Doctor Q&A

I would like to get a breast augmentation using silicone implants under the muscle. I really want to avoid getting a breast lift. My breasts have sag and one is larger than the other. They look and feel almost as if they were deflated, and my nipples do not point down. Would I be okay with just the breast augmentation? I added some pictures of myself and some wish pics.

I (woman, 54 years old, mother of twins, 5’2” 140 lbs) am ready to have an abdominoplasty. I have a history of DVT, severe endometriosis which resulted in hysterectomy, and take estrogen. What questions should I ask in a consultation with a board-certified plastic surgeon? What steps can I take, now, to prepare for a best outcome? What recommendations would you make to a loved one with my medical history, who is preparing to undertake abdominoplasty?

male, 18, 5'10", 140lbs; I think it's pretty clear that the midline of my face is skewed because of my nose, worsened by the fact that when I had braces, my ortho matched the midline of teeth to the tip of my nose rather than the bridge. From the minimal research I've done, this is called a deviated and would require a septoplasty. However, I figured that since I was eventually going to go through the trouble of getting surgery, i might as well change the concavity of my nose from up to down with a rhinoplasty to achieve a more "button nose' effect. Whenever I bring up the subject to my family they always bring up the fact that I am young and the issue might drive itself away and/or need additional recovery time, neglecting the fact that when i am in college I will have all the less time. If you have any thoughts on the matter it would be a great help! (sorry for writing an essay but I have the AP lang exam on wednesday and this made could practice for my tone)

I’ve seen many photos of rhinoplasties with natural looking results but never one where its just a hump very slightly reduced? Is that type of surgery even possible? In the photo I provided the edit is basically pulling in the nose from the bump down to the tip (towards the face) so an overall size reduction, and also slightly smaller nostril length to match. I also know that the tip is often raised but is it possible not to do that either?

My face already has a bunch of other problems, but my nose is what bothers me the most. I don’t mind it as much from the side, but from the front it often looks like a shapeless blob. It doesn’t help that my other facial features are quite small as well.

I was advices to gain weight for a bbl and it's been so hard so I've been eating a lot + junk food too. I fluctuate very easily in weight always have I can gain weight fast and lose weight fast. What does that mean after a BBL? will my butt fluctuate or when I lose weight will it be gone for good?

I wanted a mommy makeover am 48yo, however I'll have to put my dream makeover on hold for both hip and knee replacements, my question is will these joint replacements affect me getting a mommy makeover in the near future?

I have been intersted in having a mommy makeover for 6 years now. I am a 48 year old AA female. Soon to be 49 in 1 week. Overall healthy no issues, no medications other than vitiams. I had a gastric sleeve in 2016. My highest weight was 274. My current weight is 183...I have been in a 7 pound window for the last 6 years. I had 3 c-sections 1999,2000 and 2009. Partial hysterectomy in 2011. I have all the usual issues having kids and weight loss. Ideally I would like to have a mommy makeover and tackle everything at once. And recover from 1 surgery instead of multiple ones. I want lipo, tummy tuck and breast lift..with a fat transfer because I lost a considerate amount of destiny in them. Over the years I have been told that 1) cant have all those procedures done at the same time 2) I need to have breast reduction 3) they suggest a lower body lift. The body lift seems like more of major procedure than what I want and I can't get my breast done at the same time. I really want to be 1 and done...I dont wanna rack up debt for multiple surgeries. I am content with my current butt size and shape...I know the body lift will give it a little toot, but thats not my main priority. I would really like to know if it's possible to really have the procedures I want....or do I need multiple surgeries to achive what I want. I appericate you reading to the end and I welcome all feedback. Also I forgot to add that i also am very content with my current breast size 38F. So no reduction.

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 considering liposuction for the breast area. After liposuction to the abdominal area, I gained a few pounds and it all seems to have gone to my breasts. Does anyone have experience with this? What are the benefits/risks? If this commonly done?

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

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

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.

Hello, I recently had my under the muscle silicone implants removed with the capsule left inside. I had them for exactly 1 year. If I were to get another set of implants over the muscle this time, would the capsule need to be removed?

I'm a trans woman planning breast augmentation. I'm 5'9", around 100 kg, with a broad chest and roughly a 40-inch underbust, currently about an A to B cup. My surgeon has shown me three Mentor silicone options on a 3D simulation, all placed over the muscle (subglandular) and all on the same base width: a 470cc moderate classic, a 600cc moderate plus, and a 750cc high profile. He has recommended the 600cc moderate plus. My goal is a natural, gently sloping look rather than a high, round, heavily projected upper pole — but because my frame and chest are large, I'm concerned that going too small won't look proportional or won't show enough on my body. So I feel caught between wanting something natural and wanting enough volume to suit my frame. For a body and chest like mine, is 600cc moderate plus a sensible middle choice to balance those two goals, or would you lean smaller or larger? Since all three share the same base width, how much difference in projection and upper-pole fullness should I expect between the moderate classic, moderate plus, and high profile? And does the over-the-muscle placement change what you'd advise?

I am 2 months post op from Lipo 360 and am overall recovering well. I do have general questions about what recovery will look like moving forward but my surgeon has not returned any phone calls since my two week post op appointment. Swelling has gone down tremendously and incisions have closed. How much longer, generally speaking, should I wait before going to a sauna and/or float therapy and will that help with inflammation?

I had a face and neck lift 12 months ago. I originally only wanted a mini lift as I’m 42 (age 41 at the time) only really my jawline I wanted fixing. Although it looks worse now. I was told I would look better overall if I had a full face and neck lift. So I did. Anyway my scarring is visible and not behind my ears also, more sides of neck. Slack skin on jaw. Will it tighten as my before pics look better? Please help.

Hello, I hope all is well. Some information regarding my eyes include being born six weeks early and having strabismus and an astigmatism in one eye. I haven’t gotten Lasix or any other procedures done on my eye before. How can I get my eyes to look more similar?

Hello. I have been covered under our medical services plan to have an upper blepheroplasty to improve my visual field due to excess skin, but I am also concerned about aesthetics, and the apperance of "hollowing". I don't feel like I have excess fat or fullness in my upper lids as it is, so I am wondering whether you feel just having the excess skin removed, and a bit of fat from my left inner nasal area is sufficient (as indicated by the Dr would be "okay"), that it won't then look like a "sausage" on my upper lid (just beneath my brows) afterwards, will it? I saw the opthamologist today, and she said that's what she'll do if I'm concerned with hollowing, but she mentioned a potential sausage look afterwards. I don't think I have that much fat in order for it to look like a sausage afterwards, do I? She said that most people opt to have some fat and muscle removed so as not to have the fullness, but I honestly can almost only feel just skin and bone right underneath my eyebrow (not fat), so I would otherwise be concerned that too much fat &/or muscle would be taken out, and I would look skeletal. I am not concerned with the look of my upper eyelids, other than the excess skin. Is doing less (just skin removal) better in my case? I am due to have surgery next Tuesday, June 16th. Pictures were taken today, June 8th, and I am 52 years old. One of both eyes are with my eyebrows raised & the other is without them raised. Your opinions are greatly appreciated!

Hi there! I am 34 years old. My under eyes have always looked like this - and I hate it. I'm trying to figure out what is best for me. I have had two consultations so far and both surgeons said different things. Consult 1: Fat grafting only Consut 2: Lower (could also do upper) bleph + fat grafting I am in the process of getting a 3rd consult from a doctor in Raleigh (Dr. Mettu) who does NOT do fat grafting/repositioning - only blephroplasty. I'm trying really hard to educate myself on everything...what the root of the issue is, what is going to give me the best, SAFEST, long-term results. I'm so overwhelmed with the options, approaches, etc. There is also a doctor in Charlotte who does what I've learned to be called a 'SOOF' lift...so I'm trying to weigh that option, too. I've read about the cons of fat repositioning and grafting (unreliable + unpredictable) and I'm hesitant about just going the fillers route. If I'm going to fix this, I just want to fix it. I don't want to do anything too dramatic or ruin my face. THANK YOU!