Doctor Q&A

Thank you for your question. Since your nipples sit below the inframammary fold, augmentation alone will worsen ptosis. The most reliable plan is a combined augmentation and lift: an implant—typically a moderate or Moderate-Plus profile—will add fuller, natural upper-pole fullness that doesn’t sit “too high,” matched to your base width for a natural look. A lift is necessary to reposition the nipple–areola and tighten the skin envelope. The type of lift depends on how far the nipples nee...

First, if you do not have excess fat of your abdomen, there is no reason for you to have liposuction. Second, the easiest way for your surgeon to do a repair of your diastasis is with a lower abdominal incision and a release your belly button from your abdominal skin so they can easily elevate your entire abdominal skin and have full exposure all the way up to your breast bone (xyphoid). It is possible, although much more technically demanding, if your belly button is not released. It is...

I certainly understand the differing opinions that you have received. Their perspective is certainly valid. Based on the photos you submitted, a reasonable but aggressive option that some practices offer is combining the procedures you have described. Doing liposuction 360 with an extended abdominoplasty and BBL as a single procedure is an option at some surgical centers. If you find one where that is possible, I would recommend (as in most cases) to ensure that the facility is JCAHO or Quad...

Based on your photos, you can have a nice improvement in your nasal tip and bridge with a well performed rhinoplasty. The steps appear fairly straightforward for someone who performs a lot of rhinoplasty surgery, so make sure you see a rhinoplasty expert for consultation.

Thank you for your question.A breast lift (mastopexy) and a reverse tummy tuck are two different procedures, even though both are performed in the upper abdomen and breast area.
The incision used for a breast lift by itself does not allow us to “pull up” the stomach skin. To tighten that upper abdominal skin, we need to use the specific reverse tummy tuck technique, which uses incisions placed in the breast fold and is designed to remove and lift excess upper-abdominal skin.
In some pat...

Dear CoolGuy2000,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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 Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. The recommended plan is a combined breast lift with augmentation using a small to moderate implant that matches your base width, placed in a dual plane to avoid a “high, fake” look. The lift will tighten the skin and center the nipple–areola. To respect your scar preferences and avoid a periareolar incision, the implant can be inserted through a low inframammary fold incision, and the lift can be performed as a vertical (“lollipop”) pattern or Wise if more exce...

If your goals are simply to reduce the volume of your upper, posterior arms, then liposuction will do that with minimal scarring. No one‘s skin gets more elastic as they get older, so after the liposuction, the volume may be reduced, but you may still have some loose skin. If that is acceptable to you, then liposuction would be a great option. If you are looking for skin contouring as well, then an arm lift would be required. The trade-off is that the skin of your arm would be contoured b...

You already know about infraorbital implants, spacer grafts, canthopexy, canthal tilt, and negative vector so have seen experts and become educated. Any lower lid lift may detrimentally narrow your palpebral aperture so upper lid levator advancement may also be indicated. Professional treatment recommendations can only follow a clear understanding of your desired changes, thorough ophthalmologic and ocular adnexal exam including exophthalmometry and thyroid assessment, and physical...

Thank you for your question. Fillers address volume, not skin laxity, so they may only provide short-term camouflage and can look puffy if used to chase sagging. The definitive treatment is a lower facelift, sometimes combined with perioral resurfacing (laser or peel) for fine lines and limited fat grafting for deflated areas. A “mini lift” can help with very early laxity, but if there is excess laxity, it may become less effective and less durable than a full lower facelift. Use fillers onl...