Doctor Q&A

I have my breast augmentation surgery in 4 weeks time and I’m unsure if I’m pregnant or not? If I am is it safe to still have the procedure?

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’m about 18 months out from primary rhinoplasty and overall my breathing is good, but aesthetically I’m struggling with some issues that have not improved with time. My main concerns: 1) Alar batten grafts • I can clearly see and feel the batten grafts on both sides of my nose. • They create a visible ridge/edge under the skin, especially in certain lighting. • The skin over the grafts looks stretched and the contour isn’t smooth. 2) Bridge contour irregularities • Along the nasal bridge I have multiple dents/potholes and uneven contour. • It looks almost like small depressions rather than a straight smooth dorsum. • Very noticeable in overhead lighting and in photos. I am not looking to drastically change my nose or undo the functional support. I actually want to preserve support and breathing. My goal is simply a smoother, more natural contour. My questions: 1. Is this likely due to graft visibility vs. thin skin vs. scar contracture? 2. Can alar batten grafts be shaved, repositioned, or softened at this stage? 3. Would a fascia graft help camouflage the edges? 4. For the bridge dents, are soft-tissue camouflage options (fascia, diced cartilage in fascia, or filler) appropriate 18 months post-op? 5. Is this considered a minor revision or does it usually require a full open revision rhinoplasty? I’m hesitant to undergo a ln open revision unless absolutely necessary.

The more reading I do of physician sites and reviews, the more I've noticed that there are major differences in compression guidelines post-op: some do a compression garment schedule for 6 weeks but some offices opt to limit their use or not even use at all, stating that it can increase the risk of blood clots. I'm just surprised at the inconsistency: does the American Board of Plastic Surgery not have specific recommendations on compression garments post-op? Is it just doctor preference?

I previously had a drainless tummy tuck and breast lift done. I now want to go back for a BBL and Bodytite to my thighs. I am concern if I have enough fat to achieve the look I am going for. I'm not sure how much fat I need to transfer to each side but I was thinking I need 800-1,000 per side. If I do not have enough fat in stomach, flanks and back, can fat be taken from my thighs without making my thighs too small. I'm 5'7 and 195lbs.

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've had lipo on my flanks, inner and outer thighs and banana roll (1,7 liters) almost 6 months ago. I'm very unhappy with the left side of my leg/butt. I have a dent next to the butt crease that looks like my PS sucked too deep? And the area above, left outer side of my butt was sucked too little? Based on the drawn areas my PS should have also suctioned the outside of my butt. However, the outside of my butt feels thicker now. Can this still be swelling & still improve THAT MUCH?

I’m finding it a bit tricky to coordinate timing for a facelift. Assuming I keep my camera off for meetings, would I likely be okay to work from home starting 5 days after a facelift? I would have a fair degree of flexibility to take rest breaks here and there and my team know I’m planning the procedure.

I have read that anesthesia can exacerbate the clumps and taus that make up Alzheimers. Anesthesia does not itself cause dimentia but it may contribute to a hastening of clumps and taus. I am 67 and dimentia has run in my family although not linearly. I would like to avoid it obviously, so I would like to be sedated in a way that has the least ability of damaging my brain but also keeps me from feeling and waking up during the procedure. The procedure is facelift, fat transer, lip lift.

Hi, I am a 36 year old female and for some time now I have noticed the right side of my face appears to be ‘lazy’ and wondering what could be causing this or if it is just part of the aging process? The left side of my face is still quite youthful and tight even though I have always slept on my left side. It is particularly noticeable when I smile and you will see in the photos my right eyelid is lazy and my right lip and cheek droop down which causes a puckering of the skin around my mouth on that side. Wondering what surgical options could help with this? Or should I wait until my 40’s and have it corrected once I am ready for a full facelift? Thank you

I had an upper bleph one year ago and they took off 15 mm of excess upper eyelid skin. It looked good when it was swolen for 8 monthes and then the wrinkling/crepey skin came back. Is this an okay resukt or was i expecting too much from the surgery? Is there anything i can do to help myself?

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!

I’m only 32 and have noticed these shadows and puffiness under my eyes ever since getting juvederm filler a couple years ago. I have since had it removed but the puffiness persists. These shadows make me look so tired all the time- what could be done to correct this? I have Done a round of Morpheus 8 in hopes to tighten the area but didn’t see a difference. Thanks in advance for your professional advice!