Doctor Q&A

Breast reduction can be a very reasonable option when breast size is contributing to neck or back pain, shoulder grooving, rashes, or difficulty with activity. I reviewed the photos; they show large, heavy-appearing breasts with some droop, so reduction with a lift pattern could potentially improve both weight and shape, but an in-person exam is needed to judge safely.
Being a little overweight does not automatically make it a bad idea, but it is best to be at a stable, healthy weight...

Dear,
Just from the point of view of abdominal wall laxity alone, I would say you are a good candidate for a tummy tuck. Your appearance is not due so much to excess fat, but from laxity of the abdominal wall, even though you have not had children. You can flatten your abdomen by bringing the rectus muscle together and perhaps from some oblique tightening as well. Because your skin is not very stretched out, there is an increased chance that you might have a small lower abdominal scar...

Yes, these can absolutely be fixed together in one operation. A septorhinoplasty (combined septum surgery + cosmetic rhinoplasty) addresses both functional and cosmetic concerns in a single recovery.
How the combined approach works:
Septoplasty component (functional):The deviated septum is straightened, removing or repositioning cartilage and bone that obstruct airflow. This typically improves breathing within 6 to 8 weeks post-op.
Rhinoplasty component (cosmetic):Concave (scooped) dorsum...

It’s clear from your CT scans that the impact caused a displaced nasal bone fracture , which has splayed the bones outward and flattened your bridge. Since five months have passed, the bone has likely healed in this "widened" position, meaning it can no longer be simply popped back into place. Your best path forward is a post-traumatic septorhinoplasty , where a surgeon performs controlled osteotomies to move the bones back to the midline and restore your original height. This will not o...

At 4'9" and 110 lb, the limiting factor is donor fat, not whether a BBL can technically be attempted. The photos show a lean frame with some possible flank and lower-back donor areas, but the available fat looks modest and an exam is needed to judge pinch thickness and skin quality.
A skinny BBL can sometimes improve hip dips or roundness with small-volume fat transfer, especially when combined with careful 360 lipo. HD lipo in a thin patient has a higher risk of over-resection, waviness, or...

Past one year, focal one-sided buttock pain after a BBL is not normal, and your surgeon's wait-it-out answer is not the right one anymore. You need a workup.

The pain pattern you describe (top of the buttock, one side, worse with sitting) points to the superior cluneal nerves. They run over the iliac crest and can be entrapped by scar, by transferred fat sitting in the wrong plane, or by fat necrosis. Less commonly, deeper grafts compress branches of the sciatic.

The next steps I would...

A previous injury can absolutely leave a depression or dent in the buttock area due to fat loss, scar tissue, or damage beneath the skin, and in many cases it can be improved beautifully with the right approach. The most important thing first is understanding that what happened to you does not define you, and you deserve to feel comfortable and confident in your body again.

Depending on the severity of the indentation, treatment options may include fat transfer (BBL), scar release...

A chronically elevated WBC that your hematologist has already worked up is very different from an acute infection, and on its own does not cancel a mommy makeover. What your surgeon needs is the workup in writing.

Before May 26, get a hematology clearance letter on file. It should state that your leukocytosis is stable, longstanding, benign in character (no shift left, no abnormal cell forms on smear), and that no acute infection or hematologic malignancy is currently suspected. A recent...

Dear YDahl,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Der Gorgeous,
Your goal to narrow the breast and go smaller can be accomplished with a revision of your breast reduction. You look very good right now and appear to be a B cup, but that doesn't matter, you can go smaller if you want to.
The nipples are pointing high and the nipple to fold distance is excessive, so as part of the revision, while reducing the horizontal width (modestly to avoid an unesthetic loss of lateral curvature), excess skin and breast tissue would be removed as a...

It is difficult to determine what may be causing the pain without an inperson assessment. Please see your surgeon for an examination.

Thank you for your inquiry! We would love to meet with you and discuss your concerns. Scheduling an in-person consultation gives you the times to try on implants with different clothing styles for your personal evaluation. Schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

Whether liposuction or excision is best depends on what the tissue is made of. I reviewed the photo; the visible issue is a localized axillary/lateral chest fullness, and an in-person exam is needed to tell how much is soft fat, glandular breast tissue, fibrous tissue, or loose skin.
Liposuction can work well when the area is mostly soft fatty tissue and the skin is expected to contract. Excision is usually more reliable when there is firm accessory breast tissue, a defined lump of glandular...

In the late 30s after major weight loss, the right choice depends on whether the main issue is loose skin, volume loss, or true descent of the deeper facial tissues. I reviewed the photos; they show lower-face and jawline skin laxity/folding with some volume loss, but photos cannot show skin quality or deeper tissue mobility as well as an exam.
If filler did not help, adding more volume may not solve the folding and can sometimes make the lower face feel heavier. For early but real laxity,...

You appear to be a good candidate for a lower blepharoplasty. Minimal skin is taken and the fat is transposed and re-positioned to fill out the hollows.

Best Wishes,

Gary Horndeski, M.D.

Yes, this is a very safe and well-established procedure when performed by an experienced surgeon. It's actually my preferred approach for most patients with a combination of lower lid fat herniation and tear trough depth.
How it works: the surgeon accesses the lower lid fat pads through a transconjunctival approach (inside the lid, no external scar) or through a subciliary incision. Rather than removing the fat as in traditional bleph, the fat is mobilized and re-draped over the orbital rim...