mm projection) 750cc High Profile (~59 mm projection) He recommends the 600cc Moderate Plus. What I want is a natural, gently sloping (teardrop) look — soft upper pole, volume lower, mild natural settle. I really want to avoid a round, "puffed-up," over-projected look with visible implant edges. But because my frame and chest are large, I'm genuinely worried that going too small won't look proportional or "won't show." So I feel caught between natural and proportional. My questions for surgeons and anyone with a similar build: On a fixed base width like this, how much difference in upper-pole fullness should I actually expect between 470, 600, and 750? Is 600 Moderate Plus a sensible middle, or would you lean smaller/larger for a broad frame? Does over-the-muscle placement change your size/profile advice, and how do you minimize visible upper-pole edges or rippling given limited tissue coverage? Would a more cohesive gel (e.g., MemoryGel Xtra) help, or would it push me toward the round lo

I got my breast augmentation in 2018 in Medellin Colombia by Juan Diego Mejia Jimenez. i got 425 ccs gummy implant placed under the muscle. Ive been pregnant twice since my surgery in 2018 My first pregnancy i had no complications, my secong pregnancy my nipples started leaking clear fluids. At first the leaking would come and go but now there’s more fluid. The fluid is clear/slightly yellow and it makes my nipple stick to my bras and pulls the skin off the areola. What should i do? I got my breast augmentation outside of my country and to my knowledge , the surgeon who performed on me no longer does breast augmentations.

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?

Is it possible to lift the breasts using implants only, without scars underneath?I’ve had one pregnancy.33 years old, 70 kg, 177 cm.

In 2021 I have my large intestine removed and reversed , I now have a jpouch I wanted to know can I still have a lipo

I’m 25, female, 153cm and 53kg (5feet + 116pounds), have been weightlifting for 3 years now, but my midsection never slims down no matter how much I train or what calorie deficit I do. Other parts have improved, it’s just the midsection that’s stubborn. Booked a lipo appointment in China this July & would stay 7-9 days there then head back to Europe and am currently researching these 3 lipo techniques and wanted to ask which one I would need and if there’s benefits to the pricier ones: 1. Traditional negative pressure lipo or water-assisted lipo 2. ⁠gold lipo/ BodyTite/ RF (Radiofrequency- assisted lipo) 3. ⁠5G Angel Sculpt (Alma 1470nm Laser-Assisted Liposuction System) other questions: 1. How painful is it really? 2. ⁠Will skin return to be smooth or will the texture change permanently? How will the body/ in my case midsection feel afterwards? 3. ⁠Do the different Lipo techniques like RF or 5G help make recovery quicker or make the result smoother? 4. ⁠when do swelling, bruising, numbness, tight lumpy fibrosis and pain fully fade? 5. ⁠Would abdomen and waist be enough or should I consider the back too? 6. ⁠Overall safety level and the realistic result? 7. ⁠when can I safely resume weight training again post-op? 8. ⁠Are lymphatic massages mandatory? 9. ⁠How long until regular full-body massages, sauna & swimming are okay again? 10. ⁠How common is permanent clumping/lumps, and how risky is the procedure overall? goal: a flatter stomach & slimmer waist

I had a unilateral mastectomy and am looking at DIEP flap surgery in about a year. Unfortunately, I have also put on weight and am now 13 stone. I was wondering the feasibility of having liposuction to my lower back and sides prior to this surgery and wondered: a) How long before hand would it need to be? b) If it could have any adverse effect on the DIEP flap? c) If further removal was required, how long would I need to wait after the reconstructive surgery? Many thanks

Please help! What areas of my face should I focus on to help make my face look less tired and more lifted. I also want to look into under eye fat transfer or maybe orbital rim implants. I’m not tired in this picture, I just have heavy eyelids.

38F, 5'4", slim/thin-faced, Raleigh NC. I'm attaching a profile photo which shows my main concern — flat midface where cheek projection has dropped. Front photos look relatively normal but the profile shows the soft tissue descent clearly. Background: I have a history of bad filler placement— cheek filler made me look overfilled and "Handsome Squidward," and midface filler in 2022 caused a puffy shelf effect. I dissolve well but my face reacts dramatically to any volume. I've done Botox (forehead/11s) with good results. I also have upper eyelid hooding affecting my outer corners — I can no longer do winged liner as it looks droopy. My questions: 1) Based on profile, am I a candidate for endoscopic midface lift at 38 given my filler history? 2) Would you prioritize blepharoplasty over midface work given my profile? 3) Would you consider fat grafting instead of filler for my face type? I want to avoid anything that causes facial fat loss (so cautious about Ultherapy/Morpheus8). Sculptra also concerns me due to irreversibility.

I am 34 and I’ve always had some kind of undereye bag / circles and malar bag/festoon situation but with age and time it continues to weigh on me literally and figuratively, lol. I have tried fillers, lasers, morpheus 8 and pdgrf and nothing seems to work. I started shopping around for surgeons and options and so far had one surgeon surprisingly tell me i am not actually a candidate for undereye bleph, but instead recommended fat transfer and co2. I have been anticipating needing all 3!? I would also consider maybe even a pinch or lower face lift too while Im at it…lol. There are so many options idk where to start. My biggest concern is this festoon on my right eye. Its sooo bad. I know filler will make it worse so I havent had tear trough filler since 2020 when I had rhinoplasty! Now i just have some cheek filler hanging out trying to camoflauge it. Nonethless, its always been there, just gets worse with age.

I have an astigmatism in one eye and some bad vision. I also have a lot of sinus issues and pressure behind my eyes. I’ve started to notice that my eyes looks very different from another and I could use some help