Doctor Q&A

9 month post op, breast augmentation with sicilone HP 400 cc left, 475 cc right, under the muscle. 5’2, 120 lbs. Why does my left breast take on this irregular slope, and stick out like a bump from certain views? It makes my breast look like a triangle / cone, especially with soft nipples. Back story: had mild tuberous aplasia, BF transfer, infection which gave me an asymmetry, got implants. Considering to exchange them with much smaller ones. Should anything else be done? Thx

I'm not interested in reducing the width of my bridge, and the lower cost and recovery time of a tip rhinoplasty is a big plus. I only want to reduce the size of the tip of my nose while retaining its shape. is this possible with tip rhinoplasty or is it likely that a full rhinoplasty will be needed? of course, a consult in person would be best to examine and answer this for certain. this is for my pre-consult research, thanks for your time!

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?

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?

Ok so if you have a standard tummy tuck with no lipo, will any fat be removed? Like say is your subcutaneous fat attached to thr skin when it is removed? I know visceral fat is under the abdominal wall but if youre not getting lipo will you be losing subcutaneous fat with a standard tuck. Hope that makes sense...lol

Hey am 29 year old female am 5 ft 1 and weight 127 kg i have black hair

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.!

Hi, For many years I’ve had this excess facial skin, it makes my face look more fatter than it actually is. It’s not due to weight loss as I’ve more or less remained at a steady weight during my life. is there a procedure that can remove this excess skin on my face and under my neck. I’m 33, I understand I’m still young but I’ve had this excess facial skin for at least 10 years.

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