Doctor Q&A

I have been coughing for 1 month, I took mucinex dm and cipro last week.Its only a cough, no chest congestion or fevers.Twice when I coughed a lot I vomitted or leak a little urine/discharge.Last night I developed runny nose and sneezing.Went to my internist today and he said I have sinus infection and allergies. He prescribed flonase, loratadine and steroids.I had my breast aug scheduled for tomorrow but decided to postpone it.If I take the steroids for 5 days can I have boob job the day after?

I got a breast augmentation 11 months ago, 375cc under the muscle. My left breast during the healing has been the most problematic. I was prescribed medication to soften the capsule and drop the implant. I did a follow up a month ago and everything was good to go. 3 weeks ago, I went almost a whole day without a supportive bra. I woke the next day with my breast sore. I didn’t think much about it and trained my upper back. I woke up the following day with my left breast getting a lot of muscle spasms. As of now, I still feel the vibrations on my left breast. It has subsided a lot compared to the first day I felt them. My implants still feel fine and squishy. But I am concerned, when should I visit my surgeon? The muscle spasms are concerning me. I also been having some small pain when I extend my left arm.

If I want to get my tubes tied, can it be done during a tummy tuck by an OB- Gyn while the plastic surgeon does the tummy tuck? if it should not be done together, should i do the tube tying first and how long would you recommend waiting in between? Thanks!!

Hi, I'm wondering if there's a doctor in the US (will consider overseas) who will operate on me? I weigh 230 lbs & am 5'5. I had lipo done on my abs, legs, pubic area, flanks & chin in December of last year, but unfortunately the doctor didn't do a good job & I look the same. Now I want to get a tummy tuck along with lipo on my flanks, arms & chin but most doctors I've tried on this site will not operate on me b/c of my BMI. I've tried to lose 30 lbs but always put the weight back on.

Not had a rhinoplasty before but have always wanted one. My nose tip bothers me the most as it’s boxy and I also have a bump in my nose. I don’t want a huge change but I would like my nose to be a bit smaller and more refined tip. I have been for a couple consultations and have been advised my nose is difficult and hard to correct. Is this true? Does rhe risk outweigh the benefits? Attached pictures!

I was approved for $13,500 in financing . Care Credit ($7000) & Alpheaon Credit ($6500). I’ve been speaking with places and they stated they wanted a cash deposit to hold my spot & that I couldn’t use any of my financing . I was just curious is that common or or are there some places that except the financing for the surgery and the deposit ?

I am 31 year old male, current weight 180lbs and I have lost 30lbs recently and prior weight loss of 50lbs about 10 Years ago. I’ve lost volume in my butt and it’s become somewhat loose and squishy, I have been thinking about surgery for my abdomen and chest for many years but now I am considering this also. I’m not looking for a major change but I’m thinking a little more volume is what I’m looking for. Would this be recommended doing with some abdomen and chest work? What would be the best route for my abdomen and chest? I am in Arizona and have not had any consultations.

Mommy makeover including tummy tuck , muscle repairs , lipo , breast lift . They say it is 10 hours surgery does this sound correct ? Is this too many procedures in one operation ? It seems like a long time to be under ? The surgery in Bali Indonesia .

Based on what others say here, a mommy makeover can be very expensive. Do all doctors that offer mommy makeovers provide financing options? Will they agree to payment installments over time on a credit card? what are other ways people afford it!

Hi, Please give your honest opinion on when I should safely fly (3.5 hour flight) after mummy make over (abdominoplasty, liposuction and breast reduction). I have booked my surgery (in Istanbul) and current plan is to fly home 7 days later but I am concerned that this is too soon and could risk complications. Thank you, Melina

I am struggling to explain what I am wanting during my consultations. I am currently a DD and would prefer to be a C cup. However, I would also like fullness in the upper breast and don’t want to have to rely on a bra for cleavage. So, I want to be approximately a C—but I don’t want the deflated upper-pole appearance I see in many reductions. I want noticeable upper-pole fullness and projection, while still having a natural breast position and contour. I don’t want them sitting excessively high or looking large or obviously implanted. Is this even a possibility? Many consults have told me that a lift with implants defeats the purpose and I 100% understand that too. I am 49 yo, healthy female. Please help!

I’m 25 years old, 5’3”, around 179 lbs, and currently wear approximately a 38H. I’m pursuing a medically necessary breast reduction because of back/shoulder discomfort and other symptoms from having large breasts. My insurance (Aetna) is requiring my surgeon to remove approximately 1,000 grams from EACH breast for coverage. My previous surgeon felt that amount was more than she wanted to remove and estimated closer to 700 grams per breast. I would personally be comfortable with a significant reduction and would ideally like to end up around a B/C cup rather than a D. I understand cup size cannot be guaranteed. For someone with my height, weight, and starting breast size, is a 1,000-gram reduction from each breast generally feasible while still maintaining a natural breast shape? Would I likely still have a reasonable amount of breast tissue remaining? Are there additional concerns with nipple/blood supply or complications when removing this amount? I’m getting another consultation with a board-certified plastic surgeon and would like to understand whether the 1,000-gram requirement itself is unusually aggressive for someone my size.

i hate needles more than anything becs of  pain.  irrational, i know. i heard botox cosmetic can be really painful to get injected. if thats true, i'll have to live with the forhead wrinkles!

I am recovering from a fractured jaw 3 months ago and want to get Botox in my forehead and marionette lines and lip fillers. Is this safe at this stage of fracture healing ?

Can you tell me what type of incisions to anticipate for a neck / face procedure.

I am getting a primary breast augmentation with silicone implants in two weeks. I recently had my pre-op appointment. Based on my goals and having tried on various sizers, my surgeon and I selected Sientra high profile 385cc round implants, dual plane.My rationale was that I loved the look of the 355cc sizers, but my surgeon advised that the healed implants would look a bit smaller and less projected. So, with that in mind, we felt it better to go a smidge bigger to account for the compression that placing it under the muscle will add, hence landing at 385cc.My question lies around my breast width diameter. My BWD was measured both physically and digitally at 10.5cm, whereas this implant has a base diameter of 12.5cm. Will this automatically spell doom for me?As we discussed at our consult and pre-op, I am hoping for noticeably fuller breasts with nice softness, more lower pole fullness than upper pole, nice cleavage, and a natural profile/slope.Does all of this sound reasonable? Should I be going with a smaller high profile implant to be closer to my BWD, or is it true that there is some wiggle room with respect to BWD and implant diameter, and that surgical skill plays a big part? I guess my only hesitancy with going forward is that the implants would be under too much tension and feel less soft than I'd like.I am 5'2" and 122 lbs, currently a 32B hoping to gain at least 2 cup sizes. My measurements right now are 33-26-38. I am petite in height but fairly curvy.

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.

I’m two years post-lipo and have five scars that are still very dark and raised. Could these be keloids? I had surgery to feel better about my body, but the scars have really affected my confidence, and I don’t know where to start. Can surgery improve them, or could they come back worse? Would injections or laser help with both the texture and colour? Is this usually one treatment or several? I’ve also seen scar camouflage tattooing, but because mine are raised, I’m wondering whether that would even be suitable. I’m in Ontario, Canada, but willing to travel. I’d really appreciate honest advice about what improvement is possible and recommendations for someone experienced with scars like mine. Photo attached.

I am 62 years old. I have been active all my life, sports, bit of. daredevil and a desk job, and as a result I paid the price. Never obese. My uniform weight loss throuout my body had been running. Past 14 years, I had series of leg surgeries to my non-dominant leg, changin my lifestyle. No running. And vicious cycle- surgery, PT, fat, surgery... My muscles turned to fat, and accumulated fat. I had my final surgery TKR and trekked to the Andes—for the first time in a long time. I have strong muscles but I saw sagging of skin even if I did 100 crunches. Enter Tummy tuck. Wearing my old size 6 was terrific. Since I maintained my weight though exercises, and running, I never really saw my backside- never had to, but after plastic surgery, I saw how my body had changed. While I expect that my spine and other areas of my extreme sports will eventually take a toll, I don’t like the way my entire backside looks. It’s fat, and I cannot lose weight around brarolls ( term I found out recently), my back, my upper arms. I can still wear size 6 or 8 on top but b/c it is combination of fat and skin lax, clothes do not fit well. I saw 360 liposuction and it looks enticing. I consulted one excellent surgeon in US, and he advised that liposuction alone is not the issue for me, it is the excess skin I have. And there is a trade off- a large scar that is unsightly scar of the back will not look good with backless dresses. And surgery to the back do need more care.

I’d say as of now, I store around 30-35% of my body fat around my abdominal and flank area, and around 60% in my lower body, with my upper body being quite small. I am thinking of having lipo to my abdominal and flank area. I am at a very healthy weight aat the moment but have stubborn areas. Since I tend to store abdominal fat, does that mean after lipo, if I hypothetically gain weight as I age it will be stored as visceral fat? How does the visceral fat increase work? Or would it still remain subcutaneous, just stored in other areas?