Doctor Q&A

Thank you for your question. Rectus muscle repair should only be performed if a true diastasis is present. If the gap is minimal (

Choosing the right size and profile breast implants for you. 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...

You actually need a full rhinoplasty to get a good result. Doing the tip only will not look good at all. You need the bridge lowered and the nose narrowed.

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.

Thank you for your question. Based on your photos, the best choice is a circumferential lower body lift (LBL) instead of a standard tummy tuck because LBL removes and lifts loose skin all around (abdomen, flanks, back, buttocks, outer thighs) and effectively flattens the front while lifting the back. Pair this with a breast reduction with a lift for your chest. Regarding the buttocks, many patients who have lost a lot of weight are poor candidates for BBL due to limited donor fat and lower...

It is highly unlikely that any insurance company will pay for breast surgery that is not medically necessary. You can contact your insurance carrier and/or your primary care physician for information regarding qualifying criteria.

Marionette lines, as these are called, are a real problem in facial aging. They occur due to multiple factors and can be addressed somewhat during a facelift although they usually require a bit more than that to truly be corrected. The best approach at this point would likely be a combination of skin care, and hyaluronic acid fillers for a non-surgical improvement vs a secondary facelift with fat grating to further correct them.

Straightforward implants should provide a nice result. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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...

Dear mindytetnis,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

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 your question and photos. First of all, your posted photos show numerous asymmetries, loose skin, asymmetrical fat pockets bilaterally in all the photos. To ask someone to "reduce 1 inch from one waist" is unrealistic. Don't get me wrong, you will find someone to promise to give you what you ask for (someone even quoted you up to $4,000, but now your attention will be focused on some other minor asymmetry. As one of the respondents suggested to you, you should ask how to make...