Doctor Q&A

For your safety, you’ll need to wait until you no longer have any symptoms. Please keep in contact with your surgeon and let them know about your condition.

Hello, thank you for your question.

By 12 months, most implants have dropped and softened as much as they're going to. When one side still sits higher, feels firmer, and moves more when you flex, the most common cause is early capsular contracture. Capsular contracture means the scar tissue capsule around the implant has tightened, pulling the implant up and making it feel firmer and more noticeable. It isn't always painful, especially in the early stages.

Implants under the muscle do move...

Hello, thank you for your question. If you form keloids, the scar around your new belly button can form one too, just like your tummy tuck scar. Careful technique helps lower the risk. That means keeping tension off the belly button and placing the scar inside it so it stays hidden. If a keloid does form, the main treatments besides laser are steroid injections, silicone sheets or gel, and pressure. Sometimes the keloid is cut out and then treated with injections or radiation so it doesn't...

Abdominoplasty ideal candidates include those who are weight-stable and do not expect future pregnancy. In my opinion, the gold standard for this presentation is lipoabdominoplasty. The benefit is the ability to excise dramatically more skin and fat than any liposuction alone whether j-plasma, vaser, power assisted lipo or any other lipo. The down-side, however, is that abdominoplasty leaves a suprapubic scar. Abdominoplasty may also tighten the rectus fascia. In every scenario, it's...

It is not impossible, but your history makes it a higher risk operation. Plavix and aspirin raise the risk of bleeding, and stopping them carries a risk of another stroke, so the decision has to be made together with your neurologist, and some surgeons will operate while you continue aspirin. If you go ahead, I would have it done in a large university hospital covered by your insurance; not because a smaller team cannot do the surgery, but because if a complication occurs, it is much easier...

Yes, belly button revision is often possible after a tummy tuck. The right approach depends on what bothers you most: the shape, size, depth, or visibility of the scar. A focused revision may improve these features, and some can be performed in the office under local anesthesia.
An exam would help determine what can realistically be improved based on your existing tissue and scarring. I would start by discussing your specific concerns with your surgeon so you can decide together whether a...

Mockups are useful for showing a direction, though they rarely obey real anatomy. A side profile is a balance of three things: the nose, the chin and the line from chin to neck. Rhinoplasty can lower a dorsal hump and refine tip projection and rotation, but if the chin sits back, the nose can still look larger than it is, which is why chin projection is assessed at the same time; an implant or a sliding genioplasty is sometimes considered. At 25 and slim, a soft chin-neck angle is more often...

Hello and thank you for the question.

I want to give you a useful answer rather than a generic one, and the photos limit that. Both are close-range selfies taken from slightly below, which widens the nose in the picture, and there is no profile view. The profile is where most rhinoplasty decisions are made: the bridge, any hump, how far the tip projects and how it is rotated. Without it, anyone telling you exactly what to do is guessing.

What I can see from the front is a nose that reads...

Hello, thanks for your question. Choosing between an alarplasty, tipplasty, or full rhinoplasty depends on your specific anatomical goals. An alarplasty targets the nostrils, a tipplasty refines the nasal tip, and a full rhinoplasty reshapes the entire structure (bridge and tip). A board-certified plastic surgeon can evaluate your anatomy to determine the best approach.

Whether these can be combined depends on a full medical evaluation, and at 65 the total length of the operation matters a lot. A tummy tuck combined with a butt lift and fat grafting is also a difficult combination: after the tummy tuck you need to lie on your back with your hips bent, which puts pressure on the grafted fat and reduces how much survives. At 120 lbs you also have limited donor fat. I would plan this in two stages, the tummy tuck first and the buttock and thigh procedures...

Yes, achieving a softer hourglass shape is possible through Lipo 360 and a BBL. While a wide rib cage limits waist narrowing, strategic liposuction of the upper/mid back and fat grafting to the hips and buttocks can create appealing curves and projection.

Congratulations on your weight loss! You appear to be a good candidate for a breast lift and either an extended tummy tuck or lower body lift. It’s difficult to determine how loose your skin is around the waist and lower back without examining you in person. Once you have been seen by an experienced plastic surgeon your options will be more clear.

Best wishes,
Dr.Bruno

Your current photos show full, high implants with tight skin and no sagging, at 24 with good skin quality. Going down by about 100 cc is usually possible without a lift in this situation, especially if you choose a lower profile with a similar base width, so the implant still fills the lower part of the breast. The breast will look softer and somewhat less projected, and the skin usually adapts well at your age. Your internal bra supports the lower pocket, which helps. If you wanted to go...

Hello, and thank you for your question. Yes, the nipples can often be reduced in size during breast reduction surgery to create a more proportionate appearance.

During a breast reduction, the areolas are typically resized and repositioned to complement the new breast shape. However, reducing the size or projection of the nipple itself is a separate step that can often be performed during the same procedure. It is important to discuss your desired nipple size with your surgeon beforehand, as...

A 2-unit intradermal Xeomin test is not a reliable way to rule out an allergic reaction to a full treatment dose. Although a negative test may be reassuring, it does not guarantee that you won't react when a larger amount is administered. Since you previously experienced full-body hives after Botox, I would be cautious about proceeding with Xeomin without further evaluation.

Botulinum toxin allergy testing is not standardized, and there is no validated test dose that can reliably predict...

Hello, thank you for your question. Forehead Botox is far from the fracture and is unlikely to affect how your jaw heals at three months. Marionette Botox and lip filler are closer to the injury, so I would be more careful there, especially if you still have swelling, numbness, or plates and screws in the area. Filler carries a small risk of infection, and any infection near healing bone or hardware is a problem you want to avoid. Before treatment, get clearance from the surgeon who treated...

Your nipples are lower than your breast fold. Implants are centred behind the nipples, therefore if no lift is performed, your implants would sit low on your chest and not give you any upper pole fullness.

Hello, thank you for your question. Symmastia means the implants have crossed the midline and the skin between your breasts has lifted off the breastbone, so the breasts look joined together. Close cleavage alone is not symmastia. If you still have a clear gap of skin attached to the breastbone between the implants, you most likely don't have it. Dual plane means your implants are partly under the muscle, so the muscle should be holding them relatively apart, unless the pec muscle was...

The look of two balls on the chest usually comes from an implant placed over the muscle in a patient with very little tissue, or from an implant much narrower than the chest. Under the muscle, in a dual plane pocket, a round implant takes a natural sloping shape because the muscle covers and softens its upper edge, and that is what I would recommend with your minimal tissue. An implant whose width matches your breast width also prevents the gap in the middle. You are right that for the same...

Tissue-based planning relies on base width (11 cm) and tissue stretch, not just volume. While 230–275 CC reflects conservative recommendations, a third consultation offering 3D imaging can help evaluate higher profiles or wider implants to safely achieve your desired fullness.

There's no ideal age for a facelift; anatomy matters more than age. Some people develop jowling, cheek descent and neck laxity in their 40s, while others don't need surgery until their 60s or later. The right time is when the changes are significant enough that surgery will make a meaningful difference and non-surgical treatments can no longer do the job.

While changes are still mild, good medical-grade skin care, sun protection and well-placed filler in front of and behind the jowl (not in...

In your photos, the abdomen is lean, with a horizontal line above the belly button and a little more fullness below it. This pattern is very common and usually reflects a normal tendinous intersection of the rectus muscle, where the skin is attached more firmly, together with the natural tendency to store fat in the lower abdomen. A dynamic ultrasound of the abdominal wall, done while relaxed, standing and straining, is the most useful single test: it shows fat thickness above and below the...

Hi there,
Congratulations on losing over 30 kg, that's a huge accomplishment. My honest take: after that much weight loss, with loose skin and stretch marks over the back of your arms, liposuction alone often isn't enough, and an arm lift (brachioplasty), usually combined with lipo, tends to give the best shape., however given your age you skin is likely to bounce back after lipo only
How surgeons usually decide:
- Lipo alone works best when the main problem is fat and the skin still has...

Thank for your question, The Post-surgical fibrosis is an excessive buildup of tough fibrous scar tissue that can form beneath the skin during the healing process—most commonly after procedures like liposuction—resulting in firm lumps, hardness, or uneven contours if not managed early with proper post-operative lymphatic drainage massage and compression garments. Our suggestion is that you check on your surgeon to get options and see what is recomended., for more information contact us.
Dr...

Thank you for sharing your photos and concerns. Based on your height, weight and photographs, you may be a good candidate for upper-arm liposuction. VASER liposuction can be a suitable option, as it allows precise fat removal and contouring, particularly when a more defined arm shape is desired. However, the most important factor is your skin elasticity. If there is significant skin laxity, liposuction alone may not provide the desired tight and smooth appearance, and additional...