Doctor Q&A

Thank you for your question. Based on your height and weight, a 400cc implant placed above the muscle can provide a natural, moderately full appearance that aligns with your goal of achieving a perky, middle-sized C cup. The surgeon’s recommendation to avoid submuscular placement is appropriate if your anatomy does not support it, as above-the-muscle placement can offer a quicker recovery and a more natural shape in certain cases. Choosing an implant size significantly smaller than 400cc m...

When considering plastic surgery, one of the most important decisions you’ll make is choosing a qualified and experienced provider. Selecting a board-certified plastic surgeon ensures that your surgeon has completed rigorous training, passed comprehensive exams, and meets the high standards set by the American Board of Plastic Surgery.
It’s also important to look for surgeons who are members of the American Society of Plastic Surgeons (ASPS). Membership in the ASPS indicates that the sur...

Hello,
Thank you for your question and for being transparent about your recent nicotine use. While the general recommendation is to discontinue all nicotine products—including vaping—4 to 6 weeks prior to surgery due to their effects on vasoconstriction and wound healing, cessation for 2.5 weeks can still provide meaningful benefit, especially if there is full abstinence moving forward. Your surgeon’s assessment likely considered your overall health, the type of procedure being p...

Hello,
Thank you for sharing your concerns. The split you describe in the middle of your nasal bone likely represents a bony irregularity or deviation. While non-surgical options like dermal fillers can help smooth some surface irregularities and improve the appearance temporarily, they cannot correct underlying bony structural issues. Fillers may help camouflage minor bumps but will not address the fundamental alignment or separation of the nasal bones. For the droopy and bulky tip,...

Hello. Yes, in your case, a breast lift could be performed using the periareolar technique, which leaves a scar only around the nipple. This option is appropriate for patients like you, who have moderate breast sagging and want to avoid vertical or anchor scars. A mini tummy tuck and previous liposuction will not affect the results, but should be evaluated to properly plan the surgery. Upper body liposuction is not included in a mommy makeover and is an additional procedure. You can contact...

Great question! There is no evidence to show that having a breast reduction can increase your risk of developing breast cancer. In fact, removing some of the breast tissue could potentially reduce your risk of breast cancer in the future. In conjunction with surgical oncologists, we sometime actually perform a breast reduction as a first step in patients with a genetic susceptability of breast cancer so that they are able to undergo a nipple sparing prophylactic mastectomy in the future....

Congratulations on your weight loss. Great question, as this is a decision that many women face (lift and aug, just lift or just aug). I do not perform breast lifts and augmentations at the same time as literature shows us that we should separate these surgeries. You would need to place a moderate to large implant to make an aesthetic difference, but it is possible to do just an augmentation first. If you desire a tighter skin envelope and slightly higher placement, you can have a mastopexy...

Thank you for your question. Since your main concern is volume loss rather than significant skin laxity, starting with conservative fat grafting is a reasonable approach to restore youthful fullness without the invasiveness of a facelift. Fat transfer won’t tighten loose skin, so if you later feel a facelift is needed, it’s generally recommended to wait about 6 months between procedures to allow proper healing and assessment of results. Done carefully, fat grafting should enhance volume wit...

Hello ,
Thank you for your question.
VASER liposuction can be an effective option for reducing soft fat in the calves and ankles, especially if your skin shows some elasticity, as you mentioned with the pinch test. While your age (58) may limit skin retraction slightly, VASER’s ability to stimulate collagen may help improve firmness. If the bulk is mostly soft, non-fibrotic fat, and your concern is mild sagging when seated, results could be favorable. However, if loose skin is a s...

Thank you for your question. Achieving a more deep-set, almond-shaped “hunter eye” appearance can involve a combination of minimally invasive and surgical options, depending on your anatomy and the degree of change desired. Non-surgical treatments such as dermal fillers and thread lifts may offer subtle improvements in contour and lift, though these are temporary and limited in structural impact. For more defined and lasting results, procedures like lateral canthoplasty or canthopexy can ele...