Doctor Q&A

Hello and thank you for your question! Short answer - yes! Longer answer - the total volume/degree of transformation will be limited by how much healthy fat cells we are able to remove from other areas. Usually most people of reasonably healthy weight have some excess fatty tissue in their belly, love handles, and inner thighs. Taking a little bit from multiple areas can add up to "enough" for a lower volume, "skinny" BBL. We can prioritize this volume to your hips or centrally on the...

Dear Nice18501,

it is hard to tell for sure without an examination. Generally speaking, you can get fat transfer only to specific areas. 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

Thank you for sharing your concerns. Buttock asymmetry and sagging are prevalent and are usually caused by uneven fat distribution, skin laxity, and natural body anatomy.

Exercise can improve muscle tone, but it cannot fully correct sagging skin or significant asymmetry. Weight loss may help in some cases; however, if there is already looseness, it can sometimes make sagging more noticeable.

In these situations, a customized surgical approach gives the best results. Depending on your...

Hello, the most common causes might be retained suture material, exposed cartilage or graft, dead tissue, or a localized chronic infection or abscess inside the nose. These problems can worsen with movement, which fits what you’re experiencing.
This needs direct internal examination, ideally with nasal endoscopy, by an ENT or facial plastic surgeon. The solution is usually identifying and removing the source, not more antibiotics.
This is treatable, but it requires hands-on evaluation. B...

From your description, it sounds less like one side is “hanging” and more like there is asymmetry, with one nostril sitting higher and the columella appearing lower on the opposite side. This is a fairly common concern after rhinoplasty and often becomes more noticeable over time.

Unfortunately, non-surgical options such as filler, PDO threads, or Botox are unlikely to provide a reliable or lasting solution in this situation. These treatments cannot adequately correct structural asy...

At this time, you would benefit from a repeat rhinoplasty. Your tip is quite round and needs to be refined. The dorsum of the nose can be narrowed, if desired.

Best Wishes,

Gary Horndeski, M.D.

Columella strut graft is usually used for tip support to correct low positioned, droopy tip, as well as for some columella deformities. In the case that your surgeon is using graft from fresh frozen cadaver cartilage, this procedure can be done in local or MAC anesthesia. Harvest of the graft from septum would require MAC or general anesthesia. Good luck.

Thank you for your question and photos. Based on these photos, you can have a very nice result with a breast reduction. Cup size is difficult to guarantee. You do have bottom heavy breasts and not much superior pole fullness. Most of the breast tissue is removed inferiorly to reshape your breasts. See a board certified plastic surgeon experienced in all aspects of breast surgery. Good luck.

Dear Shakiishd

Great question, and easily managed.

All of our breast patients (implant, lift reduction) who have piercings remove the piercing the day before and thoroughly clean the nipples with Hibilclens (unless allergic).

On the day of surgery we sterilize the piercing and put the in place before the patient wakes up. This has been a fool proof method of keeping the piercings so that they don't close up.

Best of Luck,
Dr. Jim Romanelli

Intuitive852736,
Based on the photographs you have shared, your tattoo location is at the lower edge of your stream overlying your xiphoid process and then extending onto your upper abdomen. The most commonly used incisions for breast implant placement, infra areolar and infra mammary are both well above your tattoo. I do not think implants will affect your tattoo.
Dr Stein

When doing an augmentation we want the implant to be centered on the nipple. This will give the most natural look. You have excellent shape to start. Remember that measurents of chest width are never exact. The human body moves and is not symmpetric R to L. For example your nipple height is different on each side. Totally normal. The most important consideration is volume. Did you like the look with a 350 cc sizer in a bra? (Sizers typically come in 50 cc increments). I would definitely not...

You have Grade II breast ptosis and need a lift to allow alignment between the implant and breast. You'd also benefit from an areola reduction. Most surgeons would prefer general anesthesia for this procedure.

Pioneering742783,
Before any procedure, surgical or noninvasive, your doctor will assess your history of blood clotting disorder and decide how to proceed. If in fact its determined that you are not appropriate for a tummy tuck, but could undergo a less invasive surgery, liposuction with J-Plasma® (also called Renuvion®) is a technique we use to remove unwanted fat while also helping tighten the overlying skin. Traditional liposuction is excellent for contouring, but it doesn’t tighten ski...

Based on this photo and without preoperative photos to compare, you seem to have very good result after lower blepharoplasty and fat grafting. Asymmetry is so minimal that can be easily corrected with skillful make up. Good luck.

This is a very common and reasonable concern. The key distinction is between staging facial rejuvenation procedures versus staging a face and neck lift itself. A face and neck lift should not be divided into multiple stages; doing so would compromise both the result and the efficiency of the surgery.

That said, facial rejuvenation often includes additional procedures—such as eyelid surgery, a brow lift, fat transfer, or laser resurfacing—and these can sometimes be thoughtfully staged dep...

You seem to have acquired a horizontal line above the right upper lip and you may benefit from an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.