Doctor Q&A

For the first 3-4 months this pain was a lot less. I used to get shooting pains after working out and thought it was normal. Now 7 months later the pain is becoming more frequent even when I’m not working out a lot. These days I’ve been waking up to sudden pain in my sleep which typically lasts for about 30 minutes and gets better after that.They don't hurt 24/7 but a few times throughout the day I find myself to have trouble focusing on anything I do because of constant anxiety

Updated: Tummy tuck & BBL. - My belly button was not on the right side. She was too busy to get off the phone when she marked me and marked my line off-center. Never was my belly button to the right of my center. She has avoided me from the first office visit after surgery when I asked about it. Beware of doctors that blame the patient. .

I’m 23 years old and currently considering getting a tummy tuck, but I’m feeling very nervous and want to make sure I’m making the right decision. I’ve done a lot of research and I’m interested in traveling abroad for the procedure, possibly to the Dominican Republic. I’m looking for a surgeon with a strong safety record, good communication, and great results. My main concerns are: * Am I too young for a tummy tuck at 23? * What are the most important things I should look for when choosing a surgeon/clinic abroad? * What questions should I ask during a consultation? * What are the biggest risks or things you wish you knew before getting a tummy tuck? * Would you recommend waiting, or is it reasonable to move forward if I’m confident in my decision? I would really appreciate hearing from anyone who has had a tummy tuck, especially at a younger age or who traveled internationally for surgery. I’m also nervous about dying or if something goes wrong

I’m considering a very subtle surgical refinement to my nose and would really appreciate opinions from surgeons who have experience with columellar reduction/hanging columella correction. I actually like my nose overall and don't want a traditional rhinoplasty. I’m happy with my bridge, tip projection, nostril shape and the slight fullness/character at the end of my nose. The only thing I would like to change is the small amount of tissue/columella that hangs down between my nostrils. From the side, it makes the bottom of my nose look slightly longer than I would ideally like. I have edited one of my photos to show the very small amount of reduction I am hoping for. I do not want my bridge reduced or narrowed, my tip rotated, my tip made smaller, or my nostrils changed. I want to retain the natural character of my nose and essentially just bring the lowest part of the columella up very slightly. I’m wondering whether this could be treated as an isolated columelloplasty/columellar reduction, rather than a full rhinoplasty I’m also quite nervous about surgery, so if this is suitable for an isolated procedure, I’d be interested in whether it could be performed under local anaesthetic, ideally with sedation, rather than general anaesthesia. Thank you x

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?

I wanted a mommy makeover am 48yo, however I'll have to put my dream makeover on hold for both hip and knee replacements, my question is will these joint replacements affect me getting a mommy makeover in the near future?

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.

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!

Hi, 3 months ago I had my second Botox treatment for bruxism. 4 weeks after I went back to evaluate, and the doctor added some more. The same night I noticed the left corner of my mouth was frozen, and since then I have not been able to curve the corner of my mouth when I smile. My doctor said the Botox probably migrated to the risorius muscle, but that it is weird that I saw an effect on my smile the same day. Does this mean something else is causing the crooked smile, such as a damaged nerv?

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 ?

Had a breast aug just over a year ago, a couple months ago I noticed that when I bend over I get an uncomfortable pressure in my right breast. No pain or discomfort any other time. Have been to a regular doctor and they didn’t feel anything out of rhe ordinary. Unfortunately my surgeon is on the other side of the country from me but thinking about making an appointment with a surgeon here to look at it if needed. Wondering if anyone has heard of this before and what coukd be causing it. Do not have the same feeling on the other side. I go to the gym and lift 5 days a week (heavy lift) and have no pain or discomfort during that, only when I bend over I feel this pressure. 625ccs under the muscle, I am 6’1 and 175lbs

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?

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?

My weight of 112 lbs has always been stable. I have thick, oily skin without fine lines/wrinkles. I have always had fat pads in a location which is too low on my face and deep nasolabials. I just tried Restylane to the pyriform fossa, no improvement. My goals are to restore a smooth transition from the cheek to the lower lids, to reduce the heaviness of the cheek tissue, and in general to lift a descended central facial structure, from the lower eyes to the perioral area. Thanks in advance for recommendations.

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.