Doctor Q&A

Tuberous breast characteristics exist on a spectrum — a constricted (narrow) base, a tight or high fold under the breast, herniation of tissue into the areola, and wide spacing between the breasts. Mild forms are common and often go unnoticed. If features are mild, a dual-plane implant placement with lowering of the fold and internal release of the constricted tissue usually works without a lift. A lift (or areola-reduction component) becomes necessary mainly when there is true...

Based on the photo and your description, the horizontal creases are more likely related to natural fascial attachments, skin folding, or fibrous tethering rather than excess fat alone. Liposuction is unlikely to improve them and could potentially make the indentations more noticeable. Since the creases disappear when you lie flat and you have minimal skin laxity, you may not be an ideal candidate for a tummy tuck. Depending on your examination, limited scar release, fat grafting, or other...

Hello Considerate548,
Thank you for your photographs and query about potential post rhinoplasty middle vault collapse.
Whilst the diagnosis should only be made following clinical review, the inverted 'V' deformity is often most obvious in photographs.
I can see nasal dorsal aesthetic line asymmetry and subtle inverted 'V' deformity in your photos.
May I suggest consulting with your surgeon, in particular if you have any other symptoms of middle vault collapse such as nasal airway...

Your photos suggest you already have reasonable buttock volume, with some natural lateral hip-dip contour visible. From photos alone, this looks more like a question of how much refinement you want rather than whether you need a dramatic BBL. If your goal is only a little more roundness or hip-dip softening, a conservative plan may fit better than a high-volume change.

Transferred fat can decrease. Some of the grafted fat may not survive, and later weight loss can make both your original...

Even though you saw a doctor, it would be best to let your surgeon know so they’re aware of your situation.

Thank you your inquiry! We would love to sit down with you to discuss your concerns. Removing excess breast volume will help remove the tension and weight on your back and neck as well as help with the other listed concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Both surgeons can be right — this is a judgment call, not a right/wrong question. In primary augmentation with good tissue quality, moderate implant size, and no existing sagging, mesh support is rarely necessary; the strongest predictors of long-term sagging are implant weight, tissue elasticity, and skin quality. Galaflex shows its clearest benefit in revision cases, significant ptosis, or very weak tissue. If your implants will be modest in size and your tissue is firm, the simpler...

Like many women, you would likely benefit from a lift, but you may be able to achieve a satisfactory result without one as long as your expectations are realistic. You do have some breast tissue beneath your areolas (your areolas are not positioned at the very bottom of the breast fold), which means you may be a good candidate for placing a slightly larger implant above the muscle. This can help redistribute and support your breast tissue while reducing the risk of a “waterfall” or “Sn...

Thanks Umshus2012 for your question! It is understandably frustrating to go through a major procedure like an SMAS facelift and still feel self-conscious about a specific area a year later. At the one-year mark, your swelling has subsided and the tissues have settled, so what you are seeing now is likely the final surgical result.
The "pouch" or band of loose skin under the chin after a facelift can sometimes be attributed to residual skin laxity, prominent platysmal bands, or submental fat...

The best option for improving the lower face and neck in most people is some type of facelift. In your particular case, the midface has descended, and you have prominent marionette lines and nasolabial folds. A deep-plane facelift and neck lift would release the retaining ligaments and allow for more complete correction of the neck, lower face, and midface.

This approach can improve the neck contour, jawline definition, and the areas around the mouth, creating a more balanced and natural...

A history of Stevens-Johnson syndrome does not automatically mean you can never have cosmetic surgery, but it does make planning much more important. The key issue is usually the trigger: which medication or illness caused the reaction, whether you have any ongoing skin, eye, mouth, or airway problems, and what drugs would be needed around surgery.

A previous eyelid fat transfer under local anesthesia is reassuring, but a midface lift is a larger operation and may involve local anesthetic,...

Liposuction without a tummy tuck is absolutely an option for the right patient. Liposuction removes fat.
After the fat is gone, your skin needs to retract and conform to your new contour. In patients with good skin tone and elasticity, it does this well, and the result can be excellent. In patients with looser skin, the skin may not retract adequately after fat removal, leaving you with loose or wrinkled skin that obscures the improvement.
From your photo, there does appear to be some skin...

For limited-area liposuction under sedation, a 3-hour flight at 5–7 days postop is generally acceptable and within common practice. The main concerns are swelling and DVT risk, so wear your compression garment, stay hydrated, avoid alcohol, and walk the aisle every 45–60 minutes. If your recovery is uncomplicated at your one-week check, flying should be safe.

Your photos show a fairly straight waist-to-hip transition with mild fullness around the abdomen and lateral waist/flank areas. Yes, liposuction can be performed in a targeted way around the waist, but the best contour usually comes from treating the area as a connected unit rather than removing fat from one narrow strip. For many patients, that means blending the flanks, lower back/waist, and selected upper/lower abdomen so there are no step-offs or uneven borders.

Full abdomen liposuction...

Your upper eyelid on the right side of your photo has a different fold than the opposite side. The distance from your eyelashes to your eyelid fold is longer on that side. Improved symmetry may be achieved with a careful measurements of the left side and then transfer of those measurements to your right side, and a meticulous upper blepharoplasty could result in a better symmetry match. Best wishes.

Based on the photos, there appears to be mild eye and eyelid asymmetry, but it is not severe or unusually noticeable. This type of asymmetry is common and often results from subtle differences in eyelid position, brow height, or facial structure. If the asymmetry is bothersome, you may be a candidate for a conservative eyelid procedure, such as ptosis repair or eyelid contour adjustment, depending on the underlying cause. A detailed evaluation by an experienced oculoplastic surgeon is...