Doctor Q&A

I am in the process of planning my first breast augmentation, and feeling stuck regarding the techniques my preferred surgeon can offer. One technique, the Preserve breast augmentation (essentially a Motiva surgical kit that is marketed as "tissue sparing") sounds promising and could theoretically avoid general anesthesia altogether. However, the surgeon has far more career cases and overall experience performing the "traditional" method of breast augmentation, over the muscle. This is a surgeon who I vetted and trust, and they felt I would be a reasonable candidate for either due to the smaller size of my desired implants. For me, the choice comes down to a number of things, but the fact this surgeon has only done about 100 cases of Preserve total makes me hesitate somewhat. They didn't seem totally sold on it being any monumentally easier to recover from than their traditional OTM method either. So I am ultimately wondering from the surgeon perspective, whether I should weigh the surgeons experience most heavily over a technique alone.

Wondering if the stair climber is okay to do 2 weeks after surgery since there is no bouncing motion. Also, is walking on incline considered "strenuous" or is this okay?

I am a 38 year old female planning on getting a breast augmentation. I breastfed two babies many years ago and my breasts never recovered. They are small and deflated. I am thinking 350-400 cc motiva implants and willing to go over or under the muscle, whatever needed to get the aesthetic I am hoping for. I am 6 ft tall, 150 lbs, breast width is 13 cm, sternal notch to nipple is 22.5 cm, nipple to IMF is 6 cm. Very active, running and strength training. Currently a B cup, looking to get to D or DD. Wondering if I need a lift or just an augmentation. The last thing I want is bigger breasts that look saggy. Not super concerned with nipple position, they currently point forwards and I am ok with them being slightly lower on my breasts but absolutely want to avoid them pointing down and looking droopy.

It has been 6 weeks since my under the muscle silicone implants. Is it safe to do upper body weights? I also want to do the Insanity workout dvds which are very high intensity workouts with a lot of pushups, running, jumping jacks, etc. At what time would it be safe to begin that? Thanks

I’m 43 years old and 4’11”. I’m already slim, so part of me worries that undergoing a full tummy tuck with muscle repair may be unnecessary or a waste of money. However, I remain very self-conscious about my lower abdomen and do not feel comfortable wearing a bikini. My surgeon recommended a full tummy tuck with muscle repair and told me that I will also have a short vertical scar on my lower abdomen, in addition to the horizontal tummy-tuck scar. Based on my photos: 1. Does a full tummy tuck with muscle repair appear appropriate for my anatomy? 2. Is muscle repair likely to provide a meaningful benefit for someone who has never been pregnant? 3. Does the short vertical scar appear necessary? 4. Could a mini tummy tuck, skin-only tummy tuck, or another approach improve my lower abdomen without the vertical scar? 5. Would the improvement likely be significant enough to justify the procedure for someone who is already slim? I understand that photos cannot replace an in-person examination. I’m seeking additional professional opinions before making my final decision.

Updated: Tummy tuck & BBL. - My belly button was not on the right side. She was too busy to get off the phone when she marked me and marked my line off-center. Never was my belly button to the right of my center. She has avoided me from the first office visit after surgery when I asked about it. Beware of doctors that blame the patient. .

I’m 23 years old and currently considering getting a tummy tuck, but I’m feeling very nervous and want to make sure I’m making the right decision. I’ve done a lot of research and I’m interested in traveling abroad for the procedure, possibly to the Dominican Republic. I’m looking for a surgeon with a strong safety record, good communication, and great results. My main concerns are: * Am I too young for a tummy tuck at 23? * What are the most important things I should look for when choosing a surgeon/clinic abroad? * What questions should I ask during a consultation? * What are the biggest risks or things you wish you knew before getting a tummy tuck? * Would you recommend waiting, or is it reasonable to move forward if I’m confident in my decision? I would really appreciate hearing from anyone who has had a tummy tuck, especially at a younger age or who traveled internationally for surgery. I’m also nervous about dying or if something goes wrong

Female 4'11 22

Hi! I am a middle eastern female I think my nose is long and I am so confused if i should do it , or would a tip plasty help more?

I’m considering a very subtle surgical refinement to my nose and would really appreciate opinions from surgeons who have experience with columellar reduction/hanging columella correction. I actually like my nose overall and don't want a traditional rhinoplasty. I’m happy with my bridge, tip projection, nostril shape and the slight fullness/character at the end of my nose. The only thing I would like to change is the small amount of tissue/columella that hangs down between my nostrils. From the side, it makes the bottom of my nose look slightly longer than I would ideally like. I have edited one of my photos to show the very small amount of reduction I am hoping for. I do not want my bridge reduced or narrowed, my tip rotated, my tip made smaller, or my nostrils changed. I want to retain the natural character of my nose and essentially just bring the lowest part of the columella up very slightly. I’m wondering whether this could be treated as an isolated columelloplasty/columellar reduction, rather than a full rhinoplasty I’m also quite nervous about surgery, so if this is suitable for an isolated procedure, I’d be interested in whether it could be performed under local anaesthetic, ideally with sedation, rather than general anaesthesia. Thank you x

I am 31 year old male, current weight 180lbs and I have lost 30lbs recently and prior weight loss of 50lbs about 10 Years ago. I’ve lost volume in my butt and it’s become somewhat loose and squishy, I have been thinking about surgery for my abdomen and chest for many years but now I am considering this also. I’m not looking for a major change but I’m thinking a little more volume is what I’m looking for. Would this be recommended doing with some abdomen and chest work? What would be the best route for my abdomen and chest? I am in Arizona and have not had any consultations.

Im 18 years old, and no matter what i do i cant achieve any butt growth nor weight loss i plan on doing a lipo360/a bbl, Im 5,8 and i weight 170, I have minor scoliosis too so i want to make sure the shape matches my body, and i dont want anything too big i want something that looks natural for my body type plus me being tall, im also a brownskin female :)

I am traveling from Chicago to Miami for a mommy makeover surgery (tummy tuck, lipo, breast lift, implants) on Jan. 10th. I am staying at a recovery home in Miami until the morning of Jan. 18th. Is it going to be safe to take a 2 hour flight back home to Chicago that afternoon? I have heard that it is very dangerous to fly long distances within the first 2 weeks after surgery, but since the flight is domestic and fairly short, I was hoping it would be ok? Thank you!

i am coming up to 60 and would like a breast reduction , I’m 5 foot and currently a 36g/h . I have decided with navigating back pain , groives and neck ache and the weight of my breasts I need to have this done Not to mention my low self esteem . I currently have a 7cm hiatus hernia . I am been monitored by the hospital and take medication to manage it . I sometimes regurgitate albeit not often . My concern is would this stop me having a breast reduction . I would appreciate a medical opinion so I know if I can go forward with this .

I have two consultations for breast reduction scheduled for next month. I have large breasts (40J) and know breast reduction would be beneficial. Insurance won't cover it, so I'll pay out of pocket. Surgeon 1 is certified by the American Board of Plastic Surgery and has only a few pictures on his website, but they're all of patients with smaller breasts than mine. Surgeon 2 is certified by the American Board of Cosmetic Surgery and the American Board of Surgery; he also has multiple pictures of his work on his website with patients who look similar in size to me. My question is: What is the difference between these certifications? Should one be considered over the other for a breast reduction on larger breasts? Thanks in advance for taking the time to answer this question!

How effective is this procedure please

I had a platysmaplasty in September 2020 but by mid 2022 my platysmal bands were showing again and I had some loose skin . I went and had a partial resection at the end of November 2022 however my neck is still a little lumpy and looks like this . The surgeon has reviewed and said issue might be scar tissue and hyperactivity of the platysma muscle and suggested Botox and an injection of Kenalog steroid . Advice needed

I am recovering from a fractured jaw 3 months ago and want to get Botox in my forehead and marionette lines and lip fillers. Is this safe at this stage of fracture healing ?

Had a breast aug just over a year ago, a couple months ago I noticed that when I bend over I get an uncomfortable pressure in my right breast. No pain or discomfort any other time. Have been to a regular doctor and they didn’t feel anything out of rhe ordinary. Unfortunately my surgeon is on the other side of the country from me but thinking about making an appointment with a surgeon here to look at it if needed. Wondering if anyone has heard of this before and what coukd be causing it. Do not have the same feeling on the other side. I go to the gym and lift 5 days a week (heavy lift) and have no pain or discomfort during that, only when I bend over I feel this pressure. 625ccs under the muscle, I am 6’1 and 175lbs

I had a breast reduction over a year ago through insurance and about 400 grams was removed from each breast. I terribly miss the size and regret the reduction. If i get 425 cc implants will they be the same size as before? do grams of fat and cc of implants correlate in that way?

Hello! I’m 30 y/o and I cant stand my marionnette lines/jowls. In my opinion, its not caused by age (although it definitely can have contributed). I had jaw surgery when I was around 17 y/o and my lower jaw got placed back and since then, I have that excessive skin around my mouth that age me and make my face droop. What kind of face lift would be appropriate in my case ? Lower face lift ? Endoscopic lift ? The pictures are : what my face looks like on the left and what I feel like a facelift could do on the right… Thank you so much!

My weight of 112 lbs has always been stable. I have thick, oily skin without fine lines/wrinkles. I have always had fat pads in a location which is too low on my face and deep nasolabials. I just tried Restylane to the pyriform fossa, no improvement. My goals are to restore a smooth transition from the cheek to the lower lids, to reduce the heaviness of the cheek tissue, and in general to lift a descended central facial structure, from the lower eyes to the perioral area. Thanks in advance for recommendations.

What face/neck lifting method is best for a 30-year-old who lost 55 lb (25 kg) 2 years ago and wants to lift the midface, lower face, and neck—especially the lower face to the extent shown in my manual-lift photo? Since there are so many variations within each category, what specific type of mini/limited facelift, SMAS facelift, or DPFL would you recommend for me? Feel free to stop reading here; more context below if helpful. I’m confused by the conflicting advice. Some surgeons argue mini facelifts because of the limited dissection/inadequate release/repositioning of the deeper tissues can lead to a pulled/less natural look, increased tension on incisions, limited effect on mid/lower face & deformities like sweeping/pixie ear, and argue that a more complete release DPFL can look more natural even in younger patients. Others say a DPFL is too extensive at my age and recommend a mini or SMAS lift instead. I’ve also heard criticisms of SMAS lifts, including a less natural look, more tension on incision, greater skin-SMAS separation which can cause surface irregularities or a dull skin appearance. I’ve also considered hidden incision endoscopic full face/neck lifts using hairline and behind-ear incisions to address the midface, lower face, and neck. I’ve heard conflicting opinions on how well they lift the lower face and have noticed some results with cheek/temple widening, indentations, or visible pull lines creating that alien look.

I notice that USA surgeons say their FL/NL etc are of up 4 - 6 hours but overseas, including Thailand are up to 10 hours. Why is there such a big difference and how can they even perform for that long? Also US surgeons tend to use IV sedation and overseas favour general which is more risky. Why such a disparity?

Hematologist note that I could have facial hemihyperplasia

45 year old female, tall frame with long proportions. I've never had any surgeries. I lost 10-12 pounds a couple of years ago after the death of a loved one. I regained it back in terrible places. Target areas: abdomen, waist, flanks, full thigh, knees, circumferential calves, ankles, and upper arms. Wishlist: possible minor breast augmentation via fat transfer, 1/2 to 1 cup I believe I am seeking support for a continuous lower-body line transformation with circumferential lower-body harmonization. I want an ultra smooth, ultra natural taper for a long, linear leg line. I also want reduced upper arm size. Please let me know if I'm using the wrong terms. Given my interests and photos, am I candidate for a minimally invasive, low-sedation, or awake micro-liposuction protocol? I currently weigh 150-155, 5'9", within a healthy BMI, but is it helpful to lose a few pounds before any procedures? What would be my best next step? I've done some research, but really am relying on reviews. I am open to procedures in the US or interntionally.