Doctor Q&A

Thank you for your question. You are an excellent candidate for rhinoplasty, open or closed based on your surgeon's preferences. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if...

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. With good surgical technique, you could have an outstanding result. I recommend...

Hi, yes you could classify the tip as bulbous. This appearance is due to the size and orientation of the lower lateral cartilages, which form the underlying framework for your nose. Surgery would focus on reshaping the cartilages either through cartilage grafting, reduction, and/or sutures to create a more aesthetic tip. Good luck!

Having a BBL and then a labiaplasty only two weeks later can add meaningful risk, even if each operation is reasonable on its own. At two weeks after a BBL, you may still have swelling, soreness, anemia or fluid shifts, limited mobility, and restrictions on sitting or pressure. Labiaplasty also needs careful hygiene, swelling control, and protection from friction, so the recovery instructions can conflict with BBL positioning and garment use.

It is safer to have both surgeons communicate...

Dear Kyla58,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, this is a great question. It is always best to meet with a your plastic surgeon to take measurements and do an exam in person to determine how much breast tissue can be safely removed as well as sometimes the amount of tissue required to be removed in order to be covered through insurance.

I think you are an excellent candidate for a breast reduction. There is always a chance your nipple sensation will be affected, but not always. The benefits of better proportion, higher and tighter breasts with you ripples located centered on the new perky breast mound will meet your expectations. I hope this helps. Thanks for sharing!

It is very difficult to evaluate your problem based on these photos. In person consultation with a board certified plastic surgeon experienced in facial rejuvenation is recommended. Good luck.

The photos show a visible fold and fullness around the tragus/ear incision area, but a photo cannot tell whether this is swelling, scar thickness, steroid effect, or a structural change. Warmth, soreness, and swelling 24 hours after an injection should be reported to your surgeon's office now, especially if it is increasing.

A small steroid injection is not usually a "time bomb" that destroys the face, but steroid injections can sometimes thin skin or fat, and those changes typically appear...

From your photos, it appears that it has been 1 year since your surgery, which indicates that the majority of the healing process is complete, and persistent fullness under the chin and banding in the neck after an SMAS facelift is most commonly related to residual submental fat and/or platysma laxity; in such cases, a deep neck lift, which focuses on reshaping the deeper neck structures—often including platysmaplasty and, when needed, contouring of deeper fat compartments—may further imp...

Based on the photo, there appears to be mild asymmetry of the inner eye corners and canthal tilt. This does not appear to require canthoplasty alone, as the asymmetry may be related to eyelid position or natural anatomical differences. If the asymmetry is significant to you, an oculoplastic evaluation can determine whether a customized eyelid procedure would provide meaningful improvement. Any surgical correction should be conservative to maintain a natural appearance.

Based on your photos, your eye prominence appears to be related to your natural orbital anatomy rather than excess eyelid skin. Periorbital filler or fat grafting may improve the transition around the eyes in carefully selected patients, but they will not change globe prominence and can worsen the appearance if overdone. If scleral show is significant, canthopexy or canthoplasty may be considered after a detailed evaluation by an experienced oculoplastic surgeon.

Manufacturers recommend regular surveillance imaging to diagnose silicone ruptures. Most are silent. There are rarely external signs of rupture. They will look and feel the same. Patients will demonstrate no clinical sign of rupture.

Recommendations are for MRI at 3-5 years post augmentation and then serially at 2-3 year intervals moving forward.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

It is challenging to really assess the situation based on these photos alone. Your measurements (obtained from physical exam) provide clear guidelines if there is need for a lift or not (which is sometimes hard to determine based on photos alone, as is making any official recommendations). You may want to consider doing a lift first and then attempting to place the very large imlant. This is because placing a very large implant at the same time as attempting to reduce the soft tissue...

Thank you for such a thoughtful and well-prepared question, and congratulations on taking this step. Your dilemma, feeling caught between "natural" and "proportional," is one of the most common and legitimate tensions in breast augmentation, and it is even more relevant on a tall, broad frame with a wide chest wall like yours. The key concept to hold onto is that because all three implants share the same base width, they will all "fit" your chest equally; the only variable you are choosing...

Dear NewBootyCutie101,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes, breast implants can often help restore volume after a breast reduction, but the relationship between grams removed and implant volume is not a direct one-to-one conversion.
In your case, having approximately 400 grams removed from each breast does not necessarily mean that a 400–425 cc implant will return you to your exact pre-reduction size. Breast tissue is a combination of glandular tissue, fat, and skin, while implants add volume in a different way and create a different shape. F...

A second surgeon can assess whether the result is consistent with liposuction and fat transfer, but there is usually no simple test that proves exactly how much fat was removed. The most useful information is your operative report, any recorded aspirate volume, before-and-after photos taken in the same position and lighting, weight changes, and an in-person exam of skin thickness, contour, scar sites, and remaining fat. Ultrasound or MRI can sometimes help evaluate fat thickness or...