Doctor Q&A

I’m 5’3”, 150 lb, 18 months post-op with 550 cc Mentor MemoryGel Moderate Plus implants under the muscle. My pre-op breast base width was about 14 cm, and my implants are about 14.6–14.7 cm wide. Since surgery, I’ve had persistent tenting/webbing of the skin between my breasts over the sternum. It affects how my cleavage looks and has become a significant source of distress for me. I otherwise really like my augmentation, especially the size, width, fullness, and how well my breasts fill my chest. My biggest concern is whether correcting the medial tenting would require me to significantly downsize. I would strongly prefer to keep approximately my current breast volume and footprint if possible. Does this look consistent with medial pocket malposition/symmastia or another type of webbing? What are the likely causes? Could this potentially be repaired while keeping me around my current size, perhaps with pocket reconstruction and/or different implant dimensions or profile?

I find tip of my nose too bulbous and flared, and my nostrils are different sizes. I have a bit of a dorsal hump but i'm not concerned about that all. Overall, i'm looking to get a narrower and slightly sharper nose tip, while keeping it harmonious with the bridge. I want the most natural results with no lift to the top or extreme sharpness. I just want something that fits my face better and doesn't pull all the attention into my mid face, because my mid face is bit narrower so my nose sticks out even more. What minimal procedures do you recommend to balance it out?

I have searched constantly to try and understand what part of anatomy this is but cannot find it on anyone else's nose. My nostrils have these weird angular dents/hollows around the nostrils, making a very harsh shadow and angular shape around them. They are literally like hollows/flat denta when the area should be smooth. I can see the edge of the cartilage there (if that makes sense). To me it looks extremely weird/unnatural. I want a rhinoplasty for other reasons (dorsal hump) and am worried how this will complicate it. Can cartilage or something be added to fill the "dents"? Is there a name for these?

Two years later and I ve been experience pain in my hips and certain parts of my Butt. At first is was on one side and I also noticed that a huge dip on my hip/side butt had appeared last year by the time of my 1 year post op appointment. I've expressed that concern to the surgeon who at that time, advised me to get hip dip filler to correct the dip. I never got he filler because Im nervous about it migrating. However fast forward to now and the other side of my hop is also aching. I don't know what is going on. My surgeon also has stated he doesn't know. if anyone has any information about the please advise what is causing it to hurt after two years. I feel it more when I sit or lay on my butt/ sides.

Hello, I am currently 167 pounds and 5’8 and 31. I have never had a butt. I am trying to get rid of my stubborn fat so I want to schedule a Lipo 360 and a BBL. However, I have a wide rib cage and not a lot of hips. Is it possible for me to have an hourglass figure.?

Hi, I’m looking to have surgery in the next few months, I’m very specific on what I want my BBL to look like, I do in a sense want it to look natural, I feel that I have a good foundation and the look that I want does look natural. I’ve included myself and my wish pics, I‘m wondering if I should be adamant that I don’t want my hips to be filled in, I would like to keep the dips or as much as I can. Also I don’t want a very large butt. Most of my wish pics, the women have more projection in their lower butt than the shelf part , I also want my waist to look very smaller and slim. Is that possible? Or will I have to get my hips filled in, I included pictures of myself. Also, do you think my surgeon will recommend me to gain more weight? I’m currently 160lbs and 5’5. I want my butt to have overall projections yes, but a bit more at the bottom almost like a curved slope? Or would it be the middle?

I am pregnant now and I'm extremely eager to get plastic surgery after giving birth. You hear about celebrities receiving tummy tucks the same day as giving birth. I would like something like this. I am dreading the post baby fat stomach and don't want to wait. Any suggestions? I live in Philadelphia.

I am a 52 year-old woman, and I am scheduled for a mommy makeover in March. When I was interviewing surgeons, I discovered that some use drains and some do not. I'm not looking forward to having drains, and I'm wondering why some surgeons don't use them. What are the advantages/disadvantages of using them, are there greater risks one way or the other, and should I reconsider my surgeon if he uses drains? Thank you in advance for your response!

I had a breast augmentation with Motiva ergo mini 220cc implants. The projection of the implants is fine bht i hate the width. I was fairly flat before with a wide cleavage. I do not like the inner fullness and cleavage i was given and never asked for this. I wanted a smaller implant but was told this is the size i needed. Now im looking at either a pocket adjustment or revision with smaller cc’s. Will a pocket revision alone fix the medial fullness and shape or do i need to downsize implants?

Im looking to go quite large, as large as I can go honestly. I dont mind some sagging and am not opposed to a lift in the future.

What face/neck lifting method is best for a 30-year-old who lost 55 lb (25 kg) 2 years ago and wants to lift the midface, lower face, and neck—especially the lower face to the extent shown in my manual-lift photo? Since there are so many variations within each category, what specific type of mini/limited facelift, SMAS facelift, or DPFL would you recommend for me? Feel free to stop reading here; more context below if helpful. I’m confused by the conflicting advice. Some surgeons argue mini facelifts because of the limited dissection/inadequate release/repositioning of the deeper tissues can lead to a pulled/less natural look, increased tension on incisions, limited effect on mid/lower face & deformities like sweeping/pixie ear, and argue that a more complete release DPFL can look more natural even in younger patients. Others say a DPFL is too extensive at my age and recommend a mini or SMAS lift instead. I’ve also heard criticisms of SMAS lifts, including a less natural look, more tension on incision, greater skin-SMAS separation which can cause surface irregularities or a dull skin appearance. I’ve also considered hidden incision endoscopic full face/neck lifts using hairline and behind-ear incisions to address the midface, lower face, and neck. I’ve heard conflicting opinions on how well they lift the lower face and have noticed some results with cheek/temple widening, indentations, or visible pull lines creating that alien look.

In April 2024, I underwent a SMAS plication, a neck lift, and an extensive upper and lower blepharoplasty. Now, almost two years later, I still experience a pressing sensation behind my ears and a tight, stretched feeling in my cheeks near my ears. The sensation in my cheeks is reduced; for example, I do not feel cold there as I do in other parts of my face. When I smile or use facial expressions, my cheeks still feel tense and tight. Could these symptoms indicate delayed healing (for example, due to scar collagen remodeling), or should I be thinking about neuropathy because of the tight band-like sensation and the altered sensitivity in my cheeks? If this is neuropathic pain, is it likely to resolve over time?

I had an upper blephorplasty 12 months ago and I’m really unimpressed with the results. I was told at my post op that no more skin could be taken off, otherwise I wouldn’t be able to close my eyelids but I do not feel this is the case. Can anyone provide any advice? I’ve attached a photo.

I’ve noticed my uneven eyelids for quite some time now and it’s bothering me and I’m curious what the fix for it is. To my understanding my options are upper eyelid filler and/or a blephorplasty, would there be anything else to fix the asymmetry?

I've been considering an upper bleph for a while now, but the sutures/recovery keeps giving me pause. While researching it once again, I came across a new technique called Ziplyft. It looks like there are a few providers who do it, but reviews are hard to find. Is anyone here familiar with it, and can you share your thoughts about it?

42 year old female. over the oat 6 months, upper lids have become very loose and creepy. A lot of excess skin. Is the only remedy an upper bleph? Any other solution To tighten?

Im I’m interested in getting an upper bleph surgery. I do have a childhood scar over one of the lids. Is this scar too high to get a successful surgery? in your opinion, is it possible to have it eliminated? My first consultation is next month .

I am 45yo with DDD breasts that have been bothering me for years. I have a phobia of general anesthesia which has kept me from seeking a traditional breast reduction. I’m at my whit’s end with these heavy knockers and would love to hear from some doctors who have performed breast Lipo under light/twilight sedation. I have scattered fibroglandular breast tissue, and am 5’3” 150lbs, menopausal and finding weight exceptionally hard to shift now and breast tissue much bigger than 10 years ago.