Dr. Gary M. Horndeski, MDDr. Gary M. Horndeski, MDBoard Certified Plastic Surgeon4.6 | 319 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026Your breasts are widely separated, you have poor cleavage, your breasts are low on the chest wall and your breast shape is ptotic with the nipples pointing downward. Augmentation alone would require lowering your inframammary fold to center the implants underneath the nipple-areola complexes. This will result in breast descent inferiorly and laterally and will not correct the cleavage problem. You will end up with large low lateral breasts. Many women do not want lifts because of the...+10 ANSWERS
Dr. Daniel Barrett, MDDr. Daniel Barrett, MDBoard Certified Plastic Surgeon4.8 | 184 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026Dear hazel.,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go...+4 ANSWERS
Dr. Fernando Ovalle Jr., MDDr. Fernando Ovalle Jr., MDBoard Certified Plastic Surgeon4.9 | 20 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026Hello and thank you for your question! Short answer - yes! Longer answer - the total volume/degree of transformation will be limited by how much healthy fat cells we are able to remove from other areas. Usually most people of reasonably healthy weight have some excess fatty tissue in their belly, love handles, and inner thighs. Taking a little bit from multiple areas can add up to "enough" for a lower volume, "skinny" BBL. We can prioritize this volume to your hips or centrally on the...+2 ANSWERS
Dr. Daniel Barrett, MDDr. Daniel Barrett, MDBoard Certified Plastic Surgeon4.8 | 184 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026Dear Nice18501,it is hard to tell for sure without an examination. Generally speaking, you can get fat transfer only to specific areas. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery+3 ANSWERS
Dr. Murat Diyarbakirlioglu, MD, FEBOPRASDr. Murat Diyarbakirlioglu, MD, FEBOPRASPlastic Surgeon4.9 | 296 ReviewsCONSULTATIONPROFILEAnswered on Dec 29, 2025Thank you for sharing your concerns. Buttock asymmetry and sagging are prevalent and are usually caused by uneven fat distribution, skin laxity, and natural body anatomy.Exercise can improve muscle tone, but it cannot fully correct sagging skin or significant asymmetry. Weight loss may help in some cases; however, if there is already looseness, it can sometimes make sagging more noticeable.In these situations, a customized surgical approach gives the best results. Depending on your...+2 ANSWERS
Dr. Gary M. Horndeski, MDDr. Gary M. Horndeski, MDBoard Certified Plastic Surgeon4.6 | 319 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026At this time, you would benefit from a repeat rhinoplasty. Your tip is quite round and needs to be refined. The dorsum of the nose can be narrowed, if desired.Best Wishes,Gary Horndeski, M.D.+3 ANSWERS
Dr. Zoran Potparic, MDDr. Zoran Potparic, MDBoard Certified Plastic Surgeon4.6 | 146 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Columella strut graft is usually used for tip support to correct low positioned, droopy tip, as well as for some columella deformities. In the case that your surgeon is using graft from fresh frozen cadaver cartilage, this procedure can be done in local or MAC anesthesia. Harvest of the graft from septum would require MAC or general anesthesia. Good luck.+2 ANSWERS
Dr. Edward Buckingham, MDDr. Edward Buckingham, MDBoard Certified Facial Plastic Surgeon4.9 | 65 ReviewsCONSULTATIONPROFILEAnswered on Jan 4, 2026Thanks for your question. Reducing the size of the dorsal hump is a reasonable goal in your case. After reducing the hump, your surgeon may or may not reposition the nasal bones. This maneuver is often necessary to reestablish a normal appearing contour (termed "closing an open roof") but may narrow the dorum slightly. Regardless, hump removal without excessive narrowing can likely be accomplished in your case. I recommend seeing a qualified rhinoplasty surgeon in person to discuss this...+7 ANSWERS
Dr. Jeffrey H. Spiegel, MDDr. Jeffrey H. Spiegel, MDBoard Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery4.8 | 384 ReviewsCONSULTATIONPROFILEAnswered on Jan 4, 2026This is done when necessary to rotate the nose or change the columellar show, and a few other reasons. Do you like the way your nose looks? If so, don't worry about how it was done. If you do not like it, don't worry about why, just speak with your doctor.+1 ANSWER
Dr. James N. Romanelli, MD, FACSDr. James N. Romanelli, MD, FACSBoard Certified Plastic Surgeon4.8 | 88 ReviewsCONSULTATIONPROFILEAnswered on Jan 3, 2026Dear ShakiishdGreat question, and easily managed.All of our breast patients (implant, lift reduction) who have piercings remove the piercing the day before and thoroughly clean the nipples with Hibilclens (unless allergic).On the day of surgery we sterilize the piercing and put the in place before the patient wakes up. This has been a fool proof method of keeping the piercings so that they don't close up.Best of Luck,Dr. Jim Romanelli+16 ANSWERS
Dr. Arthur Dean Jabs, MD, PhD, FACSDr. Arthur Dean Jabs, MD, PhD, FACSBoard Certified Plastic Surgeon4.9 | 219 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026When doing an augmentation we want the implant to be centered on the nipple. This will give the most natural look. You have excellent shape to start. Remember that measurents of chest width are never exact. The human body moves and is not symmpetric R to L. For example your nipple height is different on each side. Totally normal. The most important consideration is volume. Did you like the look with a 350 cc sizer in a bra? (Sizers typically come in 50 cc increments). I would definitely not...+34 ANSWERS
Dr. Ted Eisenberg, DO, FACOS, FAACSDr. Ted Eisenberg, DO, FACOS, FAACSBoard Certified Plastic Surgeon5.0 | 198 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Implants for you should not affect your tattoo. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA+2 ANSWERS
Dr. John L. Burns Jr., MDDr. John L. Burns Jr., MDBoard Certified Plastic Surgeon4.7 | 207 ReviewsCONSULTATIONPROFILEAnswered on Jan 3, 2026You have Grade II breast ptosis and need a lift to allow alignment between the implant and breast. You'd also benefit from an areola reduction. Most surgeons would prefer general anesthesia for this procedure.+15 ANSWERS
Dr. Zoran Potparic, MDDr. Zoran Potparic, MDBoard Certified Plastic Surgeon4.6 | 146 ReviewsCONSULTATIONPROFILEAnswered on Jan 5, 2026Based on this photo and without preoperative photos to compare, you seem to have very good result after lower blepharoplasty and fat grafting. Asymmetry is so minimal that can be easily corrected with skillful make up. Good luck.
Dr. Jeffrey M. Darrow, MDDr. Jeffrey M. Darrow, MDBoard Certified Plastic Surgeon4.9 | 171 ReviewsCONSULTATIONPROFILEAnswered on Jan 1, 2026Thank you for your photo. I believe you should first have your eyelids checked for ptosis to be sure there isn’t an underlying abnormality with your levator muscle. If your muscle insertion and excursion is normal, it appears that an upper blephroplasty would allow you to achieve more symmetry of your upper eyelid skin and eyelid crease. A plastic surgeon should be able to help you and direct you to the best options to correct this. Best wishes.+1 ANSWER
Dr. Gary M. Horndeski, MDDr. Gary M. Horndeski, MDBoard Certified Plastic Surgeon4.6 | 319 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026You seem to have acquired a horizontal line above the right upper lip and you may benefit from an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.Best Wishes,Gary Horndeski, M.D.+4 ANSWERS
Dr. Ali Riza Öreroglu, MDDr. Ali Riza Öreroglu, MDPlastic Surgeon4.9 | 506 ReviewsCONSULTATIONPROFILEAnswered on Jan 6, 2026Your photos show that the sagging of your skin and the deepening of your nasolabial folds are influenced by genetic factors and gravity. For cases like yours, especially with noticeable sagging at a younger age, I personally prefer a deep plane facelift.This technique does more than just lift the skin; it repositions the deeper underlying facial tissues, providing a natural lift in the mid and lower face, significantly reducing nasolabial and marionette lines, and delivering long-lasting...+13 ANSWERS