Doctor Q&A

I am in the process of planning my first breast augmentation, and feeling stuck regarding the techniques my preferred surgeon can offer. One technique, the Preserve breast augmentation (essentially a Motiva surgical kit that is marketed as "tissue sparing") sounds promising and could theoretically avoid general anesthesia altogether. However, the surgeon has far more career cases and overall experience performing the "traditional" method of breast augmentation, over the muscle. This is a surgeon who I vetted and trust, and they felt I would be a reasonable candidate for either due to the smaller size of my desired implants. For me, the choice comes down to a number of things, but the fact this surgeon has only done about 100 cases of Preserve total makes me hesitate somewhat. They didn't seem totally sold on it being any monumentally easier to recover from than their traditional OTM method either. So I am ultimately wondering from the surgeon perspective, whether I should weigh the surgeons experience most heavily over a technique alone.

I’m 26 cis-female, 5’9 and currently weigh 180 lbs and I am shooting to loose 10-15 pounds before going through with the correction. I have struggled with the asymmetry since puberty, for about 13 years. When I was younger, I was told that it would eventually even a bit more out, of course this was not the case. I had one consultation with a surgeon a few years ago that kind of dismissed the need for me to correct it, which made me shy away from doing so. I’m really over the impact is has on my body image and just not allowing me to dress the way I would like. I’m not happy with the size of either and would want to be somewhere in between, not too large but not too small. My mom is pushing me to just get a reduction on the larger size but I don‘t think that would achieve great results. Is there any other way to increase the volume of the smaller one without implants,just the concept of having one implant seems weird. I’m open to any and all suggestions/feedback. Thank you!

Hi I am 5’5 130lbs and getting 560 cc Natrelle silicone implants my current size is 34 small B. Is the size of implant I am getting going to make me look top heavy? Thank you for your time!

Hi, I'm 43 male. Began wegovy februrary 28th at 382.7lbs 5ft7 and, 5 months later, sitting at 290.6lbs. I achieved that loss by resistance training (superset), walking and boxing 6 days a week. I still have a long way to go, but I want to prepare myself for the surgeries. I have a very wide frame and muscular and still gaining muscle each week. So I doubt I will ever achieve anything under 200lbs, my goal would be around 200-220lbs, which would put my BMI between 30 and 35. I have a consultation in 3 weeks with a plastic surgeon, but I want to prepare myself. My questions: Is BMI that important if my body frame is out of average? There's a possibiility that my local healthcare system would pay for an abdominoplasty if they deemed it medically necessary, which I feel it is. I would classify my current abdomen pannus as something around grade 2. They require BMI of 30 and 2 years of stable weight to be approved. I would hope that the BMI is somewhat flexible, but the 2 year waiting would put me in a surgery in a minimum of 3 years from now. My question is, since I also want to do a inner thigh lift and brachioplasty, is it possible to do the thigh lift before the abdominoplasty. My thinking is that I could do the thigh lift first in maybe 1 and a half year, then maybe brachioplasty and finally do the abdominoplasty once I get the approval from my healthcare system. I feel that this way would give me some progress to my body contouring and still saving money

I am a Uk size 8 and I have been left with a tethered c section scar that has created a shelf. I also have some stubborn fat in the stomach area that I struggle to lose. I am just wondering if a full tummy tuck is what I need, or if a scar revision combined with a skin tightening / lipo procedure would be sufficient?

Im 59yrs old, DOS was 12-11-2024, female, black and gained 10 pounds after bbl 2yrs ago. The weight caused my breats and arms to go 2 sizes up and im very uncomfortable. I wont to take a weight lost injectoon, only to loss the 10 i gained.

Overall, I really like how my nose looks, but I dislike how sharp and slightly retracted my subnasale is... so I've been wondering how can I make it rounder and more projected? Nasal spine bone graft? Nasal spine cartilage graft? Would the incision be inside the nostril along the columella or inside the mouth (like that of a lefort 1)? Thanks in advance!

Im interested in a cartilage rhinoplasty to fix my button nose. I live in the United States and was wondering if it was worth it to go to other countries (Thailand) to get the procedure done. Im also wondering how much I can expect my nose to change with the surgery.

I had cellulitus at scar under breast and implant got taken out near 6 months ago. I’m thinking about getting a new implant put in but what’s my chance of the cellulitis coming back just any time or is it usually just agter surjury when this happens? There’s some capsule still left in me is that ok or can that affect this cellulitis reaccuring? Thanks!

Hello, I have received mixed opinions. My nipple is just above my crease. . I just want to replace volume and have a natural slope. Im 5’4 and 135lbs. I do NOT want the high round augmented look. Should i ask for a lift to prevent future sagging from implant?

I underwent a mastopexy with a 285 cc high-profile breast implant, internal bra support using an internal suturing technique, and fat grafting (June 2025) Initially, I noticed a depression along the vertical incision area of my breast. I thought it might be due to fat graft absorption, so I went back to my plastic surgeon. He said that it was nothing to worry about and that it was simply due to some of the fat graft being absorbed, and that I could have additional fat grafting to the breasts later. However, after looking at my breasts more carefully, I noticed that my nipples seem to be pointing upward and that the upper pole appears to have lost volume. I am concerned that this could be bottoming out. Even though I had an internal bra using an internal suturing technique, is it still possible to develop bottoming out? Could this be related to the fact that my breast skin is thin? Would additional fat grafting alone be enough to correct this, or would something else need to be done?

Hi, I’m a 28 year-old woman who lost 100 pounds about three years ago and I’m looking to get my boobs done so that they look natural but a lot fuller. I have gone to two different surgeons. The first one said I absolutely need to get a breast lift. The second surgeon told me that because I want a very natural look that I could get away with just doing implants, especially since I haven’t had kids yet and want to within the next 3-6yrs looking for more information and guidance, thank you!

It's been a year and 2 months since this surgery. Scars are pretty red and now it seems like I'm losing pigment on areolas. Is this normal? Will they go back?

I’m 5’6 122lb bra band / rib cage 30” bust with push up padded bra 34.5” waist 25.5 lift is anchor - areola raising 3cm base of anchor 9cm breast width 14cm pinch test current tissue 3cm currently full 34c that’s padded and pushed up if you push the bra it’s empty nothing there I have no upper pole I do not want fake or augmented look - I do not want to get larger than that 34.5 -35” bust surgeon uses motiva implants Not doing ergonomic because of potential rippling - Over the muscle placement Matrix mesh being used . I want a restored volume not bigger Looking at 275cc or 290 cc mini motiva - 12.0-12.25cm both 2.9cm projection ? Thoughts ? Too narrow , i couod go more narrow ?

I really don’t want scarring from a lift, is there anyway around this? I used to be a 32ddd, lost 40 lbs and now a deflated d cup. just wondering my options. My first consult the dr said i need a lift. Looking for other professional opinions

51 5”6 95lb

Could I please get some advice on whether I may be a suitable candidate for liposuction alone, without a full tummy tuck (abdominoplasty)? My main concern is excess fat around my abdomen, particularly the lower stomach area. Based on the photos attached, do you think liposuction alone could achieve a good result, or would a tummy tuck or another procedure likely be required? Thank you.

I ha lipo bbl last week and I have lipo burns on my stomach. What causes lipo burns? Will it heal the same way as a burn from touching the stove? What should I put on it? Thanks!

I am a male and lost a lot of weight and have slight loose skin around the stomach, I also have stubborn fat around the pubic region. I don't need any fat removed from my stomach area but only from below it above my penis. Will there usually be two different incisions or just around the waist? Should I do it as one surgery? Also if I ever gain any weight does removing the fat affect how I will gain weight in that specific area? Thanks

I am planning to get facial fat transfer and potentially BBL. I understanding that blood cloting can impact liposuction. So what are the potential considerations for somone with heterozygous Factor V Leiden?