Doctor Q&A

Hello and thank you for your question! Yes, double bubble can happen even with small implants, but it’s actually less common with smaller sizes like 225 cc. The reason your surgeon mentioned it likely has more to do with your natural breast anatomy your natural footprint of the breast width, than implant size.

Get your breast aug and find out the truth: it won't look natural. It will look abnormal: lumps on top (the implant), tissue hanging below. A discordance. A two piece breast. Bigger implants don't help and will only lead you back to the operating room as well. You want sexy breasts. They will be when you do the right thing.

Dear Specialkt, based on your photos, there appears to be mild to moderate sagging and loss of upper pole fullness, also the nipples appear to sit slightly below the inframammary fold. While implants can restore volume and improve upper fullness, they do not raise the nipple position. In cases like yours, placing implants alone can sometimes lead to the “rock in a sock” appearance you mentioned, where the implant sits higher but the breast tissue remains low.

For that reason, a breast lif...

Hello, and thank you for the question and photos! Based on the information you provided, you sound like a potentially good candidate for a tummy tuck, but the final decision depends heavily on the physical exam and the degree/location of loose skin. If there is still abdominal fat, surgeons sometimes combine a tummy tuck with Liposuction to improve contour. Based on the information you gave, you likely fit the typical profile of a tummy tuck candidate. The biggest factor is simply how much...

Based on your history and the pictures submitted, you appear to be a good candidate for a combined procedure of liposuction and a tummy tuck called lipoabdominoplasty. This should give you a very nice improvement in contour and be able to hide the scar low down beneath revealing clothing. For this reason, most of our patients wish to avoid the vertical scar.

Thank you for your question.
Based on your concerns, you may be a good candidate for liposuction combined with J-Plasma. Liposuction can help remove localized fat and improve contour, while J-Plasma can tighten and smooth the skin, including areas above the belly button, for a more toned appearance.
A consultation would help confirm the best approach for your anatomy and goals.

Depending on what is done in your rhinoplasty, you should be able to have your wisdom teeth pulled 7 weeks afterwards. Just to be safe, check with your plastic surgeon to make sure what they are doing in your rhinoplasty will not contraindicate your wisdom teeth procedure 7 weeks after the rhinoplasty.

Cutting the depressed septi muscle is rarely done in rhinoplasty and is usually requested by the patient. If you do want this then it does not have to be done.

Best Wishes,

Gary Horndeski, M.D.

Based on your photos, you are a great candidate for rhinoplasty. The nose can be reduced in size, taking down the bridge and reducing the length of the tip. At the same time, the tip can be made smaller, all while keeping it looking natural. You can also have fat transferred to the temple area at the same time if you like. Be sure to see a rhinoplasty expert for consultation.

Thank you for your question.
Based on your height, weight, and BMI, you appear to be on the slimmer side with limited fat reserves. While it may be possible to perform a Brazilian Butt Lift (BBL), the amount of fat available for transfer might be limited, which can affect the volume and projection achievable.
A “skinny” BBL can add subtle contouring and enhance your shape, but it’s important to have realistic expectations about the final volume. A consultation would help assess your fat d...

Hello! My personal recommendation would be to just correct the lateral hip dips rather than going for a complete BBL. Even by correcting those dips you can have an amazing result. However, if you want more projection, you can go for full BBL. Proper examination and planning is very much warranted.
Thank you,

Regards,
Dr Sameer Karkhanis,
Centre for Cosmetic Surgery, Mumbai, India

Hello! It is quite natural to have this concern. However, I would like to tell you that yes it is possible to combine all these procedures together. It is important to finish the surgery within stipulated time period without compromising results. Also, you preoperative investigations and assessment are of core importance before planning this surgery. We at Centre for Cosmetic Surgery, Mumbai, India, work as a team of board certified plastic surgeons. This ensures that the surgery is competed...

A Nuss procedure can be used to correct pectus excavatum by insertion of hardware through a small incision to correct a chest wall deformity.

This can be safely performed in patients with breast implants.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your question.
Based on your photos and goals, you appear to be a suitable candidate for breast implants. This procedure can enhance volume, improve shape, and create a fuller, more balanced appearance while maintaining natural proportions.
A consultation would help determine the ideal implant type, size, and placement for your anatomy and desired outcome.

Thank you for your question and photo. Axillary breast fullness is rarely just fat. It is a combination of fat plus breast tissue. My approach would be liposuction the fat and then excise the breast tissue via an incision in the armpit. Some skin excision might be beneficial in your case. This can be done under local tumescent anesthesia +/- IV sedation. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Thanks allerdings for your question! Seeing that dark, localized patch on the eyelid (known as a palpebral ecchymosis) makes it much clearer what you’re experiencing. Even without a direct "hit" to the eye, a small bruise can appear on the eyelid. The skin there is the thinnest on the body, so even a tiny amount of blood under the surface is very obvious. An 11-hour flight involves significant cabin pressure changes. If you had a tiny, fragile capillary in your eyelid, the pressure s...

Thanks for your photos and questions.
Botox will soften some of the lines when you smile as this is just normal muscle contraction. Over time it leads to wrinkles. A laser resurfacing (CO2 or Er:Yag) can improve some of the skin texture issues and fat grafting or even lower blepharoplasty with fat repositioning can improve some of the hollowing.
Hope this helps and best of luck!Kyle Kimura, MD

From your photo, the “tired/sad” look usually comes from a combination of upper lid heaviness, under-eye hollowing, and sometimes a subtle lid position issue (ptosis). You’re smart to ask for a starting point, because these are different fixes for different causes.
1) Do you look like you might have ptosis?
Possibly. If one upper lid sits a bit lower and covers more of the iris, that can create a sleepy or sad look. Ptosis repair (if present) is the most direct way to “open” the eye — and...

Thank you for your question.
Based on your concerns, you appear to be a suitable candidate for both upper and lower blepharoplasty. This combination can address excess skin on the upper eyelids and under-eye bags or puffiness, creating a more refreshed and youthful appearance.
A consultation would help confirm the most appropriate approach based on your anatomy and goals.

Based off your photos - for 72 you have aged very well, you look not past 50-55. There are nasolabial folds, some midface decent, slight brow ptosis, (asymmetrical on either side). If there has not been any previous facelift - (can not see if there are any scars in front of the ear) but a midface lift with some fat grafting can be done either way - just endoscopically would be easier if there are no prior history of surgery, fillers, energy devices used there. The scar would be approached in...

According to what you mentioned, the main concern appears to be lower cheek laxity, while your neck and jawline remain relatively well-contoured. For a long-lasting and natural improvement, I generally recommend a lower facelift. This procedure repositions the deeper tissues of the mid and lower face, creating a smoother and more youthful contour.
Looking at the upper portion of the face, if there is sagging or excess skin in the upper or lower eyelids, combining upper and lower...