Doctor Q&A

A breast lift alone would be sufficient to give you a perkier shape. Additional tissue may be removed at the same time if you’d like to be smaller. The resulting scar may be anchor shaped. A scar would go around your areolae, then extend down the middle of your lower breast into the breast fold, where a horizontal scar would be.

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...

The indentation may be smoothed with liposuction or a tummy tuck, depending on the quality of the your skin. If your skin is elastic, liposuction may be sufficient to remove fat to give you a more even contour. If you have loose skin, a tummy tuck would be more suitable.

Hello, and thank you for the question and photos! Based on the information you provided, you sound like a potentially good candidate for a tummy tuck, but the final decision depends heavily on the physical exam and the degree/location of loose skin. If there is still abdominal fat, surgeons sometimes combine a tummy tuck with Liposuction to improve contour. Based on the information you gave, you likely fit the typical profile of a tummy tuck candidate. The biggest factor is simply how much...

Hello and thank you for your question. The best way to determine this is with a thorough in person examination. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Excellent question. A lot of surgeons will separate breast and butt procedures because the recovery positioning can be challenging, however there are ways to achieve this with aids like BBL mattresses with cutouts. This is a combination I have certainly performed before (and also have included fat transfer to the breast to restore volume) because there are significant advantages to having only one recovery period and getting back to life quicker.

Thank you for your question.
Based on your height, weight, and BMI, you appear to be on the slimmer side with limited fat reserves. While it may be possible to perform a Brazilian Butt Lift (BBL), the amount of fat available for transfer might be limited, which can affect the volume and projection achievable.
A “skinny” BBL can add subtle contouring and enhance your shape, but it’s important to have realistic expectations about the final volume. A consultation would help assess your fat d...

Hello! My personal recommendation would be to just correct the lateral hip dips rather than going for a complete BBL. Even by correcting those dips you can have an amazing result. However, if you want more projection, you can go for full BBL. Proper examination and planning is very much warranted.
Thank you,

Regards,
Dr Sameer Karkhanis,
Centre for Cosmetic Surgery, Mumbai, India

A panniculectomy only removes the tissue that hangs below your waist (pannus). Based on your photos, a tummy tuck may also be recommended to improve your lower abdomen. These procedures wouldn’t tighten the loose skin on your upper thighs. That would require an additional procedure called a thigh lift.

Hello! It is quite natural to have this concern. However, I would like to tell you that yes it is possible to combine all these procedures together. It is important to finish the surgery within stipulated time period without compromising results. Also, you preoperative investigations and assessment are of core importance before planning this surgery. We at Centre for Cosmetic Surgery, Mumbai, India, work as a team of board certified plastic surgeons. This ensures that the surgery is competed...

A Nuss procedure can be used to correct pectus excavatum by insertion of hardware through a small incision to correct a chest wall deformity.

This can be safely performed in patients with breast implants.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your question.
Based on your photos and goals, you appear to be a suitable candidate for breast implants. This procedure can enhance volume, improve shape, and create a fuller, more balanced appearance while maintaining natural proportions.
A consultation would help determine the ideal implant type, size, and placement for your anatomy and desired outcome.

Thank you for your question and limited view photos. Yes, this can be greatly improved. You would need the rest of the abdomen liposuctioned, the lower area skin to be released. Corrective surgery is always more difficult and no spot or small area blending will work. The best way to get a good result is to have the surgery done correctly the first time. Unfortunately it did not happen in your case. It is not your fault. I use the VASER Hi Def Lipo technique under deep intravenous sedation in...

Sorry that you have been disappointed with the PRF sessions, but I am hardly surprised. I have been cautioning my regular followers for years that the hard science to support the use of this, as well as PRP, are backed far more by marketing hype and social media buzz than hard science. Sorry for the loss of time and money. The same "buyer beware" caution should be exercised when considering the expensive bells and whistles fraxel laser, RF devices, etc.
You would be wise to make sure to...

Thanks allerdings for your question! Seeing that dark, localized patch on the eyelid (known as a palpebral ecchymosis) makes it much clearer what you’re experiencing. Even without a direct "hit" to the eye, a small bruise can appear on the eyelid. The skin there is the thinnest on the body, so even a tiny amount of blood under the surface is very obvious. An 11-hour flight involves significant cabin pressure changes. If you had a tiny, fragile capillary in your eyelid, the pressure s...

Thanks for your photos and questions.
Botox will soften some of the lines when you smile as this is just normal muscle contraction. Over time it leads to wrinkles. A laser resurfacing (CO2 or Er:Yag) can improve some of the skin texture issues and fat grafting or even lower blepharoplasty with fat repositioning can improve some of the hollowing.
Hope this helps and best of luck!Kyle Kimura, MD

From your photo, the “tired/sad” look usually comes from a combination of upper lid heaviness, under-eye hollowing, and sometimes a subtle lid position issue (ptosis). You’re smart to ask for a starting point, because these are different fixes for different causes.
1) Do you look like you might have ptosis?
Possibly. If one upper lid sits a bit lower and covers more of the iris, that can create a sleepy or sad look. Ptosis repair (if present) is the most direct way to “open” the eye — and...

Based off your photos - for 72 you have aged very well, you look not past 50-55. There are nasolabial folds, some midface decent, slight brow ptosis, (asymmetrical on either side). If there has not been any previous facelift - (can not see if there are any scars in front of the ear) but a midface lift with some fat grafting can be done either way - just endoscopically would be easier if there are no prior history of surgery, fillers, energy devices used there. The scar would be approached in...

According to what you mentioned, the main concern appears to be lower cheek laxity, while your neck and jawline remain relatively well-contoured. For a long-lasting and natural improvement, I generally recommend a lower facelift. This procedure repositions the deeper tissues of the mid and lower face, creating a smoother and more youthful contour.
Looking at the upper portion of the face, if there is sagging or excess skin in the upper or lower eyelids, combining upper and lower...