Doctor Q&A

Based on your photos, I do not believe that a donut lift is necessarily required to achieve a nice result. You do have some natural asymmetry, including differences in the amount of skin and the definition and position of the inframammary folds.
In a patient like you, using different implant sizes and/or profiles can help improve the overall balance between the breasts without performing a lift. I would consider Mentor MemoryGel BOOST implants, which provide increased projection and upper...

If your goal is to reduce the nasal hump and achieve a smoother profile, a closed rhinoplasty would be a suitable option. I use this approach to reshape the nose through incisions inside the nostrils, avoiding an external incision across the columella.

The amount of hump reduction should be tailored to your bridge, tip, and overall facial proportions. My goal would be a natural, balanced result while preserving nasal support and breathing function.

A consultation and additional photos...

Thank you for your question and photos. Based on these photos only and without preop photos to compare it is difficult to appreciate where the fat was injected and which areas you lost volume from. Without the benefit of an in-person examination, it seems to me that your buttock shape is too long, you have depressions in both lateral buttocks and unnatural liposuction grooving of the upper buttock. there's also sagging of the right lower buttock with an extended buttock fold.

You are...

Congratulations on your weight loss! After losing a significant amount of weight, I would generally recommend reaching a stable weight before considering body contouring surgery.

Whether you should have a tummy tuck and BBL together or in stages depends on your skin elasticity, the amount of excess skin, and how much fat is available for transfer. In suitable patients, combining procedures may be possible. Liposuction can remove remaining fat from areas such as the abdomen and flanks, and...

It really depends on your recovery and the opinion of your surgeon. Seven days may not be enough considering the extent of your surgery, but again, please ask your surgeon for their opinion.

What you describe is not uncommon. In fact, we discuss its possibility with all of our patients undergoing cosmetic surgery before surgery. We liken this to "post partum blues" except it's cosmetic surgery in this case. We show our patients a chart which shows patient's typical emotions from the time of surgery and afterwards.  Discuss what you are going throught with your surgeon so they may help you through this emotional roller coaster.

Dear Tough921068

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello,
This is a great question. There is a distinction between those two certifications that hopefully I can clarify. I am a board certified plastic surgeon. To say this means I went through a rigorous 6 year plastic surgery residency and was trained in the full scope of plastic surgery including reconstruction and aeshtetic. I then did an extra one year aesthetic fellowship to refine my skills and technique. During this time I also passed a written national exam which made me eligible to...

Thank you for your question. Botox typically lasts around 3–4 months, although individual results can vary. If your results fade after only 6–7 weeks, it is worth evaluating the possible causes. Dilution alone does not necessarily mean that Botox will wear off faster, provided the product is properly prepared and the correct dose is administered. The distribution of the 50 units across your treatment areas, muscle strength, injection technique, and individual response can all influence the...

Perioral mounds can be frustrating, especially when they become more noticeable over time. The best treatment really depends on what's causing them, as they can be related to natural fat distribution, facial anatomy, skin laxity, or changes in the surrounding tissues.

Botox may help in select cases if muscle activity is contributing to the appearance, but it generally doesn't directly reduce the fullness of perioral mounds. In some cases, relaxing the muscles around the mouth can also...

It depends on what you had done and what specifically was fractured. this is one of the times where I would urge you to go to a plastic surgeon for your injections over a medical spa provider or even a dermatologist, because all plastic surgeons are also trained on facial trauma management. assuming that you did NOT get surgery for your jaw fracture, botox in general will always be safe (esp in the forehead). lip filler could be safe, depending on how well healed you are. lower face filler...

Pain is expected after a capsulorraphy because of the suturing of the breast capsule to the underlying ribs and it will vary from patient to patient. It is best to see your surgeon for a follow up visit so that they may evaluate how things look and be sure you are on track with your recovery.

Thank you for sharing your concerns in detail. Fullness around the lower cheeks, perioral area, and jawline can result from several factors, including localized fat deposits, the natural distribution of facial fat, and soft-tissue descent. Liposuction may be helpful when excess fat is the primary concern, but it should be approached cautiously in the face, as excessive fat removal can create irregularities or contribute to a hollow appearance over time. A facelift may be more appropriate...

You look so gorgeous!

I'm going to split my answer up based on what you stated. with the understanding that you are in your late 30s, you had a significant amoutn of weight fluctuation, you haven't done anything non-surgical, and you want to look refreshed/youthful without looking "DONE", i think the best bang for your buck would be:

upper bleph +/- brow lift -- this will significantly improve your upper eyelid appearance and forehead wrinkles, and because the "eyes are the window to the...

What you describe, fat pads that have always sat low, deep nasolabial folds and a long transition from lower lid to cheek, points to midface descent rather than a lack of volume, which may explain why filler in the pyriform area changed so little. In those cases I find an endoscopic midface lift, secured with Endotines, to be the most reliable way to lift that central block of tissue back up. It tends to last, holds without suture pull-through, and shortens the lid-cheek junction, sometimes...

A facelift can generally be performed while Botox or dermal fillers are still active; they are not an absolute contraindication to surgery. However, depending on the type, amount, and location of the filler, your surgeon may recommend dissolving it before surgery. In some cases, waiting a few months after Botox may also be preferable for optimal surgical planning. The best approach depends on your individual treatment history and surgical goals. a surgeon can assess the treated areas and...

Thank you for your question. This is actually a textbook example of where I would consider using your own fat to restore facial symmetry. By carefully transferring fat to areas where volume is deficient, we can improve the balance between the two sides of your face while maintaining a very natural appearance. One of the wonderful things about facial fat transfer is that we're using your own tissue, the fat that survives can provide permanent volume restoration, and we can accomplish this...