Doctor Q&A

From what I‘ve read from people‘s own experience, most women notice they have capsular contracture when their breats hardens, sits higher, or is painful. These symptoms seems to be the higher grade III and IV CC. My question is, how can I tell if I have grade I or grade II CC?

Female, 34 years, had my surgery in nov 2024. Does my right breast is showing any waterfall deformity signs ? Thank you

I had a breast augmentation in 2020. About a year later, I noticed bottoming out. In 2025, I returned to my original surgeon. He agreed there was an issue and offered a $4,000 discount to do a revision with silicone implants and a mesh “internal bra.” At my 1-week post-op appointment, I expressed concern that my right breast wasn’t sitting the same as the left. I was reassured it would settle. However, since then (July 2025 to now), I’ve had five follow-ups because the right side hasn’t held. You can physically feel the mesh bunched up, and the breast is not supported properly. My surgeon’s current offer is another discounted revision, but I would still have to pay $3,700. My concerns: •I raised the issue at one week post-op. •I followed all post-op instructions carefully. •The mesh does not appear to have held as intended. •This would be my third surgery, and I’m being asked to pay again. My questions: When mesh fails to hold like this, is that typically considered a surgical complication or just an unfortunate outcome? In cases like this, is it standard for patients to pay again for correction? Would you recommend revision with the same surgeon, or seeking another opinion? Are there alternative techniques that might provide better long-term support? Emotionally, this has been very difficult. I just want to feel confident and stop feeling upset when I look in the mirror. I would really appreciate professional guidance on what is reasonable in this situation.

I would like for my breast to be more round and up. I ike to wear dresses without a bra and would love some professional opinion feedback as to which procdeures would be best for long term success. Thanks!

This is my shape…can I expect any kind of waist? I know I won’t be an hourglass shape after a tummy tuck, but my narrow hips / hip dips have always made me so self conscious. Now after 3 c-sections the large belly and overhang make it so much worse. I desperately want some kind of balance in my body. I’d love to hear from experience what you think I should expect from this surgery. Booked for consult in a few weeks and hopefully surgery in June. 5’6” 180 lb. Will be down to 165 and stable for surgery.

“I’ve been unhappy with the appearance of my abdomen for a long time, largely due to being overweight during my younger years. Since then, I’ve lost weight and have had two children—my oldest is now 10. I’m now considering a tummy tuck and would like to know if I’m a good candidate for the procedure. Specifically, I’m interested in whether I can expect aesthetically pleasing results and if I would benefit from an umbilical float tummy tuck.

I am 52 and have had two c/s in the past. I have lost around 80 lbs over the past 6 years. I am 5’4 and about 109lbs. I initially was considering a tummy tuck but considering if I would have better results with a lower body lift due to all the loose skin. It was suggested a tummy tuck with muscle repair and liposuction onthe flanks. However, now thinking a lower body lift may give better overall results. Would a tummy tuck be enough to give me good resu or would I be better with a lower body lift? Thank you .

Hello! Im wanting to see if i am a candidate for a tummy tuck or a mini tuck. Im 42 5’6 125lbs Ive had 3 kids, 2 of which were over 9#. I really dislike my bellybutton and my lower stomach.

I’m looking into surgeons for a rhinoplasty with my main concern being projection. With years of research I have yet to find any photos where a surgeon’s shortened the length of the nose without raising the tip. Is this possible? I’d like a shorter nose but I don’t want the tip raised.

Hi, I had my primary rhinoplasty 2,5 years ago and a few months ago I started developing breathing problems. Currently my nasal walls collapse in when i take a deep breath. My original surgeon said that cartilage crafts would widen my nose, and instead, suggested adding a PDS plate over upper lateral cartilages to provide support combined with a PDS suspension suture. I am concerned because I could not find experiences of a procedure like this, and these materials are absorbable so I am not sure if this would be a long-term solution. My surgeon said they would produce scar tissue when they reabsorb and this would stiffen the nasal walls. Still, I am unsure if I should go through with this operation.

What is this horizontal line, is it some bone(radix) related issue of some muscle hyperactivity due to this my eyebrows also takes an arch shape. what can i do to fix it and approx cost of treatment.

I’m a skinny girl with very narrow hips and would like my shape improved as much as possible. Everyone wants a bigger ass but for the most part I am pretty happy with my rear and would prefer not to touch it I think my main flaw is the narrow hips and i hope it Is possible to transfer belly fat to The thigh and hips only without having to touch the buttock. I also hope that hips would require less fat than what would be needed for the buttocks. Also I am hoping that fat transfer can be performed on the lower portion of the hip and outter thigh to give a more natural and realistic result, sort of like how some women have saddle bags id Like my hips on the lower portion rather than sitting too high. can this procedure be done ? Are their any doctors who do this kind of procedure ?

I am 40 y/o 5’2 158lbs. Ive struggled with having excess weight around my midsection my whole life mostly due to PCOS. I have recently lost around 75lbs. Would I get good results with a ex tummy tuck? I would also like my breast to be lifted. What procedure would you recommend for both?

I am 35 years old, 5ft3 and 160lbs. I broke my neck 8 years ago in a car accident and had a cervical fusion. I had a breast reduction 3 years ago and it took me from a g36 to a d36. I still feel like they are too big and causing me more pain than i need. Would i be a good candidate for another?

It's been two years since I had a breast reduction with a lollipop incision. My breasts were originally estimated to weigh approx. 1200 grams each. About 400 grams was removed from each breast. Needless to say, this has not provided the relieve I desperately sought. The surgery was paid for out-of-pocket, as I did not meet the removal requirements of 650 grams to be covered by my insurance. I'm at a loss of what my next steps are. I am terrified to put my trust in another surgeon and put my body and bank account through further trauma. But I am desperate for relief from the shoulder and neck pain, as well as the skin-on-skin contact. Plus, I have additional pain from internal scar tissue caused by a wound that took 6 months to heal. Unfortunately, removing the equivalent of two cup sizes was too conservative to produce significant relief, and I feel cheated of not only a good result but a pleasant experience. Yes, i already discussed this with my surgeon on multiple occasions. I felt my concerns were dismissed; therefore, I no longer feel comfortable in her care. I am deeply saddened and demoralized. This was a $32,000 investment. Any professional advice, words of wisdom, or experience with BR revisions? Thank you!

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.

Hi Dr’s I was wondering if cheek liposuction will help get rid of the puffy cheeks. I’m 33 years old, I’m 5’9 in height, very healthy and lean (Skinny) with a good BMI range. I’ve had previous cosmetic surgeries, such as buccal fat removal 4 years ago and v line surgery 3 months ago now but I’m still very self conscious of my big cheeks

I am currently 34b but have no volume up top. my left BWD is 11 and my right is 10cm. I want to be no bigger then a nice full c with more volume up top and im stressing about how many cc to get. I am also worried they'll look too far apart because of my wide cleavage? with high profile make that look weird or suit my frame size well? Im stressed any help would be great!!

I had a breast reduction over a year ago through insurance and about 400 grams was removed from each breast. I terribly miss the size and regret the reduction. If i get 425 cc implants will they be the same size as before? do grams of fat and cc of implants correlate in that way?

I have had my implants for over 10 years now. They are silicone and put under the muscle. Everything seemed to go beautifully. One very strange thing that I noticed a couple months after the surgery is when I bent over specifically in the shower to shave my legs, a feeling of my left implant getting stuck to something occurred. I am assuming this would have happened immediately. I was just pretty cautious with my movements for a while because of the surgery. Anyhow, this would continue happening throughout the years, but it seemed that if I kept my back very straight while bending over and not slouch, it would not happen. Fast-forward to now which is over 10 years later, it’s happening all of the time and not just in the shower. They started about six months ago. At first, I didn’t even put two and two together. I thought there was something wrong with my heart. Through much testing on my heart, my heart is just fine and that is not the problem. This brings me to realizing that this all started after I got my breast implants well over 10 years ago and things are now getting much more frequent and worse. What could this be is the implant getting stuck on a rib or something? I get regular mammograms which my implants are moved around, etc. So it’s not like it is stuck all of the time. Please help this is very weird and getting scary!!

For as long as I can remember, I have had a complex about my bulging eyes, so much so that I don't want to take pictures at all because only my eyes are visible. I decided to get rid of this problem, I want a sensual, seductive, feminine look. Is aesthetic orbital decompression the only solution for my case?

One year ago I had a 4-lid blepharoplasty with fat transfer to the tear troughs, but now I look like someone who would benefit from a lower blepharoplasty rather than someone who had one. Previously I never had any filler, fat transfer, or other surgery. Following the initial swelling of surgery, it was immediately clear that some lumps were remaining (or new lumps formed?) under both eyes. The right under-eye area was especially swollen for months, and my surgeon told me to wait it out. The residual swelling did go down after about 4-5 months, but these firmer arc-shaped bags remained. The right under-eye bag is very visible at all angles and in all light. At about 10 months after the surgery, I saw the surgeon again to ask him about the remaining bags, noting that the more prominent one under the right eye was especially bothersome. He felt it with his finger and said “That’s bone,” which really took me by surprise. I later noticed that the bags move vertically when I contract my muscles, so I don’t see how they can be bone. Finally I consulted with a different plastic surgeon who examined both sides and said that those bags are fat and that a second blepharoplasty would be necessary to improve them. If these bags are fat, were they caused by the fat transfer or was some of the existing fat left behind? Or is it not fat? Can these bags be improved?

My eyes make me look tired at all times and it’s been getting a lot worse recently. I don’t know what surgery i need to fix them permanently. I would love some insight as to what that actual problem is by looking at my pictures.