Doctor Q&A

I have had 3 breast augmentation surgeries ; 1st one was the original breast augmentation ; 2nd one was to remove the implants as they were too large and I had gained weight andthe 3 rd surgery was to put smaller implants in over the muscle as I didn’t like the results with no implants. Two days ago I was in the floor with my puppy; I rolled over on my right side and now I have severe pain under my left breast. The pain seems to radiate into my back and side. Touching the breast itself does not hurt and feels like the right breast. I can feel the implants and they feel the same. It’s just the intense pain with movement and it seems to be worse today than it was yesterday

I have spent 10 years thinking into if i want to get a breast augmentation, and I do! however i have factor V parahemophlia and can only take amnicar or transamic acid (TXA) in a emergency. Is it too risky? Ive had an emergeny apendix surgery where they cut me 3.5in open and there was no problems with bleeding. I actually just found out i had factor V parahemophlia.

I have had an online consultation with my plastic surgeon and set a surgery date. I know I am borderline needing a lift, but he assured me that implants alone would give me the look I’m after. Am I making a mistake by avoiding the lift? 5’7; 120 pounds; breastfed 3 kids

I’m getting BA next month and I’m worried that a 375cc moderate profile silicone would be still small. I want it to be big that it covers my frame but not too big. I have one child and I pumped for 6 months. I use to be a 32c (small c), I would say I’m still about that size but they’re more gaps now. My breast base width is 12.5. And he told me the base of the 375cc moderate profile is 13cm. Would a 375cc cover my frame and bring me to a 32dd?

I’m 34 years old and have never had any previous plastic surgery. I’m interested in achieving much larger, fuller breasts, but I prefer a natural look I don’t like when implants sit too high on the chest. I’m wondering if I would need only a breast augmentation or if a lift would also be required. I scar very easily, and my scars tend to fade poorly, so I’m concerned about the vertical scar that runs down the middle of the breast with a traditional lift. If a lift is necessary, are there alternative techniques that minimize visible scarring? Thank you for your time and guidance.

I am 46 and delivered two kids via c-section. Im fair skinned and my scars fade to pale and dont show real well. I wanted lipo with abdominal etching and skinny BBL. As I have it perimenopause, i have lost by backside. One doctor recommended a tummy tuck, another recommended a mini tummy tuck, another a circular tummy tuck and another said he could do what I want with lipo. Which would you recommend?

If just like to know opinions on whether I would need a full or mini tummy tuck I’ve had 4 children. My biggest concern is the stretch marks they are so ugly and it’s A little saggy at the bottom of stomach. I also hate my piercing scar I know that it wouldn’t be changed with a mini but I just don’t think I have enough skin for a full tummy tuck and can also get the belly button scar removed at a later date if I have mini

31 year old female, 5’3, 142 pounds, no children, recent 70 pound weight loss. I am close to my goal weight. However, my abdomen has been stubborn when it comes to fat loss. I carry my weight in my midsection. I have been incorporating more ab exercises into my regimen, without much success. Would smartlipo be an option or would that just make my skin looser once the fat is removed? I don’t want to look worse and regret it. I have read there is some skin tightening benefit, but I’m unsure if it would be enough. The downtime, recovery, and large scar from a tummy tuck isn’t ideal. But if SmartLipo isn’t the best plan, I’d rather wait until I can take time off work and recover from a tummy tuck. I have seen that once recovered and healed there is some scar tattooing available if I am concerned about the tummy tuck scar appearance if I go that route. Thank you for any guidance!

Do you believe lymphatic massages are critical to recovery after a tummy tuck? Will you see defined and better results in terms of shape and definition with them? I'm curious because they are extremely expensive in NC ($125-$150 per session) and most people who perform them say you need 15-20 with a tummy tuck.

37 y.o with 2 C sections. I'm a very active person. I work out 5x a week. Tried everything just to get back close to my pre pregnancy body but I still have this extra fluff on my mid section. Wondering if I can get by with Lipo or it has to be tummy tuck?

I have had four kids, and I am 37. I don’t have any stretch marks and not horrible diastasis recti but I do have a small bit of apron belly! Recommendations? Thanks!

Had a bbl 8yrs ago now im on a weigtloss injection Is my butt fat safe on the weight loss journey?

Hi, I'm wondering if it would still look good if I only had Lipo 360 or would you recommend me to include a BBL ? and also do i need additional Lipo 360 if I choose to get BBL ?

Since 2000 Undetectable HIV 55yr old healthy Brown Female. Unable 2 recieve BBL with hips & fat transfer?

Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.

41 year old female, droopy nasal tip that is also bifid. Do I have a significant dorsal hump? Can just a tip plasty fix my concerns?

Hello, I’d like to get some information about spreader grafts. After my first rhinoplasty, I ended up with breathing problems because too much cartilage was removed. My turbinates are normal in size, but they swell during the natural nasal cycle and block my new, narrower airway. All the doctors I’ve seen advised against turbinoplasty since my turbinates are already normal-sized. One doctor, however, suggested placing spreader grafts using rib cartilage. From what I’ve researched, spreader grafts are mainly used for internal nasal valve collapse, so I’m wondering: can spreader grafts actually help in a situation where the issue is limited space for the turbinates?

hello doctors I’m thankful for you for taking from you time and answering us My question is when I can wear my glasses after Rhinoplasty? I can not wear contacts because I have dry eyes and my doctor recommended that contacts are not safe for me And my Rhinoplasty is soon Thank you

What would I need to have done to get me from this, to this? Nasal bridge reduction and nostril reduction? I don't have a problem with my side profile, I just want a smaller version if my nose.

Hi, I’m 28 years old and was born with a cleft lip and palate. I had corrective surgeries as a baby, but I’m still left with a crooked nose, a noticeable scar, and a deviated septum. I’ve had a few consultations with doctors and I’m continuing to do more research to understand what options are available. I’m wondering if a rhinoplasty alone could help improve the symmetry and overall appearance of my nose, while also correcting the deviated septum. I’m also wondering if I should specifically look for a surgeon who specializes in rhinoplasty for adults with a history of cleft lip and palate, or if a surgeon who focuses on rhinoplasty alone would have the expertise to handle my case effectively. One doctor mentioned orthognathic surgery, but that seems very invasive, and I’d prefer to avoid it if possible. Any insight or recommendations would be appreciated. Thanks.

I wanted a mommy makeover am 48yo, however I'll have to put my dream makeover on hold for both hip and knee replacements, my question is will these joint replacements affect me getting a mommy makeover in the near future?

I am 41 years old. I have 4 children. I now want to have some long awaited procedures: 1. Breast lift and implants (dual plane) 2. Abdominal liposuction 3. Upper blepharoplasty My questions: 1. Can this all be done at one time? 2. If so, would the recovery be manageable? 3. If not, what would your suggest? (e.g breasts and lipo done in one operating time and eyes done in another under local?) I am going overseas so it would be really useful to know the suggested time between each one. Thank you.

I just got back from a physical with my doctor (not MM related), and he told me I've developed a heart murmur. Next week, I have to go in for a ecocolordoppler cardiaca and an ECG (I don't know what these are in English!). Will having developed this affect me being able to safely have my surgery? It's scheduled for August.

I had a Mommy Makeover (TT with Muscle repair, BA) on April 22. 3.5 weeks ago. I was supposed to start my period 7 days ago. Is it normal for my period to be late post op? Also my breasts have been extra painful the last few days so I'm wondering if this is a sign that something trying to happen. I just wonder if it is normal for disruption in menstral cycle, as I am usually very regular.

Currently, a vegan and eating healthy such soy, Boca, Morning star, Lightlife products. No process foods,no meats, or dairy. All laboratory tests are good such as CBC, CAT scan,blood pressure 105\65 but a slow heart rate and vitamin D deficiency.

Black female. My surgeon stated a free nipple graft is required if I want to go down to a D cup, from my current G cup.

I have a lump in my breast - not sure if it is cancer. However I was wanting a breast reduction/lift and possible implants. Can a benign lump be removed during plastic surgery?

I first started thinking about a breast reduction around 3 years ago but I only recently decided that I actually want one. I have really bad shoulder and back pain, I have for a while, but I don’t know if it’s actually from my breast weight. I gain and lose weight really often but right now I am around 180 pounds.

20 years old with D+ cups since the 8th grade, been a 32DDD since I stopped growing a few years ago. 115-120 lbs and 5’3”. I have back pain, shoulder pain, & moderate to severe migraines attributed to shoulder pain. I haven't talk to a doctor (not sure who to talk to) but I am short with a 27” waist so uncomfortabley disproportionate and I experience pain daily. Am I a good candidate? How should I proceed? I am nervous about the process overall

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.

Hi i have a consultation in January and really hoping i can just have implants as a lift here is very expensive. Id like to go for 400cc plus. Thats my goal.

Will implants only help fill out upper breast , when in standing position they dont bother me much but when laying down the top is like a flat tire and skin ripples. I dont want scars or the price of two procedures.

I'm 4'11, approx 97 lbs. Bra size is a 34b, with space in the top of the bra. I am planning on getting a full anchor lift and implants. My bwd from 1 surgeon is 10.5, and another surgeon was 9.5. My surgeon recommended a HP implant, but the projection freaked me out a bit when I tried on the sizer. My goal photos are attached here. I'm looking for a full B cup, A "c" cup would feel too big. My biggest worry is the implants not sitting high enough, and "ball on chest" look. Looking at 150-200cc.

37 years old , 135 pounds , 5”6 in height , two children no breastfeeding . Fluctuated in weights over the years . Back to my normal weight before kids now at 135 Pounds .

Hello, I would like to know whether my breasts are tuberous or not. If so, what severity are they? Or are they just small? I think the areola’s seem large in comparison to the size of the breast. I have noticed that the areola sits at the bottom of the breast and that there is little to no “underboob” breast tissue. I have also not the lack of upper pole fullness and no cleavage unless I was to really really push them together. They seem quite wide set and there is some asymmetry as well. They seem to be sideways shaped as well- they appear to “swoop” down from a side crease near my armpit. When I lean sideways the breast tissue seems to go round my side and almost become a backroll. When my nipples are hard, they look more conventional, but when my nipples are soft, the areola looks big and very soft/puffy. Do I have insufficent glandular tissue? What are my options if I embark upon surgery and if I wanted a much larger size, but natural looking? I am a 21F, 5ft 3”, approx. 66kg. Thank you.

39 male here. Lost a little weight, but also just feeling that I look tired. I’d like to address my eye hollows but am unsure if a lower bleph would be appropriate for me, generally, or if I was a good candidate if dermal fillers yield a better result. Thank you all very much for your time .

I underwent CO2 laser resurfacing on the lower eyelid/cheek area approximately three weeks ago, and I am seeing promising initial results. I am now interested in receiving an evaluation by a plastic surgeon for a lower blepharoplasty. I wanted to know the standard waiting period or required healing time that must pass after CO2 laser treatment before I would be considered eligible for the blepharoplasty procedure. Thank you!

I had an upper bleph about a year ago and my eyes definitely look better. I had a facelift done about 6 weeks ago and therefore, have been taking more selfies and scrutinizing my face more than I usually would. I obviously have some pretty severe asymmetry post-bleph -- I knew this, but now I REALLY can see it. What I don't understand is -- was there too much taken out of the one side, or not enough out of the other side? Like is this fixable and if yes, what is the procedure to correct? Also, what is the rcovery for a bleph revison like? Is it worse than the original?

I recently had an endoscopic ponytail lift combined with a lower bleph and canthoplasty. I noticed there is excess skin on the upper outer lid. What procedure would be best suitable to address the excess of skin?

I’m only 32 and have noticed these shadows and puffiness under my eyes ever since getting juvederm filler a couple years ago. I have since had it removed but the puffiness persists. These shadows make me look so tired all the time- what could be done to correct this? I have Done a round of Morpheus 8 in hopes to tighten the area but didn’t see a difference. Thanks in advance for your professional advice!

I have asymmetry and laxity in my midface. The sagging on my right side is much more pronounced than the left and I'm wondering what my options are regarding a lift or fat transfer. I'd prefer to go a minimally invasive route that doesn't require extensive downtime (extensive meaning i can present in public within 2-4 weeks of the procedure...assuming such a procedure exists). I'm leaning toward a surgical option, as I'm not fond of fillers or threads. My skin quality is great, my issue pertains more to volume and structure.

After dealing with borderline ovarian tumors, and the resulting surgeries,my face has decided to definitely shift south. I resemble more a Shar-Pei than myself! At 67 have I waited too long and what should I do?

Is there anything wrong with getting a fat transfer AFTER a deep plane facelift? My concern is doing the fat transfer at the same time will cause additional pain and a longer recovery time.

I underwent facial fat grafting one week ago, during which approximately 50 cc of fat was injected into my cheeks, temples, and nasolabial regions. As a result, my midface currently appears excessively full, and I am concerned that much of this volume may persist due to the large amount of fat that has been used. My main aesthetic concern is the laxity of my lower face and neck, including sagging along the jawline (jowls) and the presence of submental fullness (double chin). I am interested in a lower facelift to achieve better definition and tightening in this area. However, I am worried that a lower facelift could potentially make my lower face appear too narrow relative to my overfilled cheeks, resulting in an unbalanced or triangular facial shape. I would appreciate your assessment regarding candidacy and optimal timing for a lower facelift, given my recent fat grafting procedure.

I am a 41 year old female. I‘m 5’2 and weigh 140lbs. I’m noticing in the past 5 years my face seems to be getting more square with jowling. I’ve tried massater Botox and a Nefertiti lift but it hasn’t taken care of the jowling. I’m considering whether I would be a candidate for a mini facelift?

31/f. I've had liposuction twice to transfer fat to my face. I was considering in the future maybe either a BBL or fat transfer to the breast, but im wondering - is there a limit to how many times in a persons life they can get lipo?

I don’t want to get a tummy tuck just yet since I plan to have kids in the future. What really bothers me right now is the shape of my belly button — I feel like it makes my stomach look even fuller than it actually is. If my belly button looked rounder and less “frowny,” I think my midsection would appear slimmer overall. When I stand in front of the mirror and gently push in or pull down the lower belly fat that sits around my belly button, the shape becomes much rounder and more balanced. Because of that, I’m wondering if it would be possible to do a very small, targeted liposuction in that specific area to help improve the shape. I don’t want full lower abdominal liposuction, since my doctor mentioned it could lead to loose skin and that a tummy tuck would be a better option for that. But at this point in my life, I’d prefer to avoid a tummy tuck and explore smaller, less invasive options to improve the area instead.

Hi. I am a 39 year old mom of 2. I am unhappy with my muffin top/ love handles and would like my stomach to be a little tighter. I feel I have a bit of a pouch where it looks like I could be 2 months pregnant. I am not sure if I have diastasis recti, do you think I do? Would you recommend lipo to flanks and that's enough? Or lipo to abdomen as well? One surgeon recommended vaser lipo and renuvion to the abdomen while another said it would come out ripply and would not recommend lipo on the abdomen. Another recommended a mini tummy tuck. It's such a big decision. I am overwhelmed. I workout 5 times a week and eat pretty clean, I take good care of myself. I do like my stomach but of course if I am doing one thing, I might as well fine tune a little bit. My muffin top is my biggest enemy. Any advice and professional opinion would be greatly appreciated. Thank you so much in advance,

I’ve always been insecure about the shape of my hips. I would like a more rounded silhouette seen in a classic hourglass. I’ve never had the look I want even at my lowest weight (bmi<18). Don’t like how it looks in clothing. The areas seen in the pic are pinchable areas of fat. Not sure if it’s ‘hip dips’ or love handles and what the procedure that would give me best results would be. I also don’t like my back rolls seen in the last pic but it doesn’t bother me nearly as much as my hips.

I am relatively thin and muscular but have stubborn areas, one being my flanks. the only time my flanks have been smaller was when I was extremely underweight. I am happy with my body right now except for my flanks and I’m at a maintainable healthy weight. I was wondering if any surgeon would consider lipo for my flanks or if the low fat content makes it riskier for bumpy skin/complications afterwards? I do NOT want the rib bending procedure for a snatched waist lol