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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...
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.
Hello All! So I had silicone unders last Monday. My left breast has started hurting way worse than the right for the past 3 days or so. I am not sure what to do but when I cough left side is in a lot of pain and its not the whole boob its almost like the top part. I'm not sure if this normal or if I should go to the hospital! The pain doesn't feel like its muscular pain it feels like something is messed up, I got my surgery done in another city.... MIAMI But i am a lefty(softball player) fyi
Yes it is completely normal for one breast to heal faster than the other. You may have heard the phrase that breasts are sisters not twins. This infers that they may heal at different rates and may look a little different from each other. Continue to follow your surgeon's instructions and convey any concerns.
Is there any reason or case where a surgeon would go under that threshold? If too much cartilage was removed, what revisions can correct it?
Usually at least 6 mm of lower lateral cartilage should be left after cephalic trim. Removing too much can lead to deformities after some time. We often leave more to keep good support of the sidewall of the nose. The key is to straighten the lateral crus, which created a less bulbous, more defined tip. Correcting an over resection involves using cartilage grafts to reestablish the lateral cartilage to the proper size. Be sure you see a rhinoplasty expert for consultation.
I understand that perfection is not usually achievable in terms of rhinoplasty and that cartilage often has a memory and csn drift back over tine. But with that in mind, would it be realistically possible to straighten my nose more either with a traditional rhinoplasty or with injectables?
Straightening the frontal view of a nose is often not very predictable. However, when we have the opportunity to change the overall size or shape of the nose, that helps a lot in working on asymmetries. For example, (caveat: my assessment is based on these few small photos, but here goes anyway) if you love your nose exactly as it is, and just want it symmetric from the front, I'd probably advise against trying, because the attempt is more likely to change one asymmetry for another, or make...
I am a 22 year old female, I have a straight nose bridge with a bulbous nose tip and big nosetrils. My main concern with this procedure is that my philtrum distance might get longer with rotation because I also have a slightly droopy tip that covers my philtrum.
A rhinoplasty only uncommonly would change the length of the philtrum, and the surgeon should be able to tell you, based on your photos, whether you have the kind of nose where that might happen. But it's rare-ish. If, however, your tip is so droopy that it covers part of your philtrum, and if the surgery is successful at elevating your tip, then you may be able to *see* more of the philtrum after surgery, even if the length of the philtrum didn't change. Get it? I think it'd be really rare...
hello doctors I’m thankful for you for taking from you time and answering us My question is when I can wear my glasses after Rhinoplasty? I can not wear contacts because I have dry eyes and my doctor recommended that contacts are not safe for me And my Rhinoplasty is soon Thank you
After rhinoplasty, glasses are usually avoided for about 4–6 weeks to prevent pressure on the nasal bones while they heal. In some cases, surgeons allow earlier use with special taping or support methods that keep the glasses off the nose. The exact timing depends on the type of rhinoplasty performed, so you should follow your surgeon’s specific instructions.
Ihad rhinoplasty 1.5 years ago, after a couple months my nose started showing a deviation to one side, making my nostrils uneven. If I touch inside my right nostril, I can feel the cartilage is more prominent on that side that the other. Do you think it is worth it to correct via revision Or the risks are higher than the possible benefits? So far I breath okay, but I am concern if I don't fix it it might get worse. What do you think?
Just like all other people, your face is a symmetrical.Your right side has more cheek projection, and the left side has less projection and is wider(assuming you didn’t take the pictures using a mirror)Because each side of the face is different this has a significant impact on how the nose is perceived.To me, your nose looks just fine and I don’t think you should have any operation on it based on the pictures included.Best,Mats Hagstrom MD
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 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...
i have always had uneven eyebrows. it feels like one side of my face is completely different. but my main issue is with my eyebrows. do i have any options to fix this?
Botox for Brow Lift: Botox can be injected into specific areas of the forehead and brow muscles to lift and balance the brows. This is often used when one side of the brow sits lower or when there's a noticeable difference in the arch.Botox for Uneven Muscles: If one side of your face has stronger or more active muscles, Botox can relax that side to create a more symmetrical look.It’s a good idea to see a licensed professional (like a dermatologist or plastic surgeon) to discuss your c...
I have tested them all including in the Montefioro hospital in NYC, but nobody can figure out why. I used to have n problem for years, and all of the sudden I started having incredible bumps on my forehead whenever I received any of these injections. s there any way out? I live in NYC thanks
While allergies to neruomodulators aren't common they can occur. You may find taking a break for a few years may help. In the meantime you can consider other treatments such as SkinPen or Morpheus8 to address skin tone and texture. I've included a video I hope you find helpful.
I had botox injected on my forehead and chin.My concern is regarding my chin, he had this technique of putting a cross like in the chin and inserting 3 units in each dot.so a total of 12units of botox to remove my orange peel chin or masculin look. My previous injector another doctor only put 6 units 6 months ago and it worked wonders a week later now im suprised with this new doctor.And im starting to wonder maybe he didnt inject all the units he told me he did?or diluted botox for min effects?
While you will typically see some changes by 8 days post treatment, it can take up to two weeks to see your final results. If after that time you have concerns, return to your injector for an evaluation.
I had botox injected on Tuesday in my forehead. I woke up Thursday violently ill, not from the botox, from something I ate. I vomited for at least 5 hours, straight. Is it possible it screwed botox with all of the pressure on my head?
I'm sorry to hear that you were ill. At two days post treatment it is not likely that your illness will have any impact on your results. Final results from your treatment can be seen at two weeks from your injection date.
Yesterday I had 2 units injected into each brow for a brow lift and the injector told me that that it will take around 3-4 weeks to see results and that the results will only last around 4 weeks. I was wondering if this is correct because when I looked these questions up before getting this procedure done I read that results should be seen in only a few days and that this should last a few months.
Final results from your Botox treatment for a brow lift are seen after two weeks. The product effects fade gradually, lasting approximately three to four months but this varies by patient. Always see an experienced injector for your treatment. I've included a video I hope you find helpful.
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...
Hello, I would like to know whether my breasts are tuberous or not. If so, what severity are they? Or are they just small? I think the areola’s seem large in comparison to the size of the breast. I have noticed that the areola sits at the bottom of the breast and that there is little to no “underboob” breast tissue. I have also not the lack of upper pole fullness and no cleavage unless I was to really really push them together. They seem quite wide set and there is some asymmetry as well. They seem to be sideways shaped as well- they appear to “swoop” down from a side crease near my armpit. When I lean sideways the breast tissue seems to go round my side and almost become a backroll. When my nipples are hard, they look more conventional, but when my nipples are soft, the areola looks big and very soft/puffy. Do I have insufficent glandular tissue? What are my options if I embark upon surgery and if I wanted a much larger size, but natural looking? I am a 21F, 5ft 3”, approx. 66kg. Thank you.
Based on the findings, this is not simply small breasts — it is most consistent with an advanced (moderate–severe) tuberous breast deformity.Why this is tuberous (and more advanced)Your description includes several classic and significant signs:Large, soft, puffy areolae relative to breast sizeAreola positioned very low on the breast moundLittle to no under-breast (“underboob”) tissueMarked lack of upper-pole fullness and cleavageWide-set breasts with asymmetryBreast tissue displ...
I read in a paper that the success rate for breastfeeding with submuscular implant placement is 83% and with subglandular placement is 17%. During consultation, one of the surgeons mentioned these numbers are outdated and what matters more is surgical technique that avoids damage to the milk ducts and nerves. Are there more updated numbers on what the % success is with UTM and OTM placement? I read that since the implant with OTM placement compresses the milk ducts and can impair milk flow. I would imagine that it would still affect it in some way. With OTM placement, would I be at higher risk of developing mastitis if the inplant compresses the ducts? And would that put me at higher risk if capsular contracture since the implant is at close proximity of the infected ducts? What can I do to avoid this?
The older 83% vs 17% breastfeeding numbers are outdated and oversimplified. Current evidence and clinical experience show that both under-the-muscle (UTM) and over-the-muscle (OTM) implants can allow successful breastfeeding. What matters more than the implant plane is surgical technique—specifically preserving milk ducts, nerves, and blood supply, and choosing incisions that avoid ductal injury.OTM implants can theoretically increase pressure on the ducts in some patients, especially...
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.
Machines don't tighten skin or deep tissue, and volumization (from fillers like Sculptra) don't address soft tissue positional changes associated with aging. You would benefit from a facelift, brow reset, and lid surgery (both eyes would benefit).
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.
It really is best to do both at the same time. It makes absolutely no sense to break them up as you need to do them together to get a good result. A facelift includes doing the neck. You need to address them both so that the extra skin can be removed properly and the face and neck compliment one another.. Doing them separately would prolong the number of days of your recovery as well. Hope this helps.All the Best, Dr. Jabs
I’m 24, with severe skin laxity from years of smoking and having an eating disorder which caused me to lose A LOT of weight really fast. My body is fine, but my face is so saggy I hate going out in public, it breaks my heart. I’m tapering off of smoking, but the damage is done. Is there anyway to save my face besides a face lift??? It makes me so depressed :(
Thank you for your query. You may benefit from non surgical procedures. I would recommend radio-frequency based skin tightening along with autologous fat grafting. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!
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?
Hi there! I recommend a face lift to help reposition your SMAS. Different surgeons tend to have different definitions of what a "mini" face lift is, but ultimately you should be certain that your surgeon is accessing and lifting your SMAS, which is what I would consider a face lift- nothing "mini" about it!
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.
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 have been told by a surgeon that just lipo to flanks and saddlebags will give me an hourglass finish but I fear I need fat transfer too? If so, how likely for my indents will I need more than one fat harvest as I’m on a tight budget! Thank you in advance
If you are wanting to enhance your own natural curves then liposuction of the waist and flanks should accomplish this. Based on the submitted photos you should have a nice result. If you are wanting curves beyond what you have naturally then fat transfer would be recommended.
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