Doctor Q&A

I am in the process of planning my first breast augmentation, and feeling stuck regarding the techniques my preferred surgeon can offer. One technique, the Preserve breast augmentation (essentially a Motiva surgical kit that is marketed as "tissue sparing") sounds promising and could theoretically avoid general anesthesia altogether. However, the surgeon has far more career cases and overall experience performing the "traditional" method of breast augmentation, over the muscle. This is a surgeon who I vetted and trust, and they felt I would be a reasonable candidate for either due to the smaller size of my desired implants. For me, the choice comes down to a number of things, but the fact this surgeon has only done about 100 cases of Preserve total makes me hesitate somewhat. They didn't seem totally sold on it being any monumentally easier to recover from than their traditional OTM method either. So I am ultimately wondering from the surgeon perspective, whether I should weigh the surgeons experience most heavily over a technique alone.

46 healthy female, 5ft 1, 125 pounds. I’m interested in more upper pole volume, moderate size increase of 1 cup and minimal downtime. With the degree of ptosis that i have will I need mastopexy in addition to augmentation? TIA

Hello, I am 39 years old with two kids. Recovery for a tummy tuck would be extremely difficult with the limited to zero help we do have. I was exploring the idea of fixing an insecurity of mine that I have had for years (pre kids as well). I am wondering if there are alternatives to tummy tucks that is less invasive. Price point is not that issue, it’s the recovery and down time after that is playing a significant role. I am 5 ft, 100 lbs, and toned shape although I have not focused on toning my stomach.

I am 37, female, 130 lbs, 5’7, I’ve had 3 babies via c section. I have an upcoming breast revision and I’m wondering how this could be addressed

I had an extended tummy tuck in May 2022, so I’m right around the six month mark and I’ve been having pain on the right side where the hourglass curve starts all the way to the belly button and it feels like nerve pain. I also feel like there may be a little bit more fat left over in that area. If I wear full compression or a belly wrap and everything is kept completely flat, the pain goes away. If I wear a compression tank top, like my doctor has instructed, the pain comes back. Is this normal?

Hello, I recently had a virtual consultation with a plastic surgeon in Newport who advised that I am not a good candidate for a tummy tuck because I do not have enough excess skin. I am 37 years old, 5'3", approximately 170 pounds, and have had two pregnancies. While I understand that assessment, I would like to get a second opinion regarding my options for improving the appearance of my abdomen. Based on my age, height, weight, history of two pregnancies, and the photos I have provided, do you believe I would be a better candidate for a tummy tuck, BodyTite, or another procedure? What factors would help determine the best approach? I have attached front, side, and angled photos for reference. Thank you for your time and expertise.

Hi, I’m 31 years old. I am 54 weigh like 123 pounds and I recently have this bump on my nose that I haven’t had before. I probably had it for like maybe a year I used to use a face roller the bump is on the left side of my nose and it feels like it’s underneath. You need to know exactly what it is.

I live in Switzerland and want to do rhinoplasty in Turkey. I would like to have a 3D model of the nose before travelling to Turkey. Is it possible to do the Vectra 3D scan in Zurich or Karlsruhe and then do the surgery in Turkey? Would it be possible for me to modify the 3D model myself or can this only be done by a surgeon?

Hi I’m 160 5’1. I’m interested in making my booty a bit more fuller & fill in my hip dips. I want it done once. I really don’t want to get a touch up if I loose fat. I have a few weeks before surgery and need to decide. Everyone said I don’t need to touch my bottom I’m so confused thanks for your help

I’m going to be honest, I did not expect being told I would need a FNG based on results I’ve seen online. They’ve always been more long than round, I‘m a 34E. I also obviously don’t want to risk nipple necrosis, but I also do not want to lose sensation in my nipples with a FNG. I also mentioned that I’m losing weight and I’m aware that I might just end up needing a lift. However, the surgeon mentioned that with the volume loss after losing weight I’m basically guaranteed to need a FNG. He mentioned that he could try doing a reduction without a FNG right now and when I end up losing weight, we could try doing a non FNG lift again depending on how much the ptosis is then. He did mention a higher risk of losing a nipple though. I was going to go for a couple of more consultations, but if these are my only options, I don’t think I even want to move forward with it. Is a FNG truly my only option?

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.

I am a MTF trans woman and have been on HRT for almost 4 years now. Over the course of that time I have developed way more than expected or I think wanted. I have grown into a 44 DD cup size and over the years I have noticed working out such as riding my bike and doing normal activities, I get winded way more often. My posture has significantly gotten worse over this time. I have should pain around the straps even with a properly fitted bra from fitting. I have started suffering Migraines when I used to never have issues with headaches prior to HRT. I may seem weird to be wanting to ask this being as this was what I wanted. Well it was but I didn't want them this big. I already have back issues prior and this just makes those worse. I even struggle to sleep on my back as well, which has made recent issues with hernias I am getting repaired soon affecting my sleep cause i have to sleep on my back and the weight of them just makes it difficult to get restful sleep. Could reduction surgery be a good option? I am looking for the future as I try other ways to reduce the discomfort before dedicating to surgery. What would be an honest opinion on this?

I am 22, I weigh 56 KG, my bra size is 36 A but I don’t fill it out. I have had 2 consultations for my breast augmentation and I’m left feeling like I wish I could go bigger, however, the first doctor I consulted with said 275 CC under the muscle is the biggest he would go, my second doctor said 230 CC over the muscle is the biggest I can go My breast width is 11cm I really don’t feel like either of these sizes will truly give me what I want. Any suggestions?

I have had at least 6 consultations with different surgeons. I now am between two, however one wants to use a galaflex mesh “internal bra” and the other says that’s unnecessary. I am very worried about sagging in the long run, as the lack of sagging is one of the only thinks I really like about my small breasts. I have done a ton of research; and have come out the other end more confused. Is the mesh worth the possible additional complications? With two equally qualified surgeons telling me two different things, I don’t know how to decide.

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?

42 years old and was advised to start sculptra and RF microneedling. Would rather not dump money into short lived/minimal results if a facelift/lower bleph would be better. Tired of looking tired.

Will lateral tarsal strip work to stabilize this drooping eyelid? I don't want to change the eyelid angle, I just want to stabilize the lower eyelid itself. I'm 21 years old and I've only had this problem fairly recently.

I heard that it can be my eyesight and that with eyedrops it can help out. I'm not sure how true that is. All I want is recommendations of what to do to help fix the appearance of one eye sitting lower than the other. It's a big insecurity of mine. I never let anyone take picture of me and I never take pictures myself because of this reason. Thank you

I had a Zoom consultation with an oculoplastic surgeon today regarding my festoons and saggy, wrinkled lower eyelids. His recommendation was a lower blepharoplasty with SOOF lift and external skin excision, but no fat grafting. I’m interested in hearing opinions from other oculoplastic surgeons. Does this sound like a reasonable approach for someone whose main concerns are festoons, mloose crepey skin and under-eye sagging? My biggest concern is the external skin excision. As a man, I don’t wear makeup, so I’m worried that any visible scarring could be difficult to conceal. I Would you consider fat grafting in this situation, or is it reasonable to avoid it if there isn’t significant volume loss? Thank you for any advice.