Doctor Q&A

Hello. I have had a few consultations. I just want to get more opinions. I have grade one ptosis. Do not want to get a lift. I’m going with 380-400 cc. I don’t want the fake fake look but I would like a more natural look but trying see what would make up for the sagging more.

I thought implants should always be under the muscle but have been advised by a surgeon today that either is fine dependent on the outcome you would like; is this other surgeon's views? He advised for me over the muscle as I am not a fan of the natural look

I am looking for some advice- I don’t know if I’m looking into it to much but my nipples / breast sit quite unsymmetrical. I was looking for some advice if possible

I have a consult this weekend but am trying to prepare- Does this appear to be psuedoptosis? I really did not want to have to get a lift but after over researching- I’m concerned that after implants I’ll have a ‘matronly/saggy’ look. I’d like to go larger, and while I don’t have to have a ‘porn star/basketballs’ look I definitely want them to be considered sitting pretty. My other concern is - do I have an overly wide set chest? And is this going to leave large gapping/east west looking breasts after implants? I’ve done the simulator and it looks ridiculous and I’m having a hard time understanding what’s realistic and what isn’t. Thank you so much!

Hello Doctor I’d like to clarify whether my case is suitable for a minimal-scar reverse tummy tuck. My main concerns are: the possibility of developing “dog ears” on the sides, and the risk of wrinkles/vertical lines in the middle of the sternum if I proceed with a minimal-scar reverse approach (without a vertical incision).

Hi, I am considering a reverse tummy tuck due to loose skin above my belly button only. I had a BBL 7 years ago and this problem has only occurred since having this procedure. Would I be a suitable candidate or would I be better getting a full tummy tuck? I’m just concerned over the scarring with reverse as I don’t really want the scar to be visible in bikinis. Thanks

Hi - Is it possible to get a tummy tuck that just removes excess skin and fat without work on the actual abdominal muscles? I’ve also heard that after removal of fat cells in the belly, you can gain weight in other areas - the fat just goes elsewhere? Thanks in advance for answering these questions.

The skin on my tummy lost elasticity, it gets very wrinkly when I bend. What is the most effective procedure to tighten the skin?

What would I need to have done to get me from this, to this? Nasal bridge reduction and nostril reduction? I don't have a problem with my side profile, I just want a smaller version if my nose.

My eyes are incredibly close together, and the overly pronounced sides of my nose create an unflattering expression. Is it possible to make them a little smaller?

I think that my nose bridge should be higher for a more aesthetic visage. Is there a way to measure how high a bridge should ideally be?

I have revision rhinoplasty in 2025 and I’m experiencing persistent scarring. I have a raised, firm and red scar at the columella, making my nostrils appear larger and the columella is droopy. I also have visible stitch track scarring on both sides of my nose. After having the second surgery, my nostrils were finally small again but within 5 months, the coleumlla had already started to droop again, leaving my with big nostrils again. I don’t want to have more surgery and my revision surgeon has offered to shave down the columella but I’m aware that the scar will just come back anyway. What can I actually do about this? Why does this always happen to me and is there any non surgical treatment options? Thank you

I was ran over 19 years ago by a sargent in the military, who was three times over the legal limit of intoxication. My pelvis was shattered, my bladder was puncture, my colon was torn. I have nerve damage in my right foot which cause me to have drop foot. I also had a hip replacement. My right butt muscle is very small and weak. I'm full of scars all through out my body. Just wondering what would be my price for a bbl and is it possible to help me

Im 59yrs old, DOS was 12-11-2024, female, black and gained 10 pounds after bbl 2yrs ago. The weight caused my breats and arms to go 2 sizes up and im very uncomfortable. I wont to take a weight lost injectoon, only to loss the 10 i gained.

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

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.

27F. I’m 5’8 220ish and I’m consulting for a reduction in July and August with two different surgeons because I finally have an insurance policy that covers medically necessary reductions!! I’m working to lose a little more weight before my consult, but is it possible to reduce my size that much? I know insurance can get tricky with BMI / Schnur so I’m trying to manage my expectations of size / approval.

Hello 12 years ago I had a breast augmentation and lift. 2 yesrs after, I had to have capsuluar contraction surgery to fix the R breast. Come present, I had a revision done in 2024 and replaced the implants due to some drooping. 3 years later, capsular contractions again. My question , I’m planning on having surgery to fix the capsular in the R breast again, but since I have to have surgery again, I want a reduction. I have 350cc’s presently, but was wondering if it’s possible to have a breast reduction surgery and have implants (smaller) to achieve the desired “perky” results ? And am I a good candidate for this procedure? I’m currently a D (possible DD) cup and would like to be a B cup. I’ve always had a lot of breast tissue and never wanted to have Big breasts, just back to my youthful self after 3 kids. So having a lift with implants is what my doctor recommended. I feel that I don’t even notice the implants with the extra breast tissue that I have.

I’m having my breast done, and have always hated my pigeon, long chest. So I’m getting this done to mask it a little. I just want advice. My surgeon has suggest over the muscle 350 teardrop tall height moderate plus. i had been to another surgeon who had said the same about teardrop being best because of my chest wall. However he would only ever do a 300cc and never any bigger due to narrow chest. So my question now it, I dont want big boobs I just want more shape and more upper fullness but worried on having big low set boobs. So my surgeon has said either 330s medium height or 350cc tall what is the diffrence with medium and tall? And what would you suggest with my chest wall? also when I’ve looked at mesurements both them implants are a bigger width that my messurments is that ok? Or avoid? Or do I go with 305cc tall, which i keep thinking because I don’t want massive boobs. I just want them to look the best they can with being low set. Advice please

5ft8 170 pounds. Getting lift and saline implants. My dr recommeded to try 500 to 700 sizers after showing pictures and exam. I wear 38 c now. Nursed 4 babies. 650 and 700 felt perfect for me. It was still hard to tell tho with the sizers as i shoved my own boobs in there too haha. I am afraid of going too small so i figured 700 is the right choice. But so hard to tell. Want them to be nice and full but not so obvious that they are fake. Or make me.look too top heavy in sweaters. Etc.

Hello, I recently had my under the muscle silicone implants removed with the capsule left inside. I had them for exactly 1 year. If I were to get another set of implants over the muscle this time, would the capsule need to be removed?

I’m having a breast augmentation next week with Motiva Ergonomix2 Preservé, and I’m having some last-minute doubts about implant size. I’m 5’6” and 123 lbs, and I’ve been measured to 10 cm. I’m deciding between 180 Mini and 195–225 Demi. I’ve breastfed and had significantly larger breasts during that time, and I still have breast tissue and a nice B cup now. I want a natural-looking result, but I’m worried that the 180 Mini will be too small and that the 225 Demi will look too obviously augmented. What would you recommend?

I’ve been looking to get liposuction done for a while now but I’m not sure if my job will interfere with the recovery process. The most days off I can get in a row is a week. Is it recommended to go through this surgery with my occupation?

No matter how lean I get, I have always had a distinct "B-shaped" belly with a noticeable indentation/crease right across the middle (around the belly button area) and what I believe to be some fat pockets. For context, I am currently 5’2” and 50 kg (110 lbs). I have a slim build overall, and my weight is stable, but this specific shape persists. I have a few specific questions: 1. Can liposuction actually smooth out this specific "B-shape” and achieve a flat, smooth contour here? 2. How does this affect long-term fat distribution? If I were to gain weight in the future, would my body still deposit fat back into this distinct B-shape, or would the weight gain be more evenly/smoothly distributed in the treated area 3. What is a realistic expectation for fat removal at my size?

Could I please get some advice on whether I may be a suitable candidate for liposuction alone, without a full tummy tuck (abdominoplasty)? My main concern is excess fat around my abdomen, particularly the lower stomach area. Based on the photos attached, do you think liposuction alone could achieve a good result, or would a tummy tuck or another procedure likely be required? Thank you.

I am a 25 year old Asian woman weighting about 53kg at 153cm and am considering liposuction for my waist/ tummy area. Currently I workout 5-6 times a week and plan to go back to 3-4 times after I go back to Europe (have been working out weight training for about 2-3 years). My goal figure is an hourglass shape, I am currently okay with almost all of my body parts, the only thing im annoyed with is my belly fat. My plan would be to do the procedure in China before returning to Europe with 7-10 days between the procedure and the flight. Is water-assisted lipo enough or do I need the RF type? The clinic I wanted to go to tried to convince me the RF type is safer and needed for a better shape and it also heals quicker, is that true? Other concerns I have are: if the time between flight and surgery is fine and if flying this soon will cause any problems? Is it recommended to have general anesthesia? Will there be hard lumps, swelling or unevenness? Will there be flappy skin afterwards? How big is the chance to get Seroma?

I had a secondary facelift 8 months ago. After the swelling subsided I was left with a dent in my lower cheek which gets deeper when I smile. I massaged for awhile but that didn’t fix it so I had a fat transfer. That improved it but it is still visible. Is more fat a good idea or should I have that side redone? There is a little dent (lower) on the other side but it can pass as a dimple so ok with that. Please advise

37F with prior tear trough filler placed about 2 years ago that caused persistent under-eye/malar fullness. I’ve had several conservative dissolving sessions with no improvement, but still notice a soft contour/fullness in the upper cheek/malar area that can look really noticable in certain lighting and photos. This hasnt really happened until I got that under eye filler and since then ive just been dealing with it hoping it goes away. Ive since had another dissolver session a week ago where they said maybe going deeper would help but now it still looks the same but maybe almost worse since the surrounding filler has been dissolved and this pad is more noticnoticeable. Im just tired of looking at them and looking tired because of it. Not sure what my options are. It looks better when I pull my face back but I think 37 may be too young for a face lift but if anyone has any ideas if its not actually filler.

I've asked my injectors to help me correct my parallel smile lines and no matter how much filler I put in they do not disappear. They only are there when I smile. What else could I do? What are the costs of a facelift? I'm only 30 and a facelift at my age seems rare to have to spend a substantial amount of money on a facelift.

Hi there! I am 34 years old. My under eyes have always looked like this - and I hate it. I'm trying to figure out what is best for me. I have had two consultations so far and both surgeons said different things. Consult 1: Fat grafting only Consut 2: Lower (could also do upper) bleph + fat grafting I am in the process of getting a 3rd consult from a doctor in Raleigh (Dr. Mettu) who does NOT do fat grafting/repositioning - only blephroplasty. I'm trying really hard to educate myself on everything...what the root of the issue is, what is going to give me the best, SAFEST, long-term results. I'm so overwhelmed with the options, approaches, etc. There is also a doctor in Charlotte who does what I've learned to be called a 'SOOF' lift...so I'm trying to weigh that option, too. I've read about the cons of fat repositioning and grafting (unreliable + unpredictable) and I'm hesitant about just going the fillers route. If I'm going to fix this, I just want to fix it. I don't want to do anything too dramatic or ruin my face. THANK YOU!

Is there a way to preserve the roundness and openess of round eyes but make them more upturned instead of downturned like the pictures. Without making them narrow and very almond shaped achieving a doe eye look instead of a fox eye

I have severe skin laxity due to weight loss and suspected EDS - I have hypermobility and symptoms such as joint pain and cervical instability, but no confirmed genetic test. I am scheduled for a deep plane face / neck lift and endoscopic eyebrow lift in July, but the doctor prefers not to touch the eyes because I had eyelid surgery in 2023 to recover field of vision and prevent dry eye due to lower eyelid laxity. The medical issues were improved, but the eyelid incision is still discolored after 3 years, and the worst of it is that even after eyelid surgery, the eyelids are heavy, flaccid and almost closed. I'm 44 but I look 64. I do not have hopes that the endoscopic brow lift or deep plane face and neck lift will improve the eyes... Is there any hope with a second eyelid surgery, or should I just resignate myself?

Particularly if it is done via a transconjunctival incision instead of a subcillary one? Also without IV sedation.