Doctor Q&A

I am 1 year PO and happy with size and shape of my implants. I am very unhappy with my nipple placement. They are very asymmetrical. I got 295 cc in the left and 345 cc in the right UTM natrelle SRF implants. Recently, my right breast has been feeling internally tight and when I squeeze it I can feel what seems to be a bubble at the base of the implant, but the implant still feels soft to the touch. My left breast feels cohesive with my body but my right one feels like a foreign object/implant. My original surgeon is no longer practicing and another surgeon recommended I accept the nipple placement since there was asymmetry prior to my procedure. They also mentioned the tightness could be related to muscle soreness. Would another opinion be worth it? I’m looking for guidance and advice on if there is anything I can do to improve these concerns, or if I truly need to accept my body.

Hello I hope you're well. I have had some consultations for a breast enlargement, and it turns out I need a lift at the same time. The surgeon will be using the lollipop incision with L 350cc R 300cc, high profile, totally smooth silicone implant, dual plane. I have just discovered the risk of nipple necrosis due to lifts+implants and I am terrified! Does the procedure I'm having carry high risks of nipple necrosis? I'm wondering if going dual plane will help? I don't know how it works but does putting the implant submuscular disturb the bloodflow/blood vessels in the breast tissue less? Or is it the lollipop scar which is the most risk for necrosis due to disturbance of the tissue in that area? What can I do during recovery to promote blood flow to the nipples? Are there any other major complications I should know about and do they have methods to prevent them? Thank you so much in advance! x (I forgot to mention, I am a full C cup currently aiming for DD with heavy breast tissue which has made them slightly sag which is why the lift is needed I think. The lollipop scar is for a slight bit of tubular breasts, my nipples go cone shaped when warm so this is to make them smaller/less puffy/make the breasts look more round)

I had a breast augmentation and became pregnant shortly after surgery, before the tissues had fully healed or stabilized. I’m now about 85 lbs postpartum, and my skin stretched significantly during pregnancy. Since then, my breasts have changed in ways I didn’t expect. There is a wide gap between the implants, the skin looks overly stretched, and when I lie down the implants fall far to the sides, creating a very flat appearance with visible lateral displacement . I’m trying to understand: • What might be causing this appearance (skin laxity, pocket stretching, implant position, etc.) • Whether this is something that typically requires revision • What types of revision procedures surgeons usually consider in cases like this • Whether surgeons ever offer reduced‑cost revisions when the result changes due to early pregnancy or rapid tissue changesI’ not looking to assign blame — I just want to understand what my options are, what’s realistic, and how to approach consultations without unnecessary costs. Any insight from surgeons who have seen similar cases would be really appreciated. I understand pregnancy can change results, but I’m hoping to understand whether surgeons sometimes offer reduced‑cost revisions in situations where the tissues changed before the initial result had time to stabilize. If revision is needed, what factors determine whether it’s a “pocket repair, implant exchange, internal bra, or skin tightening procedure?”

Hello:) I am a mom of two currently and I am looking to have a breast augmentation without a lift. I understand and have realistic expectations for results but the reason I don’t want to do a lift yet is because I am not done having/breastfeeding kids. I am in my early twenties now and plan to have a complete mommy makeover when I am done having kids, which will presumably include a lift (10-15 years from now). My question is is this possible to do with my current anatomy, thank you very much in advance!

Hi, I was hit on the bridge of my nose about 5 months ago. Immediately after the injury, I noticed the sides of the bridge widened or flattened, my right profile looks more like it used to but the nasal bone on the left side doesn't have the height that it used to. Also, the front changed and looks like in the pic. I'm wondering if the trauma could have displaced my nasal bones. I don't have pain I did start having trouble breathing but after using flonase I don't anymore. What treatment options do I have after this amount of time?

I was left with stitches and a small buldge of skin at tje left tip of my nostril post rhinoplasty. Dr said it would heal on its own. Now years later this is what i am left with. While my nostrils have never been symmetrical this scar tissue makes it look so much worse considering the arlar retractiom that also occured to this nostril. Are there any in offoce procedures that may help reduc or remove this scar tissue entirely amd help make the width of my nostril more porportionate to the other. While i understand revision might be best i truely want a quick fix if at all possible

I'm 38, have had 5 pregnancies (1 c/s), and have lost about 100 lbs. This has resulted in significant skin sagging everywhere, and loss of volume in my butt. I'm 5'4" and about 120 lbs. I initially was thinking of getting a BBL, followed by a separate tummy tuck - the main reason being concerns about recovery (how to sleep when you can't lay on your tummy OR your butt?). It also seemed logical to me that you would want to have some fat in your abdomen to harvest for the BBL, so I was planning to do the BBL first. But when looking at patients with similar body types after significant weight loss, it seems like lower body lifts are being recommended. I'm fairly certain my butt is too saggy to "re-inflate" from BBL fat transfer alone, and that no matter what, some kind of traditional "lift" will be necessary for my butt, due to all the loose skin. Would I be a candidate for a lower body lift? Can a lower body lift be combined with BBL? The loss of butt volume is my priority concern (TT would be secondary), and it seems like a lift alone would help tighten up the skin, but would not help with butt volume. What procedure(s) might help give me the results I am looking for?

I’m 39 yo mom of 2. 2 cections with and weight gain of 70lbs. Currently at 145lb 5’7. I really want to enhance my back side with some projection and I do like the pear shape. With loose skin I would ideally need a tummy tuck. I’ve been advised and quoted differently. 1. Full tummy tuck with back and lipo flanks to fill hip dips - subtle change as per doctor. 2. dominican tummy tuck, butterfly lift, 5lb weight gain for bbl. Both price ranges were extremely different. I don’t want a unnatural look but something that suits my frames..… I have shape, wider hips etc..… Any feed back would be great!

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.

I had a red about 8 years ago and would like to go smaller. My goal is to narrow the breast and remove side fullness, I would like to not have to wear a bra..…so maybe a small b cup.

I am a young lady that wear a 36H bra size i would love to have a breast reduction. but after communication with my surgean, I was told that due to the size of my breast and the sagginess. the only procedure that will work is the Free Nipple grafting which totally removes the nipples and places it back as a patch. Due to this procedure, you lose nipple sensitivity and will not be able to breast feed, But i want to have a reduction coming out able to have nipple sensitivity and being able to breastfeed. are there any other methods that help.

I am thinking of getting lipo done to my flanks and abdomen, but I am unsure if I have enough fat on my flanks and love handle area. Can any surgeons clarify? Also, does my waist area count as flanks and do I have enough fat to remove from there? I am 105lbs and 158cm (5’2) tall. So my bmi is 19. I am also 20 years old.

I’ll be turning 45 this summer, I’ve also had four children and l lost over 100lbs two years ago. I have always had one “lazy” eyebrow bur it had become more pronounced and I’m self conscious of ir and the hallows of my eyelids themselves. Would a cosmetic procedure be appropriate right now?

I had surgury to remove Artefil that was placed under my eyes (yes, I know that that's awful but what is done is done) The problem now is that I have had the lower eye surgery and feel like my eyes are misshaped. I also have those track marks under one of my eyes and feel pain in the same eye. Do I need a graft? Do i need a repair? Please let me know what my next steps should be as I'm feeling very insecure about these results

I’m looking for some advice. I had an upper bleph + ptotis repair. I’ve had a final post op review and she informed me that the maximum amount of skin was taken off/that there was no fat to remove; however, I don't see much difference. I was also informed that my eyebrow has dropped as a result of the upper bleph and I received confirmation that the ptosis was unsuccessful as the measurements were the same pre-operatively to post-operatively. I’ve been given one option - A revision on the ptosis repair which I’m happy to go ahead with but I do still feel there is some excess skin/fat (again, I’ve been told this is not the case and that it is just brow drooping). I trust my surgeon as she seems very knowledgable, but the purpose of seeking further advice is to keep my expectations realistic and also to ask the correct questions prior to my ptosis revision.

Im in my 30s and always had flat cheeks and a longer face. What are your thoughts on an endoscopic cheek pad lift to help shorten my face, reduce eye circles and nasolabial folds? I considered a targeted deep plane as well, but is it too early for that? I dont have jaw or neck sagging yet (not enough to bother me). Its mostly around my mouth area that really bugs me. Is there any GOOD alternative for me that isnt surgical? Maybe filler in my cheek or an energy device? I dont want to endup making my skin worse in the long run so im cautious about what i start doing since I have never done anything before.

28 y/o female, noticing facial sagging, exag naso folds. I have gotten 2ml of cheek filler, 2ml of chin filler 3 months ago. Still not happy with lower face droop Apperance.

I am 53 and had an SMAS facelift Over one year ago. I am unhappy with the jaw and under chin. I have a band of loose skin like a pouch. I complain to the surgeon he told me to manage my expectations and to massage my neck. I hate the way it looks what can i do?