Doctor Q&A

After reviewing your photos, I think the sizes you chose are a good fit. Your tissues are thin and your are very lean. I would probably go with a more moderate profile implant instead of high profile because I think it will look more natural for your frame. High profile implants may look too "ball like" on your frame. I would probably go to the slightly larger implants because, once the implants are in and the tissues heal and settle, then tend to look a little smaller than when outside...

Dear SamShadowx, Thank you for your question. I consider that a simplistic answer to a complex question of whether to have implants placed 'dual plane vs subfacial' would be unhelpful to you. There are numerous variables involved in assessing and advising about plane of augmentation. You have mentioned but a few and also included fat grafting which further complicates the picture. In short, you need good professional advice to help you select the most appropriate option(s) for you. I suggest...

Choosing your breast implants is important, but choosing who performs your breast augmentation is even more important. One of the first things I tell patients is to make sure they are comparing apples to apples when researching surgeons. The terms “plastic surgeon” and “cosmetic surgeon” are often used interchangeably, but they do not necessarily represent the same training or credentials.
When considering breast augmentation, I recommend looking for a surgeon who is Board-Certified by the ...

The best for you to do is to see a qualified board certified surgeon who understands tummy tuck surgery. Have them evaluate the spitting stitch. It is best to have this stitch removed from deeper under the skin. This can be done under a local anesthesia through a very small skin incision at the scar. This will avoid further problems in the future.

Dear Mottly Skin, Thank you for your question. From your photographs you appear to have loose skin and therefore soft tissue laxity above your umbilicus which is a requirement for a full abdominoplasty (tummy tuck). However, you also appear to have a long tissue segment beneath the umbilicus which requires careful consideration. In context of your clinical history, this makes accurate clinical assessment vital in order to advise you regarding any next steps. I suggest you consult a...

While it may be technically possible to combine a tummy tuck, Lipo 360, back liposuction and an arm lift into one operation, I would not recommend performing all of these procedures at the same time due to safety concerns. When planning body contouring surgery, the goal is not to accomplish as much as possible in one day—it is to achieve the best result while keeping the patient’s safety the priority.
The amount of surgery that can safely be performed at one time depends on several f...

Thank you for your enquiry. The underlying anatomical basis for the features you do not like will likely require open surgery, cartilage resection and suture techniques along with thinning of the soft tissues and possible alar base resection. They are unlikely to be able to be addressed by sutures only. Expert clinical assessment is required in the first instance. Mr Tansley (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist...

Your goals sound very reasonable, and a conservative rhinoplasty may be able to achieve the refinement you are looking for without creating an overly lifted or artificial appearance.
In my practice, I focus on preserving each patient's natural facial characteristics while improving balance and definition. For a bulbous tip, this may involve carefully reshaping the tip cartilages with sutures, making a limited cartilage reduction when appropriate, and adjusting tip support. The objective...

After reviewing your photos and your weight and height it does appear that you do have enough of excess in the abdomen, flanks, upper hips, mid and lower back to harvest enough fat to recued these areas safely and begin to create a more hour glass shape to you body. Your waist will look slimmer just by liposuction. Next, this fat is prepared and then carefully injected into the buttock and hip dips. This will create more fullness of the buttocks and roundness of the outer hips. This will...

Dear siebie073,

based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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...

Pain that persists or newly appears two years after a BBL should not be assumed to be normal, especially with a new contour dip and pain when sitting or lying down. In my experience, possibilities include scar-related tethering, fat necrosis or calcification, nerve irritation, pressure-related pain, or a separate hip, spine, or tendon problem; an online description cannot distinguish these. I would pause hip-dip filler until the cause is clear, because filler can add inflammation, nodules,...

Hello and thank you for your question. In an appropriately selected patient, combining breast lift and fat transfer with a tummy can tuck can be an excellent approach. A tummy tuck routinely discards excess skin and fat, the latter of which can instead be harvested for transfer elsewhere - in this instance to your breasts. Nothing is therefore wasted and use of your own fat tissue is optimised to try to achieve the outcomes you desire. To achieve breast volume symmetry, your bigger side...

A consultation can be reasonable, but I would not choose a surgeon for a mommy makeover based mainly on positive reviews, Instagram, or years of experience. The American Board of Cosmetic Surgery and the American Board of Facial Cosmetic Surgery are not the same as specialty board certification in plastic surgery, and maxillofacial training does not by itself establish training in breast surgery, abdominoplasty, or body contouring.

Ask exactly what residency and fellowship training she...

At 158 cm, 47 kg and starting from a 32A with minimal breast tissue, 300 cc will create a noticeable augmentation, although whether it looks “too big” cannot be determined from the cc number alone. Your 12.75 cm breast base width, tissue thickness, implant dimensions and desired projection are more important when selecting the implant. Since your priority is a proportional and natural result, I would personally consider a smaller-volume, moderate-profile implant rather than automatically cho...

The size of tissue removed may be replaced by getting an implant in the same size, however it may not give you the same size/shape before your breast reduction. This is because the shape of the implant and where it’s placed may differ.

Hello. This is partially true as it depends on the type of facelift you get. Some techniques are designed to better address the nasolabial folds. The deep plane facelift technique, where you do an extended sub-SMAS dissection and release the retaining ligaments of the face, specifically the ligaments in the mid-face, will help address mid-face tissue descent and improve the nasolabial fold. Without ligament release, a facelift would not be able to improve the nasolabial folds much and would...

Hello. From your photos, a single-sided jowl with early midface drop is soft tissue laxity, not something HIFU or fillers will fix. At 32 a full deep plane facelift can be more surgery than you need if the other side is still smooth, and an endoscopic midface lift alone will not reliably correct a true jowl. I would examine whether a limited deep plane or SMAS approach on the heavier side, with fat grafting for the deflation, gives lasting improvement. For best results the plan has to match...

Dear Diligent564279, Thank you for your question. From your photograph you appear to have excess upper eyelid skin, perhaps a little moreso on the right and your brows appear to have ptosed to some degree. The upper eyelid and forehead are considered together by plastic surgeons as a single unit; if they are not managed appropriately, either together or in isolation, future complications can be significant. Accordingly, I would advise you to seek the assessment of a specialist plastic...

Based on your photos alone, I would not assume that you are not a candidate for lower blepharoplasty. You appear to have a combination of prominent lower eyelid fat and a relatively deep tear trough/lid-cheek junction. Importantly, younger age does not preclude lower blepharoplasty—I treat many younger patients with a very similar presentation, and there are well-established transconjunctival techniques specifically suited to younger patients without significant excess skin.

In my p...

From the looks of your photos, I think you’re a great candidate for lipo 360. Pick the correct surgeon and there’s a real good chance you’ll love the results.

In my experience, the three photos show some fullness and skin laxity in the upper-arm and underarm area, but close-up, posed photos cannot assess skin recoil or how much is fat versus loose skin. Liposuction can help when pinchable fat is the main issue and skin has good elasticity; with thin skin, stretch marks, or laxity after a 30-kg loss, lipo alone may leave or worsen looseness. An arm lift (brachioplasty), sometimes with limited lipo, removes excess skin but creates a scar. At 56 kg...