Doctor Q&A

I'm 61 year old woman 5'2" 129 pounds. I've gained 25 pounds in the past year. Current implants are Allergan Natrelle submuscular saline 510cc. Procedure done in 2015 to replace saline implants ruptured in car accident. They always had asymmetry post op, I'm ok with it. The right implant had capsular contracture. The past months it looks and feels softer. I have been gardening using upper arm strength and lifting 50 pound bags. Is the right implant deflated? Pics attached. Right implant marked in red. Thank you in advance.

I am considering an abdominoplasty following significant weight loss and two pregnancies. Despite losing 72 pounds and maintaining a consistent workout routine (4–6 times per week), I continue to have excess abdominal skin that has not responded to exercise. My aesthetic goals are to achieve a flatter abdomen, a more defined waistline, and improvement of the lower abdominal “apron” area. During my consultation, the surgeon recommended an extended tummy tuck with liposuction of the flanks and possibly the upper abdomen. I would like clarification on whether this approach will also result in a smooth, flat contour in the upper abdomen, as I am concerned about avoiding a boxy appearance. My preference is a more contoured, hourglass shape. Additionally, I am interested in understanding whether a fleur-de-lis (FDL) abdominoplasty might provide improved contouring outcomes in my case, based on similar results I have seen. Could you please provide guidance on which procedure would best align with my goals?

I'm a 39 year-old Afticrican American woman and of 4 kids: Ages 10, 8, 5 and 3 years old. I had an unprovoked PE in June 2024 and have been on Eliquis since then, likely for life. Otherwise, I’m healthy and interested in getting a tummy tuck and liposuction. Both my hematologist and primary care doctor have cleared me for surgery. My hematologist’s plan is to stop Eliquis 48 hours before the procedure and restart it 24 hours after. I’ve consulted with three board-certified surgeons: -Two said they were not comfortable performing the surgery in their outpatient surgery centers due to my history. They recommended having it done in a hospital, but I’ve had trouble finding a surgeon who operates in that setting. -One board certified plastic surgeon said it wasn't worth the risk for them and essentially told me to be happy I'm alive after a PE and she couldn't live with something happening to me especially since I have 4 kids. -One surgeon said they would proceed in their surgery center. They seemed unbothered my PE and said they are already aggressive with clot prevention (heparin before surgery and Xarelto for all patients 24 hours after). She uses propofol for anesthesia. -Another surgeon also seemed fine with proceeding with the procedure in his surgery center but said he would want me to have an overnight stay there with his nurse. He recognized the risk but said that he would follow the protocol my hematologist suggested and wouldn't want to flip me to do any lipo on th

Ok went to Thailand and had abdominal lipo- I started with no marks or loose skin- i asked for a Ty but Dr said not enough skin so offered lipo. I wasnt happy from day 1, but doc said wait 6 months . Obviously I don’t want to travel there again after this result. I have rippling and intents everywhere and now some loose skin. I Would a TT fix this result please? I am 60 years old 5 ft 3 inch and 49 kg fair skin It also turned motley With irregular colour except when laying down . Adding before pic and result pic at just past 6 minths

I have always been curious but I saw somewhere that someone compared a mark that I have after a tummy tuck to a burn. My plastic surgeon told me that I caused this mark because I leaned over too long in my faja. Is this a burn or did my faja cause this? The first three pictures are right after surgery and the last one is two years after

I (23F) am scheduled for a septoplasty/rhinoplasty + turbinate reduction in a month. I have a minor dorsal hump I would like reduced to be rather straight. I also would like a slight supratip break to mitigate a lengthened appearance and drooping of the tip. I have very thin skin which I know is a risk factor inverted V deformity. I really like how I look from straight on. I have a thin, straight dorsum and a nice tip. I don’t want to look much different from the front. My surgeon is a double board certified ENT and plastic surgeon. I want to keep my thin dorsum as much as possible, but instead he insists that osteotomies are only for large/moderate dorsal humps and he has instead proposed the use of spreader grafts. He has only one before and after photo on his website for rhinoplasty. The results are alright, not amazing, but I can’t make a fair judgement because the patient is just 10 weeks post-op and still has swelling. I’m wondering if I can trust him with this surgery? Will the results be aesthetically pleasing enough to go through with such an invasive, risky, and cosmetically uncertain procedure? I start medical school in a few months (I am also interested in facial plastics!) and I would like to breathe better, but I know that many surgeons harvest grafts from the septum. If it’s better to do both the septoplasty and rhinoplasty in tandem, should I just wait a few years being a bit uncomfortable with my breathing in order to find a different surgeon?

Hello, I’ve broken my nose very badly twice, and once only a mild fracture. These occurred while I was young(10, 14, 15 years of age). I’ve been living too long with this condition. My hesitation has been an apparent change to my nose physically, however, breathing through my nose has become too difficult, and this slight step off fracture which caused a lump on my mid nose. This would be more so a medical procedure. I’d just love to have it looked at, and check my options. My nose breaks occurred due to physical abuse. The man who did this, has now finally been removed from this world. When the extremely bad nose break occurred than knocked me unconscious for 2-4 hours, I remember the man immediately saying, “now you havr an excuse to get a nose job you’ve always needed”. I feel out of spite I never did get it fixed. Now, at 40, the breathing difficulty, and noticeable inability to draw on air especially on one side, has made me decide this is necessity. What I don’t know, is what options I have to correct the displaced fracture which left a small bump/ indent since it was first broken. I’m not sure what procure is needed

Hey, So a week ago i made a mistake and got fat grated into the upper part of my nose, because i had a lot of hollownes on the inner side of the eyes and i had a sunken radix, visiable from the side. While the fat grafting solved this issues it made my nose look bigger and longer from the front. Giving me a bit of a avater nose look. I went to a different surgeon and he adivised me to do a rhinoplasty within the 5-6 weeks where he would remove the fat because it would be easier to do this early as the fat wont be as integrated into the nose. Is Rhino really the only option to remove the injected fat / part of the infected fat. Or are there other option, cheaper and with less down time like for example a mini liposuction through the inner of the nose or RF theraphy? Thx alot!

I'm 38, have had 5 pregnancies (1 c/s), and have lost about 100 lbs. This has resulted in significant skin sagging everywhere, and loss of volume in my butt. I'm 5'4" and about 120 lbs. I initially was thinking of getting a BBL, followed by a separate tummy tuck - the main reason being concerns about recovery (how to sleep when you can't lay on your tummy OR your butt?). It also seemed logical to me that you would want to have some fat in your abdomen to harvest for the BBL, so I was planning to do the BBL first. But when looking at patients with similar body types after significant weight loss, it seems like lower body lifts are being recommended. I'm fairly certain my butt is too saggy to "re-inflate" from BBL fat transfer alone, and that no matter what, some kind of traditional "lift" will be necessary for my butt, due to all the loose skin. Would I be a candidate for a lower body lift? Can a lower body lift be combined with BBL? The loss of butt volume is my priority concern (TT would be secondary), and it seems like a lift alone would help tighten up the skin, but would not help with butt volume. What procedure(s) might help give me the results I am looking for?

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.

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

I just turned 70yrs. I have Mommy makeover scheduled for March. I'm concerned about healing, pain. My board certified surgeon said I'll be fine. Will my healing time be longer then a younger woman. I'm considering canceling. Afraid of complications

Is it ok to go one cm more than my breast width? My breast are 10 cm and 10.5 cm. I’m almost flat chested. The size I’m considering is a low profile (natural look) 340 cc And 360 cc to correct asymmetry. If i go 1 cm more than my bwd is it ok? I don’t mind a little side boob for a curvier look.

I had congenital symmastia prior to surgery (absolutely no separation, one boob). I am 5’5 and 125 lbs. I wore a 34c bra before surgery, though I could not fill it out and I had quite the gap. I met wit 3 doctors and decided to move forward with symmastia repair with liposuction and added a small implant. I wanted to maintain the same bra size, clothes and look like i got nothing done. I truly wanted petite breasts. I got Motiva 230 cc moderate profile implants, round smooth silk with the internal mesh Galaflex under the muscle —along with symmastia repair with liposuction. Since the surgery last year, I feel my implants look and feel so much bigger than I want. The cleavage seems very heavy and obnoxious. I’ve also had to size up in my clothes and tops (which I did NOT want). I feel like my breasts are just too big, which is the opposite of what I wanted. I truly thought I selected the right implant size and profile. I also feel there is less separation and I am worried the symmastia is back. My breasts are touching at the top. My questions: - did I select too large of an implant given my issues? I truly thought 230cc was on the small side. - would replacing and going smaller (150 cc) help? - can symmastia reoccur and did my tissues just grow back together? I am feeling so discouraged that they look so large and that they are so close together :(

I have one breast implant that has started flipping. What would be my options in dealing with this?

I had a breast implant revision ans switched out my for 575 gummy implants. I notive that my implants move alot is this normal Im 7 months post op and feel like they move so much not my saline implants.

am currently approximately 20 wks post-op from liposuction/BBL with J-Plasma and am dealing with significant abdominal contour irregularities, firmness, skin laxity, and what appears to be fibrosis/tethering throughout my abdomen/flanks. My questions are: Based on your experience, can severe fibrosis/superficial liposuction irregularities continue improving beyond this stage with time alone? How do you determine the difference between swelling/fibrosis versus permanent contour deformity? In cases like this, what revision options typically provide the best improvement? If revision is needed, what percentage of improvement is realistically achievable? I am trying to understand whether I should remain patient with healing or begin preparing for the possibility of revision. Honest feedback is appreciated.

I had an upper blepharoplasty years ago and since then my eyes have looked very crepey and lax on the platform lid , my skin looks very wrinkly I’m only 31 and heartbroken about this. I can close my eyes but they feel tight but not skin wise it’s like the underlying structure is tight, I went to have a consultation And the dr told me my crease has been attached to the levator across the entire lid and told me I have no options to fix it. I believe someone can help and I’m not expecting my kids to look like they did prior but I’m sure some type of revision can fix.

I can’t decide if I need a lower bleph, a fat repositioning, a fat transfer, or just some simple filler, or a combination of those treatments. Bleph: I worry getting a bleph will only make my tear trough look worse since I’m removing volume in that area. I also worry that a bleph will make my eyes look very sunken and hollow. I personally like my eye bags and think they look plump and healthy. Filler: my injector says she would use a cannula and a very thin small amount of filler to smooth the transitional area. But of course, everyone SLAMS filler, especially in the eye area, so this makes me worry about migration or looks unnatural and even more puffy. Fat repositioning: this might be a good option, but I can’t find any before and after photos online that show me how it approved a deep tear trough. Fat transfer: I would consider this as well, but worry about my body absorbing the fat unevenly or just the unpredictability of fat. I don’t wanna pay a lot of money for something that has “we will see” results. I have had consultations with 2 surgeons for this and a nurse injector. All 3 suggest different things, OF COURSE. So it’s so confusing!! The first surgeon I saw was an eyeball surgeon, specializing in eyes and face. She suggested a fat repositioning surgery, but she is 4 states away and wanted 12 thousand dollars, and she didn’t have any before and after pictures of people who had this done that had a similar issue as me, so I didn’t pull the trigger. The second s

I am 48 years old and need advice on how to reduce or get rid of my hooded eyes. Open to options.

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)?

I am interested in your recommendations about rejuvenating my look by 10 years.

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 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?

28 y/o female, noticing facial sagging, exag naso folds. I have gotten 2ml of cheek filler, 2ml of chin filler 3 months ago. Still not happy with lower face droop Apperance.