Doctor Q&A

Do I need a breast lift? You might not need one. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in...

That is a location where a "hemitransfixion incision" is usually executed to access the septum. That is likely scar of the anterior septum border. A properly trained plastic surgeon will be able to guide you through this process. I like to use a cone beam CT scan, ultrasound, and physical exam prior to making any recommendations. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon, ideally one who also completed an accredited Aesthetic Society fellowship...

Based on your photos, it appears that you already have a relatively lean frame, so there may be limited fat available for liposuction to create a significant change in your waistline. Some of the fullness along the sides of your torso also appears to come from your underlying musculature, which liposuction cannot address.

If your goal is a more defined hourglass silhouette, one option is fat grafting to the hips or buttocks, provided there is enough donor fat available. This can help...

It is incredibly stressful to be caught in the middle of conflicting advice from your plastic surgeon and your post-op massage therapist. You want to follow your doctor’s orders to get the best possible result, but your therapist is the one physically working on your body every week and warning you of the risks, still The Doctor have The experience, and can give you adviced based on the experience.

Dr. Luis Mejia
Let's make it better

Your photos suggest you already have reasonable buttock volume, with some natural lateral hip-dip contour visible. From photos alone, this looks more like a question of how much refinement you want rather than whether you need a dramatic BBL. If your goal is only a little more roundness or hip-dip softening, a conservative plan may fit better than a high-volume change.

Transferred fat can decrease. Some of the grafted fat may not survive, and later weight loss can make both your original...

Yes, you can absolutely still get a mommy makeover, but not immediately. Because a mommy makeover is a major elective surgery, your plastic surgeon will require you to get formal medical clearance from your primary care physician or a hematologist to investigate why your ferritin is high before clearing you for the operating room.

Dr. Luis Mejia
Let's make it better

Thank you for your questions and pictures. You are a reasonable candidate for an extended abdominoplasty with liposuction of the abdomen and flanks. This can be combined with a breast lift or breast reduction and liposuction of the axillae. You might also consider an upper back lift if the skin excess in your mid back is of concern. Neither of these procedures will address the skin laxity on your thighs or infragluteal region. You would need to consider a thigh lift to improve those areas.

In my opinion, the larger part of breast reduction surgery is its functional benefit. For a young person like you, this procedure can be truly life-changing. It can relieve back and neck pain, reduce the skin irritation and rashes between and beneath the breasts, and make physical activities and exercise much more comfortable.
Most importantly, it can significantly improve your self-confidence and overall quality of life.
If your main concern is the ability to breastfeed in the future,...

Thank you for your question. The key measurement here is your nipple-to-sternal-notch distance, but as far as I can tell from your photos, your distance does not appear long enough to require a free nipple graft. In practice sometimes we perform nipple-sparing breast reductions and lifts even when this distance is 40 cm — you can see similar patient results on our social media accounts. but of course there is a limit for reduction.
One important point: if you are still losing weight,...

Hello and thank you for your question. Upon reviewing your photos, you appear to be an excellent candidate for a breast reduction and lift.
The Nipple-Areola complex is typically reduced and lifted in a very symmetric fashion during this procedure. In my experience, patients are typically able to gain both a customized size to the areola and a reduced nipple as a result of these procedures. Best wishes.
David Shokrian, MD Plastic & Reconstructive Surgeon

Thank you for your inquiry! We would love to sit down with you to discuss your concerns. Calling your surgeon and requesting this information from them. Your implant would have been registered with their manufactor. If there are any recalls, they reach out to the patient based on the contact information provided. Schedule your consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Based on the photos, the indentation appears consistent with soft tissue tethering, which may be related to fibrous bands, ligament attachments, or localized volume loss. It becomes more noticeable when smiling because the facial muscles accentuate these underlying attachments. Treatment depends on the exact cause and may include subcision (scar release), fat grafting, filler, or a combination of techniques to restore a smoother contour. A thorough examination by a facial plastic surgeon or...

The benefits of surgery for improving under-eye bags are significantly greater than those of the non-surgical treatments you mentioned.
Based on the photos you kindly shared, I believe you are an excellent candidate for an endoscopic Deep Plane facelift, as it allows for a very natural improvement of the nasolabial folds. When combined with a lower blepharoplasty, the results are even more comprehensive, since the procedure not only rejuvenates the lower eyelids but also improves the...

Thank you for your question. These procedures are almost always done together for several reasons and in fact doing them separately probably will likely look worse than having them done at the same time where the excess in both areas can be blended into a more natural result than can be achieved if done separately. Also, staging these procedures will not lessen your healing time. Both procedures done separately will have the same amount of healing time as each done individually, meaning you...

Based on the photos, it is difficult to determine whether the fullness represents localized fat, a lipoma, swelling, a tendon-related prominence, or another soft tissue mass. Liposuction is generally not the first treatment for a lump on the top of the foot because of the complex anatomy in this area. I recommend evaluation by a foot and ankle specialist or plastic surgeon, and imaging such as an ultrasound or MRI may be needed before deciding on treatment. If the fullness is confirmed to be...

Based on the photos, your eyes do not appear significantly close-set. The spacing is generally within a normal range, and the impression of closeness is more likely related to the round shape and relatively shorter horizontal eye opening. Procedures such as lateral canthoplasty or canthopexy may help create a slightly longer, more almond-shaped appearance in appropriately selected patients. An experienced oculoplastic surgeon can determine which option would provide the most natural...