Doctor Q&A

Bottoming out refers to the descent of the implant below the level of the fold. A rising scar is often times a tell tale sign of a falling implant. A stargazing nipple is a similar sign as the breast mound autorotates upward as an implant slowly moves south.

Based on your photos, your left breast appears to demonstrate signs of bottoming out:
-Rising scar
-Stargazing NAC
-Lower sitting implant

It is also important to note, the risk of bottoming out is higher when an IMF incision is used...

Thank you for your question. Given two prior BBLs and a postpartum abdomen with most laxity above the umbilicus (and suspected fibrosis), the safest, most effective approach is a staged revision. First, conservative debulking liposuction of the buttocks to restore proportional size, combined with revision liposuction of fibrotic areas using PAL/VASER plus subcision to release tethering. Then, address the abdomen with a full abdominoplasty with muscle repair if diastasis is present, because...

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. You should absolutely have the deviated caudal septum corrected at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon...

Hello, If you have Undetectable HIV and a good CD4 Count as well as normal Blood Test results and a Normal Cardiologist Evaluation, BBL with Fat from Hips and arm fat transfer is definitely possible. Jaime Caloca Jr., M.D.

Trustworthy789739,
Having surgery at a teaching hospital all patients will have their care provided by a combination of residents and attending surgeons. I believe you are speaking about utilizing the discounted services of the resident cosmetic surgery clinic. In general, the requirements for teaching hospitals state that attending surgeons must be immediately available, especially during critical phases of an operation, and determine the level of resident involvement based on the case...

Unfortunately, you have not provided any photographs. At size 30 F or G, each 100 grams of breast tissue removed corresponds to 1 cup size change. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without...

If your goals are simply to reduce the volume of your upper, posterior arms, then liposuction will do that with minimal scarring. No one‘s skin gets more elastic as they get older, so after the liposuction, the volume may be reduced, but you may still have some loose skin. If that is acceptable to you, then liposuction would be a great option. If you are looking for skin contouring as well, then an arm lift would be required. The trade-off is that the skin of your arm would be contoured b...

Bottoming out refers to the descent of the implant below the level of the fold. A rising scar is often times a tell tale sign of a falling implant. A stargazing nipple is a similar sign as the breast mound autorotates upward as an implant slowly moves south.

Based on your photos, you demonstrate signs of bottoming out: -Rising scar -Stargazing NAC -Lower sitting implant

It is also important to note, the risk of bottoming out is higher when an IMF incision is used.

As always, discuss...

You appear to have good skin quality with volume descent. A SMAS repositioning and fat grafting can definitely help, but you do not necessarily need any skin removal. You hit the nail on the head with your description of facial aging- the squaring of the face and heaviness of the lower face are hallmarks of the aging face! Hope that information helps.

It’s possible that these could be xanthelasma, but the only way to know for sure is with an in-office evaluation, and sometimes a small biopsy is done to confirm the diagnosis. If it does turn out to be xanthelasma, it’s important to follow up with your internist to check cholesterol and overall lipid health and begin any needed treatment, such as starting medication.

This area has very thin skin and limited extra tissue, so removal needs to be done carefully to avoid issues like web...