Doctor Q&A

We have reviewed your photo. The changes may be related to implant displacement or capsular contracture. We recommend an in-person consultation to determine whether breast implant revision is needed.

Hello,
You bring up great questions! From reviewing your photos you do appear to have less tissue to potentially hide an implant as well as you may like in the subfascial (aka above the muscle) position. That being said you could still go this route if you understood that it may have a more augmented look but would not disrupt your chest muscles at all which sounds like is your goal. In regards to younger surgeons liking the subfascial technique more, I am personally a young plastic surgeon...

From the photos, there may be mild tuberous or constricted breast features, such as a narrow lower pole, some lower breast tightness, and a slightly puffy areola. However, this is not something that can be diagnosed with certainty from photos alone.
Implants alone can work in mild cases, especially if the nipple position is acceptable and the main goal is more volume. But if there is a tight lower pole or constricted breast base, simply placing an implant may not fully correct the shape. In...

A tummy tuck may improve some of the loose skin and lower abdominal wrinkling after liposuction, but it may not completely correct all rippling, dents, or color changes.
Liposuction irregularities can come from uneven fat removal, scar tissue, skin laxity, and thin or damaged soft tissue. A tummy tuck can remove a portion of the lower abdominal skin and tighten the remaining skin, so if the worst irregularities are in the skin that can be excised, improvement may be significant.
However, if...

I usually recommend patients reach their goal weight and maintain that weight for about 6 months prior to tummy tuck. While bmi isn't everything, achieving a bmi around 27 to 30 will help create the optimal result after surgery.
Richard Tyrell MD FACSRive plastic surgery

If you like the nose-lip distance and do not have a dorsal hump, the goal should be refinement rather than making the nose smaller. From your description, the concern is that the nose looks too straight or sharp, especially from the upper bridge/tip transition.
In that situation, I would ask the surgeon about softening the dorsal aesthetic lines and refining the tip in a conservative way. This may involve very subtle cartilage reshaping, tip refinement, or small camouflage grafts to make the...

That is likely your right lower lateral cartilage genu (turning point) pressing against the skin. This creates a white shiny bump. It could also be a cartilage graft that moved. It could also be abnormal scarring. I would recommend seeing an expert rhinoplasty surgeon who has ultrasound and/or CT capabilities to see what is going on.

Thank you for your question! The fat transferred during a Brazilian Butt Lift behaves like the rest of your body's fat, so when you lose weight with a GLP-1 medication or another weight loss injection, the fat loss is generally distributed throughout your body, including the arms, abdomen, breasts, and buttocks. Since your goal is to lose only the 10 pounds you gained after surgery, I would expect any change to your BBL results to be slight to moderate. Most patients do not experience a...

Hello. It is technically possible to perform surgery using implants alone in your current condition. However, in that case, we would need to use implants with a smaller diameter and a higher projection. Even after surgery, your breasts would likely still have a somewhat sagging appearance.

For this reason, I recommend a periareolar mastopexy (donut breast lift) combined with breast implants. This approach can correct the sagging while restoring volume. It also allows us to use implants with...

You are still very deficient in your chin. We need to bring the chin much further forward. Skin can be tightened with a facelift or an energy approach like facetite or junera, but, the chin needs revision.

When evaluating tethering or contour irregularities like this, it is important to look at the face as a whole rather than focusing on a single area. A definitive treatment plan cannot be made from photos alone; an in-person examination is necessary to assess skin quality, tissue laxity, volume loss, and the underlying facial anatomy.
If there is evidence of facial sagging and volume deficiency, a lower facelift combined with fat grafting may provide a more balanced and natural improvement....

This is always a tricky question to answer without an in-person consult, because a lot depends on your goals and the status of your abdominal skin.
In general, liposuction can reduce overall fullness and enhance contours, but it does not tighten skin on its own. So, if your goal is just to reduce the amount of fat and slightly enhance the shape of the lower abdomen, you could be a great candidate. That being said, many plastic surgeons would recommend combining the liposuction with some...

Thank you for your question, Experiencing skin burns or surface skin breakdown after liposuction is an unexpected complication, but understanding what caused it and how to manage it properly will help protect your skin and minimize scarring., our suggestion is ask your doctor after that what is the next step to take, and if they have a plan for this particular unplaned situation.
Please make sure to share clear pictures of the area with your surgical team so they can guide you on the exact...

Thank you for your question. The best approach depends on the amount of loose skin and the location of the excess fat, which is difficult to determine without photographs or an in-person examination. If the fullness is isolated to the pubic (mons) area, liposuction through one or two small, well-hidden incisions may be all that is needed. If you also have significant lower abdominal skin laxity after weight loss, a tummy tuck may be recommended, as it can tighten the lower abdomen and...

Heterozygous Factor V Leiden does not automatically rule out surgery, but it increases the importance of formal clot-risk assessment before elective liposuction or fat transfer. Your surgeon and a hematologist should review any personal or family history of DVT or pulmonary embolism, estrogen-containing medication, smoking, BMI, other clotting disorders, planned operative time, amount of liposuction, travel, and how quickly you can walk after surgery. The prevention plan may include...

We have reviewed your question. This concern is outside our area of expertise. We recommend consulting an experienced specialist to discuss the most appropriate options.