Doctor Q&A

46 healthy female, 5ft 1, 125 pounds. I’m interested in more upper pole volume, moderate size increase of 1 cup and minimal downtime. With the degree of ptosis that i have will I need mastopexy in addition to augmentation? TIA

I am 40 years old, 5'3", and approximately 125 lbs with a very lean, muscular, athletic build. I strength train regularly and compete in obstacle course races. Due to weight loss and becoming very lean, I have experienced significant breast volume loss, especially in the upper pole, with most of my remaining tissue sitting lower on the breast. My goal is to restore the volume I have lost and achieve a natural, proportional appearance. I do not want an obviously augmented or “permanent push-up bra” look, but I would like improved upper pole fullness. I still want a natural slope, softness, movement, and some natural drape. I will not be having a lift. My current surgical plan is a Motiva above-the-muscle augmentation, most likely a Demi profile around 350cc. Because of my athletic lifestyle and heavy weight training, I prefer to avoid under-the-muscle placement. My main decision is between Motiva Round and Motiva Ergonomix. My surgeon is leaning toward Round for better upper pole restoration and believes my existing lower pole tissue and lack of a lift will still allow a natural shape as the implant settles. I am drawn to Ergonomix because I like the idea of softer movement and a more gradual upper slope. Given my anatomy and goals, does a 350cc Demi seem appropriate for my frame, or does it sound too large? Would you recommend Round or Ergonomix to best achieve a natural but restored look?

Hello doctors i had BA explanted 8 years ago i need major help. What would you suggest im . Ty i want minimally invasive .

Im 32 and wanting to get breast augmentation. Have had 2 consults and 1 suggested dual plane with the other suggesting sub facia due to me training at the gym. Im quite fit and do lift heavy however am not a body builder or anything. I like the idea of sub facia however im worried that I’m on the thinner side so the breast implants might be visable (he has suggested Demi) hence why im hesitant and leaning towards sub facia - however the animation worries me.. i am happy to never do chest again aslong as i can do lower body (heavy) and moderate shoulder and back is that still possible with dual plane?

Male, 21, 6ft 2in. I lost about 200 pounds and have been looking into surgery and was wondering if I needed the regular 360 or the fdl 360. I don’t really want the central incisions.

I’m a 27 year old female who lost 145lb. I have a lot of loose skin on my abdomen but it retracted pretty well for how much weight I have lost. I’m in my 4th year of veterinary school and currently on rotations, so I have a limited amount of time (4 weeks) for recovery before returning back to clinics. I was contemplating a TT with no muscle repair as I think it would cut the healing time, but am afraid of looking boxy. I had a consultation with one surgeon who said that I probably could get by without muscle repair, but I’ve seen some really bad TTs and am scared.

Hello 51 had 2 ce section wanna get lipo or tummy tuck

49 years old, ofamily and my chidren have the nose...but i want a subtle tip reduction at same time as lower face and neck lift. I like my nose from the front i just want the tip on profile to be reduced. What technuque can achieve this if it can be done?

When I was 13, I repeatedly pressed down on the left side of my nasal bridge and eventually experienced swelling and what seemed like a nasal injury. Since then, I've had a small dorsal hump on only one side of my nose. I'm now 18, and the hump is much less prominent than it was initially, but it's still present. One unusual thing is that I can temporarily press it flat with firm pressure, but it returns within seconds. My goal is simply to make that side look like the other side; I don't want to change anything else about my nose. If there was a very small natural hump before the injury, would that also need to be removed during surgery? What type of procedure would typically be used for this kind of asymmetrical dorsal hump? Could it be corrected with a closed rhinoplasty? I've attached photos, including some where I'm pulling the skin back to show the contour more clearly.

I have not seen this shape of nose on a surgeons site and wanted to see what to even ask for. I want a straight slim nose overall.

I’m 23 and weigh 110 pounds at 5’3 for height. Am I currently too skinny to get a bbl or if I could get one currently, would the results even be noticeable? Should I gain more weight?

Hello, I am 28 years old wanting to get a BBL. I had an accident this year and broke my tibia plateau, they placed an X-fix in my leg for almost 2 weeks before I had my repair surgery. During that time they found I had a superficial blood clot. I was wondering if that would be an issue for me to have surgery?

I have been intersted in having a mommy makeover for 6 years now. I am a 48 year old AA female. Soon to be 49 in 1 week. Overall healthy no issues, no medications other than vitiams. I had a gastric sleeve in 2016. My highest weight was 274. My current weight is 183...I have been in a 7 pound window for the last 6 years. I had 3 c-sections 1999,2000 and 2009. Partial hysterectomy in 2011. I have all the usual issues having kids and weight loss. Ideally I would like to have a mommy makeover and tackle everything at once. And recover from 1 surgery instead of multiple ones. I want lipo, tummy tuck and breast lift..with a fat transfer because I lost a considerate amount of destiny in them. Over the years I have been told that 1) cant have all those procedures done at the same time 2) I need to have breast reduction 3) they suggest a lower body lift. The body lift seems like more of major procedure than what I want and I can't get my breast done at the same time. I really want to be 1 and done...I dont wanna rack up debt for multiple surgeries. I am content with my current butt size and shape...I know the body lift will give it a little toot, but thats not my main priority. I would really like to know if it's possible to really have the procedures I want....or do I need multiple surgeries to achive what I want. I appericate you reading to the end and I welcome all feedback. Also I forgot to add that i also am very content with my current breast size 38F. So no reduction.

I am having a TT, existing implants removed, fat injections and lift in breasts, and lipo. My issue is that i have external hanging hemorroids. Not only is this embarrassing, but i dont know if this can complicate the surgery or recovery.

Ive had 2 consults for breast reduction. Im currently a 30j, my breasts hang really low and narrow with loss of volume on top. Ive wanted to reduce them forever but both surgoens recommended a full nipple graft because of my sternal notch measurement. Id like to know if I have options besides FNG even if if means I dont go super small. Please help. Thank you

My breasts are about 34DDD+. It's hard to do any physical activities without them being painful. I have tried losing weight, but they still sag pretty low. What do you recommend I do? I can never go out comfortably without being self-conscious about how large they look in T-shirts. When I don't where bras they hurt even more. My breasts are flatter towards the top and most of the weight is low if that makes sense lol. Should I wait until I'm older and try to fix it naturally or would surgery be the best bet?

I am considering liposuction for the breast area. After liposuction to the abdominal area, I gained a few pounds and it all seems to have gone to my breasts. Does anyone have experience with this? What are the benefits/risks? If this commonly done?

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

I haven’t tried Botox yet but I wanted to be sure that it would be the right thing for me. I’m tired of seeing the bulging muscles and a dent in my forehead.

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?

Is it possible to lift the breasts using implants only, without scars underneath?I’ve had one pregnancy.33 years old, 70 kg, 177 cm.

One breast width is 12 cm and the other breast width is 13 cm.Will it make a difference when I go for an implant with the width of 12cm or 11.5. I am considering motiva Ergonomix full in 355cc with that has width of 11.5. Will I get the cleavage and the natural results?

I'm a trans woman planning breast augmentation and I'm stuck between sizes. My stats: 5'9", around 100 kg, broad shoulders and a wide chest wall, about a 40" underbust and currently roughly a 40B. I have limited natural breast growth from HRT. My surgeon has shown me three Mentor cohesive silicone options, all placed subglandular (over the muscle) and all on the same base width — so the only real difference is projection: 470cc Moderate Classic (~35 mm projection) 600cc Moderate Plus (~46 mm projection) 750cc High Profile (~59 mm projection) He recommends the 600cc Moderate Plus. What I want is a natural, gently sloping (teardrop) look — soft upper pole, volume lower, mild natural settle. I really want to avoid a round, "puffed-up," over-projected look with visible implant edges. But because my frame and chest are large, I'm genuinely worried that going too small won't look proportional or "won't show." So I feel caught between natural and proportional. My questions for surgeons and anyone with a similar build: On a fixed base width like this, how much difference in upper-pole fullness should I actually expect between 470, 600, and 750? Is 600 Moderate Plus a sensible middle, or would you lean smaller/larger for a broad frame? Does over-the-muscle placement change your size/profile advice, and how do you minimize visible upper-pole edges or rippling given limited tissue coverage? Would a more cohesive gel (e.g., MemoryGel Xtra) help, or would it push me toward the round lo

Trans female here and i did a round of FFS for my jaw and a rhino but still feel like I look like a dude. I’ve been told that I might need a facelift but I’m wondering a) if I can get away with a mini facelift bc im only 41 and b) if there is any non-surgical treatment that work well instead of a facelift bc my scars don’t heal well. Thank u

I'm almost 72, and I understand that a midlift is appropriate for much younger women, but I had a lowerlift in 2018, which I think is still doing well. Could i be a candidate for a midlift?