Doctor Q&A

Yes, it may be possible to go from 415 cc down to around 315–325 cc, but whether you can do that without a lift depends on your skin envelope, nipple position, implant pocket, and how much the breast tissue has stretched.
When implants are downsized, the breast has less internal support and volume. If the skin has stretched or the nipple is already sitting low, downsizing can leave the breast looking looser, flatter, or more ptotic. In that case, a lift may be needed to reshape the breast a...

A tethered C-section scar can create a shelf because the scar is stuck down to deeper tissue while the skin and fat above it hang over. If the problem is very localized, scar release or scar revision with limited liposuction can sometimes improve it.
However, if there is loose skin across the lower abdomen, abdominal wall laxity, or a wider lower belly fullness, a full tummy tuck may give a more complete and predictable correction. A tummy tuck can remove the old scar area, release the...

I usually recommend patients reach their goal weight and maintain that weight for about 6 months prior to tummy tuck. While bmi isn't everything, achieving a bmi around 27 to 30 will help create the optimal result after surgery.
Richard Tyrell MD FACSRive plastic surgery

Yes, rhinoplasty can often make the nose look narrower and more defined from the front, but the amount of improvement depends on the cause of the width.
If the bridge is wide, controlled narrowing of the nasal bones may help. If the tip looks broad or shapeless, tip cartilage refinement, suturing, and sometimes cartilage support grafts can create better definition. If the nostril base is wide, alar base reduction may also be considered, but this must be done conservatively to avoid an...

Thank you for your question! The fat transferred during a Brazilian Butt Lift behaves like the rest of your body's fat, so when you lose weight with a GLP-1 medication or another weight loss injection, the fat loss is generally distributed throughout your body, including the arms, abdomen, breasts, and buttocks. Since your goal is to lose only the 10 pounds you gained after surgery, I would expect any change to your BBL results to be slight to moderate. Most patients do not experience a...

Hello. It is technically possible to perform surgery using implants alone in your current condition. However, in that case, we would need to use implants with a smaller diameter and a higher projection. Even after surgery, your breasts would likely still have a somewhat sagging appearance.

For this reason, I recommend a periareolar mastopexy (donut breast lift) combined with breast implants. This approach can correct the sagging while restoring volume. It also allows us to use implants with...

Based on the photos, I believe the main opportunity lies in improving your overall facial harmony rather than focusing on a single isolated feature. While an in-person examination is essential to evaluate your facial anatomy, soft tissue support, skin quality, and skeletal proportions, your concerns appear to be best addressed with a comprehensive rather than a limited approach.
From what I can appreciate, a deep plane facelift combined with fat grafting would likely provide the greatest...

This is always a tricky question to answer without an in-person consult, because a lot depends on your goals and the status of your abdominal skin.
In general, liposuction can reduce overall fullness and enhance contours, but it does not tighten skin on its own. So, if your goal is just to reduce the amount of fat and slightly enhance the shape of the lower abdomen, you could be a great candidate. That being said, many plastic surgeons would recommend combining the liposuction with some...

Thank you for your question, Experiencing skin burns or surface skin breakdown after liposuction is an unexpected complication, but understanding what caused it and how to manage it properly will help protect your skin and minimize scarring., our suggestion is ask your doctor after that what is the next step to take, and if they have a plan for this particular unplaned situation.
Please make sure to share clear pictures of the area with your surgical team so they can guide you on the exact...

Thank you for your question. The best approach depends on the amount of loose skin and the location of the excess fat, which is difficult to determine without photographs or an in-person examination. If the fullness is isolated to the pubic (mons) area, liposuction through one or two small, well-hidden incisions may be all that is needed. If you also have significant lower abdominal skin laxity after weight loss, a tummy tuck may be recommended, as it can tighten the lower abdomen and...

Heterozygous Factor V Leiden does not automatically rule out surgery, but it increases the importance of formal clot-risk assessment before elective liposuction or fat transfer. Your surgeon and a hematologist should review any personal or family history of DVT or pulmonary embolism, estrogen-containing medication, smoking, BMI, other clotting disorders, planned operative time, amount of liposuction, travel, and how quickly you can walk after surgery. The prevention plan may include...

Yes this is somethiing that is commonly addressed with eyelid surgery called ptosis surgery. The photographs you have posted are not really helpful. A straight ahead photo of both eyes is much more meaningful. Ultimately there is no substitute for an in person assessment. Also you need a fellowship trained oculoplastic surgeon for this work.

We have reviewed your question. This concern is outside our area of expertise. We recommend consulting an experienced specialist to discuss the most appropriate options.