Doctor Q&A

Volume is something that is very hard to suggest based on few photos and cup size desire. However, I do believe that range around 300 ml will give you two cup sizes up. Good luck.

We have reviewed your photos. You appear suitable for a breast lift with implants to restore volume and improve breast shape. A detailed consultation is recommended for final planning.

Given your history of breast implants and the change in shape, swelling, and indentation you’re describing, I would recommend an in-person evaluation with a board-certified plastic surgeon. They can examine the breast and assess for possible capsular contracture, implant malposition, or other causes. Depending on the type of implant you have and your exam findings, imaging such as an ultrasound or MRI may also be recommended to evaluate the integrity and position of the implant. I would e...

Hello and thank you for your question. It really depends on the specific techniques that were used by your surgeon during your surgery. With structural rhinoplasty, the nose should be back to nearly its full strength with time. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon
full strength with time.

Thank you for reaching out and for being so clear about your goals — that always makes for a much more productive conversation. Based on what you have described, yes, this is a realistic goal, but there is one important factor we need to address honestly: your thick skin. Thick skin is the single biggest variable when it comes to tip refinement. The skin acts like a blanket over the underlying cartilage framework, and even when we make meaningful structural changes to the cartilages b...

Thank you for sharing your concerns with us. Being unhappy with the tip of your nose is a very common reason people seek a consultation. To give you the most accurate assessment and determine what is achievable, a comprehensive physical examination is essential. During this evaluation, we assess your skin thickness, cartilage structure, and overall nasal anatomy. Following the examination, we can perform a digital simulation based on your unique facial proportions to explore potential...

Thank your for your question, as it is apreciate in the pictures your provided, you are a good candidate, to get liposuction with HD, For sure you will have The shape you want to have.

Dr. Luis Mejia
Let's Make It Better

This is a fair amount of surgery and there are several factors to consider. Your entire torso will have been operated on after this procedure (chest, abdomen, flanks, back and buttocks). You will likely be very sore for the first 1-2 weeks. With a BBL (Brazilian Butt Lift or fat transfer to the buttocks) it is very important that there is no pressure or sheer forces to the grafts in order to get maximum take of the grafts and ultimately the best result. For the breasts it is important that...

Thank you for your question. If you are healthy and a good surgical candidate, these procedures can be performed together. Many experienced plastic surgeons combine them as part of a mommy makeover. However, adding a BBL does make the operation longer and recovery more challenging, since a tummy tuck requires you to protect your abdomen while a BBL requires you to avoid prolonged pressure on your buttocks. If your surgeon performs these combinations regularly and believes it can be done...

Great question, and one I hear often from patients who want a natural result without adding volume through implants.
A breast reduction with a lift is really about two things working together: removing excess tissue and repositioning what remains into a better shape. When no implant is involved, the final result depends heavily on the quality and volume of tissue you start with, because that tissue has to do all the work.
The major factors include the amount of natural breast tissue...

Thank your for the question,

Yes, you can, but liposuction, only breast reduction (LBR) is only effective for specific candidates. Because it removes fat without making surgical incisions to trim excess skin or rearrange breast tissue, its results depend heavily on your anatomy.
Dr. Luis Mejia
Let's make it better

The decision is not based on age alone but on whether your breasts have fully developed and how much they are affecting your daily life. Pain during physical activity, discomfort without a bra, and feeling self-conscious are all valid reasons to consider surgery. Unfortunately, if the skin and breast tissue have already stretched, weight loss alone is unlikely to improve the sagging. A breast reduction combined with a lift can relieve the weight of the breasts, improve their shape and...

Thank you for sharing your concerns. While official FDA labeling indicates silicone gel breast implants for patients aged 22 and older, silicone augmentation is frequently performed "off-label" by plastic surgeons for mature patients under 22, such as at age 19. This means individual board-certified surgeons evaluate your physical maturity and tissue thickness to determine candidacy rather than being universally restricted. Saline is not your only option. An in-person physical examination...

Yes, having pizza once on Day 8 will not ruin your BBL or kill your transferred fat. Fat cell survival depends on blood supply and avoiding direct pressure, not on a single meal.

So, if you've been craving a slice, you haven't destroyed your investment! However, there is one major reason to be cautious with heavy foods like pizza so early in recovery: sodium.

We have reviewed your question. The photos are not clear enough for evaluation. Please send clearer photos for a proper assessment.

When one has significant sagging of the lower face with a resulting jowls and also sagging skin in the front of the neck, the most effective treatment by far his surgical. This is essentially what a facelift is designed to do. There are a number of techniques for facelifting and with each technique there are a number of sub techniques and your surgeon will discuss with you all aspects of this and how it relates to your particular concerns and your anatomy. Unfortunately, other modalities...

Hi. Thank you for such an honest question, and I want to say first that your instinct not to rush is serving you well. From your description, folds that have been present since your twenties are part of your facial architecture, not an ageing change. That matters, because most of the treatments you have researched are designed for descent, and a genetic fold is not descent. Heavy filler placed directly into the fold tends to make the midface heavier without removing the line, and repeated...

We have reviewed your question. Liposuction can improve fat deposits but does not treat bloating. Please send clear photos or schedule an in-person consultation for proper evaluation.

Hello Creative929132,
Congratulations on your weight loss! While it's a wonderful accomplishment, it's very common to notice a loss of facial volume afterward. As we age, we naturally lose collagen and fat in the face, and weight loss can make these changes more noticeable, especially around the cheeks and eyes.
Based on your concerns, I would likely recommend a combination approach rather than relying on a single treatment. Starting with a neurotoxin such as Botox can help relax the...

Upper blepharoplasty and under eye fat grafting are excellent procedures to rejuvenate the eye area. However, based on your photos and some of the details included in your question, I would encourage you to consider one other aspect of periorbital rejuvenation - your eyebrows.
You do not appear to have a significant amount of excess upper eyelid skin, which is what an upper blepharoplasty typically addressed. However, you do have some fullness under your eyebrows and above the eyes...

Hi. Thank you for describing this so clearly. From your description and photo, the hollow between the inner brow and the top of the nose bridge is usually about volume distribution rather than excess skin, which is why a standard upper blepharoplasty may not be the right answer on its own. In some faces it reflects a naturally deep inner orbit; in others, early volume loss in the brow fat pad. Where volume is genuinely lacking, careful micro-fat transfer or, in selected cases, a small amount...

Hi! Based upon this photo you would be a great candidate for fat transfer to the under eye or lasers! This would best be addressed in person as we can take a closer look, come into our office for a consult!! We would love to see you! #312-944-0117