Doctor Q&A

I have always had small breasts and struggle to create a cleavage. Do I just have very small breasts or is there an element of symmastia? I’m not keen to have anything major done, however would liposuction be an option?

I had breast augmentation at 17, I'm 35 now. The shape of the breast and scars are almost identical to what they were since I had the operation. I always hated the scars. In fact, a few months after the procedure, they re-did them and since then they stayed as they are. They always show under bras and the area is completely numb, which is a weird sensation. The implants are in good condition, so I don't need a replacement but as I'm getting older I would love to make them smaller. I believe I had 450cc of silicone gummy bear implants. I would love to have maybe half the size if I did replace them. My main concern is, if the pocket is made smaller, the scar would be even further away from the breast fold. I cannot afford putting the implants lower as I think they sit already slightly low so my nipples would be out of position. I am 1.58 CMS tall (5'2') Weigh 45 kgs, 99 pounds What is your opinion: 1: if I kept the same size, is there anything on the shape or position of my breast that needs improving? Can the scar be moved upwards somehow? 2: Can I do anything now on these old scars to improve? 3: What would the outcome be if I wanted to get a smaller implant? What's the lowest I could expect to go with the current scar position? Could it be moved upwards to the new and higher crease fold? 4: I also have some rippling when my chest is parallel to the floor on my outer sides and on the left inner side when leaning to the left. How can that be improved?

I am scheduled to have liposuction and bbl procedure but im starting to worry i will have a lot of loose skin and not like my results. Would J-Plasma work for my size belly? Or would i need a tummy tuck to get those results? My desire is to have a flat belly.

Hi. I’m 2 years post op tummy tuck with muscle repair. About 6 months after I developed a hard nodule under my skin. I saw a general surgeon and he said it’s a suture granuloma and the suture needs to come out. I also contacted my plastic surgeon and he said if the general surgeon removes the suture my muscle repair would be compromised. I don’t want that to happen because I spent $36k on my plastics after weight loss. Is my plastic surgeon wrong?

I’m a 50-year-old woman, 5’2” and currently 140 lb after losing about 68 lb. I have another 10–15 lb to lose before reaching my goal. I feel good physically, I’ve worked hard to get healthy, and I want my body to reflect that. The sagging abdominal skin, stubborn fat and urinary incontinence are affecting my self-esteem. The incontinence has become worse since losing weight. I also suspect some abdominal muscle separation, although this hasn’t been formally diagnosed. I had an ischemic stroke at 46. My right internal carotid artery is completely blocked, with good collateral circulation. I have no other known heart or vascular conditions. My blood pressure is optimal and my cholesterol is within the normal range. I take Plavix and ASA 81 mg for life, along with long-term Repatha and Zepbound. Could someone with my history still be considered for a tummy tuck once their weight is stable? If muscle repair is needed, could it potentially help with the incontinence? I understand that nobody can determine my candidacy online, but I’d appreciate honest, general opinions about whether there is a realistic possibility for someone with my history.

40 years old, 125 lbs, 5' 5"

Hello! I am 25, 5’2 and 115 pounds. I am very unsatisfied with my side profile in particular and have included pictures of how I currently look, as well as mockups of what I want to look like. I want to still look natural and to not change too many of my original features. My question would be what kind of procedures would I need to get to achieve this look? I know for sure a rhinoplasty is needed but not sure on the specifics. I feel like something needs to be done in the neck area as well, but I am not sure what. Any insight would be greatly appreciated!

I don’t like the size and shape of my nose despite people saying that my nose is literally the perfect nose for them but I actually don’t see this what do I need alarplasty full rhinoplasty or tipplasty Iam actually so fed up

I am a 65 year old woman weighing 120 lbs.

Hello, I am currently 167 pounds and 5’8 and 31. I have never had a butt. I am trying to get rid of my stubborn fat so I want to schedule a Lipo 360 and a BBL. However, I have a wide rib cage and not a lot of hips. Is it possible for me to have an hourglass figure.?

I am 40 y/o 5’2 158lbs. Ive struggled with having excess weight around my midsection my whole life mostly due to PCOS. I have recently lost around 75lbs. Would I get good results with a ex tummy tuck? I would also like my breast to be lifted. What procedure would you recommend for both?

Hi! Tale as old as time but I made a mistake when younger(almost 4 years ago), and although I’ve always felt like these were too big for my frame, recently it has really started to bother me. I have made a consultation with PS but am hoping to get some opinions on rather I can get away with downsizing from 420cc , extra high and round profile, down to 320/300 ccs. I I am a 24f and the procedure was about 4 years ago.Ive attached photos of prior, day of and now. I also have an internal bra. I would do anything to avoid needing a lift!

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

I suspected I had an allergic reaction to Botox previously resulting in full body hives. I wanted to see if I can proceed with Xeomin in the future. I was injected with 2 units of Xeomin intradermaly in the forearm. Is this a realible way to test? Or is 2 units not enough to test thus a full dose can still result in a allergic reaction? Or is it pretty safe to proceed with further injections? I have read an article that suggests a small dose isn't enough to reliably test as it might not be enough to set of a allergy?

I am looking for implants to get my breasts to sit higher and to look more fuller than they’re now from the top as well as opposed to just the bottom part being full. I am looking forward to a complete transformation step by step to morph into a pixy mom like figure to feel more secure about myself and to present myself in a more alluring manner according to my professional demand.

I had Motiva Ergonomix implants, 425cc full profle, dual plane. My band size is 29/30 inches, and prior to surgery I was a full A/small B cup with firm tissue and no sagging. I am worried that my breasts have migrated too close together and I might be forming Symmastasia? It was always relatively easy for me to create cleavage, before implants, but I fear that my skin is too tight to allow the implant to fall naturally to the side of the body, and so instead the tight skin is pushing the implants inwards too close to each other?

Current Stats - 34AA/AAA with minimal breast tissue. Breast width is 13.5. Height and weight is 5'7 and 127lbs. During the consultation I was able to try on sizers and I ultimately gravitated towards the look of the Motiva mini 400cc round implant just because the side profile of the breast looked wider/taller compared to the other sizers they had me try on. I do not want my implants to look like two balls stuck on a flat washboard and I am fearful that the implants will be pushed towards the outer sides of my chest, giving that huge gap in the middle. If I did want more projection, I'm assuming that I would have to get a larger volume implant to get that same implant diameter, correct? Is a higher profile going to give me that washboard and two balls look?

I am 22, I weigh 56 KG, my bra size is 36 A but I don’t fill it out. I have had 2 consultations for my breast augmentation and I’m left feeling like I wish I could go bigger, however, the first doctor I consulted with said 275 CC under the muscle is the biggest he would go, my second doctor said 230 CC over the muscle is the biggest I can go My breast width is 11cm I really don’t feel like either of these sizes will truly give me what I want. Any suggestions?

I had a breast reduction over a year ago through insurance and about 400 grams was removed from each breast. I terribly miss the size and regret the reduction. If i get 425 cc implants will they be the same size as before? do grams of fat and cc of implants correlate in that way?

I’m 42 and looking for advice on the most effective way to achieve a subtle, natural-looking improvement in my face, particularly around my cheeks, midface and lower face. I’ve previously tried a number of non-surgical aesthetic treatments, including skin tightening and injectables, but haven’t achieved the lifting or rejuvenating effect I’m looking for. I’ve consulted plastic surgeons and received conflicting recommendations. One suggested facial fat transfer to restore lost volume, while another recommended a combination of surgical procedures, including a midface lift. I’ve also been advised that my skin may not be lax enough to benefit significantly from a facelift. I’m not looking for a dramatic transformation or unnecessary surgery. I’d simply like to understand which approach could realistically address my concerns and deliver a noticeable but natural improvement. Based on my photographs: 1. Do my concerns appear to relate more to facial volume loss, tissue descent or skin laxity? 2. Would a targeted midface lift, facial fat transfer or a combination be worth considering? 3. Are there alternative surgical or non-surgical approaches that might be more appropriate? 4. If surgery is unlikely to achieve a meaningful improvement, why might that be? I’d really appreciate independent professional opinions before investing in further treatments

I want to thank all the doctors who have help and provided a posible solution. Irs really appreciated. I want to give an updated clarification as to what I am hoping to achieve. I have attached a photo to point out the specific issue. Basically, I have a little bit of extra skin or fullness/fat right at the bottom of my face cheeks that creates a curve instead of a straight line. My goal is to tighten things up enough to get a super subtle, natural tug backwards to define my jawline. I wsnt to be super clear that i love my chubby cheeks! And i dont want a slim or sunken face at all! I just want to slice, melt or tug that extra fat where it hangs a bit while preser my natural fat on my upper/mid cheeks. Thank you!

Hello — first, thank you so much for your time. I’m a 50-year-old single mother of two, pivoting from a career in the creative field to finishing a first-generation bachelor’s degree in business. After losing 80 pounds and being just a few months from graduation, I’m ready to upgrade my outside to match my new inside. I’ve had numerous consultations but find myself confused by the varying options I’ve been presented with. My budget is tight, and while I understand a full facelift is likely the most advisable path, I’m wondering whether a mid-face procedure or neck lift could reasonably address my most pressing concerns as a priority-based, budget-conscious starting point. My main questions are: ∙ Would a neck lift with fat grafting under twilight sedation be appropriate, or is that an incomplete approach given my overall goals? ∙ Is it fair to say that a more limited procedure now — addressing the neck and jowls first — could be a practical interim step, or does that approach create diminishing returns down the road? ∙ I don’t want to do a more limited procedure only to find myself back in 2–3 years watching the upper face decline. Is my timing off? Is a 5–7 year window more realistic before the upper face becomes a real concern — or can I reasonably get away with a neck-focused procedure for now? One important note: I carry the MC1R gene and have gone under general anesthesia twice. Medications tend to be less effective for me and metabolize very quickly.

What details of diagnostic examinations best distinguishes causes of a transverse abdominal indentation for treatment? I have a relatively horizontal abdominal contour indentation with greater projection of the lower abdomen. I would like to establish whether the appearance is primarily related to superficial tissues, abdominal-wall anatomy or dynamic factors before considering treatment. I have attached photos of the problem area from multiple breathing, bracing, and posture states. I am considering a targeted MRI or dynamic abdominal-wall ultrasound rather than a routine abdominal-organ ultrasound. My questions are: Which examination findings best distinguish superficial skin/fascial tethering, regional subcutaneous-fat distribution, rectus/linea-alba anatomy, abdominal-wall defects and posture-dependent changes? Would dynamic ultrasound with measurements during rest, contraction, respiration and appropriate straining maneuvers meaningfully distinguish these possibilities? Which anatomical levels, measurements or additional observations should be documented to make the results useful for a plastic surgeon's assessment? What relevant structures or causes might not be adequately evaluated by ultrasound/MRI or another investigation be justified? Posture, spine abnormalities/scoliosis or leg length discrepancies, feet/walking dysfunction, persistent APT and/or rolled shoulders, etc could be contributors or factors. I can supply further information on these observations.

Hi, I am 24 years old and I have lost over 30kgs over the past 2 years. I am currently 56kgs ans 157cm however my arms are still quite big and holding on to fat. I have also noticed laxity in my arm and underarm area and whole tricep area is all stretch marks. I feel like my skin is thin and I’m not sure if lipo will help or if any procedure would be better

I had a liposuction two weeks ago and I wanted to know if my abdomen is developing fibrosis or those hard parts under my skin around my belly button are because of the swelling post lipo? What can I do to make my skin heel properly? I do use compresión garments since the day after my surgery and I start the lymphatic drainage with ultrasound massage this past Saturday. (10 days before surgery)

I am 32, 75kg and 180cm and looking to get liposuction to remove excess fat from my upper arms. Would I be able to get a good result with traditional liposuction or am I likely to need an alternative option e.g. vaser liposuction?