Doctor Q&A

Hi! I was wondering if you could tell me if my breasts look tubular/tuberous. I’m also thinking about getting implants and wanted to know if implants alone would work or if I’d likely need a lift. I’ve never had kids. Thank you.

I don't know what to do. I am 37 and breastfed all 4 of my children for almost 9 years total. I am now 2 years out from that and my breasts are totally deflated. I am in great shape and workout 5+days a week. I feel like my nipple is in an okay place and I don't need a lift but my skin quality is not what it used to be. My boobs have grown and shrunk so many times. I love the idea of a subfascial placement but I also want the most runway from this procedure. Ideally I would like these to age well and I care more about that than how they look for the next 5 years. I am only interested in a smaller implant size, I'm thinking anywhere from 180-275ish. I am 5'10 and weigh about 128 pounds. Also with the subfascial I have very little tissue to hide the implant and it's not like my skin is getting any thicker. I don't love the idea of under the muscle because of how I workout but if there is an advantage to that long term I will do it. Just wondering what everyone thinks, a lot of younger surgeons are all about the sub facial but even with my skin quality? not sure. any suggestions advice would help.

If I want to get my tubes tied, can it be done during a tummy tuck by an OB- Gyn while the plastic surgeon does the tummy tuck? if it should not be done together, should i do the tube tying first and how long would you recommend waiting in between? Thanks!!

Wondering whether I am able to get a tummy tuck. I have chronic atrophic gastritis, iron deficiency and pernicious anemia. I take vitamin B12 and iron. Am I safe? Will the plastic surgeon clear me to get it done? I also would like to get lipo 360 and a mastopexy with the tummy tuck. the following year, I would like to get lipo on the back and arms and an augumentation. I understand its a lot of surgery but I lost a lot of weight and would like to treat myself.

Hi, I'm 43 male. Began wegovy februrary 28th at 382.7lbs 5ft7 and, 5 months later, sitting at 290.6lbs. I achieved that loss by resistance training (superset), walking and boxing 6 days a week. I still have a long way to go, but I want to prepare myself for the surgeries. I have a very wide frame and muscular and still gaining muscle each week. So I doubt I will ever achieve anything under 200lbs, my goal would be around 200-220lbs, which would put my BMI between 30 and 35. I have a consultation in 3 weeks with a plastic surgeon, but I want to prepare myself. My questions: Is BMI that important if my body frame is out of average? There's a possibiility that my local healthcare system would pay for an abdominoplasty if they deemed it medically necessary, which I feel it is. I would classify my current abdomen pannus as something around grade 2. They require BMI of 30 and 2 years of stable weight to be approved. I would hope that the BMI is somewhat flexible, but the 2 year waiting would put me in a surgery in a minimum of 3 years from now. My question is, since I also want to do a inner thigh lift and brachioplasty, is it possible to do the thigh lift before the abdominoplasty. My thinking is that I could do the thigh lift first in maybe 1 and a half year, then maybe brachioplasty and finally do the abdominoplasty once I get the approval from my healthcare system. I feel that this way would give me some progress to my body contouring and still saving money

Hello there, iam looking to get a rhinoplasty to make my nose straighter. Would i benefit from one?

I am a female turning 50 yo. I had my 1st rhinoplasty at 18 yo. I wanted my nose to become thinner and shorter. I was happy with my nose after the surgery when I didn't smile, but when I would smile-my nose would twist to the left...My surgeon told me that he would have to take a cartilage from my ear and put it inside my nose. I've remembered that another patient next to me was complaining of having a flat ear after that procedure, so I decided to try another surgeon. So, 12 months after the 1st rhinoplasty I had a revision. The surgeon didn't explain how he would stop my nose from twisting during me smiling, but reassured me I would be fine. I saw a cartilage in a jar in the nurse's hands just before my surgery, so I realised that it would be inserted inside my nose. The surgery was badly botched, the nose became horrible. I knew if I waited for 12 months, I could have another revision. I went to the 3rd surgeon. He hardly changed anything. I think he just lifted the skin, got horrified and put it back on, as I didn't see any change in the shape or form afterwards. However, the nose became blue and it was blue for years. I had laser done to make the skin on the nose become less blue and to remove red huge capillaries on the nose. I used to smoke at the time (nobody asked me if I did), which worsened the blood flow even more. Thick scars appeared where nostrils are supposed to be. Now, 30 years later, is it worth doing the 4th revision or my scars can become worse?

I had septoplasty and tip only rhinoplasty in July 2018. I had some swelling the two years after that went away until 2024 after I started accutane in 2020. In 2024 my nose began swelling a lot mainly on one side. Finally in fall 2025 I got a keloid injection and my Nose was perfect for 8 months. When it got hot out, not sure why, the swelling returned. However it’s not nearly as bad as it was and is very close to just right. I am going back on accutane for my back acne in two weeks and wonder if this might correct the situation again. I am open to another keloid but just learned about the risk of blindness. Is that only with an injector who isn’t skilled or are you risking that every time you get a keloid injection? I will definitely not do it again if that’s the case, that’s not worth it.

HI, I know alot of surgeons do a tt same time as bbl, but if you have the time to recover, isn't it logistically safer and better to do them separate to allow for better healing. When sitting on bbl pillow, aren't you putting pressure on lower thighs and cutting off some circulation to buttock?

I'm 38, have had 5 pregnancies (1 c/s), and have lost about 100 lbs. This has resulted in significant skin sagging everywhere, and loss of volume in my butt. I'm 5'4" and about 120 lbs. I initially was thinking of getting a BBL, followed by a separate tummy tuck - the main reason being concerns about recovery (how to sleep when you can't lay on your tummy OR your butt?). It also seemed logical to me that you would want to have some fat in your abdomen to harvest for the BBL, so I was planning to do the BBL first. But when looking at patients with similar body types after significant weight loss, it seems like lower body lifts are being recommended. I'm fairly certain my butt is too saggy to "re-inflate" from BBL fat transfer alone, and that no matter what, some kind of traditional "lift" will be necessary for my butt, due to all the loose skin. Would I be a candidate for a lower body lift? Can a lower body lift be combined with BBL? The loss of butt volume is my priority concern (TT would be secondary), and it seems like a lift alone would help tighten up the skin, but would not help with butt volume. What procedure(s) might help give me the results I am looking for?

I’m 25 years old, 5’3”, around 179 lbs, and currently wear approximately a 38H. I’m pursuing a medically necessary breast reduction because of back/shoulder discomfort and other symptoms from having large breasts. My insurance (Aetna) is requiring my surgeon to remove approximately 1,000 grams from EACH breast for coverage. My previous surgeon felt that amount was more than she wanted to remove and estimated closer to 700 grams per breast. I would personally be comfortable with a significant reduction and would ideally like to end up around a B/C cup rather than a D. I understand cup size cannot be guaranteed. For someone with my height, weight, and starting breast size, is a 1,000-gram reduction from each breast generally feasible while still maintaining a natural breast shape? Would I likely still have a reasonable amount of breast tissue remaining? Are there additional concerns with nipple/blood supply or complications when removing this amount? I’m getting another consultation with a board-certified plastic surgeon and would like to understand whether the 1,000-gram requirement itself is unusually aggressive for someone my size.

69 y.o. 5'2" 34Hh hoping to reduce to D cup. Had mastopexy years ago, is it called reduction with revision? Likelihood of complications. No hypertension, cardiovascular disease or diabetes. Advice on prep and aftercare. Eczema

How effective is this procedure please

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

38F, 5'4", slim/thin-faced, Raleigh NC. I'm attaching a profile photo which shows my main concern — flat midface where cheek projection has dropped. Front photos look relatively normal but the profile shows the soft tissue descent clearly. Background: I have a history of bad filler placement— cheek filler made me look overfilled and "Handsome Squidward," and midface filler in 2022 caused a puffy shelf effect. I dissolve well but my face reacts dramatically to any volume. I've done Botox (forehead/11s) with good results. I also have upper eyelid hooding affecting my outer corners — I can no longer do winged liner as it looks droopy. My questions: 1) Based on profile, am I a candidate for endoscopic midface lift at 38 given my filler history? 2) Would you prioritize blepharoplasty over midface work given my profile? 3) Would you consider fat grafting instead of filler for my face type? I want to avoid anything that causes facial fat loss (so cautious about Ultherapy/Morpheus8). Sculptra also concerns me due to irreversibility.

I am a 41 year old female. I‘m 5’2 and weigh 140lbs. I’m noticing in the past 5 years my face seems to be getting more square with jowling. I’ve tried massater Botox and a Nefertiti lift but it hasn’t taken care of the jowling. I’m considering whether I would be a candidate for a mini facelift?

my eyelid on my left eye has been like this since i was very young and my vision isn’t the best in that eye it’s alao a bit cross eyed. I wonder if surgery would help or just a waste

I have an astigmatism in one eye and some bad vision. I also have a lot of sinus issues and pressure behind my eyes. I’ve started to notice that my eyes looks very different from another and I could use some help