Doctor Q&A

I have many patients that are flight attendants who undergo breast augmentation. Typically it is recommended for flight attendants not to fly for about two weeks post surgery. There is a lifting restriction of no heavier than 5lb-10lb for the first week and increases weekly from there. So that may be a determining factor in when you can go back to work. Individual recovery varies, and your surgeon will recommend what they think is best as to when to return to work.

Yes, I think it is possible to achieve a good improvement with breast implants alone, as an implant can provide additional volume, improve shape and create some degree of lift.
At your age and based on the photo, I would not recommend a breast lift at this stage, including a periareolar or vertical lift. These procedures leave permanent scars, and scar quality can be unpredictable. In my opinion, the trade-off may not be worthwhile for your present condition.

The implant size, shape and...

After reviewing your photos, I think the sizes you chose are a good fit. Your tissues are thin and your are very lean. I would probably go with a more moderate profile implant instead of high profile because I think it will look more natural for your frame. High profile implants may look too "ball like" on your frame. I would probably go to the slightly larger implants because, once the implants are in and the tissues heal and settle, then tend to look a little smaller than when outside...

Dear SamShadowx, Thank you for your question. I consider that a simplistic answer to a complex question of whether to have implants placed 'dual plane vs subfacial' would be unhelpful to you. There are numerous variables involved in assessing and advising about plane of augmentation. You have mentioned but a few and also included fat grafting which further complicates the picture. In short, you need good professional advice to help you select the most appropriate option(s) for you. I suggest...

Based on your photos, your tip is a bit wide. When rhinoplasty is performed and the tip is refined the appearance of those areas is usually reduced significantly. But you should not have anything done to those soft triangles specifically - they are very delicate and can scar easily. Be sure to see a rhinoplasty expert for consultation.

I'm not able to give you an answer on the injection question here, and in your case I'd be cautious about that specifically with a history of abscess and infection and an existing septal perforation, steroid injections aren't a straightforward option. Whether they're appropriate at all depends on the state of your tissue, which requires examination.
Please raise the injection question directly with your own surgeon before anyone does it, and ask specifically about the perforation.

Heat and sun can make redness or uneven pigmentation more visible after rhinoplasty, but a new change at nine months should not automatically be considered normal healing. Splotchiness alone does not mean infection or necrosis. Send your surgeon clear photos, both during flare-ups and after cooling down. Meanwhile, use broad-spectrum SPF 50 and a hat to protect your nose. If you develop increasing pain, warmth, swelling, discharge or fever, seek medical evaluation promptly. Dusky or black...

Thank you for your question and photos. Based on these photos only, without the benefit of a physical examination, there's no right answer. You can have the liposuction and BBL first, abdominoplasty first then the liposuction and BBL or combine them into one procedure. Your BMI is 34, which is on the high side, limiting what one can do and the results you get from from a combined procedure. AS a Total Definer surgeon, I would personally prefer to two your surgery in two stages to achieve the...

After reviewing your photos and your weight and height it does appear that you do have enough of excess in the abdomen, flanks, upper hips, mid and lower back to harvest enough fat to recued these areas safely and begin to create a more hour glass shape to you body. Your waist will look slimmer just by liposuction. Next, this fat is prepared and then carefully injected into the buttock and hip dips. This will create more fullness of the buttocks and roundness of the outer hips. This will...

Dear siebie073,

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...

Pain that persists or newly appears two years after a BBL should not be assumed to be normal, especially with a new contour dip and pain when sitting or lying down. In my experience, possibilities include scar-related tethering, fat necrosis or calcification, nerve irritation, pressure-related pain, or a separate hip, spine, or tendon problem; an online description cannot distinguish these. I would pause hip-dip filler until the cause is clear, because filler can add inflammation, nodules,...

Your photograph is very limited. I would need to see you entire forehead to give you a more accurate answer.

Thank you,

Gary Horndeski, M.D.

The photos alone aren’t enough to determine what is causing the asymmetry or which surgery would help, especially given your previous eye surgery. I’d recommend an in-person assessment with an oculoplastic surgeon to examine the eyelid position, support and eye movement. If possible, bring the records from your original operation, as these would help clarify what was changed before considering a correction.

Mayor cause for eyelid asymmetry is eyelid ptosis, droopy eyelids. Correction of this condition will create more symmetry. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

Hi, thank you for your question, and it is a sensible one to ask before choosing any treatment. Uneven upper eyelids can come from several quite different causes, and the right fix depends entirely on which one you have. It may be a difference in the skin fold between the two sides, which blepharoplasty addresses. It may be true eyelid ptosis, where the lifting muscle of one lid is weaker, and that needs a ptosis repair rather than skin removal. It may also be a difference in brow position,...

Thank you for your question. Breast width is measured across each individual breast, from the medial to lateral borders of the breast footprint, rather than from nipple to nipple.

If your goal is a subtle increase from a 34AA to approximately a full 34A, a smaller, lower-profile Motiva implant may be an excellent option. You should not need to choose a larger implant simply because you have a wider chest. The implant should be selected based on your individual breast dimensions, tissue...

At 158 cm, 47 kg and starting from a 32A with minimal breast tissue, 300 cc will create a noticeable augmentation, although whether it looks “too big” cannot be determined from the cc number alone. Your 12.75 cm breast base width, tissue thickness, implant dimensions and desired projection are more important when selecting the implant. Since your priority is a proportional and natural result, I would personally consider a smaller-volume, moderate-profile implant rather than automatically cho...

The size of tissue removed may be replaced by getting an implant in the same size, however it may not give you the same size/shape before your breast reduction. This is because the shape of the implant and where it’s placed may differ.

Hi, this is a good question, and the honest answer is that there is no single standard order: different surgeons have different routines, and a consistent, well-rehearsed sequence matters more than any particular one. There is, however, a shared logic. Most surgeons plan the sequence around swelling and precision. Eyelid surgery is fine work where millimetres matter, so many of us prefer to do it before prolonged swelling develops elsewhere, while others complete the deeper facelift and neck...

Dear Ozzy65, Thank you for your question. Offering the best treatment 'option' now depends upon the nature of the underlying problem(s). It is possible that such contour defect(s) may relate to suture placement/fixation, internal scarring and/or buccal fat pad resection. I suggest you discuss the matter in detail with your surgeon to understand fundamental causation and ensure that you consult are a specialist plastic surgeon trained and experienced in facial aesthetic surgery. Kind regards,...