Doctor Q&A

I had my breast lift (donut) and augmentation last year with a 255 cc high profile implant. This is how I look. Is this a snoopy deformity?

Hi I’m considering a breast augmentation, I primarily have very little tissue to start with and an A cup. I Imost likely will be going with a dual plane placement. I also have asymmetrical breast in size so I will need to compensate for about 20 cc between the right and left side. I have considered both saline vs silicone. Most doctors prefer silicone. I do fear a silent rupture and I’m very claustrophobic in MRIs which is the reason I considered saline (due to the fact of obvious deflation if ruptured). I have noticed most doctors discourage using saline due to its feel and rippling. Are there people out there who are still choosing saline? Is BII more prevalent in salines? Are high definition ultrasounds sufficient to detect silen ruptures in silicone?

I'm 1 year & 9 months post op from my breast augmentation surgery of 500 cc under the muscle, high profile, mentor, silicone breast implants. My right breast is still higher than my left and when I squeeze my pectorals the right breast rises up a lot but the left doesn't. They are both soft especially when standing or bending over, but if I lie down I can feel more of a separation between my actual breast tissue and the implant, whereas the left feels more uniformly one piece and just a smidge softer. I've included pictures of before my surgery and 9 weeks post op to show any pre-existing asymmetry. Do I need to see a plastic surgeon? What could have caused the asymmetry ?

My breast have always been about a half cup size different and felt further apart than normal. I have some breast tissue in my armpit on my smaller side so I just assumed that was why. My plan was always to have a child, breastfeed, and get a lift/implants. Over the past year I’ve gotten leaner than I’ve ever been and noticed an indent/curve in my sternum and ribs attachments. Pectus excavatum has been confirmed. Less worried about that, more worried about how itll impact implants. Ive heard the implant can settle into the concave side or become lopsided ie cross eyed nipples. Are there any remedies that can prevent this? Would a mesh bra help?

I had a breast augmentation in November of 2025. I bottomed out at 12 weeks only on my right side. In April he did an Inframammary Fold Repair w sutures and removed stretched skin. After 10 weeks I bottomed out again. Now, I am scheduled for October 8th to have Galaflex mesh added to the tissue on the outside of the capsule. I’m now an additional $3000 in and I don’t have the confidence that this is going to fix it. My surgeon said my body failed to make a capsule on that side, but I have suspicions that the internal pocket was over dissected on that side to accommodate a slightly larger implant due to asymmetry. So my question is, will addeing mesh on the outside of the capsule fix the issue? Or will it eventually give out again if there is no internal pocket work done? I had Motiva 425 cc on left and 475 on right. I am 5’7” and 120 lbs.-47 years old.

Are there any doctors who specialize in doing a rhinoplasty, lip lift and lower lid blepharoplasty/fat repositioning for under eye hollows all in one? These are all on my wishlist but to save on anesthesia costs and life interruptions, I'd prefer to get them all done at once. Of course, I don't want to skimp on safety or quality though, so I would only go through ugh a 3-in-1 with someone who frequently does the combination bf has reliable results. Thank you!

Hi, 47 year old female with no previous facial surgeries. Over the last 18months my nose cartridge has slowly been moving to the right side, giving that side a bulbous appearance and a line/ridge appearing from thr front. What kind of surgery would fix this issue?

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

Hello, I am a non-binary person, assigned Male at birth, and I would like to have a BBL for gender affirming purposes to give me a more feminine shape and some extra volume. I have a rather lean build due to the gym, and I understand that will likely make it difficult for me to get a BBL. I understand for some patients, surgeons can recommend weight gain, but it cannot be rapid weight gain. I am doing my research in advance to understand my options, but I can't find any information about how these patients are supposed to gain weight. What is the recommendation? Gain weight through caloric surplus over a number of months? I would really appreciate the insight as I continue to learn about the options. I have ruled out implants for personal reasons, and that leaves me learning about Sculptra and a Lipo360 BBL.

I’ve had a BBL 1 year and a half ago and I developed a deep infragluteal contour depression after my BBL that was not present before surgery. I haven’t seen or heard about this in anyone else but me. So I’m a bit concerned. I would like to know whether this is an adhesion/tethering or a volume deficiency, and what would be the safest way to correct it I developed also cellulite that wasn’t there before. Could someone please give me an advice and tell me if there is any way to correct this?

HI, I know alot of surgeons do a tt same time as bbl, but if you have the time to recover, isn't it logistically safer and better to do them separate to allow for better healing. When sitting on bbl pillow, aren't you putting pressure on lower thighs and cutting off some circulation to buttock?

I am getting a primary breast augmentation with silicone implants in two weeks. I recently had my pre-op appointment. Based on my goals and having tried on various sizers, my surgeon and I selected Sientra high profile 385cc round implants, dual plane.My rationale was that I loved the look of the 355cc sizers, but my surgeon advised that the healed implants would look a bit smaller and less projected. So, with that in mind, we felt it better to go a smidge bigger to account for the compression that placing it under the muscle will add, hence landing at 385cc.My question lies around my breast width diameter. My BWD was measured both physically and digitally at 10.5cm, whereas this implant has a base diameter of 12.5cm. Will this automatically spell doom for me?As we discussed at our consult and pre-op, I am hoping for noticeably fuller breasts with nice softness, more lower pole fullness than upper pole, nice cleavage, and a natural profile/slope.Does all of this sound reasonable? Should I be going with a smaller high profile implant to be closer to my BWD, or is it true that there is some wiggle room with respect to BWD and implant diameter, and that surgical skill plays a big part? I guess my only hesitancy with going forward is that the implants would be under too much tension and feel less soft than I'd like.I am 5'2" and 122 lbs, currently a 32B hoping to gain at least 2 cup sizes. My measurements right now are 33-26-38. I am petite in height but fairly curvy.

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 F36 5.3 feet(160 cm), 127 pounds (57 kg) have low body fat and high muscle mass (not body builder). I discussed sizing and procedures with my surgeon and surgery is booked in less than 10 days. I am still dwelling between Motiva Ergonomix 2 or round implants. The sizing we discussed is Demi projection and 285 CC placed over the muscle as I love to live a very active lifestyle. I feel my breast’s are pointy and I’m wondering if rounds will look good with this type of breast? The surgeon said that Ergonomix would help the nipples move more upwards. I am also getting a lift at the right breast. I also heard that the round shape will give less of a risk of rippling. The surgeon can do fat transfer but says o have too little to do this.

I got my breast augmentation in 2018 in Medellin Colombia by Juan Diego Mejia Jimenez. i got 425 ccs gummy implant placed under the muscle. Ive been pregnant twice since my surgery in 2018 My first pregnancy i had no complications, my secong pregnancy my nipples started leaking clear fluids. At first the leaking would come and go but now there’s more fluid. The fluid is clear/slightly yellow and it makes my nipple stick to my bras and pulls the skin off the areola. What should i do? I got my breast augmentation outside of my country and to my knowledge , the surgeon who performed on me no longer does breast augmentations.

I am the same weight with a healthy BMI of 19-19.5. How can I lift and reduce my lower face. I hate my jowls

My mouth region looks like it protrudes (like I have a muzzle!) Furthermore, my lower face in general looks older, unfeminine, and heavy. I want more of a "snatched," feminine, heart shaped face. I also would like my mouth area to look less protruded. Would a facelift help? If so, any other treatments to do along with a facelift? If not a facelift, then what are my options? This is driving me crazy!

About 15 years ago I had fat injection in my face that was not fully successful. Fat was injected in my lower face in addition to my cheeks which has been causing the shape you see in the picture. It keeps increasing if I gain any more weight. Now, I want to get rid of it but not sure which procedure would be best. I received different opinions regarding facial liposuction or lower face lift. Which one would be better?

I’m 42 and have been unhappy with how my lower face has been aging over the past few years. I’m noticing increased heaviness, loss of jawline definition, and early jostling and sagging. I’m 5’8”, 135 lbs, and my weight has been stable for years. I’ve consulted with several surgeons so far ,two have recommended a mini facelift, while two others have advised a deep plane facelift with a neck lift. I’m hoping to get additional input from experienced surgeons here on which approach may be most appropriate at this stage. I’m open to the possibility of future procedures, but I’d like to make the best decision for where I am now and achieve results that allow me to feel confident and refreshed while still looking natural.

I’d say as of now, I store around 30-35% of my body fat around my abdominal and flank area, and around 60% in my lower body, with my upper body being quite small. I am thinking of having lipo to my abdominal and flank area. I am at a very healthy weight aat the moment but have stubborn areas. Since I tend to store abdominal fat, does that mean after lipo, if I hypothetically gain weight as I age it will be stored as visceral fat? How does the visceral fat increase work? Or would it still remain subcutaneous, just stored in other areas?

I am 62 years old. I have been active all my life, sports, bit of. daredevil and a desk job, and as a result I paid the price. Never obese. My uniform weight loss throuout my body had been running. Past 14 years, I had series of leg surgeries to my non-dominant leg, changin my lifestyle. No running. And vicious cycle- surgery, PT, fat, surgery... My muscles turned to fat, and accumulated fat. I had my final surgery TKR and trekked to the Andes—for the first time in a long time. I have strong muscles but I saw sagging of skin even if I did 100 crunches. Enter Tummy tuck. Wearing my old size 6 was terrific. Since I maintained my weight though exercises, and running, I never really saw my backside- never had to, but after plastic surgery, I saw how my body had changed. While I expect that my spine and other areas of my extreme sports will eventually take a toll, I don’t like the way my entire backside looks. It’s fat, and I cannot lose weight around brarolls ( term I found out recently), my back, my upper arms. I can still wear size 6 or 8 on top but b/c it is combination of fat and skin lax, clothes do not fit well. I saw 360 liposuction and it looks enticing. I consulted one excellent surgeon in US, and he advised that liposuction alone is not the issue for me, it is the excess skin I have. And there is a trade off- a large scar that is unsightly scar of the back will not look good with backless dresses. And surgery to the back do need more care.

Hi, I am 24 years old and I have lost over 30kgs over the past 2 years. I am currently 56kgs ans 157cm however my arms are still quite big and holding on to fat. I have also noticed laxity in my arm and underarm area and whole tricep area is all stretch marks. I feel like my skin is thin and I’m not sure if lipo will help or if any procedure would be better

In 2021 I have my large intestine removed and reversed , I now have a jpouch I wanted to know can I still have a lipo

I neded to know if my droopy eyelid on my right is caused by extra skin and requires Blepharoplasty or orbital bone surgery. I visited the doctor and hris what he said but he also said it could be caused by my orbital bone asymmetrical I was hoping get a second opinion. This what said male with history of right sided bells palsy 2012 and right upper eyelid ptosis s/p right upper eyelid ptosis repair with MMCR on 7/15/24 who presented for postop follow up. Mechanical ptosis of right eyelid Dermatochalasis of right upper eyelid Plan: - Right upper blepharoplasty to removed excess upper eyelid skin that may be causing upper eyelid asymmetry. - Risks, benefits, and alternatives to proposed treatment(s) were discussed with the patient, including but not limited to pain, bleeding, infection, injury to surround structures, need for repeat/additional procedures, swelling, bruising, scarring, undesirable cosmesis, lagophthalmos, inadequate elevation of the eyelid, recurrence of the eyelid ptosis, eye/corneal injury, etc. - Specifically discussed the risk of persistent upper eyelid asymmetry. Also discussed with patient multiple times that no one is perfectly symmetrical, and specifically for the patient's minor/mild asymmetry of his overall orbital and brow structure.

When i was younger the doctor would say i had a mild lazy eye. I use glasses but one eye tends to feel droopy, puffy, uncomfortable, and i feel a bit of pain and eyestrain. Is one eye just bigger than the other? Or the eyelids?

I have already followed up with my original surgeon and now seeking additional input. I cannot seem to find any examples of my situation and it's very frustrating. I'm 52 and had an insurance paid for upper bleph to address drooping lids on my hooded eyes. I wanted a conservative approach. My results looked great for 6 months and then suddenly they became worse and worse developing a crease under each brow along with some skin laxity where the lid skin is just not taut or draping right. I definitely had some laxity/wrinkles going on before thus upper bleph alone prob didn't address/made worse. I would love to know: 1. is this a common occurrence? 2. what is happening anatomically to cause it? 3. what can be done to address it to achieve as natural result as possible to my original eye shape? A brow lift was offered during my initial consultation but my surgeon said I appeared to have okay brow positioning that I could approach a brow lift later, I also wasn’t looking to raise my brows or create a “surface” for better makeup application etc. I just wanted my sagging lid off my lash line. It appears whatever is needed now would be a multi pronged approach. I attempted some upper face botox and that only somewhat accentuated the issues making my eye more open but exposing more of the laxity in the lid along with brow crease. I don’t feel like filler or resurfacing would be helpful either long-term. Thank you in advance for any advice.