Doctor Q&A

Thank you for your question. Since your nipples sit below the inframammary fold, augmentation alone will worsen ptosis. The most reliable plan is a combined augmentation and lift: an implant—typically a moderate or Moderate-Plus profile—will add fuller, natural upper-pole fullness that doesn’t sit “too high,” matched to your base width for a natural look. A lift is necessary to reposition the nipple–areola and tighten the skin envelope. The type of lift depends on how far the nipples nee...

Thank you for your photo. It appears the tissue above your belly button is still relatively thick. Thinning this tissue with liposuction will not only loosen its deep attachments so it can be pulled downward easier, but also help it match up better with the thickness of the tissue lower on your abdomen. The downward pull on the skin will flatten and smooth the skin above your belly button. An extended TT can then remove the excess skin. I don’t believe you need a FDL to obtain an e...

Hello, If you have Undetectable HIV and a good CD4 Count as well as normal Blood Test results and a Normal Cardiologist Evaluation, BBL with Fat from Hips and arm fat transfer is definitely possible. Jaime Caloca Jr., M.D.

Based on your photos, you can have a nice improvement in your nasal tip and bridge with a well performed rhinoplasty. The steps appear fairly straightforward for someone who performs a lot of rhinoplasty surgery, so make sure you see a rhinoplasty expert for consultation.

Thank you for your question.A breast lift (mastopexy) and a reverse tummy tuck are two different procedures, even though both are performed in the upper abdomen and breast area.
The incision used for a breast lift by itself does not allow us to “pull up” the stomach skin. To tighten that upper abdominal skin, we need to use the specific reverse tummy tuck technique, which uses incisions placed in the breast fold and is designed to remove and lift excess upper-abdominal skin.
In some pat...

Dear CoolGuy2000,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.


Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Although I do not have information on any exact date Motiva Ergonomics2 Implants will be available in the U.S. they are now available in Mexico.

If your goals are simply to reduce the volume of your upper, posterior arms, then liposuction will do that with minimal scarring. No one‘s skin gets more elastic as they get older, so after the liposuction, the volume may be reduced, but you may still have some loose skin. If that is acceptable to you, then liposuction would be a great option. If you are looking for skin contouring as well, then an arm lift would be required. The trade-off is that the skin of your arm would be contoured b...

Hello Angelica,
Our faces are never symmetrical and sometimes the differences are eye catching. Therefore, performing Lower Blepharoplasty only to remove the bags under one eye is definitely possible.

Thank you for your question. Fillers address volume, not skin laxity, so they may only provide short-term camouflage and can look puffy if used to chase sagging. The definitive treatment is a lower facelift, sometimes combined with perioral resurfacing (laser or peel) for fine lines and limited fat grafting for deflated areas. A “mini lift” can help with very early laxity, but if there is excess laxity, it may become less effective and less durable than a full lower facelift. Use fillers onl...