Doctor Q&A

Hello, I was looking at getting a breast augmentation because I had a breast reduction six years ago that I was very unsatisfied with. Since then I have lost only about 10 pounds but I’ve lost a lot of body fat and gained muscle so my breasts are very deflated I’m wondering which route I should go because they’re still in a good position , but I don’t want big implant. Maybe 200 cc. I’m very unhappy and it’s so hard to look at them in the mirror. I was quoted $14,000 and $21,000. Money is a little tight but I’m 33 years old and I’m finally happy with myself except for my breasts.

I am considering an abdominoplasty following significant weight loss and two pregnancies. Despite losing 72 pounds and maintaining a consistent workout routine (4–6 times per week), I continue to have excess abdominal skin that has not responded to exercise. My aesthetic goals are to achieve a flatter abdomen, a more defined waistline, and improvement of the lower abdominal “apron” area. During my consultation, the surgeon recommended an extended tummy tuck with liposuction of the flanks and possibly the upper abdomen. I would like clarification on whether this approach will also result in a smooth, flat contour in the upper abdomen, as I am concerned about avoiding a boxy appearance. My preference is a more contoured, hourglass shape. Additionally, I am interested in understanding whether a fleur-de-lis (FDL) abdominoplasty might provide improved contouring outcomes in my case, based on similar results I have seen. Could you please provide guidance on which procedure would best align with my goals?

Do I need a tummy tuck? I have some loose skin and I am not sure if I have fibrosis? I had lipo ten years ago and my stomach has since looked like this. I am thinking I need a tummy tuck when in reality all I want is a flat stomach. Im really hoping I can achive that with just liposuction & hopefully get rid of the fibrosis (i am not sure ehat to call it).

Hi, I’m having a tummy tuck, BBL, and rib remodeling. I am traveling for the surgery to California. After how many weeks would you recommend traveling after the surgery to come back home to the Washington DC area? It’s a six hour flight.

Hi all, i have been looking into doctors for bridge augmentation using cartilage, and found that the material used to wrap the diced rib cartilage varies from doctor to doctor. I want to ask what the difference between autologous fascia vs autologous dermis (from the upper buttocks) is. Which one do you use in your practice and why?

What would I need to have done to get me from this, to this? Nasal bridge reduction and nostril reduction? I don't have a problem with my side profile, I just want a smaller version if my nose.

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 have a drooping bulbous nose tip and deep alar creases. Can the deep creases be fixed in a rhinoplasty and/or alarplasty? Or would I be able to get piriform fossa filler either before or after the surgery? Finally, I have a dorsal hump that I don’t mind. Would a surgeon be willing to leave a hump alone and just focus on a tip plasty?

Hi There! At my 4mos post op appt. my Dr. told me he would no longer be seeing me. I paid 20K for this surgery. I never felt welcomed,I was amazed at how catty & immature his staff was. That's beside the point. He's a well known Dr.here.Why would be say this? Now I'll be seen on an "as needed basis" if probs arise. I won't be having a 1yr post op appt.for my final results! Is this normal because I find it absurd! VERY unhappy!This was a revolving door situation!

I had a bbl 11 years ago , also after had a seroma in my right glute. It was drained and now it’s a hollow empty space. However the bbl was too much for my frame , I was considering a revision with adding fat to lift the area the seroma was but also getting a reduction at the same time and fat taken from the top of my butt. Would this cause sagging? no matter how much weight I lose it’s still too big, I’m so upset I went through the seroma issue , im not sure if I have scar tissue. My ultrasound showed no fluid. To remove scar tissue does it require a big incision?

Just wondering if you can wear non metals in piercings for surgery Especially if ab etching is Wented.

I'm 37 years old, breast fed my two babies, and am 5'6", around 150-155lbs (my comfortable weight) and 34DD. Between breast feeding and pregnancy weight fluctuations, I'm left wanting a tummy tuck and breast lift to address sagging, deflated breasts and excess skin on my stomach, however I have hEDS. Does anyone have experience performing the procedure(s) on a patient with connective tissue disorders? I'm curious to know about expected wound healing and scars. Thank you!

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?

After having 3 kids via csection, I’m looking to get my body back I am willing to travel but need advice on which procedures I need. Do I need lipo 360 or will a tummy tuck and lipo of the flanks be enough to give me a good hourglass shape and flat abdomen? I know combining both theres a limit of removing much less fat. Also terrified of doing a bbl but want to avoid looking “rectangle” is avoiding one possible?

I had a reduction in 2009 and will be going for a tummy tuck and breast Augmention later this year. My goal is upper pole fullness and cleavage without going too big. I’m 5’8” and 155 lbs. what cc and profile would you suggest?

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?

I'm 19 years old and interested in cosmetic breast augmentation with silicone implants. Does the surgeon ever perform silicone augmentation for patients under 22, or do they only offer silicone beginning at age 22? I saw something on one website about 22 fda recommened for silicone and 18+ for saline but I'm completely against saline implants and have a specific goal in mind I also don't want to have to wait til 22 I stopped growing years ago ik it only said recommened but this concerns that I won't be able to find someone to do it

I’m 41 and have had significant sagging and fat loss in my cheeks over the past 2-3 years. The uneven areas on my nasolabial fold area really bother me and make me look tired. Is there a facelift or procedure that would fix this?

Male, nearly 48 yrs old, 6' tall, 175 lbs. I lost 65 lbs at a rate of 1.3 lbs/wk after many years of being overweight. My weight has been stable using tirzepatide for 3-4 months, and I do not anticipate being impacted by drug shortages, so I am interested in restoring my appearance. What would be required to compensate for the loss of volume and excess skin shown in the photos? Do I need a facelift, or would fillers be an option? For either of those, what types would be my best options?

I'm a 41yo with diagnosed lipoedema in my upper limbs. My BMI is currently 30, but I am aiming to lost another 10kg before any procedures. I need to have liposuction to remove the lipoedema fat, and I'm wondering if lipo plus Renuvion skin tightening would give a good enough result, or if I definitely will need an arm lift with the lipo. There is obviously a big cost, recovery and scar difference between the two options. I don't want to go for the more severe option if its not neccessary, but I also don't want to go with the less invasive option and be disappointed with the results. I mostly want to be able to wear tshirts with the arm not being tight and wear sleevless tops without being embarrassed.

I’ve always felt that my eyes make me look much more tired than I actually am, even when I’m well rested. I’d mainly like to understand what features are actually creating this tired appearance and whether there are realistic ways to improve it. Based on the photos, what do you think is contributing most to the tired look? And what options, surgical or non-surgical, would you consider appropriate?

Hello! I asked a while ago on how to fix my eyes protruding. And I have since had blood work and physical examination of my eyes. And I have nothing wrong with my thyroid and they say I am healthy and have no diseases regarding them. So I wondering now what can help with my eye profile and pushing them back a little? and also fixing my overall eye area? orbital decompression and canthoplasty or canthopexy? jaw surgery to fix my overall area? Infra orbital implants? i would love some help and advice please!

Would an upper blepharoplasty address the “double rainbow” skin on my upper eyelids, or is filler actually the way to go? My eyes have been hollowing out the last 5-6 years exacerbating how much the extra skin stands out.