Doctor Q&A

Hi, thank you for sharing your photo and your concerns.
Based on your description and photos, there is a degree of skin laxity that cannot be fully corrected with implants alone. Without a lift, the result would remain limited and over time, the added weight of an implant could make the sagging more noticeable. A lift allows the breast tissue and skin to be reshaped so that the final outcome looks more balanced, natural, and stable.
A clear diagnosis and the most suitable plan can only be...

Unfortunately, estrogen cream has not been scientifically proven to increase breast tissue. The breasts are mainly composed of fat, glandular tissue and connective tissue.

Based on your photos I would recommend lipo360 and a full TT. I understand your hesitation because of the scar but this will give you the best result. It will allow your surgeon to remove extra fat, contour your frame, address the excess skin and correct your rectus diastasis.

Hi, thank you for sharing your question. You are a good candidate for a standard full tummy tuck. Based on these photos, the full tummy tuck will allow you to achieve the ideal outcome.

Please see your surgeon for an inperson assessment. They can examine you to see whether your stitches have been compromised.

Reducing nasal projection without lifting the tip is possible. The main challenge is deciding how much projection can be reduced. In some patients with thicker skin, shortening the nose may reduce tip definition and the tip can appear rounder, which is not the desired outcome.Questions to discuss during consultation• How much projection can be reduced in my case without lifting the tip• How will my skin thickness affect tip definition after shortening• What can be done to keep the tip looki...

Great question and thank you for the photos.
It is not uncommon for breathing issues to develop after mohs depending on the area of the nose and the reconstructive technique to fex the subsequent defect. One of the most common reasons for breathing issues is something called nasal valve collapse when the cartilages of the nose are either narrowed or weakened to the point where they can no longer maintain an open nasal airway when breathing through the nose. This can be improved with surgery...

A "tip-plasty" is just a rhinoplasty where everything but the tip looks perfect, and the surgeon is only working on the tip. But in practice, that almost never happens. The whole nose needs to fit together attractively. On your nose, for example, you have that little bump on the bridge. You might want that lowered, because if the tip is smaller after surgery, the bump, which sits close to the tip, might *look* *larger* after its neighbor the tip got smaller. Get it?

Even if you like the...

Thank you for your question and photos. As a Total Definer plastic surgeon, I specialize in VASER Hi Def (VHD) liposuction. this is an advanced technique which most surgeons are not proficient at it. You do have enough fat for a "skinny" BBL. You need widening of the buttocks more than creating posterior projection to balance your lower body with your wide shoulders. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person...

Hi Enthusiastic890218, Thank you for your question about whether you can proceed with a BBL 2 years after a Liquid BBL HA (acid hyaluronic). Thank you for your MRI pictures. Usually, hyaluronic acid (HA) dissolves after two years. Therefore, most plastic surgeons would be concerned that your injections may not have been purely HA. Unfortunately, your HA may have been mixed with a more permanent product, such as silicone. Therefore, a diagnosis is needed. The best way to diagnosis what...

What I summarize for patients to simplify and make it so they can easily communicate with me regarding this question is: Would you want to simply slim the center of the hourglass or slim the center of the hourglass while also enlarging the bottom of the hourglass? Whatever your "big picture" answer to this question is is your answer.

Thank you for your question. Yes, you can be a BBL candidate if you have enough safe donor fat. Harvesting is typically from the upper and lower back, flanks, and hips; expect a shape-focused, conservative BBL rather than big volume. Have an in-person examination with a board-certified surgeon to confirm donor-fat availability, map safe lipo zones given your scars, and determine whether breast revision (not larger implants) is the right path. You may also benefit from a posterior lower body...

@Trustworthy952857. Thank you for your question. If you are healthy and have undergone appropriate screening you should heal in a similar timeline to younger patients. However, as we age it can be more difficult to return to baseline activity and recover from anesthesia following surgery. I would recommend discussing your concerns with your surgeon.

I tell my patients that drains are annoying, but they serve a purpose. For my mommy makeover procedures, I leave drains in the abdomen. Depending on what your surgeon is doing for the breasts, they may decide to leave drains there as well, but I've personally not found much use for drains in the breasts for the vast majority of the breast portion of mommy makeovers.
The main purpose of drains in a mommy makeover procedure is to remove the fluid that would otherwise build up underneath the...

Thank you for sharing your experience — I understand how unsettling these sensations can feel, especially when they begin to increase after many years of stability.
One very important point to understand is this:
Breast implants are not lifetime devices.Most manufacturers and plastic surgery societies agree that after 10 years, patients should at least be evaluated for a possible implant exchange, even if no obvious problem is present.
This does not mean every implant must be changed...

Hi! Let me tell you. In breast augmentation, breast width is one of the most important factors when choosing implant size. With a base width of 10.5 cm, implants that stay within that width tend to look more natural and remain more stable over time.
Although a 320 cc demi-profile implant may seem appealing for added volume, its diameter is wider than your natural breast base. Choosing an implant that exceeds your base width can increase the risk of a breast that looks too wide, implant...

Choosing the right size and profile breast implants for you; Under the muscle for a natural look. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size 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...

Thank you for your question and photos. As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (200 versus 300), is far less significant than implant width and projection. Implant width is similar to shoe size.

In your case you have very pretty breasts that are already generous. You would the lowest projection with adequate width and volume.

The term...

Under eye hollows can benefit from treatments like lower eye lift or fat transfer. Nonsurgical treatments include dermal fillers. However, in order to determine the most suitable treatment for you, photos, rather than renderings, would be more helpful.

Good question. A little medical history would be beneficial. Age? History of trauma or surgery? Medical issues?
Briefly your brow does not appear too low from the photo although your L appears slightly lower than your R. There is excess upper eyelid skin and possibly lid droop on the L as more of your pupil on the R is exposed than the left.
If there is no lid ptosis (droop) then an upper eyelid blepharoplasty wold help a great deal.

All the Best,

Dr. J

Thank you for your question and the photos!
Yes those look like early lower eyelid bags. Certain lighting can also make them appear more prominent. Filler can sometimes soften the oblique crease that develops between the eyelid bag and the cheek, however this can be challenging and sometimes even make the appearance worse. A potential option is a lower blepharoplasty which would reposition or remove some of the lower eyelid fat to give the eyelid/cheek junction a more smooth contour.
Hope...

Great question. It depends on the state and their laws regarding anesthesia care, but in many situations a CRNA can operate independently. In any situation, if there is some uneasiness you should absolutely bring it up with your plastic surgeon and make sure all your questions are answered. In general, the vast majority of CRNAs are excellent and well trained to handle a case like yours, but you should also be able to speak with them before surgery if you have any unique concerns.
Hope this...

HiThank you for the photos and for explaining your concerns clearly.
First, a reality check that will actually help you: at 24, what most people call “smile lines” is usually a mix of genetics, facial shape, and normal movement, not premature aging. In your photos, the folds look mild and very common for your age — and treating them too aggressively can make a young face look unnatural.
Why fillers “migrating everywhere” is not the full story
Viral posts often show extreme example...

At your age, a deep plane facelift combined with a neck lift is one of the most effective ways to address jowls, neck bands, and overall facial laxity, as it corrects the underlying tissue rather than just the skin. If lower eyelid aging is present, a lower blepharoplasty can be safely combined to further refresh your appearance.
A personalized consultation with a board-certified plastic surgeon is essential to determine the best approach and achieve natural, long-lasting results.