Doctor Q&A

I recommend a breast lift using the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

If you do desire more volume, augmentation alone is all that you need. NAC's are at good position and you have minimal ptosis/sagging.

Thank you for sharing this — I can understand how concerning and stressful this must feel, especially when the pain seems to be increasing instead of improving.

At 7 months after breast augmentation, most patients are well past the initial healing phase, but it’s not uncommon to still experience intermittent sensations such as:
• Shooting or “electric” pains
• Aching or tightness
• Sensitivity, especially with movement or pressure

These symptoms are often related to nerve regeneration ...

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. If you end up getting a revision, I would make sure to place a fascial dorsal onlay graft or moreselized bone dorsal
Onlay graft to provide a smooth long-term contour of the dorsum. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. With good surgical technique, you...

Thanks Fernando daniel for your question! It is understandable that you would feel concerned seeing a new bump so soon after a procedure like a rhinoplasty. While only your surgeon can give you a definitive diagnosis, but the differential diagnosis of a bump that transitions from red to white four weeks post-op can be a few different things.
It could be a localized infection of a hair follicle (Folliculitis), inside the nostril. It often starts as a red, tender bump and can develop a white...

Thank you for your question and sharing your photographs. It is possible to increase the projection of the nasal bridge and de-rotate slightly the nasal tip, in particular, with an adjustment in the position of the tip-defining points.

Restoring a nasal bridge bump is usually a significant problem, as it generally does not look natural, and I would advise against it. However, if you feel that you would like to generate a small nasal bridge bump, my recommendation is to have a rhinoplasty...

Thanks wds84 your question! It is completely understandable to feel frustrated when you’ve invested in a major surgery like a tummy tuck (TT) and don't see the specific contour you expected, especially six months into recovery. While only a physical exam can confirm this, here is a breakdown of what that specific shape usually indicates six months post-op.
Visceral Fat (Intra-abdominal) is the most frequent cause of the specific "upper slope" seen in your photo. It’s the Tight Drum eff...

Your photograph is limited as you have not provided a lateral view. Also, if your breasts are hanging low then you may benefit from a breast lift that will pull the upper abdominal skin up and may eliminate the need for a full tummy tuck. I would need more photographs to include your breasts and abdomen (front & side views) to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and photos. If you want "optimal results" I would do VASER liposuction 360 degrees with fat transfer to the buttocks and hips. At a second stage a sculpted tummy tuck can be done. With the skin shrinkage from the liposuction surgery first, the tummy tuck incision and scar will be shorter as well. I do these surgeries in our accredited in office surgery suite under deep intravenous sedation and not general anesthesia. I would recommend hyperbaric oxygen therapy...

Dear annammzz,

based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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...

Board Certified Plastic Surgeons undergo rigorous training in the field with 5-6 years in residency followed by at least a year in practice after that before passing the boards. "Cosmetic" Surgeons simply apply for a certificate. I'm sure there are plenty of Cosmetic Surgeons that are capable and deliver good results, but by and large, Plastic Surgeons have the training and expertise. Additionally, most Cosmetic Surgeons do not hold hospital privileges because it's not a recognized...

Yes, a second reduction 10 years after your first surgery is very feasible, and reducing from a C/D to a B cup can be performed safely with proper planning. In revision cases like yours, a Push-Up Lift–based reduction is often one of the safest and most reliable approaches, allowing both reduction and reshaping while preserving blood supply and nipple sensation. This technique also helps correct asymmetry and lateral “side boob” by redistributing your own breast tissue and improving inter...

Hello, it might be possible, but a physical consultation is required for an accurate answer. The rash around the scar might happen because of the stiches used. Some stiches may cause allergies in the skin, so it is critical that you shoould contact your plastic surgeon about this

We often perform kenalog injections to scars that become thickened or raised. Ask if that's an option for you!

Good luck!

The difference between these two implant sizes is very small. It is about 1.5 tablespoons of volume. That being said, I think you answered the question for yourself. You mentioned "I’d rather go too small than too big!" with that in mind I would recommend going with the smaller implant.

Dear Itme_e ,

I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.

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

Based on your photos and description, you should consider a neck lift procedure to address the laxity in your neck. Some patients with limited skin excess and normal skin elasticity can achieve adequate results with a submental neck lift which only requires an incision beneath the chin. For patents with more laxity and/or poor skin elasticity, a formal neck lift removing skin behind the ears will produce a better result. Seek out a board certified plastic surgeon for consultation.

Thank you for your question. From your photos and description, you would be a suitable candidate for liposuction combined with J-Plasma to contour your waist and improve skin tightening, helping create a more defined and smooth appearance without the need for a tummy tuck or BBL.
I hope this helps.

Based on your photos and description, you can certainly have an upper blepharoplasty performed first, then decide later on whether or not you want to have a browlift. You also appear to have some degree of eyelid ptosis in addition to eyelid skin excess. A standard blepharoplasty will not address the position of the eyelid in relation to how much of the pupil shows below the eyelid, but a ptosis repair can be done at the time of the blepharoplasty.

Thanks wds84 your question! Dealing with changes around the eyes can be frustrating, especially when it feels like the issue is progressing. At 33, it is quite common to notice structural shifts in the eyelids, particularly after significant physiological changes like weight loss. This is most likely due to familial or hereditary reason.
It could be medial fat pad prolapse in which the upper eyelid has three fat pads. The one in the inner corner (medial) is often the first to herniate or...

Dear VanillaBrownie,

Thank you for your question. Based on your photos and your history, your main issue appears to be under eye hollowing rather than excess lower lid fat. That distinction matters, because lower blepharoplasty is usually best for puffiness or bags, not for a volume deficiency.

In a case like yours, fat transfer would often be more helpful than lower blepharoplasty alone. Since you have had hollows since childhood, this sounds more like a structural or hereditary contour...

Hello, it looks as though some of the asymmetry is coming from the skin and uneven creases. The crease does not look visible on one side which is giving the illusion of a droopier eyelid. Likely need an upper blepharoplasty plus crease reestablishment. Please see an experienced oculofacial plastic surgeon for best results.

A facelift will not help you achieve the desired look. You would benefit from a chin implant, not chin fillers, which will not work. The chin implant is placed through an intra-oral approach to eliminate external scars.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and sharing your photographs.

If you are not already doing this, I would strongly advise using high-factor sunscreen on a daily basis, irrespective of the weather, to protect the remaining elastic collagen fibers in the skin for the longevity of any treatment you might contemplate.

A combination of deep plane facelift and neck lift is likely to address your concerns in a balanced and harmonious manner. The laxity in the midface appears relatively significant...