Doctor Q&A

I would agree with the opinion of your first surgeon. If you use implants that have enough volume and enough projection, I think doing an augmentation alone would give very natural-looking results. The position of the areolas might not be "perfect," but I think it's a good option to consider, since it would eliminate the need for any additional incisions. As long as the implant is large enough and has enough projection, you would be able to avoid a waterfall deformity and also avoid the...

Thank you for your question. Given two prior BBLs and a postpartum abdomen with most laxity above the umbilicus (and suspected fibrosis), the safest, most effective approach is a staged revision. First, conservative debulking liposuction of the buttocks to restore proportional size, combined with revision liposuction of fibrotic areas using PAL/VASER plus subcision to release tethering. Then, address the abdomen with a full abdominoplasty with muscle repair if diastasis is present, because...

⛷️ When Can I Ski After Rhinoplasty?
I typically recommend waiting at least 6 weeks before returning to skiing or any other contact or high-risk sport after rhinoplasty

Hello, If you have Undetectable HIV and a good CD4 Count as well as normal Blood Test results and a Normal Cardiologist Evaluation, BBL with Fat from Hips and arm fat transfer is definitely possible. Jaime Caloca Jr., M.D.

Trustworthy789739,
Having surgery at a teaching hospital all patients will have their care provided by a combination of residents and attending surgeons. I believe you are speaking about utilizing the discounted services of the resident cosmetic surgery clinic. In general, the requirements for teaching hospitals state that attending surgeons must be immediately available, especially during critical phases of an operation, and determine the level of resident involvement based on the case...

Unfortunately, you have not provided any photographs. At size 30 F or G, each 100 grams of breast tissue removed corresponds to 1 cup size change. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without...

If your goals are simply to reduce the volume of your upper, posterior arms, then liposuction will do that with minimal scarring. No one‘s skin gets more elastic as they get older, so after the liposuction, the volume may be reduced, but you may still have some loose skin. If that is acceptable to you, then liposuction would be a great option. If you are looking for skin contouring as well, then an arm lift would be required. The trade-off is that the skin of your arm would be contoured b...

FDA approval and prediction of availability is difficult if not impossible.

The first generation Ergonomix were made available in September of 2024 receiving PMA (pre-market approval) after completion of a 3 year safety study.

FDA evaluation prior to approval (for better or worse) is extremely rigorous and can take several years to approve. Many manufacturers sit on technologies for years debating whether the investment in obtaining approval will be worthwhile. As a result, the US is...

You appear to have good skin quality with volume descent. A SMAS repositioning and fat grafting can definitely help, but you do not necessarily need any skin removal. You hit the nail on the head with your description of facial aging- the squaring of the face and heaviness of the lower face are hallmarks of the aging face! Hope that information helps.

It’s possible that these could be xanthelasma, but the only way to know for sure is with an in-office evaluation, and sometimes a small biopsy is done to confirm the diagnosis. If it does turn out to be xanthelasma, it’s important to follow up with your internist to check cholesterol and overall lipid health and begin any needed treatment, such as starting medication.

This area has very thin skin and limited extra tissue, so removal needs to be done carefully to avoid issues like web...