Doctor Q&A

Im a 32 year old 5‘9 138 lb female that has always naturally had DDs. Over time, they have started to sag more and they give me such back pain. It constantly bothers me always having to wear a push up bra and readjusting them. But I also am torn from doing a reduction and lift since I dont want a scar or for them to be disfigured from doing a reduction. Thus, i am leaning towards an augmentation. I am questioning if it will leave me with more back pain and if with an augmentation if they will sag over time and id need to wear a bra either way. Is it possible to do a reduction with a smaller implant and a lift? or will it leave them disfigured? Above all, i want them to be visually appealing the most.

I had a transax augmentation last year- 405cc under muscle. It seems they have not dropped and are still high/wide. Is this worth getting a revision?

Im planning for surgery in feb and jusy want other opinion before my consult. My goals are a very natural augmention, and not too big (currently 30b). I want to know if getting motiva ergo 2s subfascial would look very augmented. i want to avoid UTM because i really dislike animation, and i have wider set chest. Im comsdierimg fat transfer as well but worried that it wont stay. Just want to hear about expierence with moderate profile OTM implants on less body fat.

Do any US surgeons have experience placing breast implants subfacially using the Motiva Preserve system? How have the results been? Can the system be used with periareolar or transaxillary incisions, in addition to the more common inframmamary placement? I'm hoping for the Mia Femtech (diamond) system to be US FDA approved, but in the meantime wanted to get more information on the Preserve system, as it's also meant to minimize damage to the breast tissues and decrease recovery time.

My doctors says my sternal notch to nipple measurement is short (15cm) what does that mean in terms of my augumentation though? Is that a bad thing? My nipple is slightly above halfway between my shoulder and elbow. My surgeon also said my breast had a nice shape, so im just wondering how important that measurement is. Im 24yrs old, only having my preop appointment in feb when the clinic opens again.

Hi, I received my tummy tuck last August. I am happy with the tummy tuck itself however my scar is awful. It was hypertrophic so my PS had given me two rounds of steroid injections within the last few months. Unfortunately I have noticed various burst blood vessels and I now have what appears to be a dent in the right side where the steroid injections were also used. Can anybody advise me on what to do about this?

Hi. I never really thought of this. Im ok if my TT scar will have keloid because it can be hidden but how about my belly button? And if it becomes keloid, aside from laser, how can it be reduced? Im a keloid former.

Do you believe lymphatic massages are critical to recovery after a tummy tuck? Will you see defined and better results in terms of shape and definition with them? I'm curious because they are extremely expensive in NC ($125-$150 per session) and most people who perform them say you need 15-20 with a tummy tuck.

Hi guys I’m about to book in with a surgeon to get my tummy tuck done in October to fix skin laxity and Abdominal distension that I have according to recent surgeon who said I have a bit for someone who hasn’t had a child. I definitely have loose skin that bothers me a lot. In this case I am wondering is tummy tuck worth it for the results / a good procedure in this case.

I'm working on losing weight and had been in the mid 200s now I'm 174 lbs and when I lay down my stomach is flatter versus when I stand up. Does it look like I have more loose skin than belly fat?

Hi, I'm wondering if it would still look good if I only had Lipo 360 or would you recommend me to include a BBL ? and also do i need additional Lipo 360 if I choose to get BBL ?

Since 2000 Undetectable HIV 55yr old healthy Brown Female. Unable 2 recieve BBL with hips & fat transfer?

Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.

Had a bbl 8yrs ago now im on a weigtloss injection Is my butt fat safe on the weight loss journey?

I’m 5’2 120 pounds I have large flanks and a pooch.

What's the difference between an open rhinoplasty and a closed rhinoplasty? Should I choose a surgeon who uses one rhinoplasty technique over the other?

Hi there, I am in the 25-35 age bracket and have disliked my nose for as long as I can remember. After many years of thinking about it, I have decided to tentatively begin the consultation process to change it - starting here. For personal reasons, I do not want to change the bridge. I like having a ‘strong nose’ but I think the tip makes it look ugly and unfeminine and would prefer if it was smaller, ndaintier and for the bridge to flow into the tip. The things I want to change are: the tip is big, bulbous and boxy, the nostrils are large and flared (very open), the columnella (I think?) hangs very low and the tip droops down slightly. I would like for my tip to be narrowed and refined. Given my facial structure, are the results I’m seeking possible with a tip ONLY rhinoplasty? Thanks very much for your time and responses.

I’m 21 years old, and I’ve always felt insecure about the tip of my nose. From the front, the upper two-thirds of my nose looks nice to me, but the tip feels a bit bulbous, which makes my nose look rounder overall. I also have a slight hump on my bridge, but I actually like it and don’t want to change it. What I really want is just to make the tip look a little more refined. Would that typically require a full rhinoplasty, or could it be done with just a tip rhinoplasty?

I had double jaw surgery 15 months ago and it changed my nose. I already had a tiny nose but now its wider, slightly upturned and shows more nostril. I feel like it throws off the balance of my face but not sure if i just have to get used to it? My philtrum appears longer now but when i look at before and after jaw surgery, it seems its my nose thats mostly the issue. I dont think im a good candidate for a lip lift to shorten philtrum length because of the angle of my nose. Thoughts?

My nose has changed in the past 3 yrs due to untreated rosacea. It is now bulky,thick at the bottom. Do I have to break my nasal bridge in order to achieve the look of my original nose? Can I just reduce my dorsem, and nasal tip? I have included a before photo of my original nose and a picture of my current nose. thank you

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 41 years old. I have 4 children. I now want to have some long awaited procedures: 1. Breast lift and implants (dual plane) 2. Abdominal liposuction 3. Upper blepharoplasty My questions: 1. Can this all be done at one time? 2. If so, would the recovery be manageable? 3. If not, what would your suggest? (e.g breasts and lipo done in one operating time and eyes done in another under local?) I am going overseas so it would be really useful to know the suggested time between each one. Thank you.

I just got back from a physical with my doctor (not MM related), and he told me I've developed a heart murmur. Next week, I have to go in for a ecocolordoppler cardiaca and an ECG (I don't know what these are in English!). Will having developed this affect me being able to safely have my surgery? It's scheduled for August.

I had a Mommy Makeover (TT with Muscle repair, BA) on April 22. 3.5 weeks ago. I was supposed to start my period 7 days ago. Is it normal for my period to be late post op? Also my breasts have been extra painful the last few days so I'm wondering if this is a sign that something trying to happen. I just wonder if it is normal for disruption in menstral cycle, as I am usually very regular.

Currently, a vegan and eating healthy such soy, Boca, Morning star, Lightlife products. No process foods,no meats, or dairy. All laboratory tests are good such as CBC, CAT scan,blood pressure 105\65 but a slow heart rate and vitamin D deficiency.

Hey, so Im sharing a pic because Ive noticed my boobs look a bit uneven and its kinda bugging me. I cant tell if its just my posture or maybe I hunch way more than I realize, or if having heavier breasts over the years just kinda pulled things in diff directions. Im also thinking about getting a reduction and I keep wondering if that would help the assymetry or just make it more noticeable. Just looking for honest thoughts from other women who’ve been thru this and what your experience was.

Black female. My surgeon stated a free nipple graft is required if I want to go down to a D cup, from my current G cup.

I’m having second thoughts about my surgery scheduled in December. My surgeon says that he can only do a FNG, I’m a DD and my insurance approved my surgery so I’m unable to chose the size I want. I’m 24 and I have one kid but I’m thinking long and hard about my decision. Will the FNG completely take away my ability to breastfeed in the future? Is it worth getting a second opinion to see if another surgeon can do the surgery without a FNG

Hello i did breast reduction surgery befor 2.5 years i had open wound that affect my scar it was big wound that took so much time to heal my doctor recomand me to do scar revision another doctor told me to go for another redction surgery so now i am confused does the scar revision on my case can realy be success or it would open my wound again because i realy want to gi just for scar revision

Basically the title, im 18 and a woman and just don’t want them. They feel gross, look bad and due to the size it is bad for my sensory processing disorder with clothes. Also i don’t have implants, so just natural ones. Thank you!

Hi i have a consultation in January and really hoping i can just have implants as a lift here is very expensive. Id like to go for 400cc plus. Thats my goal.

Will implants only help fill out upper breast , when in standing position they dont bother me much but when laying down the top is like a flat tire and skin ripples. I dont want scars or the price of two procedures.

I'm 4'11, approx 97 lbs. Bra size is a 34b, with space in the top of the bra. I am planning on getting a full anchor lift and implants. My bwd from 1 surgeon is 10.5, and another surgeon was 9.5. My surgeon recommended a HP implant, but the projection freaked me out a bit when I tried on the sizer. My goal photos are attached here. I'm looking for a full B cup, A "c" cup would feel too big. My biggest worry is the implants not sitting high enough, and "ball on chest" look. Looking at 150-200cc.

37 years old , 135 pounds , 5”6 in height , two children no breastfeeding . Fluctuated in weights over the years . Back to my normal weight before kids now at 135 Pounds .

Hello, I would like to know whether my breasts are tuberous or not. If so, what severity are they? Or are they just small? I think the areola’s seem large in comparison to the size of the breast. I have noticed that the areola sits at the bottom of the breast and that there is little to no “underboob” breast tissue. I have also not the lack of upper pole fullness and no cleavage unless I was to really really push them together. They seem quite wide set and there is some asymmetry as well. They seem to be sideways shaped as well- they appear to “swoop” down from a side crease near my armpit. When I lean sideways the breast tissue seems to go round my side and almost become a backroll. When my nipples are hard, they look more conventional, but when my nipples are soft, the areola looks big and very soft/puffy. Do I have insufficent glandular tissue? What are my options if I embark upon surgery and if I wanted a much larger size, but natural looking? I am a 21F, 5ft 3”, approx. 66kg. Thank you.

I don’t want to get a tummy tuck just yet since I plan to have kids in the future. What really bothers me right now is the shape of my belly button — I feel like it makes my stomach look even fuller than it actually is. If my belly button looked rounder and less “frowny,” I think my midsection would appear slimmer overall. When I stand in front of the mirror and gently push in or pull down the lower belly fat that sits around my belly button, the shape becomes much rounder and more balanced. Because of that, I’m wondering if it would be possible to do a very small, targeted liposuction in that specific area to help improve the shape. I don’t want full lower abdominal liposuction, since my doctor mentioned it could lead to loose skin and that a tummy tuck would be a better option for that. But at this point in my life, I’d prefer to avoid a tummy tuck and explore smaller, less invasive options to improve the area instead.

I have 29 inches waist and a left flank that has more fat accumulated than the other. I believe this is due to an appendectomy I had when I was 12 years old that left a big scar on my right side that reduced the fat cells on that area. my skin is not elastic, therefore I expect sagging after the procedure. My height is 5” 1’, my weight 117 pounds. Reducing the fat on my left flank has been a challenge, because with diet and exercise the fat loss is general from your whole body, not targeted. Can I find a doctor in my area to perform this procedure for me? Thanks !

I am getting married in August and I wanted to have liposuction on my abs and love handles. I am5-10 and 165, but I’ve struggled with love handles most of my adult life. I have lost weight in the past, but my skin looks normal when I am standing. It doesn’t look loose or crepy. However, if I bend over, it does hang a little. My concern is that, if I have liposuction, it might hang more. I have heard of procedures that combine liposuction with non-surgical skin tightening. I am aware that results could be impressive for the liposuction, but modest - at best - for the skin tightening. I am willing to accept this, as I will not consider any type of tummy tuck or skin removal. What are the most effective lipo-skin tightening procedures out there, understanding that they won’t be as effective as a tuck or skin removal? I am in the Cherry Hill NJ area and would like to do soon, as I know that healing takes time. I forgot to add that I am male.

Hi, I’m a 32 year old female looking for advice on what kind of procedure could help with stubborn fat pockets over my rib flare area. I have a naturally short torso and have always struggled with this-- whether I’ve gotten leaner or gained weight, the bulge in this area stays the same. It doesn’t respond to diet or exercise and creates a noticeable protrusion that makes me feel self-conscious, especially in bras and bikinis. Bras tend to push down on the fat, making it more visible, but it’s still there even without them. I’d love to know what procedures (surgical or non-surgical) might help flatten or contour this area. Thank you! :)

Hello, I have extra rolls underneath my butt. How can I remove this?

39 male here. Lost a little weight, but also just feeling that I look tired. I’d like to address my eye hollows but am unsure if a lower bleph would be appropriate for me, generally, or if I was a good candidate if dermal fillers yield a better result. Thank you all very much for your time .

I underwent CO2 laser resurfacing on the lower eyelid/cheek area approximately three weeks ago, and I am seeing promising initial results. I am now interested in receiving an evaluation by a plastic surgeon for a lower blepharoplasty. I wanted to know the standard waiting period or required healing time that must pass after CO2 laser treatment before I would be considered eligible for the blepharoplasty procedure. Thank you!

I had an upper bleph about a year ago and my eyes definitely look better. I had a facelift done about 6 weeks ago and therefore, have been taking more selfies and scrutinizing my face more than I usually would. I obviously have some pretty severe asymmetry post-bleph -- I knew this, but now I REALLY can see it. What I don't understand is -- was there too much taken out of the one side, or not enough out of the other side? Like is this fixable and if yes, what is the procedure to correct? Also, what is the rcovery for a bleph revison like? Is it worse than the original?

I recently had an endoscopic ponytail lift combined with a lower bleph and canthoplasty. I noticed there is excess skin on the upper outer lid. What procedure would be best suitable to address the excess of skin?

Hi there I have recently had a consultation with a surgeon in Bristol in regards to my under eye bags One thing the surgeon mentioned was that I would require under skin stitches on the orbital bones and at the corners of my eyes. He said these stitches will dissolve but could take anywhere from 2 - 6 months to dissolve. He said I could forgo having the stitching along the orbital bone but it wouldn't look as natural. This is something I have wanted to do for a long time but I am anxious at the thought of there being stitching under my skin. Will the stitches completely dissolve? Could they cause problems? Thank you

After dealing with borderline ovarian tumors, and the resulting surgeries,my face has decided to definitely shift south. I resemble more a Shar-Pei than myself! At 67 have I waited too long and what should I do?

Is there anything wrong with getting a fat transfer AFTER a deep plane facelift? My concern is doing the fat transfer at the same time will cause additional pain and a longer recovery time.

I underwent facial fat grafting one week ago, during which approximately 50 cc of fat was injected into my cheeks, temples, and nasolabial regions. As a result, my midface currently appears excessively full, and I am concerned that much of this volume may persist due to the large amount of fat that has been used. My main aesthetic concern is the laxity of my lower face and neck, including sagging along the jawline (jowls) and the presence of submental fullness (double chin). I am interested in a lower facelift to achieve better definition and tightening in this area. However, I am worried that a lower facelift could potentially make my lower face appear too narrow relative to my overfilled cheeks, resulting in an unbalanced or triangular facial shape. I would appreciate your assessment regarding candidacy and optimal timing for a lower facelift, given my recent fat grafting procedure.

I understand that Sculptra and a thread lift can alter the skin tissue underneath and make a facelift risky and more difficult. What about injections of polynucleotides? I've had a few treatments and really like how much fuller my under eyes have become.  My injector also does exosomes, placenta and PDRN. Can any of these make a future facelift more difficult?

I’ve been researching deep plane facelifts and I understand that, traditionally, they require incisions around the ears, which can leave a more noticeable scar. Recently, however, I’ve come across several clinics advertising full deep plane facelifts performed endoscopically, using only small incisions instead of the classic periauricular approach. For patients who have more muscle laxity than skin laxity, the idea sounds promising. I’m aware that the ponytail facelift has become popular, but my understanding is that it mainly addresses the upper third of the face (temples/midface), and is more of a gliding lift rather than a true deep plane release, so results may not be as long-lasting. With that in mind, may I ask: 1. Is it technically possible to perform a full deep plane facelift endoscopically and achieve results comparable to the traditional open approach? 2. Are these procedures genuinely deep plane lifts, or more likely modified ponytail/midface lifts marketed as full deep plane results? 3. Is there a limitation in terms of lifting the lower third of the face when performed endoscopically? I haven’t found many surgeons offering a full endoscopic deep plane technique — only mid-face or temporal lifts. I’d be grateful for your expert opinion on whether this approach is realistic, long-lasting, and currently practiced in a comparable way to the conventional deep plane facelift. Thank you in advance for your insight