Doctor Q&A

I had a pretty massive lift with Aug six months ago, 385 mod plus. I have this ugly strip of fat between my breasts. It’s really noticeable when I wear a bra-less dress. I hate it so much and cry every time I want to wear something without a bra. Is there anything that can be done about it? Thank you so much for your responses.

I was DX’d with IDCIS 2 tumors 7cm & 13cm. I had to stop after the 4th chemo infusion because it was literally killing me. Since chemo my body has changed. Anything prescription or OTC I wasn’t taking prior to chemo I can’t take now. Anything new I react badly to, either allergic reaction or serious side effects. I had a DMX with gummy bear implants Jan 25th of this year. I’ve had fevers since. Up to 101.9f. Daily. Labs don’t show any infection. I don’t feel ill. 6 months of fevers is indicating something but what? If I turns out I’m having an allergic reaction to the implants I understand that I can’t have ANY implants as they are all the same materials. I’m not having any psychosis I’m genuinely stumped and asking if this is possible.

Hello:) I am a mom of two currently and I am looking to have a breast augmentation without a lift. I understand and have realistic expectations for results but the reason I don’t want to do a lift yet is because I am not done having/breastfeeding kids. I am in my early twenties now and plan to have a complete mommy makeover when I am done having kids, which will presumably include a lift (10-15 years from now). My question is is this possible to do with my current anatomy, thank you very much in advance!

I had a mini tuck in 2021 and it looked great at the time.  But now at 55 in 2026, I see loose skin above my belly button and I am well aware a full tummy would have addressed this unforeseen issue.  I have reached out to my plastic surgeon and he said it would be able to do a full tummy tuck with a couple verticle scars.  However, I also reached out to another plastic surgeon and she suggested a) Tightsculpt, Endotight, PDO Threads for $10,200.  And another option: J-Plasma, Vaser, Tightsculpt under local for $11,350.  I saw this before and after (on Google search) on Morpheus laser.  But I'm hearing so many conflicting reviews on Morpheus, SylFirm, etc.  It's confusing to make a decision based on various opinions.  But if tummy tuck is the only real solution, I would consider it.  Just bummed because my scars from the mini TT are fading. But if I were to get good results from laser, I would be more open to that more. I really don't want to go the surgery route but would like advice on what would get good results. 

I got a septorhinoplasty surgery in April 2024. My intent was to just get a septoplasty, but I somehow talked my way into getting a rhinoplasty as well. Two days after the surgery I was taking a shower (surgeons assistant gave the okay) and I got the cast wet. Immediately my nose felt very heavy and my breathing got worse instantly. I told the surgeon this during the next appointment, and then the 6 month and 1 year appointment and he never seemed worried at all about this. Ever since then, I cannot breath through my nose the same. Air flows through my nose well, but I can’t feel anything along the shaft of the nose and it is nearly impossible for me to get a deep breath (I have to consciously work to get one). It feels like the air just isn’t going down the back of my throat into my chest. I also got my turbinates reduced during this surgery as well, with no warning of the risks. Most of the time I have to flair my nose to get a decent breath. The septum wall of my left nostril also bled every day for a whole year before the surgeon cauterized it and my sense of smell is worse. Cosmetically, my nose lacks any of the definition it had before. It looks flat and fat, and the tip and columella are horribly misaligned. All I said was I wanted my nose a bit straighter and it is now my worst nightmare. My nose is constantly fluctuating between swelling like a balloon and looking somewhat normal the next day. The skin on the nose is discolored and the pores are massive now.

With the advent of new therapeutics, including verteporfin, but other drugs are being developed as well, scarring can be minimized, and allow healthy healing. Verteporfin is already allowed by the FDA and currently in clinical trials for surgery. Some surgeons already use it off-label. When will rhinoplasty surgeons start using this? Since scarring is such a big issue in rhinoplasty, I imagine it makes outcomes more predictable and healthy.

I’ve never had any cosmetic surgery. My nose is reasonably large but I don’t have an issue with the size, only with the excessive nostril show from the front view of my nose. I was wondering if filler could lower the alar rim/sill? I would prefer a non-surgical option to a full rhinoplasty.

I think I have thick skin, but wanted to post images here to see if any doctors have a rough idea of what my skin type may be. I am considering having rhinoplasty done but my main concern is a large and droopy/bulbous tip, and I'm worried that if my skin is too thick then rhinoplasty wont be as effective and I'm hoping. The final picture is my desired nose. What do you think?

Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.

I’m getting liposuction with fat transfer to hips on May 24th, I’m hoping to still enjoy some of my summer and go out by mid July. Will this be possible with spf and bandages over incisions?

I have pelvic congestion syndrome and will have surgery in. June for it, how soon after am I allow to get a mommy makeover? Is it recommended with this condition? I also have chronic urticaria and will start xolar injection. How soon after can I get the mommy makeover are there any complications with any of the mentioned conditions.

I’m a 35-year-old and I had a pregnancy when I was 16 and through the years I’ve been gaining and losing weight and I feel very uncomfortable with my body specially, my breast after I had my baby my breast got saggy and has been bothering me for years. Do I really need a tummy tucktuck? I’m planning on losing more weight. It’s been hard. It’s not easy anymore. I do want my back and waist to look slimmer and I’ve seen that some surgeons make the belly look with muscle and pretty. I don’t think I need a BBL but maybe a lift would be OK cause I do have good volume in my butt. I am very worried about the tummy tuck scar. I’ve seen some are pretty bad and I’ve seen some doctors make i the scar look thin. I do have a scarf from a myomectomy from 2024. I’m curious to see how much will it cost me in what I need in my body. Thank you.

I'm 38 YO mom of 2 girls age 5 and 7, both C sections. I lost 130 lbs 10 years ago after gastric sleeve surgery. Since I own a med spa that has morpheus, I have done at least 5 morpheus treatments to my stomach, arms and less of it to the thighs. I believe that is what has helped my skin bounce back better than most after my weight loss and subsequent pregnancies. In my perfect world, I would get a 360 body lift with muscle repair, lipo 360, lipo and skin tightening to arms and thighs with fat transfer to breasts and a breast lift. I have multiple sclerosis, hemiplegic migraines that are resolved now using estradiol patches and sublingual progesterone. I also have a rare genetic issue of bone mineralization that causes fibromyalgia like pain and I'm with pain management on butrans & norco. Due to these health issues, I'm afraid to get implants because I have progressive illnesses and even if I did not get breast implant illness I would worry that they are to blame. What all would you do if I were your patient? 360 vs extended tummy tuck? Implant vs fat transfer to breast? (I'm aware of the issues with it and multiple rounds possibly needed, just looking for a little more fullness I don't need huge boobs though it would be nice) Arm lift or do you think skin tightening is enough? Thighs I just want a little lipo and skin tightening there. If we do lipo to arms, legs and 360 torso, do you think there is enough fat to put in both butt and breasts?

My armpit incision looks like this. My surgeon is abroad, and returning to him is not an option. Do these openings need to be stitched back together? Or should I let them heal as they are? I would like scarring to be as minimal as possible. Thanks!

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.

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

I m 34 always needed to do that augmentaion my body measurements are 73kg wt 162m tall ,shoulder width is 37cm my breast base width is 13-14cm nibble to inframmary fold is 6-7cm distance between the two nibbles is 25cm what breat implant is sutiable for me is it 400or 425 cc mentor and i would like to go high profile as i want an upper fulness but with beautiful look not over looking one yaking in consideration that my dr suggest 450 cc

Is it possible to lift the breasts using implants only, without scars underneath?I’ve had one pregnancy.33 years old, 70 kg, 177 cm.

I'm 178cm (5'10.5) and 69kg, athletic built, lean with very little (AA) native breast tissue after BF 2 kids, no sagging. I might be a good candidate for Preserve or Mia by Motiva, because I want the smallest possible enhancement to not alter my sporty appearance. With the research I have done on Motiva Ergo sizing - once the diameter gets close to 12cm, the volume goes up to at least 275cc, seems that Ergo II (Joy) is even more narrow per cc than Ergo I. If I get diameter 11cm, mini 220cc - will that look silly on my chest and broad shoulders? Like two small ballons in the middle of my chest, no lateral fullness? Is Mia and Preserve designed for more petite girls? Please help, I'm so confused because surgeons in Canada all just do basically dual plane and emphasize the importance of correctly fitting diameter for your breast.

I have had saline breast implants for 29 years. I went to get them checked out about 4 years ago, and the doctor I saw said I shouldn't do anything because they looked good. Well, now I am having an aching feeling in my left boob. It's a little sore. The implant feels a little less firm, but I know with Saline, typically, you know when it has leaked. Can Saline implants have a slow leak? Is it dangerous with the age of the breast implants?

I had a HIFU 2 years ago and I now have on one side of my face a pronounced dimple of fat. I started wondering if I could just have the small bump of fat removed by a needle to suck the fat out without having to have a face lfit to correct the situation. Is this possible?

The top of my spine has always stuck out, and now there's a thick pad of fat over it. What would it cost, approximately, to remove it surgically.

Hello! I was curious, is it safe to get a fat repositioning lower bleph to fill in tear trough lines? I saw a doctor on here talking about how repositioning fat in the lower lid can cause blood flow loss, tension, bulging, and ither unpredictable outcomes due to the way to fat is re sutured to the face. Can anyone give me insight on this?

I’m in my mid 20s and have mild under-eye hollowness. About a year ago I had under-eye filler and was honestly very happy with the results, it looked natural and solved the shadowing. The effect now has worn off. I’m now trying to decide whether to continue with small maintenance filler treatments every year, or move toward a longer-term solution such as fat repositioning, fat grafting, lower blepharoplasty, PRF/polynucleotides, or another option. I’m feeling overwhelmed because there is so much conflicting information online: some say filler is best and safest, others say avoid filler long-term and do surgery instead. Given someone with mild hollowness who responded well to filler, what would you recommend as the smartest path? 
Also, I’m curious about “almond eye” / lateral canthopexy / fox-eye type procedures. Based on someone with naturally large round eyes, are these procedures usually worth it, or too risky / unnatural unless medically needed? I’m looking for elegant, subtle improvement —not an obvious operated look.

Hi, I’m a mid 30’s male, and I’ve had concern for my under eye area since I was a late teenager. I want the under eye area to stand out much less than it does from the rest of the face. To me, it looks a lot worse/darker in the mirror than in the photos under the same lighting. I had PRP for the eye area about a year ago and it made no difference to me. I had CO2 laser on the eye area 4 months ago and so far it doesn’t seem to have made much difference. Many years ago I tried a filler and I don’t remember exactly how much difference that made but I don’t think it put the issue to rest in my mind. (Maybe I went to a clinic that didn’t know how to use the filler for my unique situation, not sure.) When I see photos of before and afters for lower bleph, I’m amazed, because I’m not used to seeing much difference, even in before and after photos of eye creams that my dermatologist recommends. So I’m wondering if lower bleph or anything else would work for me. Thanks.

Hello experts! I have had 3 consultations with 3 different plastic surgeons who soecialize in face and eyes. All 3 of them gave me completely different recommendations, and all 3 of them advised AGAINST eachothers recommendations lol. So i a just so confused honestly and i am asking for a straight up answer. My ONLY concern, is my deep tear trough line. I do not mind my puffy eye bags, i actually think my eye bags are quite cute, and i dont mind when theyre a bit swollen. My ONLY concern is my tear trough line. My tear trough line is present 24/7 and doesn’t change with my eyebags. Heres are the options all 3 surgeons gave me. Surgeon 1: wants me to get a lower bleph, but instead of removing the fat bag, she would just reposition it lower to fill in the tear trough line. Surgeon 2: believes that surgeon #1 is wrong, and he doesnt like repositioning fat in that area because it can restrict blood flow and cause unnatural buldging. He believes that i dont need a lower bleph, and all i need is a fat transfer to my tear troughs to smooth the line out. Surgeon 3: believes that a fat transfer is not the right way to go, because fat transfers are still unpredictable, and alot of patients arent happy with their results, especially in such a thin skinned area. He said the fat transfer can be uneven and lumpy, and it can be out of the surgeons control. He suggested i get a comservative amount of filler in my tear troughs, using a cannula, OR a tear trough implant.

Will ptosis surgery be the right option for me? Will it also help reduce the big high crease of my eyes and make it smaller ?

48yo female 159cm and 65kg, postmenopausal due to oopherectomy age 38 and Aromatase inhibitor treatment (aggressive breast carcinoma). Ive noticed skin laxity and volume loss in my face post menopause , wprsening with recent 20kg weight loss. I feel that my face looks drawn and tired, and my neck looks ‘older’ than 48. I do clench my teeth. Have tried masseter botox (helped the clenching but made jowls more noticeable), skin needling, lasers. Always use sunscreen and good skincare. Drink water and get adequate sleep - but feel I look drawn and tired. Am i a candidate for lower face and neck lift? How long do results typically last if weight remains stable? It is significantly impacting my self esteem. Thank you

I had a Smas and vertical forehead lift 2 years ago. It didnt address my main concern, though. I hate my sagging, downturned mouth and midface. How to fix this?

Hello! I am 26 and unfortunately in the last year my face sagged down so fast (didn't lose any weight, don't smoke nor drink etc.) i became unrecognizable. I have now visible marionette lines, deep nasolabial folds and the fat loss in my face is so severe my eyebrows sagged down along with the eyelids and i can't do eyeliner like i used to a year ago anymore. I really want to look normal for my age but i don't know which procedure would be best