Doctor Q&A

I am a very thin patient with severe rippling from 10-year-old saline implants. My main goal is to reduce rippling as much as possible. For patients with very little tissue coverage, which generally gives better results: overfilled saline or modern silicone implants? Any advice or experience with similar cases would be greatly appreciated

Hello, I had a breast Aug in 2023. It was great but it laterally displaced a lot and bottomed out. The left one also had troubles dropping and cap con was suspected. I decided to get a revision surgery in Feb 2025 from a diff surgeon due to where I moved. I asked the surgeon to go a bit bigger and move them in slightly. I think between a slight miscommunication, the bigger implants, and them sitting closely, I have been so unhappy. It has really thrown me off and started to cause some back and chest pain. Along with some numbness I still have in the bottom right quadrant of my breast and achiness throughout. The bottom of the breast also feels a bit crackly and bumpy, I have scheduled an ultrasound. I did not know there was a difference between cosmetic board certified and plastic surgery board certified. I am from canada where all surgeons have to do the extensive requirements And connot pratice as a GS. The surgeon I saw did her year long fellowship after she was a GS. She had only been practicing approx 1.7 years. She had great bedside manner and was extremely great to work with, but now I question the experience and hope there was no life long chronic pain caused. I am wondering if it’s possible to go from the 415 cc to 315-25 without a lift? Is a 2nd revision a bad idea? The second surgeon had to modify the old pocket with slight transaction and bilateral capsulorrhaphy. Would I be able to go back more to the way my original pockets were with breasts further apart

Hello, I am looking to get a breast augmentation this winter. Wondering if over or under the muscle would be better, along with advice on profile (moderate vs full) that would best suit my frame based on my issues and starting point. I would like to go up 1-2 cup sizes and ideally semi-natural (won’t look bolted-on). Thank you!

When comparing how the two procedures differ, is it realistic to hope for the same "narrowing" waist shape with the circular TT and corset shaping to avoid the linear scar of the FDL?

Hi all ! Would you recommend getting a tummy tuck? I’m 23, I’ve never had kids, and I lafter struggling with obesity most of my life. My BMI is now 24.2. I’m not really comfortable with the idea of surgery, but I’m wondering if it might be necessary because of loose skin. Has anyone been in a similar situation or have advice on whether it’s worth it or if there are other options

Hello 51 had 2 ce section wanna get lipo or tummy tuck

i am thinking of getting under fat grafting and labia majora fat grafting together along with a minor rhinoplasty? The reason together is to avoid multiple general anesthesias. Might be the same surgeon. is this okay? thoughts/suggestions/considerations from surgeons please?. age:37, slim or thin built.

CONTEXT: Hi dear doctors. I am a 25-year-old Hazara man from Afghanistan. I have a mix of eastern and western features though they incline more towards eastern. My eyes are normal size, almond shape and I have a kind of epicanthic fold that partially covers the inner canthus. It is like the upper eyelid crease is distincticve from my eye for the most part but just in the very beginning of the inner canthus area, the crease is attatched to the eye itself. So, it is a partially connected double eyelid. Not a monolid and not a totally separate double eyelid. My eyes are moderately deep-set but not deep-set like south Asians and not protruding eyes like some east Asians. My nasal bridge is straight and not flat and not a very high one like northern europe. Like, in the middle. QUESTION: If I do a rhino plasty with a cartilage graft to increase the nasal bridge height, will it pull the skin of the nose upwards enough to reduce/remove the epicanthic fold? Because, when i pull the skin on my nose bridge just a bit, the epicanthic fold disappears. I would really appreciate your guidance. Thank you very much.

I am a female turning 50 yo. I had my 1st rhinoplasty at 18 yo. I wanted my nose to become thinner and shorter. I was happy with my nose after the surgery when I didn't smile, but when I would smile-my nose would twist to the left...My surgeon told me that he would have to take a cartilage from my ear and put it inside my nose. I've remembered that another patient next to me was complaining of having a flat ear after that procedure, so I decided to try another surgeon. So, 12 months after the 1st rhinoplasty I had a revision. The surgeon didn't explain how he would stop my nose from twisting during me smiling, but reassured me I would be fine. I saw a cartilage in a jar in the nurse's hands just before my surgery, so I realised that it would be inserted inside my nose. The surgery was badly botched, the nose became horrible. I knew if I waited for 12 months, I could have another revision. I went to the 3rd surgeon. He hardly changed anything. I think he just lifted the skin, got horrified and put it back on, as I didn't see any change in the shape or form afterwards. However, the nose became blue and it was blue for years. I had laser done to make the skin on the nose become less blue and to remove red huge capillaries on the nose. I used to smoke at the time (nobody asked me if I did), which worsened the blood flow even more. Thick scars appeared where nostrils are supposed to be. Now, 30 years later, is it worth doing the 4th revision or my scars can become worse?

Most concerned with tip projection.

I had a BBL six years ago. The results were decent but not really that impressive. I think I lost a good amount of fat. I have been thinking of getting a second - and definitive - BBL to get the shape that I always desired and luckily this time more fat will survive and be more careful with the post-op care. I would like to know how much improvement can I have. (more aesthetic, round, symmetric butt) I'm 45 years old, workout, healthy diet, around 135 lbs, 5'3 height.

Wondering if it’s possible to have a partial hysterectomy and abdominoplasty at the same day?

My breasts are about 34DDD+. It's hard to do any physical activities without them being painful. I have tried losing weight, but they still sag pretty low. What do you recommend I do? I can never go out comfortably without being self-conscious about how large they look in T-shirts. When I don't where bras they hurt even more. My breasts are flatter towards the top and most of the weight is low if that makes sense lol. Should I wait until I'm older and try to fix it naturally or would surgery be the best bet?

I am 18 years old and I have a 30H. Realistically, how small can my breasts be reduced when I get a breast reduction?

I had a panniculectomy in January 2025. I now feel top heavy and want to have a breast reduction and lift. What would the procedure entail? Would I need to have my areolas moved? If so, would I lose sensitivity?

5ft8 170 pounds. Getting lift and saline implants. My dr recommeded to try 500 to 700 sizers after showing pictures and exam. I wear 38 c now. Nursed 4 babies. 650 and 700 felt perfect for me. It was still hard to tell tho with the sizers as i shoved my own boobs in there too haha. I am afraid of going too small so i figured 700 is the right choice. But so hard to tell. Want them to be nice and full but not so obvious that they are fake. Or make me.look too top heavy in sweaters. Etc.

I'm a trans woman planning breast augmentation and I'm stuck between sizes. My stats: 5'9", around 100 kg, broad shoulders and a wide chest wall, about a 40" underbust and currently roughly a 40B. I have limited natural breast growth from HRT. My surgeon has shown me three Mentor cohesive silicone options, all placed subglandular (over the muscle) and all on the same base width — so the only real difference is projection: 470cc Moderate Classic (~35 mm projection) 600cc Moderate Plus (~46 mm projection) 750cc High Profile (~59 mm projection) He recommends the 600cc Moderate Plus. What I want is a natural, gently sloping (teardrop) look — soft upper pole, volume lower, mild natural settle. I really want to avoid a round, "puffed-up," over-projected look with visible implant edges. But because my frame and chest are large, I'm genuinely worried that going too small won't look proportional or "won't show." So I feel caught between natural and proportional. My questions for surgeons and anyone with a similar build: On a fixed base width like this, how much difference in upper-pole fullness should I actually expect between 470, 600, and 750? Is 600 Moderate Plus a sensible middle, or would you lean smaller/larger for a broad frame? Does over-the-muscle placement change your size/profile advice, and how do you minimize visible upper-pole edges or rippling given limited tissue coverage? Would a more cohesive gel (e.g., MemoryGel Xtra) help, or would it push me toward the round lo

I got my breast augmentation in 2018 in Medellin Colombia by Juan Diego Mejia Jimenez. i got 425 ccs gummy implant placed under the muscle. Ive been pregnant twice since my surgery in 2018 My first pregnancy i had no complications, my secong pregnancy my nipples started leaking clear fluids. At first the leaking would come and go but now there’s more fluid. The fluid is clear/slightly yellow and it makes my nipple stick to my bras and pulls the skin off the areola. What should i do? I got my breast augmentation outside of my country and to my knowledge , the surgeon who performed on me no longer does breast augmentations.

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?

Female. 30. 5’9 and 190 lbs. Hey! So I’m in the middle of a weight loss journey, with my goal weight of 160-175. I have always been Insecure of my back fat and am wondering if what I see is just that or also loose skin? I’ve been putting in the hard work and trying my best to build good habits but am frustrated with the contours of my body. will my back potentially look worse once i do lose all the weight, and what procedures am I potentially looking for to smooth my back out? Thank you in advance.!

In 2021 I have my large intestine removed and reversed , I now have a jpouch I wanted to know can I still have a lipo

I’m 25, female, 153cm and 53kg (5feet + 116pounds), have been weightlifting for 3 years now, but my midsection never slims down no matter how much I train or what calorie deficit I do. Other parts have improved, it’s just the midsection that’s stubborn. Booked a lipo appointment in China this July & would stay 7-9 days there then head back to Europe and am currently researching these 3 lipo techniques and wanted to ask which one I would need and if there’s benefits to the pricier ones: 1. Traditional negative pressure lipo or water-assisted lipo 2. ⁠gold lipo/ BodyTite/ RF (Radiofrequency- assisted lipo) 3. ⁠5G Angel Sculpt (Alma 1470nm Laser-Assisted Liposuction System) other questions: 1. How painful is it really? 2. ⁠Will skin return to be smooth or will the texture change permanently? How will the body/ in my case midsection feel afterwards? 3. ⁠Do the different Lipo techniques like RF or 5G help make recovery quicker or make the result smoother? 4. ⁠when do swelling, bruising, numbness, tight lumpy fibrosis and pain fully fade? 5. ⁠Would abdomen and waist be enough or should I consider the back too? 6. ⁠Overall safety level and the realistic result? 7. ⁠when can I safely resume weight training again post-op? 8. ⁠Are lymphatic massages mandatory? 9. ⁠How long until regular full-body massages, sauna & swimming are okay again? 10. ⁠How common is permanent clumping/lumps, and how risky is the procedure overall? goal: a flatter stomach & slimmer waist

I had a unilateral mastectomy and am looking at DIEP flap surgery in about a year. Unfortunately, I have also put on weight and am now 13 stone. I was wondering the feasibility of having liposuction to my lower back and sides prior to this surgery and wondered: a) How long before hand would it need to be? b) If it could have any adverse effect on the DIEP flap? c) If further removal was required, how long would I need to wait after the reconstructive surgery? Many thanks

48yo female 159cm and 65kg, postmenopausal due to oopherectomy age 38 and Aromatase inhibitor treatment (aggressive breast carcinoma). Ive noticed skin laxity and volume loss in my face post menopause , wprsening with recent 20kg weight loss. I feel that my face looks drawn and tired, and my neck looks ‘older’ than 48. I do clench my teeth. Have tried masseter botox (helped the clenching but made jowls more noticeable), skin needling, lasers. Always use sunscreen and good skincare. Drink water and get adequate sleep - but feel I look drawn and tired. Am i a candidate for lower face and neck lift? How long do results typically last if weight remains stable? It is significantly impacting my self esteem. Thank you

Please help! What areas of my face should I focus on to help make my face look less tired and more lifted. I also want to look into under eye fat transfer or maybe orbital rim implants. I’m not tired in this picture, I just have heavy eyelids.

Hi doctors, I had ptosis surgery on both eyes in 2020. Since then, I’ve been dealing with morning dry eyes and a sensation of tightness around my eyes. My eyes also appear smaller and more narrow than I’d like, especially when I’m out in the sun, my eyes feel more hooded. and I suspect there may have been some overcorrection from the surgery — possibly causing incomplete eyelid closure while sleeping. I’ve tried using lubricating eye drops and warm compresses regularly, but the symptoms eventually persist. My main concerns are: 1. Is there a surgical or non-surgical option to make my eyes appear slightly more open or larger? Like almond shape? While maintaining a natural look. 2. Can ptosis overcorrection be safely reversed or adjusted? 3. Are there long-term solutions for the dry eyes, especially if it’s related to incomplete eyelid closure? I’d really appreciate any guidance on how to improve both the appearance and comfort of my eyes. Thank you. Options to Make Eyes Appear Slightly Larger/More Awake After Ptosis Surgery? Experiencing Tightness and Morning Drynes