Doctor Q&A

I had a transax augmentation last year- 405cc under muscle. It seems they have not dropped and are still high/wide. Is this worth getting a revision?

My doctors says my sternal notch to nipple measurement is short (15cm) what does that mean in terms of my augumentation though? Is that a bad thing? My nipple is slightly above halfway between my shoulder and elbow. My surgeon also said my breast had a nice shape, so im just wondering how important that measurement is. Im 24yrs old, only having my preop appointment in feb when the clinic opens again.

I am 5ft 2.5, 62kg, athletic build, low bfp and high muscle mass. I have had children that have left my current breasts deflated I am considering implants and have had an initial consultation. I want natural looking, that no one would notice really apart from me, I was considering tear drop 220cc mini profile motiva implants. Will this likely make a difference to my appearance? how long realistically until I can be back in the gym doing my usual CrossFit/hybrid training. Thanks ☺️

My first breast augmentation was in 2010, I had 365cc and 385cc saline implants installed. Then cut to 2024 and my 3 yr old daughter jumped on me and wound up rupturing my left implant (photo right). I went to a different surgeon than the original one because I thought he would be better for some reason. And now I really like how the left breast looks, but the right doesn’t look the same. My left breast has 550ccs and my right has 600ccs but still looks smaller and it looks uneven. Also when I lift my arms my right breast kind of crumples up. I don’t know if that’s just my anatomy or due to the difficulty of revising a rupture? I’d love for my right breast to look much more like my left.

Hi, I’m 25 and had breast implants placed 2 years ago (high profile, submuscular). My skin has always been tight and I have a slight tendency toward symmastia on one side. A few days ago, after some pressure was applied between my breasts, I suddenly noticed a new sensation in the cleavage area. When I bend forward or move a certain way, the skin over one implant feels “papery,” “air-like,” or as if it lifts slightly from the tissue underneath. There is no redness, no pain, no swelling, and the breasts look normal from the outside. My surgeon is abroad, so I’m looking for general guidance. My questions are: • Could this be superficial skin detachment or stretching in the cleavage? • Is this something that can settle or re-adhere on its own with proper support? • Could it indicate a deeper capsule or pocket issue? • Would you recommend urgent evaluation or is this safe to monitor until I see someone in person? Thank you so much any insight is appreciated.

37 y.o with 2 C sections. I'm a very active person. I work out 5x a week. Tried everything just to get back close to my pre pregnancy body but I still have this extra fluff on my mid section. Wondering if I can get by with Lipo or it has to be tummy tuck?

I have a lump that appeared in spring of this year. It is in the epigastric region, several inches above my belly button. It is painful. I had an ultrasound that was negative, and a CT that was negative for masses or a hernia. Do you see diastasis recti on these images? This lump is really distressing and affecting my self-confidence. I have never been pregnant and exercise semi-regularly, never been overweight.

I had multiple consults with different plastic surgeons before choosing the one I ultimately went with. Some said I should do an ETT. Some said FDL. One said he would do either, it was up to me if I wanted the trade off of the vertical scar but it would pull me tighter. The surgeon I chose said the fdl wasn’t necessary. That he gets good results without it. I have a large apron belly with significant droop over my belly button after a 100 lb weight loss. Now I am getting cold feet as people in tummy tuck forums are saying I will always have loose skin above my belly button. Does my surgeon possibly just have a lot of skill? Is it possible I will be flat?

I'm working on losing weight and had been in the mid 200s now I'm 174 lbs and when I lay down my stomach is flatter versus when I stand up. Does it look like I have more loose skin than belly fat?

I have about a 2 finger gap of diastasis recti (years after last pregnancy) from the top to the bottom of my abdominal wall. I have very minimal loose skin beyond what is considered normal & just want to get my abdominal muscles tightened. I’ve read that a lot of patients also need liposuction with a tummy tuck & I don’t like the risks that come with liposuction & would prefer just to get my abdominal muscles tightened. Is this possible without looking uneven or having sagging skin? Please let me know the pros & cons for going this route & any suggestions. also - I am not overweight & I am active. Thank you.

Since 2000 Undetectable HIV 55yr old healthy Brown Female. Unable 2 recieve BBL with hips & fat transfer?

Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.

Had a bbl 8yrs ago now im on a weigtloss injection Is my butt fat safe on the weight loss journey?

I’m 5’2 120 pounds I have large flanks and a pooch.

I am not petite. I’m 5’10 & 166lbs (BMI: 23.8). I want a very natural result with flat stomach and soft/proportional curves. What would be a better procedure for me: mini-BBL with maximum body contouring or liposuction/abdominal etching?

Can anesthesia with laryngeal mask airway be used for total rhinoplasty? Is it safe (LMA )?

I dislike my nose for so many reasons. What procedure can I get done? tipplasty? Will I need local or general anesthesia I want to reduce the droopy tip, my nose also seems uneven.

I’m 21 years old, and I’ve always felt insecure about the tip of my nose. From the front, the upper two-thirds of my nose looks nice to me, but the tip feels a bit bulbous, which makes my nose look rounder overall. I also have a slight hump on my bridge, but I actually like it and don’t want to change it. What I really want is just to make the tip look a little more refined. Would that typically require a full rhinoplasty, or could it be done with just a tip rhinoplasty?

Hey, so I was wondering if my upturned nose is able to be transformed into a more neural one. I want this outcome mainly because I have a small nose, and want to decrease the length of my philtrum. I know the vertical increase will be minimal, however it will also make my nasolabial angle less obtuse -> I feel this is more aesthetic. And yeah I am aware of reducing the philtrum via lifting the upper lip, but this does not fix the nose length. So will this outcome need Rhino tip augmentation, maybe a bone graft? Or can it be achieved via very well placed filler in the columella and nose tip. Any insights will be highly appreciated, thank you very much!

Hi there, I am in the 25-35 age bracket and have disliked my nose for as long as I can remember. After many years of thinking about it, I have decided to tentatively begin the consultation process to change it - starting here. For personal reasons, I do not want to change the bridge. I like having a ‘strong nose’ but I think the tip makes it look ugly and unfeminine and would prefer if it was smaller, ndaintier and for the bridge to flow into the tip. The things I want to change are: the tip is big, bulbous and boxy, the nostrils are large and flared (very open), the columnella (I think?) hangs very low and the tip droops down slightly. I would like for my tip to be narrowed and refined. Given my facial structure, are the results I’m seeking possible with a tip ONLY rhinoplasty? Thanks very much for your time and responses.

I’m having second thoughts about my surgery scheduled in December. My surgeon says that he can only do a FNG, I’m a DD and my insurance approved my surgery so I’m unable to chose the size I want. I’m 24 and I have one kid but I’m thinking long and hard about my decision. Will the FNG completely take away my ability to breastfeed in the future? Is it worth getting a second opinion to see if another surgeon can do the surgery without a FNG

Hello i did breast reduction surgery befor 2.5 years i had open wound that affect my scar it was big wound that took so much time to heal my doctor recomand me to do scar revision another doctor told me to go for another redction surgery so now i am confused does the scar revision on my case can realy be success or it would open my wound again because i realy want to gi just for scar revision

Basically the title, im 18 and a woman and just don’t want them. They feel gross, look bad and due to the size it is bad for my sensory processing disorder with clothes. Also i don’t have implants, so just natural ones. Thank you!

Hi , im not sure if i should do breast reduction. I am currently 21 yrs old and my breast is 30F/ 30G in UK / US sizing. My height is 152 cm and my weight is 50 kg. Most of my weight comes from my breasts and I have a very bad posture and back pain . Im also struggling to find a bra that fits me perfectly.

Black female. My surgeon stated a free nipple graft is required if I want to go down to a D cup, from my current G cup.

Hello, I would like to know whether my breasts are tuberous or not. If so, what severity are they? Or are they just small? I think the areola’s seem large in comparison to the size of the breast. I have noticed that the areola sits at the bottom of the breast and that there is little to no “underboob” breast tissue. I have also not the lack of upper pole fullness and no cleavage unless I was to really really push them together. They seem quite wide set and there is some asymmetry as well. They seem to be sideways shaped as well- they appear to “swoop” down from a side crease near my armpit. When I lean sideways the breast tissue seems to go round my side and almost become a backroll. When my nipples are hard, they look more conventional, but when my nipples are soft, the areola looks big and very soft/puffy. Do I have insufficent glandular tissue? What are my options if I embark upon surgery and if I wanted a much larger size, but natural looking? I am a 21F, 5ft 3”, approx. 66kg. Thank you.

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?

37 years old , 135 pounds , 5”6 in height , two children no breastfeeding . Fluctuated in weights over the years . Back to my normal weight before kids now at 135 Pounds .

Im looking to go quite large, as large as I can go honestly. I dont mind some sagging and am not opposed to a lift in the future.

Hi i have a consultation in January and really hoping i can just have implants as a lift here is very expensive. Id like to go for 400cc plus. Thats my goal.

I'm trying to ascertain wether the laxity in my upper arms could be improved with liposuction/liposculpture or if I would need a brachioplasty. I'm 37 now and my upper arms have always been disproportionatly large but they are sagging more as I get older

Hi all, I’m about to get a thigh liposuction on my outer and inner thigh. I’m a petite Asian woman, 5’5 110lbs. I have been struggling with hip dip and saddle pocket on my outer thigh and my inner thigh always touches each other. I’m wondering what the outcome can be if I chose to proceed the survey and how much better my legs can be? Thank you!!!

Hi. I am a 39 year old mom of 2. I am unhappy with my muffin top/ love handles and would like my stomach to be a little tighter. I feel I have a bit of a pouch where it looks like I could be 2 months pregnant. I am not sure if I have diastasis recti, do you think I do? Would you recommend lipo to flanks and that's enough? Or lipo to abdomen as well? One surgeon recommended vaser lipo and renuvion to the abdomen while another said it would come out ripply and would not recommend lipo on the abdomen. Another recommended a mini tummy tuck. It's such a big decision. I am overwhelmed. I workout 5 times a week and eat pretty clean, I take good care of myself. I do like my stomach but of course if I am doing one thing, I might as well fine tune a little bit. My muffin top is my biggest enemy. Any advice and professional opinion would be greatly appreciated. Thank you so much in advance,

I had a tummy tuck and went back for liposuction. The surgeon however left what I think is too much fat around my waist (about .5 to an inch of pinchable fat). When I asked the doctor about it, she said I was too skinny to be a candidate for a second round of lipo and it looked fine. I know she's being conservative to prevent contour irregularities but I've never been able to lose naturally even when very underweight.

Hi, I’m 32 years old and have never had children. I don’t think I want children either. I’m really unhappy with my abdomen — no matter how much weight I lose, it always stays stubborn around that area. Since starting a weight loss injection, I’ve managed to get my BMI back to 24. Now I’d really like to get this area sorted. I’ve reached out to a few surgeons — some have recommended liposuction (including 360 lipo and skin tightening, which I prefer), while others are suggesting a tummy tuck. Not sure what to do

Two years ago, I suffered a massive stye on my eye that was drained and turned into a chalazion. In those 2 years, I have underwent 3 surgeries to drain it, 2 steroid shots, and have been on doxycycline for a month. I am currently taking minocycline for a few months (50mg). Although my last surgery went well and significantly reduced the size of the chalazion, part of it still remains. It is still tender to the touch, a bit red, and you can still see where my eyelid is raised a bit. I have been on the Minocycline for about 3 weeks as of now and don't see any improvements. Should I push for another procedure to drain it? Is there any hope to get rid of this thing? It seems that no provider wants to drain it due to the small size. I am sick of this thing and would like to have my eyelid back to normal after all these years. Thanks for advice.

I’ve always had hooded eyes but have noticed the inner right seems more hooded then left what procedure would treat this

I have been thinking about upper eyelid surgery but then I am wondering whether it will be enough to open my eyes? I have very obvious extra skin on my eyelashes and a having a lower set brow does not bother me personally, as long my eyes are not covered by the skin. Can I do well just with the eyelid surgery (which is faster and less costly)?

Hello all, I’d like your input about which treatment would be the most beneficial. I’m llooking to ‘permanently’ treat my lower undereye crepe-like and thin skin. I’ve read on different forums that the C02 laser isn’t recommended for my skin tone, due to the risks and possibilities that it could cause hyperpigmentation. On the other hand, I’ve also read that a lower eyelid ‘skin pinch’ isnt all that reccomenfed either. So, I don’t really know which way to go about this, aside from my pros and cons list of them both; I’d appreciate your respective feedback on my question. Thank you so much!!

I had an upper bleph about a year ago and my eyes definitely look better. I had a facelift done about 6 weeks ago and therefore, have been taking more selfies and scrutinizing my face more than I usually would. I obviously have some pretty severe asymmetry post-bleph -- I knew this, but now I REALLY can see it. What I don't understand is -- was there too much taken out of the one side, or not enough out of the other side? Like is this fixable and if yes, what is the procedure to correct? Also, what is the rcovery for a bleph revison like? Is it worse than the original?

Hello, I have heard both that sculptra can cause delayed healing/complications in future facelifts. Is this true? I'd like to hear from a surgeon rather than Google.

Im almost 65, had a lower face lift and neck lift 12 yrs ago, and now im really hating these lines coming down from the corners of my mouth. Is there anything to I can do that can hel with that, that wouldnt be a facelift? If not, would I need a full facelift, and lastly, i see some facelifts dont fix these lines at all, and some do. Is this just a matter of skill and technique? Would i need some kind of corner lift for my lips?

I’ve been researching deep plane facelifts and I understand that, traditionally, they require incisions around the ears, which can leave a more noticeable scar. Recently, however, I’ve come across several clinics advertising full deep plane facelifts performed endoscopically, using only small incisions instead of the classic periauricular approach. For patients who have more muscle laxity than skin laxity, the idea sounds promising. I’m aware that the ponytail facelift has become popular, but my understanding is that it mainly addresses the upper third of the face (temples/midface), and is more of a gliding lift rather than a true deep plane release, so results may not be as long-lasting. With that in mind, may I ask: 1. Is it technically possible to perform a full deep plane facelift endoscopically and achieve results comparable to the traditional open approach? 2. Are these procedures genuinely deep plane lifts, or more likely modified ponytail/midface lifts marketed as full deep plane results? 3. Is there a limitation in terms of lifting the lower third of the face when performed endoscopically? I haven’t found many surgeons offering a full endoscopic deep plane technique — only mid-face or temporal lifts. I’d be grateful for your expert opinion on whether this approach is realistic, long-lasting, and currently practiced in a comparable way to the conventional deep plane facelift. Thank you in advance for your insight

i cant seem to find any where how much it costs to get a face lift.  can the doctors give me estimates or ranges of cost to expect from a traditional face lift please?

What's the best way to get rid of jowls that are beginning to appear from the corners of my mouth down to my chin? It's especially noticeable in my profile view. About a year ago, I had Restalyne treatments in the areas just below the corners of my mouth with only limited success. Is there any longer-lasting, more effective treatment specifically for "lifting" jowls? I'm 51 years old and have really good skin otherwise. I'm including two side by side pix after I was snorkeling in Aruba last spring, so I look really bad, but it pretty clearly shows the jowls issue.

I am 41 years old. I have 4 children. I now want to have some long awaited procedures: 1. Breast lift and implants (dual plane) 2. Abdominal liposuction 3. Upper blepharoplasty My questions: 1. Can this all be done at one time? 2. If so, would the recovery be manageable? 3. If not, what would your suggest? (e.g breasts and lipo done in one operating time and eyes done in another under local?) I am going overseas so it would be really useful to know the suggested time between each one. Thank you.

I just got back from a physical with my doctor (not MM related), and he told me I've developed a heart murmur. Next week, I have to go in for a ecocolordoppler cardiaca and an ECG (I don't know what these are in English!). Will having developed this affect me being able to safely have my surgery? It's scheduled for August.

I had a Mommy Makeover (TT with Muscle repair, BA) on April 22. 3.5 weeks ago. I was supposed to start my period 7 days ago. Is it normal for my period to be late post op? Also my breasts have been extra painful the last few days so I'm wondering if this is a sign that something trying to happen. I just wonder if it is normal for disruption in menstral cycle, as I am usually very regular.

Currently, a vegan and eating healthy such soy, Boca, Morning star, Lightlife products. No process foods,no meats, or dairy. All laboratory tests are good such as CBC, CAT scan,blood pressure 105\65 but a slow heart rate and vitamin D deficiency.

I am getting a mommy makeover and searching for a good scar cream..