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Im 11 most PO from a breast augmentation and it’s really bothering me that my nipples are uneven. Is this normal? They are not close to being parallel. What can be done to correct this? I cant go to the surgeon who completed this procedure because they are no long practicing.
If your nipples were symmetric prior to surgery, then there is a good chance the symmetry can be improved by adjusting the implants. If you have photos of symmetric nipples prior to surgery, seek a consultation with a board-certified plastic surgeon and bring your photos with you at the time of the visit.
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?
Grade 1 is a normal capsule. The breast appears and feels normally soft. Grade 2 the breast appears normal and is slightly firmer than a grade 1 breast and not often noticeable to the average person. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
I had my surgery in April 2024, and in the first few months post surgery experienced some mild infections in the incisions due to getting in a pool too soon. It cleared up with antibiotics but on my right breast my incision scars are lumpy. There is no pain accompanying it, it just looks so ugly. They look inflammed here due to me squeezing at it. Is this normal? Will it ever go away? I had a breast reduction and lift prior to my augmentation, which explains the anchor scar you see.
Hello,Thank you for the question. This can be fixed with simple scar revision. I wish you the best. Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.
I am 15 months post surgery from a full tummy tuck with muscle repair due to stomach muscles loose/diastis recti after 4 pregnancies. I haven't start any exercises until 3 weeks ago when I hired a personal trainer to assist me with working out 3 times a week. My tummy was flat and contoured before my work out. I just decided to work out to stay healthy and tone other parts of the body. I had not gained weight during my recovery to present. My weight on the day of the tummy tuck surgery was 180lbs and right now I flactuate between 160lbs and 163lbs. However, I have started to notice that my stomach doesn't have that inner tight pulled together feeling anymore as I progressed through my work out routine and I have noticed my tummy is slightly protruding and not as contoured. It also feels very sore and sharp pricking sensations after work out. Also during workout I feel like my stomach muscles are stretching, like I'm undoing the work my surgeon did. Is it possible that by working I am actually hurting my tummy tuck results even though I started working out 15 months post surgery? Also do you think wearing a compression garment or waist trainer can help? I hust don't want to damage the results of my tummy tuck in the name of exercise. Please help.
It is unlikely that you can cause any damage to the muscle repair after 15 months. A follow-up visit to your surgeon would be suggested for conformation.
Seeking help. I feel I have a nice shape but since having my son I do have a little bit of an apron belly. I feel like my butt is still there but at this point, my tuummy sticks out more than my butt. Suggestions? (I want more children within the next few years hopefully.)
Body contouring procedures have become increasingly popular and can help men and women recontour their body in adulthood. If you have stubborn areas of fatty accumulation that are more resistant to diet and exercise, you may be a candidate for body sculpting liposuction performed at Kare Plastic Surgery in Santa Monica. Liposuction remains one of the most popular procedures in cosmetic surgery and allows patients to slim and toned their waist line, back, arms, and legs using this minimally...
Hello, I am 20 years old. I have wanted to have a lower hairline my whole life. I am taking a year out of university so before I felt it is a good time to do the hair transplant because I can stay at home and take a break from wigs . Also I am looking to have a bbl later in the year but I have to research more before I decide. I found out that it is recommended to do the brow lift before the hair transplant. Do you agree? I wanted to ask again if it is better to do my blepharoplasty and brow lift before or after my hairline surgery. So now I'm looking to do the brow lift and blepharoplasty in February and the bbl in around May, and the hair transplant in a year . Would that be enough time with the anesthesia and how best should I sleep? As I understand with the bbl it is best to sleep on front and with the brow lift it is best to sleep on your back. Or are these surgeries just incompatible and need more time apart? Thank you so much. I would love to hear your advice.
Thanks so much for your question, Yes, in general, it is better to do a brow lift before a hair transplant or hairline-lowering procedure. A brow lift changes the position of the brows and the forehead skin, and in some techniques it can subtly affect the hairline position or tension. If you did the hair transplant first and then lifted the brow later, you could end up distorting the transplanted grafts or shifting the hairline in an unpredictable way. Doing the brow lift (and...
I’m looking for professional perspective on a decision I’m weighing. I’ve met my out-of-pocket maximum for the year and am considering septal correction with a conservative tip-plasty at the same time. My breathing issues are mild; this is primarily an opportunity to address both efficiently. I consulted with an ENT/facial plastics surgeon in his mid-70s with extensive experience. He was the first to recommend tip-plasty rather than a full rhinoplasty, and he spent significant time explaining his plan, including tablet imaging to show precise changes. Clinically and interpersonally, the consult was strong. My hesitation is that most available before/after photos appear to be 10+ years old, with limited recent examples. I’m also mindful of year-end surgical volume and fatigue. The quote for the tip-plasty portion was $4,000. From a surgeon’s perspective: how much weight should I place on recent photographic work versus overall experience in this context? Would the lack of recent images be a reasonable cause for hesitation?
Hello and thank you for your question. I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging. I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop is easy but real surgery is very different. I a...
Hi I have a caudal ceptum deviation as I mentioned in previous posts. one of the doctors I had a consultation with said that he should correct the whole nose and not just the small part that sticks out at the nostrils. He say because if he corrects just that little bit then the nose will look deviated. when I asked him if I needed collemulla extentuon grafts or other kinds of grafts such as spreader grafts when he is going to correct the septum he said no it is not needed. He should only remove a thin long piece in the lower part of septum. is this method correct? I am attaching a picture of what I think the doctor will do. no support cartilage/graft needed at all? I have no problems with breathing only the small dislocation at the nostrils and actually it is the size of the nose that is important to me that it should be fixed but I wanted to fix the small caudal septum to. Do i need to correct the whole nose deviation or only the little deviation of caudal septum? He makes closed rhinoplasty.I don't want my nose to get worse because of messing with the nasal septum so much. Or maby skip to corrext the deviation at all and only do the rhinoplasty?
Correction of deviated septum is not always easy and completely predictable procedure. Only after deformity is completely defined after surgical exposure, an experienced surgeon will make decision what is the best way to correct and fix it to prevent recurrence. In your case it is very likely that a combination of septoplasty and rhinoplasty to address function and external nose dis-balance would be my suggestion. Good luck.
I like my nose. I just don’t like the buolbus tip. My side profile is great. But my front, you can see it’s rounded. I want just the tip of my nose to be refined but not pinched. Does this mean I need a full rhinoplasty or can I just focus on tip refinement?
Hello! Thank you for your question.As far as I can understand from your question rhinoplasty surgery is a comprehensive procedure and should be approached as such. For this reason, rhinoplasty would be the most suitable method we can recommend for you.It would be better face to face consultation.Best Regards!
I would like to schedule a mommy makeover for beginning of March. Can I set this up in timeframe? Healing time before work?
A March surgery date can absolutely be realistic, but it depends on a few key factors. If you have your consultation in December or January, and there are no medical issues, March is typically achievable depending on the surgeon’s availability, financing approval, and completion of pre-operative requirements.As far as recovery and time off work, this varies by procedure and the physical demands of your job. For mommy makeovers that include a tummy tuck, I generally recommend 2 weeks off f...
Hey, so Im sharing a pic because Ive noticed my boobs look a bit uneven and its kinda bugging me. I cant tell if its just my posture or maybe I hunch way more than I realize, or if having heavier breasts over the years just kinda pulled things in diff directions. Im also thinking about getting a reduction and I keep wondering if that would help the assymetry or just make it more noticeable. Just looking for honest thoughts from other women who’ve been thru this and what your experience was.
Breasts are seldom perfectly symmetric. The symmetry can generally be improved as a part of a breast reduction.
I am considering getting a breast reduction through my insurance and I was wondering if surgeons usually remove armpit fat as well when doing a breast reduction.
Hello and thank you for this question. This is a topic I’m asked about during every consultation I do for both breast reduction and breast augmentation. There is an area of fat right under the armpits that plagues women of all shapes and sizes. It’s very simple to treat with liposuction during your procedure. It’s not typically covered by insurance but the cost, time and recovery are often minimal and can be done at the same time as your reduction or performed later under local anest...
Breast have gotten bigger over the years and I already have an implant is it possible to keep implant in and have breast reduction?
Yes, it is absolutely possible in many cases to keep your current implants and still perform a breast reduction — but it must be done with the right technique and for the right reason.This situation is actually a classic indication for a Push-Up Lift–style reduction.How breasts get “too big” with implantsOver time, breasts can enlarge due to:Weight changesHormonal factorsPregnancySkin and tissue stretchIn these cases, the excess volume is usually your own breast tissue, not the impla...
I was wondering what kind of treatments are great to compliment and enhance the body post liposuction. I am happy with my liposuction but just want to do my best to get best results possible and would be happy to do any effective treatments Post my liposuction to enhance it, Such as smoothing and tightening treatments for the body and under chin and neck. I am based in Australia.
Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we...
Is it time for a facelift or are there other things I can do to improve my look? For my jowls, I have had one treatment of Ellacor Would another treatment of Ellacor benefit? I have also had Sculptra over the last 5 years but would fat transfer help with the lack of fullness on one side of my face? I have been told a Blephoplasty would be of benefit but only for 1 eye. Not sure I feel comfortable with that strategy I don’t feel emotionally and financially ready for a lower facelift yet, but don’t want to have procedures done that will be of little benefit either.
Thank you for your question and photo. Based on this single frontal view photo, you would do best with a full facelift, neck lift, upper lip lift and fat transfer to the upper face. The brow and eyelids can be done later. Now you can waste your money on smaller, ineffective procedures like what you have done already, which BTW, will make a facelift more challenging. You do have an asymmetrical face with one side significantly smaller, significant perioral aging, loose ski and platysmal...
Trying to decide between midface lift or filler to address midface/ cheek area. Had a recent CO2 laser resurfacing since last time I posed this question, which didn't really help and have gone to several paid consultations, which have given me conflicting feedback. Would appreciate some feedback.
Hi TBD. In most cases, the key issue in determining whether to suggest dermal fillers or surgery is volume loss vs. skin laxity. If the skin is loose and drooping, then surgery is often the best option. If the skin is taught and firm, but the patient is thin or has volume loss, then we suggest dermal fillers. In your case it appears that you have not lost much elasticity in the skin but do have a depression in what's called the malar area. We commonly use Radiesse and Restylane Lyft...
I plan to get a neck and fact lift at some point. I know everyone suggests doing it all at once, but for discretion and life it would in some ways make more sense to do it in stages. Is this a terrible idea? I just don't have a life where I can disappear for a month or go out in public and have questions.
Thank you for your question. I would consider the face and the neck as one aesthetic unit. The face and neck belong together. Anatomically, the tissue layers of the face transition into the neck. It only makes sense while performing a deep plane face lift to address the neck as well. The most beautiful results are obtained when both is combined usually with some ancillary procedures of the face, to address all the aging processess - like the eyes, volume loss, upper lip ptosis, brow...
I noticed my nasolabial folds are more pronounced and deep, as well my cheeks are not as tight and lifted in my 40s. I am wondering if a face lift will help correct this by making my face look more lifted and younger. My face also seems more rectangular or heavy around my jawline. I am only 43 so i admit, i don have a lot of wrinkles or loose skin but still want a face lift if it will help.
You appear to be a great candidate for a deep plane facelift and neck lift, especially given your concerns about nasolabial folds, midface sagging, and heaviness along the jawline. This technique lifts the deeper facial layers rather than just the skin, providing a more natural and long-lasting result.I often combine this with fat grafting to restore volume in the cheeks and around the mouth, which helps smooth folds and balance the facial contour.While your photos are helpful for an...
Hi, i'm looking for advice for the most natural breast enlargement I can get. I am very happy with the shape and weightiness of my breasts but I would like to be bigger. I am not looking for an uplift and want to maintain the natural sag and sway that I already have. What would you suggest?
I think you need a lift but if you just want more volume an implant would accomplish that. Fat transfer is often disappointing. You can’t achieve much volume increase with fat transfer
Im looking to go quite large, as large as I can go honestly. I dont mind some sagging and am not opposed to a lift in the future.
In my practice, I always evaluate each patient individually. In some cases, placing implants alone can achieve a full and balanced look, while in others, the degree of sagging makes adding a lift the better option.If the breast tissue isn’t very droopy and the skin quality is good, I usually prefer to start with implants only. Some mild sagging over time is expected, but since you don’t mind that and are open to a lift in the future, this approach is reasonable.However, going for the lar...
Hello..…I’m 52 years old and 5’ 2 inches and weigh 117 pounds..…I’ve had 3 children via C-section and lost around 20 pounds in 2022..…which I have maintained at 117 for the past few years. I went to get a consultation and was slightly overwhelmed and underwhelmed since my surgeon did not elaborate or give an opinion? He suggested either 265cc or 295cc..… I’m also currently wearing a 34b..… I want an outcome where I am fuller on top and hopefully, less droopy..…yet still natural..… I want to look fuller but not like I had plastic surgery..… i am leaning towards the 300cc but still anxious that they will be too big? My surgeon is recommending I get the gummy silicon out moderate to high profile..…and dual procedure..… Will that give me what I want outcome wise: fuller on top, less droopy and still natural looking?
The size recommendation may be able to achieve your goals. However, due to the shape asymmetry you may need to consider a lift on one or both breasts (depending on whether your nipples are located at or below your breast fold.) This would give you the fullness that you’re looking for.
I’m only 20 and i’m not really interested in scarring from a lift, i recognise that i may want to in the future. Also what type of implants should i get? round or teardrop? over or under?
The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.
Can I just get straightforward implants with small asymmetrical breasts? I am wanting quite a natural look, will I have to have an uplift or anything extra like nipple reconstruction with them being so small and asymmetrical?
Yes — you can have a natural-looking result with implants alone, and in your situation the best way to do that is with a Preservé (tissue-preserving) augmentation approach.A Preservé augmentation focuses on:Preserving your natural breast tissue, ligaments, and footprintAvoiding unnecessary skin or nipple surgeryCorrecting asymmetry through precise pocket control, not lifting scarsWhy Preservé works well for small, asymmetrical breastsIf your breasts are small, not sagging, and ni...
I had an upper bleph and ptosis surgery in April. My left eye really Bothers me in photos. But I don't know If the difference is enough to justify requesting a revision or how I should approach it with my surgeon. My lid looks heavy on the top outer part and the center part of my lid is wonky too.
The first photo shows bilateral upper eyelid retraction which is worse the anatomic left side in this image (assumes you have not reversed the images). In the second image pair, both upper eyelids are heavy with a relatively flat upper eyelid contour, the other eyelid demonstrates peaking of the upper eyelid just later to the lateral limbus—where the colored part of the eye meets the white of the eye. Should you have your original surgeon fix this? I can almost guarantee that your surgeon w...
I have this issue with my eyelids for years now. I do remember they did not always look this way. Which side is normal? Why are they like this? Is it just swelling? I’m not really sure what doctor to go see first as well or if I just go straight to a surgeon. Any insight would be so helpful thank you in advance. I just feel like a monster and this is my biggest insecurity
Based on this photo you may have a droopy eyelids, condition called upper eyelid ptosis. Treatment of this condition is surgical. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.
I'm in my 30s and I've had "baby fat" under my eye area for as long as I can remember. I've always thought that area was swollen because of stress or lack of sleep but it's not discolored, it's just "big" even when fully rested. Eye creams never worked. I know it's a sign of youth but what bothers me most is: when I smile muscles fold differently, when I take pics the area looks bigger from certain angles/light, It also twitches on its own. Is this hypertrophy severe? Should/Can it be corrected?
Hello Ingrid. For what you are describing, you have several options. A tiny dose of neurotxin like Botox or Dysport should be able to stop the twitching. For the volume loss, including what you are seeing when you smile, dermal fillers often work very well. We prefer Restylane in this area. Finally, if there is too much loose skin (not really apparent from your photos), then a surgical option is also a possibility. Best of luck.
I have been thinking about upper eyelid surgery but then I am wondering whether it will be enough to open my eyes? I have very obvious extra skin on my eyelashes and a having a lower set brow does not bother me personally, as long my eyes are not covered by the skin. Can I do well just with the eyelid surgery (which is faster and less costly)?
Hi there, hope all is well. Based on the photos alone, here are a few observations:Asymmetric eyebrow position (left lower than the right)Brow ptosis (overall low eyebrow position)Excess upper eyelid skin — possibly more on the right than the leftEyelid ptosis, particularly on the left, is a possibility and should be ruled outMy recommendations would include an in-person evaluation by both an Ophthalmologist and a Plastic Surgeon for a thorough physical exam. Based on those...
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