Doctor Q&A

Thanks for your question. It appears from your photo that you would benefit from a breast augmentation and mastopexy. Using a small/moderately sized high profile implant should give you the upper pole fullness and natural look you desire. If you have only an augmentation, your sagging will worsen.

Best of luck-
Port City Plastic Surgery

Thank you for your question. Based on your photographs, you would benefit from abdominoplasty with liposuction. Lipoabdominoplasty will help with the lower abdomen and achieve that "smooth" look you mentioned. If there is any muscle separation (diastasis), it is also repaired at the same time. A consultation with a board-certified plastic surgeon will help you define your goals and offer a treatment plan that aligns with those goals. Good luck on your journey!

Hello,
Thank you for your question and for being transparent about your recent nicotine use. While the general recommendation is to discontinue all nicotine products—including vaping—4 to 6 weeks prior to surgery due to their effects on vasoconstriction and wound healing, cessation for 2.5 weeks can still provide meaningful benefit, especially if there is full abstinence moving forward. Your surgeon’s assessment likely considered your overall health, the type of procedure being p...

Hello,
Thank you for your question
Yes, it is medically feasible and fairly common for experienced facial plastic surgeons to perform a rhinoplasty, lip lift, and lower eyelid blepharoplasty with fat repositioning in a single surgical session. Combining these procedures under one anesthesia can be safe and efficient when performed by a qualified surgeon, minimizing overall recovery time and reducing anesthesia-related risks. However, careful patient selection is crucial—your overall...

You are an excellent candidate for a breast lift using 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. This will also pull up the upper abdominal skin. You may benefit from a revision of your previous tummy tuck or a complete tummy tuck.

Best...

Based off your brief summary of symptoms and photos - almost all of your issues could be related and stemming from the HRT. Now the question is, are you willing to stop the HRT or decrease dosage to reduce some of these symptoms? Or perhaps speak to your physician for alternatives that could be less symptom related. If you were able to reduce your weight, you would decrease your breast size as well as possibly some back and shoulder issues that are related to that aspect - which leads to all...

Your breasts are low on the chest wall. The best technique for you is a breast lift using 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 and nipple sensation (in 95%) is maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. Body contouring procedures are increasingly popular and seeking the guidance of a board-certified plastic surgeon is an excellent first step to obtaining beautiful results. Based on the photographs, a full tummy tuck may not be necessary, but it depends on an in-person examination. Most would agree that liposuction is a must, +/- skin tightening procedures, as well as targeted autologous fat grafting to accentuate the appropriate curves. A mini-tummy tuck might...

Thank you for your question and photo.
Based on your description and the visible signs of upper eyelid heaviness, it’s possible that a combination of upper blepharoplasty and ptosis repair may be appropriate. Upper blepharoplasty addresses excess skin and puffiness from fat protrusion, improving eyelid definition and opening the eyes aesthetically. However, if your eyelids appear low due to weakening of the levator muscle (true eyelid ptosis), then a ptosis correction is likely necessary t...

Each surgeon would have their own order for how they perform a facelift and neck lift with upper and lower blepharoplasties. My personal preference is to perform the facelift first, followed by the lower blepharoplasty and then the upper blepharoplasty. This is done in order of difficulty, leaving the easiest surgery for last. It also gives me a chance to examine the facelift at the end of the eyelid surgery to be sure there is not anything that I would have to deal with before bringing the...