Doctor Q&A

Hello,
In regards to the breast lift question, after looking at your photos I think you have the potential to be able to only have an implant placed without a lift and have a good result. Your nipple areola complex appears to be slightly above your inframammary fold which is good when trying to avoid needing a lift. You do not appear to have a large amount of pseudopotsis either. In regards to the width of your chest and implants being too far apart that is a great question to ask. I do not...

There is currently no reliable clinical evidence that BPC 157 or other regenerative peptides improve capsular contracture, so I would not recommend spending money on them. Therapeutic ultrasound has shown only anecdotal benefit and results are unpredictable, especially once the capsule has matured. Since two months of montelukast and regular massage have not helped, continuing them is unlikely to change the outcome. For a stable Grade II contracture that is not painful or distorted,...

Suture granulomas 2 years post tummy tuck is quite unusual. This may be due to an allergy to the sutures, It could also indicate the way you heal. Some people form lumps due to fat necrosis which can also cause some discomfort. I would discuss your issues with your plastic surgeon.

From the photos and your description, this looks more like a full tummy tuck situation than a mini tummy tuck. A mini tummy tuck only treats a limited amount of lower abdominal skin, usually below the belly button, and it does not correct the upper abdomen or reposition the belly button. If you have a lot of extra skin, a full tummy tuck is usually more appropriate.Whether the entire tattoo is removed depends on its exact position and how much skin can safely be removed. If the tattoo is...

A nasal contour indentation after scar revision is usually caused by tethering of the skin to deeper scar tissue, loss of soft tissue volume, or an uneven healing plane under the skin. In some cases, it is a true depression from tissue deficiency; in others, the scar is pulling the skin inward.
Subcision can help if the main problem is tethering, but one session is not always enough. That said, repeated subcision should be done carefully on the nose because the skin is thin, the blood supply...

The area you are pointing to and shape in the photographs is determined by the cartilage, which is the medial crura. This can be re-positioned to the septum. This will have to be done through an open rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.

It is very unlikely that scar after nostril wedge excision would open spontaneously without signs of infection, trauma, etc. It is very likely result of mild trauma (nose picking?) that you did not notice. It is best to let it heal and mature. I do not see the need for surgical intervention regarding scar itself. Good luck.

Thank your for your question, Our suggestion is DO NOT board your flight home until you have been physically evaluated and cleared in person by a doctor.

Flying after major combined surgery (tummy tuck, lipo, and BBL) with an active, recurring fever carries severe risks, including flight, induced complications, rapid deterioration mid-flight without access to emergency medical care, and severe progression of an underlying infection.
Make sure everithing is fine listen to your body, it is...

Since you are a full year out from your implant exchange, what you see now is your settled result, so it makes sense to address it rather than wait longer. The two issues you describe often go together and usually have a mechanical explanation. Extra tissue on the sides typically means either residual skin and fat that was not fully addressed at the outer edge of the previous surgery, or breast tissue that has been pushed outward. The flat look at the outer bottom of the breast usually means...

You are still very deficient in your chin. We need to bring the chin much further forward. Skin can be tightened with a facelift or an energy approach like facetite or junera, but, the chin needs revision.

When evaluating tethering or contour irregularities like this, it is important to look at the face as a whole rather than focusing on a single area. A definitive treatment plan cannot be made from photos alone; an in-person examination is necessary to assess skin quality, tissue laxity, volume loss, and the underlying facial anatomy.
If there is evidence of facial sagging and volume deficiency, a lower facelift combined with fat grafting may provide a more balanced and natural improvement....

If you don't want to do a facelift, the procedure that would be HIGHEST yield on you is fat grafting. You have quite a bit of volume loss that is likely making you appear older and more asymmetric. Adding volume back will significantly help with that and also some of the dynamic lines. A facelift can help too but I don't think it will be nearly as helpful as fat grafting. FInally, laser is always good to help clean and maintain the skin of the face/neck.

We have reviewed your photos. Your concern is outside our area of expertise. We recommend consulting an experienced specialist for a detailed evaluation and appropriate treatment options.

This is always a tricky question to answer without an in-person consult, because a lot depends on your goals and the status of your abdominal skin.
In general, liposuction can reduce overall fullness and enhance contours, but it does not tighten skin on its own. So, if your goal is just to reduce the amount of fat and slightly enhance the shape of the lower abdomen, you could be a great candidate. That being said, many plastic surgeons would recommend combining the liposuction with some...

Thank you for your question, Experiencing skin burns or surface skin breakdown after liposuction is an unexpected complication, but understanding what caused it and how to manage it properly will help protect your skin and minimize scarring., our suggestion is ask your doctor after that what is the next step to take, and if they have a plan for this particular unplaned situation.
Please make sure to share clear pictures of the area with your surgical team so they can guide you on the exact...

Thank you for your question. The best approach depends on the amount of loose skin and the location of the excess fat, which is difficult to determine without photographs or an in-person examination. If the fullness is isolated to the pubic (mons) area, liposuction through one or two small, well-hidden incisions may be all that is needed. If you also have significant lower abdominal skin laxity after weight loss, a tummy tuck may be recommended, as it can tighten the lower abdomen and...

Heterozygous Factor V Leiden does not automatically rule out surgery, but it increases the importance of formal clot-risk assessment before elective liposuction or fat transfer. Your surgeon and a hematologist should review any personal or family history of DVT or pulmonary embolism, estrogen-containing medication, smoking, BMI, other clotting disorders, planned operative time, amount of liposuction, travel, and how quickly you can walk after surgery. The prevention plan may include...