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Im 11 most PO from a breast augmentation and it’s really bothering me that my nipples are uneven. Is this normal? They are not close to being parallel. What can be done to correct this? I cant go to the surgeon who completed this procedure because they are no long practicing.
If your nipples were symmetric prior to surgery, then there is a good chance the symmetry can be improved by adjusting the implants. If you have photos of symmetric nipples prior to surgery, seek a consultation with a board-certified plastic surgeon and bring your photos with you at the time of the visit.
From what I‘ve read from people‘s own experience, most women notice they have capsular contracture when their breats hardens, sits higher, or is painful. These symptoms seems to be the higher grade III and IV CC. My question is, how can I tell if I have grade I or grade II CC?
Grade 1 is a normal capsule. The breast appears and feels normally soft. Grade 2 the breast appears normal and is slightly firmer than a grade 1 breast and not often noticeable to the average person. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
I had my surgery in April 2024, and in the first few months post surgery experienced some mild infections in the incisions due to getting in a pool too soon. It cleared up with antibiotics but on my right breast my incision scars are lumpy. There is no pain accompanying it, it just looks so ugly. They look inflammed here due to me squeezing at it. Is this normal? Will it ever go away? I had a breast reduction and lift prior to my augmentation, which explains the anchor scar you see.
Hello,Thank you for the question. This can be fixed with simple scar revision. I wish you the best. Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.
Hi. I wanted to ask about breast implant size. I just want my breast to have more volume in the top. After kids they tops deflated. I wanted natural not huge. A Big B, small C would be fine with me. I had a consultation and now am confused. I 100% do not want huge boobs. The doctor said 255cc would be fine to fill them back up to prebaby size. But the asst was pushing 325cc.o I plan to have another consultation because Im confused. What are your thoughts? Im small, 130. Small shoulders and back. I dont need cleavage without a bra. I always liked my more athletic look.
Optimal surgical plan is always best determined based on a physical exam and your unique measurements. However, based on the degree of ptosis you have, a small volume augmentation is unlikely to give a result that you are pleased with. If you are hoping for a low-moderate volume augmentation, than a lift may also very likely be needed to fully address your concerns. I would recommend finding a well-qualified plastic surgeon who can discuss the roll of combination procedures that will more...
Hi, I am a 25 year old female. I am looking to have a breast augmentation. I currently have small B size breasts and would like to go around 1 cup and a half sizes up, to a C size (nothing more than a C). I am very petite at 5’3 and 49kg and want something natural looking and to fit my frame. I have wide set and low set breasts. I have been looking at 230cc implants . Regarding profile, I have been considering moderate or high profile. I was leaning towards moderate profile as I read that moderate has a larger width (not sure if this is correct) and so my breasts will look less wide apart and more natural but I also read that high profile is good for low set breasts and my surgeon has recommended this after our virtual consultation. However, he said he prefers this profile for all patients so I am not sure. I have also considered moderate plus - this seems like an in between. Also I am looking to get round as oppose to teardrop, to fill in the emptiness I have at the top. My questions: do you think 230cc would be enough to add a cup and a half bra size? Also, what projection would be best for my breasts (wide apart and low set) and why? Thank you in advance!
In patients aiming to transition from a B cup to a natural-looking C cup who have wide-set and lower-positioned breasts, selecting a round implant in an appropriate size and profile based on breast base measurements can enhance upper pole fullness and contribute to a visually narrower cleavage, though final decisions should always be made after an in-person examination and precise measurements.
I am 15 months post surgery from a full tummy tuck with muscle repair due to stomach muscles loose/diastis recti after 4 pregnancies. I haven't start any exercises until 3 weeks ago when I hired a personal trainer to assist me with working out 3 times a week. My tummy was flat and contoured before my work out. I just decided to work out to stay healthy and tone other parts of the body. I had not gained weight during my recovery to present. My weight on the day of the tummy tuck surgery was 180lbs and right now I flactuate between 160lbs and 163lbs. However, I have started to notice that my stomach doesn't have that inner tight pulled together feeling anymore as I progressed through my work out routine and I have noticed my tummy is slightly protruding and not as contoured. It also feels very sore and sharp pricking sensations after work out. Also during workout I feel like my stomach muscles are stretching, like I'm undoing the work my surgeon did. Is it possible that by working I am actually hurting my tummy tuck results even though I started working out 15 months post surgery? Also do you think wearing a compression garment or waist trainer can help? I hust don't want to damage the results of my tummy tuck in the name of exercise. Please help.
It is unlikely that you can cause any damage to the muscle repair after 15 months. A follow-up visit to your surgeon would be suggested for conformation.
Hi! I’m a 23 year old looking into getting a tummy tuck to remove a tattoo. The tattoo has ruined my confidence. I am way too scared for laser removal and figure this will be faster and potentially cheaper. I am not sure if this is actually viable due to the size/placement of the tattoo and my weight. I’m 5’1 and 140 lbs.
A standard tummy tuck will remove a large portion of the tattoo, but it is unlikely to remove all. Discuss this with your surgeon during a consultation. He or she can mark out the anticipated tissue resection and provide a good estimate of what would be excised.
I am 5 weeks post op. I have two deep pleats that create a pouch in my low belly and a ridge going up toward breast line. My surgeon says its looking good and that the pleats will go away around month 3. He isnt sure what has created the ridge of soft looser skin on my left though I think it has do with the pleats as that one is much deeper than the other. I see other tummy tuck pics at 1 montg where things seem much flatter and smooth and it makes me nervous.
Congratulations on your tummy tuck! I know it's hard to be patient but you are still early in your recovery and can expect changes ahead as swelling resolves and healing continues. Continue to follow the instructions from your surgeon. If a revision is needed it won't be known for several months.
I have surgery in a week and I would prefer to not use Percocet and was wondering if there is another safe pain medication that could be effective?
There are many medication alternatives to manage pain after a tummy tuck. Narcotic based pain medication is typically only needed for the first few days to a week. Some don't need it at all. Speak with your surgeon about your preference for medications. Together you can determine what is best for you.
Are all abdominoplasty/tummy tuck incisions from hips to hip? Also if you had a C-section will you go in from that incision or will a new one be made? Can you go through the underarm/armpit to insert breast implants?
There are different types of tummy tucks with different lengths of incisions. Each patient is evaluated to determine the best incision for them. The goal is always to keep them low so that they can be hidden beneath undergarments and swimsuits. The shortest incisions are with the mini tummy tuck. The standard tuck is about hip to hip. The extended tummy tuck goes further around the hips and the circumferential tummy tuck goes all the way around the body. Any existing c-section scar...
Seeking help. I feel I have a nice shape but since having my son I do have a little bit of an apron belly. I feel like my butt is still there but at this point, my tuummy sticks out more than my butt. Suggestions? (I want more children within the next few years hopefully.)
Body contouring procedures have become increasingly popular and can help men and women recontour their body in adulthood. If you have stubborn areas of fatty accumulation that are more resistant to diet and exercise, you may be a candidate for body sculpting liposuction performed at Kare Plastic Surgery in Santa Monica. Liposuction remains one of the most popular procedures in cosmetic surgery and allows patients to slim and toned their waist line, back, arms, and legs using this minimally...
Hello, I am 20 years old. I have wanted to have a lower hairline my whole life. I am taking a year out of university so before I felt it is a good time to do the hair transplant because I can stay at home and take a break from wigs . Also I am looking to have a bbl later in the year but I have to research more before I decide. I found out that it is recommended to do the brow lift before the hair transplant. Do you agree? I wanted to ask again if it is better to do my blepharoplasty and brow lift before or after my hairline surgery. So now I'm looking to do the brow lift and blepharoplasty in February and the bbl in around May, and the hair transplant in a year . Would that be enough time with the anesthesia and how best should I sleep? As I understand with the bbl it is best to sleep on front and with the brow lift it is best to sleep on your back. Or are these surgeries just incompatible and need more time apart? Thank you so much. I would love to hear your advice.
Thanks so much for your question, Yes, in general, it is better to do a brow lift before a hair transplant or hairline-lowering procedure. A brow lift changes the position of the brows and the forehead skin, and in some techniques it can subtly affect the hairline position or tension. If you did the hair transplant first and then lifted the brow later, you could end up distorting the transplanted grafts or shifting the hairline in an unpredictable way. Doing the brow lift (and...
I’m 5’2 120 pounds I have large flanks and a pooch.
Thanks so much for your question, Based on what you’ve shared, yes , you can be a candidate for a BBL, but it would likely be shape-focused BBL rather than a high-volume one. At 5’2” and 120 lbs, you’re on the leaner side, which changes how a BBL is approached, not whether it’s possible.Having large flanks and a lower abdominal pooch is actually important here, because those are excellent donor areas. In shorter patients, even modest fat in the flanks and lower back can yield enough vo...
Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.
Thanks so much for your inquire, A tummy tuck removes skin and tightens muscle; it does not remove the deep fat that is typically harvested for a BBL. The fat used for a BBL comes from areas like the flanks, upper and lower back, waist, and belly, not from the skin that’s excised during a TT. So the fear that “if I do TT first, I won’t have fat for a BBL later” is usually overstated.Doing a BBL first can leave you with a rounder butt but a still-loose abdomen, and when a tummy tuck is...
I have had four kids, and I am 37. I don’t have any stretch marks and not horrible diastasis recti but I do have a small bit of apron belly! Recommendations? Thanks!
Hello, Thanks so much for your inquire, Liposuction alone is rarely ideal for an apron belly. Removing fat without tightening skin can actually make the fold more noticeable. That’s why many women in your situation are good candidates for a mini tummy tuck. A mini tuck targets the lower abdomen only, removes excess skin below the belly button, and can include a small amount of muscle tightening if needed. It avoids the more extensive dissection of a full tummy tuck and has a shorter r...
I’m looking for professional perspective on a decision I’m weighing. I’ve met my out-of-pocket maximum for the year and am considering septal correction with a conservative tip-plasty at the same time. My breathing issues are mild; this is primarily an opportunity to address both efficiently. I consulted with an ENT/facial plastics surgeon in his mid-70s with extensive experience. He was the first to recommend tip-plasty rather than a full rhinoplasty, and he spent significant time explaining his plan, including tablet imaging to show precise changes. Clinically and interpersonally, the consult was strong. My hesitation is that most available before/after photos appear to be 10+ years old, with limited recent examples. I’m also mindful of year-end surgical volume and fatigue. The quote for the tip-plasty portion was $4,000. From a surgeon’s perspective: how much weight should I place on recent photographic work versus overall experience in this context? Would the lack of recent images be a reasonable cause for hesitation?
Hello and thank you for your question. I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging. I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop is easy but real surgery is very different. I a...
Hi I have a caudal ceptum deviation as I mentioned in previous posts. one of the doctors I had a consultation with said that he should correct the whole nose and not just the small part that sticks out at the nostrils. He say because if he corrects just that little bit then the nose will look deviated. when I asked him if I needed collemulla extentuon grafts or other kinds of grafts such as spreader grafts when he is going to correct the septum he said no it is not needed. He should only remove a thin long piece in the lower part of septum. is this method correct? I am attaching a picture of what I think the doctor will do. no support cartilage/graft needed at all? I have no problems with breathing only the small dislocation at the nostrils and actually it is the size of the nose that is important to me that it should be fixed but I wanted to fix the small caudal septum to. Do i need to correct the whole nose deviation or only the little deviation of caudal septum? He makes closed rhinoplasty.I don't want my nose to get worse because of messing with the nasal septum so much. Or maby skip to corrext the deviation at all and only do the rhinoplasty?
Correction of deviated septum is not always easy and completely predictable procedure. Only after deformity is completely defined after surgical exposure, an experienced surgeon will make decision what is the best way to correct and fix it to prevent recurrence. In your case it is very likely that a combination of septoplasty and rhinoplasty to address function and external nose dis-balance would be my suggestion. Good luck.
Hi, how can i correct my nose without retracting the columella? I dont want to elongate the philtrum. What is causing my nostril exposition? Thanks
Based on these photos you are a very good candidate for a rhinoplasty; a hump reduction and columella shortening should be part of this surgery. In person consultation with a board certified plastic surgeon with expertise in rhinoplasty as well as 3D simulation may give you better idea what to expect. Good luck.
I like my nose. I just don’t like the buolbus tip. My side profile is great. But my front, you can see it’s rounded. I want just the tip of my nose to be refined but not pinched. Does this mean I need a full rhinoplasty or can I just focus on tip refinement?
Hello! Thank you for your question.As far as I can understand from your question rhinoplasty surgery is a comprehensive procedure and should be approached as such. For this reason, rhinoplasty would be the most suitable method we can recommend for you.It would be better face to face consultation.Best Regards!
I have been interested in a Rhinoplasty for a while. I spoke to a surgeon and he said that with my narrow nose, I risk having a Michael Jackson type result when I'm finished. My goal is to get rid of the dorsal hump. But I don't know if the risk is worth it and no one has been able to give me an idea of what I could expect as a successful result.
With proper rhinoplasty planning, the dorsal hump can be reduced while preserving the natural proportions of the nose and face. The goal is not to over-narrow the nose, but simply to correct the hump in a controlled and natural way. When performed with this approach, a “Michael Jackson–type” appearance is not expected.
I would like to schedule a mommy makeover for beginning of March. Can I set this up in timeframe? Healing time before work?
A March surgery date can absolutely be realistic, but it depends on a few key factors. If you have your consultation in December or January, and there are no medical issues, March is typically achievable depending on the surgeon’s availability, financing approval, and completion of pre-operative requirements.As far as recovery and time off work, this varies by procedure and the physical demands of your job. For mommy makeovers that include a tummy tuck, I generally recommend 2 weeks off f...
I've been interested in a breast augmentation since I was young and interested in a tummy tuck and bbl since after I had my kids (youngest is 10). I am between relationships currently and have never been able to definitively say I am finished having children. With that being said I still consider what options I'd have for treatments. My main problem area is the saggy skin of my belly. I am not bothered by the stretch marks, I just really dislike the saggy/lumpy skin especially when I bend over.
If your primary concern is loose, sagging abdominal skin, the most definitive solution is a tummy tuck. A tummy tuck physically removes excess skin and tightens the abdominal wall, which is why it is the best option for the “lumpy” appearance you notice when bending over. Stretch marks alone don’t drive this decision; it’s the skin laxity, and that cannot be corrected with non-surgical treatments.From a contour standpoint, I would typically recommend a tummy tuck with lipo 360 and BBL, co...
38 Female , 3 vaginal deliveries with breastfeeding 12 months with each kid. Prior under muscle silicone implants placed 15 years ago. My skin is not taut anymore. I don’t hate my breast size but they aren’t as full as I would like on the upper portion of my breasts. I’m considering implant exchange for tad larger size to get the fullness. Post partum I had small prolapse and did pelvic floor therapy and this helped close my diastasis recti a lot. I’ve always had an outie but I was more fit and skin taut, the outie went well with my figure. Now it’s stretched out and with the loose skin I’m not liking the look. What are my options surgical and non surgical? I’m 4 years pp and done having kids. My size is about where I was prior. 140-145 lb,5’7” size 4-6
Based on your history, goals, and current anatomy, you have both surgical and non-surgical options, but it’s important to be upfront about what will and will not realistically achieve the changes you’re looking for.You’ve had under-the-muscle silicone implants for 15 years, three pregnancies, and breastfeeding, which commonly leads to skin laxity and loss of upper-pole fullness, even when implant volume is still acceptable. Non-surgical treatments cannot tighten breast skin or restore upper...
Hi, i wanted to know if it will be okay to do a 360 tummy lipo, breast lift and thigh lift together. Don't have medical issue that i know of, so i just wanted to know if its okay to have these proceedures done on the same day
I routinely combine breast surgery with a tummy tuck and liposuction, including 360 liposuction, in healthy patients. That combination is generally safe when planned carefully and allows for one recovery period.I do not recommend combining a tummy tuck with a thigh lift in the same surgery. The incisions for a tummy tuck and a thigh lift sit very close to one another in the groin and hip crease. Performing both at once increases tension on the skin, reduces blood supply to the area, and...
Hi! After losing over 100 pounds, my skin is dripping off of me! Obviously a breast reduction and lift is in order, but what do you recommend for the midsection-—TT or LBL? And would you do no Lipo, Lipo to front only, or Lipo 360? Thanks in advance for your input!
Congratulations on your weight loss. Losing over 100 pounds is a major accomplishment, and what you’re experiencing with excess skin is very common after that kind of transformation.For the midsection, based on your photos, most patients in this situation benefit more from a belt lipectomy (also called a 360 tummy tuck) rather than a standard tummy tuck alone. A traditional tummy tuck primarily addresses loose skin and muscle laxity in the front of the abdomen. After massive weight loss, e...
Hey, so Im sharing a pic because Ive noticed my boobs look a bit uneven and its kinda bugging me. I cant tell if its just my posture or maybe I hunch way more than I realize, or if having heavier breasts over the years just kinda pulled things in diff directions. Im also thinking about getting a reduction and I keep wondering if that would help the assymetry or just make it more noticeable. Just looking for honest thoughts from other women who’ve been thru this and what your experience was.
Breasts are seldom perfectly symmetric. The symmetry can generally be improved as a part of a breast reduction.
I am considering getting a breast reduction through my insurance and I was wondering if surgeons usually remove armpit fat as well when doing a breast reduction.
Hello and thank you for this question. This is a topic I’m asked about during every consultation I do for both breast reduction and breast augmentation. There is an area of fat right under the armpits that plagues women of all shapes and sizes. It’s very simple to treat with liposuction during your procedure. It’s not typically covered by insurance but the cost, time and recovery are often minimal and can be done at the same time as your reduction or performed later under local anest...
Breast have gotten bigger over the years and I already have an implant is it possible to keep implant in and have breast reduction?
Yes, it is absolutely possible in many cases to keep your current implants and still perform a breast reduction — but it must be done with the right technique and for the right reason.This situation is actually a classic indication for a Push-Up Lift–style reduction.How breasts get “too big” with implantsOver time, breasts can enlarge due to:Weight changesHormonal factorsPregnancySkin and tissue stretchIn these cases, the excess volume is usually your own breast tissue, not the impla...
Black female. My surgeon stated a free nipple graft is required if I want to go down to a D cup, from my current G cup.
Being told that a free nipple graft (FNG) is “required” to go from a G cup to a D cup is common — but it is not always true, even for large reductions.With modern tissue-preserving reduction techniques, it is often possible to achieve:Significant size reductionGood upper-pole fullnessNipple sensation preservationViable nipple–areola complex— without a free nipple graft.Why surgeons recommend free nipple graftsFNG is usually suggested when surgeons are concerned about:Nipple blood...
I’m having second thoughts about my surgery scheduled in December. My surgeon says that he can only do a FNG, I’m a DD and my insurance approved my surgery so I’m unable to chose the size I want. I’m 24 and I have one kid but I’m thinking long and hard about my decision. Will the FNG completely take away my ability to breastfeed in the future? Is it worth getting a second opinion to see if another surgeon can do the surgery without a FNG
Unfortunately, breastfeeding is not possible after a free nipple graft. During a free nipple graft, the nipple-areola complex is completely detached from the breast and then reapplied in its new position, similar to a skin graft. This process transects the milk ducts, which subsequently scar and do not reconnect. As a result, patients are unable to breastfeed following this procedure.If preserving the ability to breastfeed is important to you, it may be worth seeking additional...
Hi, i'm looking for advice for the most natural breast enlargement I can get. I am very happy with the shape and weightiness of my breasts but I would like to be bigger. I am not looking for an uplift and want to maintain the natural sag and sway that I already have. What would you suggest?
I think you need a lift but if you just want more volume an implant would accomplish that. Fat transfer is often disappointing. You can’t achieve much volume increase with fat transfer
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.
In my practice, I always evaluate each patient individually. In some cases, placing implants alone can achieve a full and balanced look, while in others, the degree of sagging makes adding a lift the better option.If the breast tissue isn’t very droopy and the skin quality is good, I usually prefer to start with implants only. Some mild sagging over time is expected, but since you don’t mind that and are open to a lift in the future, this approach is reasonable.However, going for the lar...
Hello..…I’m 52 years old and 5’ 2 inches and weigh 117 pounds..…I’ve had 3 children via C-section and lost around 20 pounds in 2022..…which I have maintained at 117 for the past few years. I went to get a consultation and was slightly overwhelmed and underwhelmed since my surgeon did not elaborate or give an opinion? He suggested either 265cc or 295cc..… I’m also currently wearing a 34b..… I want an outcome where I am fuller on top and hopefully, less droopy..…yet still natural..… I want to look fuller but not like I had plastic surgery..… i am leaning towards the 300cc but still anxious that they will be too big? My surgeon is recommending I get the gummy silicon out moderate to high profile..…and dual procedure..… Will that give me what I want outcome wise: fuller on top, less droopy and still natural looking?
The size recommendation may be able to achieve your goals. However, due to the shape asymmetry you may need to consider a lift on one or both breasts (depending on whether your nipples are located at or below your breast fold.) This would give you the fullness that you’re looking for.
I’m only 20 and i’m not really interested in scarring from a lift, i recognise that i may want to in the future. Also what type of implants should i get? round or teardrop? over or under?
The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.
Can I just get straightforward implants with small asymmetrical breasts? I am wanting quite a natural look, will I have to have an uplift or anything extra like nipple reconstruction with them being so small and asymmetrical?
Yes — you can have a natural-looking result with implants alone, and in your situation the best way to do that is with a Preservé (tissue-preserving) augmentation approach.A Preservé augmentation focuses on:Preserving your natural breast tissue, ligaments, and footprintAvoiding unnecessary skin or nipple surgeryCorrecting asymmetry through precise pocket control, not lifting scarsWhy Preservé works well for small, asymmetrical breastsIf your breasts are small, not sagging, and ni...
I was wondering what kind of treatments are great to compliment and enhance the body post liposuction. I am happy with my liposuction but just want to do my best to get best results possible and would be happy to do any effective treatments Post my liposuction to enhance it, Such as smoothing and tightening treatments for the body and under chin and neck. I am based in Australia.
Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we...
Hi, How long does it take for swelling to resolve after liposuction on front thighs and knee complex? I had outer thigh lipo before and looking into get front thigh and knee lipo now. Outer thigh healed nicely and most of the swelling was gone in 2 months. Will the swelling time be different for these parts? Thanks!
Swelling after front thigh and knee liposuction often lasts a bit longer than outer thigh areas. While a significant amount of swelling usually improves within 6–8 weeks, residual swelling—especially around the knees—can take 3–6 months to fully settle. Recovery timelines vary by individual, and your previous healing experience is helpful but not a guarantee for identical recovery this time.
I’ve always been insecure about the shape of my hips. I would like a more rounded silhouette seen in a classic hourglass. I’ve never had the look I want even at my lowest weight (bmi<18). Don’t like how it looks in clothing. The areas seen in the pic are pinchable areas of fat. Not sure if it’s ‘hip dips’ or love handles and what the procedure that would give me best results would be. I also don’t like my back rolls seen in the last pic but it doesn’t bother me nearly as much as my hips.
Based on the photos, the areas you’re concerned about appear to be a combination of flank fat and hip contour rather than true “hip dips” alone. Flank or limited Lipo 360 can help reduce width and improve the waist-to-hip transition, while fat transfer to the hip area may be considered if the goal is a rounder silhouette. Which option is most appropriate depends on fat distribution, skin quality, and your overall proportions, so this should be decided after an in-person consultation.
I have 29 inches waist and a left flank that has more fat accumulated than the other. I believe this is due to an appendectomy I had when I was 12 years old that left a big scar on my right side that reduced the fat cells on that area. my skin is not elastic, therefore I expect sagging after the procedure. My height is 5” 1’, my weight 117 pounds. Reducing the fat on my left flank has been a challenge, because with diet and exercise the fat loss is general from your whole body, not targeted. Can I find a doctor in my area to perform this procedure for me? Thanks !
Yes, targeted liposuction to address asymmetry in a single flank is technically possible. In cases like yours, where one side holds more fat than the other, selective contouring can be considered rather than full bilateral liposuction.However, because skin elasticity appears limited, there is a risk of residual looseness or unevenness after fat removal. The goal in these situations is usually subtle improvement and better balance, not perfect symmetry.Whether you are a good candidate, and...
I am noticing a lot of women who previously were not overweight but had a more straight, wider waist now have a tiny waist. Is there a procedure that can achieve a smaller waist/curvier figure for women who are not overweight.
Liposuction is a great tool to help sculpt and enhance curves. Be aware that the surgeon must respect your anatomy so it is important to discuss your goals for surgery and to learn what you can expect in terms of results. Visit with a board certified plastic surgeon near you for an evaluation and to learn more.
I had an upper bleph and ptosis surgery in April. My left eye really Bothers me in photos. But I don't know If the difference is enough to justify requesting a revision or how I should approach it with my surgeon. My lid looks heavy on the top outer part and the center part of my lid is wonky too.
The first photo shows bilateral upper eyelid retraction which is worse the anatomic left side in this image (assumes you have not reversed the images). In the second image pair, both upper eyelids are heavy with a relatively flat upper eyelid contour, the other eyelid demonstrates peaking of the upper eyelid just later to the lateral limbus—where the colored part of the eye meets the white of the eye. Should you have your original surgeon fix this? I can almost guarantee that your surgeon w...
I’d be really grateful for some advice please. I’ve had eye bags since I was a tden and they’re worsening with age (I’m 39 now). I’ve always wanted a lower bleph. I went to see a facial plastic surgeon who said I could have it done. Then I saw an oculoplastic surgeon who told me lower bleph is riskier than most people think and that I’m even higher risk due to having cheek fillers one time (five years ago). He advised against a bleph, refused to operate (even if I got the filler dissolved) and said if I insisted he would refer me to a oculoplastic surgeon specialising in problem surgery. He suggested a cheek lift (mid-face lift) as an alternative to restore fullness to my cheeks and disguise and bags. please could I have some advice on what would be best? Thank you so much.
This includes any filler that may exist behind the lower eyelid orbital septum, which can definitely cause a lower eyelid bag. You might need two rounds of enzyme to accomplish this. Whatever is left after enzyming is complete will define your lower eyelid issues. You may need surgery or you may be a candidate for better filler service. Options for the lower eyelid could include lower eyelid transposition, lower eyelid canthoplasty with skin pinch, or transcutaneous midface lift with or...
I have this issue with my eyelids for years now. I do remember they did not always look this way. Which side is normal? Why are they like this? Is it just swelling? I’m not really sure what doctor to go see first as well or if I just go straight to a surgeon. Any insight would be so helpful thank you in advance. I just feel like a monster and this is my biggest insecurity
Based on this photo you may have a droopy eyelids, condition called upper eyelid ptosis. Treatment of this condition is surgical. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.
I'm in my 30s and I've had "baby fat" under my eye area for as long as I can remember. I've always thought that area was swollen because of stress or lack of sleep but it's not discolored, it's just "big" even when fully rested. Eye creams never worked. I know it's a sign of youth but what bothers me most is: when I smile muscles fold differently, when I take pics the area looks bigger from certain angles/light, It also twitches on its own. Is this hypertrophy severe? Should/Can it be corrected?
Hello Ingrid. For what you are describing, you have several options. A tiny dose of neurotxin like Botox or Dysport should be able to stop the twitching. For the volume loss, including what you are seeing when you smile, dermal fillers often work very well. We prefer Restylane in this area. Finally, if there is too much loose skin (not really apparent from your photos), then a surgical option is also a possibility. Best of luck.
I have been thinking about upper eyelid surgery but then I am wondering whether it will be enough to open my eyes? I have very obvious extra skin on my eyelashes and a having a lower set brow does not bother me personally, as long my eyes are not covered by the skin. Can I do well just with the eyelid surgery (which is faster and less costly)?
Hi there, hope all is well. Based on the photos alone, here are a few observations:Asymmetric eyebrow position (left lower than the right)Brow ptosis (overall low eyebrow position)Excess upper eyelid skin — possibly more on the right than the leftEyelid ptosis, particularly on the left, is a possibility and should be ruled outMy recommendations would include an in-person evaluation by both an Ophthalmologist and a Plastic Surgeon for a thorough physical exam. Based on those...
Is it time for a facelift or are there other things I can do to improve my look? For my jowls, I have had one treatment of Ellacor Would another treatment of Ellacor benefit? I have also had Sculptra over the last 5 years but would fat transfer help with the lack of fullness on one side of my face? I have been told a Blephoplasty would be of benefit but only for 1 eye. Not sure I feel comfortable with that strategy I don’t feel emotionally and financially ready for a lower facelift yet, but don’t want to have procedures done that will be of little benefit either.
Thank you for your question and photo. Based on this single frontal view photo, you would do best with a full facelift, neck lift, upper lip lift and fat transfer to the upper face. The brow and eyelids can be done later. Now you can waste your money on smaller, ineffective procedures like what you have done already, which BTW, will make a facelift more challenging. You do have an asymmetrical face with one side significantly smaller, significant perioral aging, loose ski and platysmal...
Trying to decide between midface lift or filler to address midface/ cheek area. Had a recent CO2 laser resurfacing since last time I posed this question, which didn't really help and have gone to several paid consultations, which have given me conflicting feedback. Would appreciate some feedback.
Hi TBD. In most cases, the key issue in determining whether to suggest dermal fillers or surgery is volume loss vs. skin laxity. If the skin is loose and drooping, then surgery is often the best option. If the skin is taught and firm, but the patient is thin or has volume loss, then we suggest dermal fillers. In your case it appears that you have not lost much elasticity in the skin but do have a depression in what's called the malar area. We commonly use Radiesse and Restylane Lyft...
I plan to get a neck and fact lift at some point. I know everyone suggests doing it all at once, but for discretion and life it would in some ways make more sense to do it in stages. Is this a terrible idea? I just don't have a life where I can disappear for a month or go out in public and have questions.
Thank you for your question. I would consider the face and the neck as one aesthetic unit. The face and neck belong together. Anatomically, the tissue layers of the face transition into the neck. It only makes sense while performing a deep plane face lift to address the neck as well. The most beautiful results are obtained when both is combined usually with some ancillary procedures of the face, to address all the aging processess - like the eyes, volume loss, upper lip ptosis, brow...
I noticed my nasolabial folds are more pronounced and deep, as well my cheeks are not as tight and lifted in my 40s. I am wondering if a face lift will help correct this by making my face look more lifted and younger. My face also seems more rectangular or heavy around my jawline. I am only 43 so i admit, i don have a lot of wrinkles or loose skin but still want a face lift if it will help.
You appear to be a great candidate for a deep plane facelift and neck lift, especially given your concerns about nasolabial folds, midface sagging, and heaviness along the jawline. This technique lifts the deeper facial layers rather than just the skin, providing a more natural and long-lasting result.I often combine this with fat grafting to restore volume in the cheeks and around the mouth, which helps smooth folds and balance the facial contour.While your photos are helpful for an...
64 years old, hhave hashimotos and other autoimmune disease as well as sinus issues , prone to undereye edema and hyperpigmentation. just feel that the area under my eyes is so aging.had undereye blepharoplasty 11 years ago.
Looking at you to post photos I am not sure what you mean by vertical lines?? An appearance I might recommend the Endo laser, full face and lower eyelid treatment under local anesthesia or IV sedation local anesthesia. But I also might recommend a mini face neck lift with muscle multiplication with the Endo laser?? Best of virtual console with expect fee fees to range from $5000-$15,000 depending on what surgical options you decide to use again best of virtual consult with.
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