Doctor Q&A

I’m 50, considering my first breast augmentation. One pregnancy, 25 years ago. Measurements: 168 cm (5'6"), 62–63 kg (137–139 lbs), underbust 75 cm (29.5"), bust ~90 cm (35.4"), breast base width 11.7 cm (4.6"). Current size 75B/34B; goal ~DD. I have strong pectoral muscles. I specifically want Mentor implants. I want clearly larger, fuller breasts, ideally 450–470 cc if anatomically reasonable. I like Kylie Jenner’s look: large, feminine and full, with some lateral fullness and a natural slope — not very round/high or the “two balls” look. Two surgeons suggested 440–470 cc Mentor SILTEX Round under the muscle. Another recommended 350–370 cc Mentor with dual-plane, saying my 11.7 cm base width makes >400 cc unsuitable. For surgeons experienced with Mentor: **Is 450–470 cc realistic for my anatomy? Which Mentor model/profile, width and projection would you consider?** If you would stay closer to 400 cc, why? With strong pecs, would you choose submuscular or dual-plane, especially regarding upper-pole transition, lateral fullness and animation with muscle contraction? I would prefer my desired size in the first surgery rather than going smaller and needing another operation later.

Hi Doctor, I’m pregnant with my 1st child currently in my final weeks and at 90 Kgs , Height is 155cm. My stomach has grown 10x down like a snake and into like a long V (instead of the usual apron W shape that other women have) since I got pregnan and if i am to close my legs the tummy acts like a male genetalia and is a major obstacle in btw my thighs. My belly button is hright now near my pubic area. This is not normal. Can it be fixed when I get a tummy tuck? Why did I get this issue?

I had a hit to the nose that caused a bump to grow. I am attaching pictures of before and after. I do not want an extensive rework - just my original nose and bump gone. Unfortunately, my doctor and I have concerns with GA. I know back then all of these used to be done under local. I am not sure why I can't find a provider now? I've only found ones in New York out of state, but none in Florida.

I'm looking to have a (mini) BBL .... I have minimal fat on my back nor thighs with most of the problem areas being deposits around the lower belly and flanks post 4 babies I'm interested to know if its ever possible just to take fat from these areas for transfer into hip dips for a more round shape? What are the fewest possible scars? .... Two on lower abdomen and belly button? Where are the optimal incisions for the flank area. Looking for a subtle natural result! Thanks

I have a family history of blood clots, so I had a blood work done to test for a blood clotting disorder before my planned lipo 360/BBL. Everything was normal except pretty elevated Factor 8 & Factor 5. I met with a hematologist, who recommended prophylactic blood thinners either before or after surgery. He is coordinating with my surgeon about the timing. I’m now very worried about developing a DVT or PE. Does elevated Factor 8 mean I’m likely to develop a blood clot from this surgery, or is it simply an additional risk factor that can be managed with appropriate clot-prevention measures? Would this finding make you advise against elective lipo 360/BBL altogether?

13 months post op bbl lipo 360 and on the right side where I had a right hip replacement 7 years ago has drooped. Can it be fixed?

I am not aging gracefully! Ha. I already have had multiple consults to get my breast implants exchanged/revised (silicone, bottomed out, rippling). I want motiva with either internal bra or just tightening the pocked (possibly sub-fascial instead of sub-pec?). Quotes are really high around here :( However, the loose abdominal skin is making me self-conscious. I even get wrinkle tan lines from being at the pool one time! I don't think I qualify for the mini since it's mostly upper skin but it seems drastic doing a full tummy tuck and I don't want the big incision and weird belly button. Advice? As I sit here with my red light wrap, apply retin-A, and doing stone gua sha. I do lift weights (heavy) 3 days/week and do moderate cardio. 5'4", 106lbs.

Hello, I want to have a mommy make over surgery asap. I’m a mom of three and lost breast volume and I’m an AA cup. I want to go back to a naturally full A cup and for my tummy I have no diastasis but some sagging under my belly button. Right in the middle only. I don’t want or need muscle tightening just a skin only tummy tuck. I’ve seen pictures of “mini” tucks and scars are 20-25 cm long. Almost as big as the regular. I wonder if - based on my minimal change need - I could be a candidate for a true mini tuck with a scar of 12-15 cm max? Same for the BA what silicone size would suit me best. For your reference I’m 5,2. 120 lb my waist is 66 cm and my hips 85. Im rather petite. Thank you

i am coming up to 60 and would like a breast reduction , I’m 5 foot and currently a 36g/h . I have decided with navigating back pain , groives and neck ache and the weight of my breasts I need to have this done Not to mention my low self esteem . I currently have a 7cm hiatus hernia . I am been monitored by the hospital and take medication to manage it . I sometimes regurgitate albeit not often . My concern is would this stop me having a breast reduction . I would appreciate a medical opinion so I know if I can go forward with this .

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 have two consultations for breast reduction scheduled for next month. I have large breasts (40J) and know breast reduction would be beneficial. Insurance won't cover it, so I'll pay out of pocket. Surgeon 1 is certified by the American Board of Plastic Surgery and has only a few pictures on his website, but they're all of patients with smaller breasts than mine. Surgeon 2 is certified by the American Board of Cosmetic Surgery and the American Board of Surgery; he also has multiple pictures of his work on his website with patients who look similar in size to me. My question is: What is the difference between these certifications? Should one be considered over the other for a breast reduction on larger breasts? Thanks in advance for taking the time to answer this question!

I got juveau for the first time on 11/9. I have received botox and dysport many times before and never had any issues as they wore off etc. This time i noticed initially asymmetry in my right eye being my eyelid was much more raised and that eye felt “dryer” post procedure. I got used to it. I am in desperate need of more and noticing when i make certain exaggerated expressions my muscles twitch in my cheeks when i scrunch my nose or lids when i raise brows. Is this them trying to work?

Hello! I’m 25 years old, around 125 lbs and 5’4”, and I’m considering having a breast augmentation. I’ve had two consultations so far. One surgeon suggested 250 cc, while another suggested 300 cc, both placed above the muscle, as I have enough breast tissue to cover the implants. My main concern is that 250 cc might look too small on my frame, while 300 cc might end up looking too big. I also have a fairly wide rib cage, so it’s been difficult to compare myself to other women online, as many seem to have a much narrower chest. How much difference 50 cc would actually make in this situation?

I have been advised by a surgeon to have anatomical implants for a natural look. I dont have breast deformity, no sag. Starting at a 32B. I prefer the idea or round and worried about textured implants. I am 5ft 6 126lb going with dual plane. He is looking at around 295-340cc medium to full profile.

I'm 19 years old and interested in cosmetic breast augmentation with silicone implants. Does the surgeon ever perform silicone augmentation for patients under 22, or do they only offer silicone beginning at age 22? I saw something on one website about 22 fda recommened for silicone and 18+ for saline but I'm completely against saline implants and have a specific goal in mind I also don't want to have to wait til 22 I stopped growing years ago ik it only said recommened but this concerns that I won't be able to find someone to do it

I'm considering breast implants but have concerns that as a an almost-pro golfer they will change my swing - is this a possibility?

What face/neck lifting method is best for a 30-year-old who lost 55 lb (25 kg) 2 years ago and wants to lift the midface, lower face, and neck—especially the lower face to the extent shown in my manual-lift photo? Since there are so many variations within each category, what specific type of mini/limited facelift, SMAS facelift, or DPFL would you recommend for me? Feel free to stop reading here; more context below if helpful. I’m confused by the conflicting advice. Some surgeons argue mini facelifts because of the limited dissection/inadequate release/repositioning of the deeper tissues can lead to a pulled/less natural look, increased tension on incisions, limited effect on mid/lower face & deformities like sweeping/pixie ear, and argue that a more complete release DPFL can look more natural even in younger patients. Others say a DPFL is too extensive at my age and recommend a mini or SMAS lift instead. I’ve also heard criticisms of SMAS lifts, including a less natural look, more tension on incision, greater skin-SMAS separation which can cause surface irregularities or a dull skin appearance. I’ve also considered hidden incision endoscopic full face/neck lifts using hairline and behind-ear incisions to address the midface, lower face, and neck. I’ve heard conflicting opinions on how well they lift the lower face and have noticed some results with cheek/temple widening, indentations, or visible pull lines creating that alien look.

I notice that USA surgeons say their FL/NL etc are of up 4 - 6 hours but overseas, including Thailand are up to 10 hours. Why is there such a big difference and how can they even perform for that long? Also US surgeons tend to use IV sedation and overseas favour general which is more risky. Why such a disparity?

45 year old female, tall frame with long proportions. I've never had any surgeries. I lost 10-12 pounds a couple of years ago after the death of a loved one. I regained it back in terrible places. Target areas: abdomen, waist, flanks, full thigh, knees, circumferential calves, ankles, and upper arms. Wishlist: possible minor breast augmentation via fat transfer, 1/2 to 1 cup I believe I am seeking support for a continuous lower-body line transformation with circumferential lower-body harmonization. I want an ultra smooth, ultra natural taper for a long, linear leg line. I also want reduced upper arm size. Please let me know if I'm using the wrong terms. Given my interests and photos, am I candidate for a minimally invasive, low-sedation, or awake micro-liposuction protocol? I currently weigh 150-155, 5'9", within a healthy BMI, but is it helpful to lose a few pounds before any procedures? What would be my best next step? I've done some research, but really am relying on reviews. I am open to procedures in the US or interntionally.