Doctor Q&A

Implants are centred behind the nipples, therefore without a lift your implants would sit rather low on your chest and give you a “rocks in socks” look. For this reason, a lift is recommended.

That’s a really great question, especially since you already know you're prone to keloids. There is a possibility of keloid formation there, but not everyone who forms keloids will necessarily get one at the belly button. Aside from laser treatments, there are other options to help reduce or prevent keloids, including steroid injections (like Kenalog), silicone gels or sheets, and sometimes microneedling with PRP once the scar is fully healed (at our office we wait until around the 6 month m...

Great question—most of your result happens in the first 6–8 weeks. You control a lot of it with prep, surgeon choice, and how you protect the grafts while they “re-plug in.”
Before surgery (sets the stage) • Stable weight for ~3–6 months; avoid crash diets after surgery. • Absolutely no nicotine/vaping 4 weeks before and at least 6 weeks after—nicotine chokes the tiny vessels your fat needs to survive. • Control diabetes/thyroid/iron issues; high-protein diet (about 1.2–1.6 g/kg/...

Hello and thank you for your question. I allow my patients to exercise one week after surgery. Ski goggles are okay at two months. If you can get a visor instead of goggles, you could ski sooner than that. 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

If you have diastasis recti (the separation of the abdominal muscles) and severe skin laxity, then an Tummy Tuck is indeed necessary. A physical evaluation with a surgeon will confirm this for you.

Having large breasts is not merely an aesthetic issue; it can also create both physical and emotional burdens. Physically, large breasts pull the body’s center of gravity forward, which causes constant strain on the back, neck, and shoulder muscles. As a result, problems such as pain, poor posture, and shoulder indentation may occur. If you are experiencing these kinds of discomforts, it’s important to consult a specialist and take action without delay.

Great question, and thank you for providing so much detail — it’s clear you’ve done your homework and have a solid understanding of your goals and anatomy.When it comes to implant sizing and profile, it’s normal for Vectra 3D simulations to sometimes feel underwhelming, especially if you're expecting more dramatic cleavage or fullness. While Vectra is a helpful tool, it’s not always 100% accurate in predicting volume perception, cleavage enhancement, or how the implant will settle ...

Good morning. To give you an accurate assessment, it would be ideal to have better photos that clearly show the degree of looseness in your skin. However, if the sagging is not severe, you could be a good candidate for a 360 liposuction with BBL at this stage. Young skin, like yours at 20 years old, usually has good retraction capacity. Later on, after having all your children, you could consider an abdominoplasty if your skin and abdominal muscles require it. You can write to us at...

Removing some additional tissue, fat and possibly a slight amount of muscle, to sculpt this area is straight-forward and can be achieved through the same scar that was initially placed.

Looking at your pictures, you could consider some additional skin removal at the same time as well, if desired.

If revision surgery doesn't interest you, CO2 laser resurfacing can help to tighten the tissues. It might not resolve the degree of fullness that is concerning you, but it remains as a surgical...

Age alone is not a limitation for a facelift. The key factors are skin elasticity, soft tissue laxity, and facial volume distribution.In patients around their early thirties, skin quality is usually still good, but mild laxity or loss of contour may appear along the jawline and lower face.
While a full facelift would be premature, a mini facelift or SMAS tightening (lower face tightening) can effectively improve the jawline definition.These procedures are typically performed under local...