Doctor Q&A

Many similar patients avoid a formal breast lift by placing slightly larger implants either totally above the muscle or half under or dual plane.

Gel implants will give a more natural look vs saline which tend to be very full on top or more fake.

Dual plane has advantages of more “lift” of sagging breast, support for implant at fold and less capsule contracture.

Totally above muscle gives most “lift” with more natural look, risks implant descending over time, slightly higher capsule...

Thank you for your question.
Based on your concerns, breast augmentation can address some asymmetry even with the same implant size. Your surgeon may use techniques such as adjusting pocket placement, positioning the implants slightly differently, or minor tissue shaping to help balance the breasts. In many cases, these adjustments can improve symmetry without needing different implant sizes.
A consultation would help confirm the best approach to achieve the most even and natural result.

Thank you for clearly describing your goals and for submitting your photos.
The ideal scenario for you would be a combination of augmentation and lift, as implants alone will increase the size, but without addressing the ptosis (droopy breast tissue) and nipple position, they can make the breasts appear more droopy over time due to the added weight. In the end, this may not give you the aesthetic outcome you are describing and hoping for.
Ultimately, an in-person examination is essential to...

It is important for patients to understand that augmentation will "augment" all aspects of your anatomy. The spacing of the footprints of the breast on the chest wall will vary from one individual to the next. Widely spaced breast will appear more widely spaced and vice versa.
The spacing (cleavage) is defined by the pocket. The pocket is defined by the plane of augmentation.When placed submuscular, the medial/middle limit is the sternal origin of the muscle. Wide sternum greater...

Thank you for sharing these photos.
Based on the images, it appears that the loose skin is mostly concentrated around the abdomen and upper thighs, with less concern around the buttocks. In this case, a tummy tuck combined with flank liposuction could effectively address the abdominal area and improve contour.

Hello,
Thank you for the question. You should be evaluated for a TT, because from the photos your issues are skin-related, which a TT should improve.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

The horizontal component of the liver resection scar will cut off the blood supply to the skin distal to that and can lead to skin necrosis at the time of tummy tuck. However, if you have enough redundant skin then it may be possible that the scar can be included into the tummy tuck. This may be possible to do this and the result of the scar will not be as low in the groin area as desired but somewhat higher. This is a trade-off.

Best Wishes,

Gary Horndeski, M.D.

The risks of infection, scarring, and pain rise if non-absorbable blue stitches are left in the skin for four weeks.
-Infection: Bacteria are more likely to infiltrate the wound and cause an infection the longer the sutures are left in place.
-Scarring: The body's natural healing process may result in scarring, and if sutures are left in place for a long time, the chance of a more noticeable or darker scar may increase. The likelihood of track marks increases with the length of time...

It appears, based on these photos, that you are a good candidate for conservative rhinoplasty. In person consultation with a board certified plastic surgeon with expertise in nose surgery would give you the best opportunity to address your issues and possibly see your projected result in 3D. Good luck.

Your dorsum has a small bump. You also have some fullness of the tip more so asymmetrically more on the right side in your photographs. Straightening the dorsum and refining the tip may improve your appearance. Also, the nasal columella angle go be increased slightly.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question.
Based on your height, weight, and BMI, you appear to be on the slimmer side with limited fat reserves. While it may be possible to perform a Brazilian Butt Lift (BBL), the amount of fat available for transfer might be limited, which can affect the volume and projection achievable.
A “skinny” BBL can add subtle contouring and enhance your shape, but it’s important to have realistic expectations about the final volume. A consultation would help assess your fat d...

Hello! My personal recommendation would be to just correct the lateral hip dips rather than going for a complete BBL. Even by correcting those dips you can have an amazing result. However, if you want more projection, you can go for full BBL. Proper examination and planning is very much warranted.
Thank you,

Regards,
Dr Sameer Karkhanis,
Centre for Cosmetic Surgery, Mumbai, India

Hello! It is quite natural to have this concern. However, I would like to tell you that yes it is possible to combine all these procedures together. It is important to finish the surgery within stipulated time period without compromising results. Also, you preoperative investigations and assessment are of core importance before planning this surgery. We at Centre for Cosmetic Surgery, Mumbai, India, work as a team of board certified plastic surgeons. This ensures that the surgery is competed...

A Nuss procedure can be used to correct pectus excavatum by insertion of hardware through a small incision to correct a chest wall deformity.

This can be safely performed in patients with breast implants.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your question.
Based on your photos and goals, you appear to be a suitable candidate for breast implants. This procedure can enhance volume, improve shape, and create a fuller, more balanced appearance while maintaining natural proportions.
A consultation would help determine the ideal implant type, size, and placement for your anatomy and desired outcome.

Thanks allerdings for your question! Seeing that dark, localized patch on the eyelid (known as a palpebral ecchymosis) makes it much clearer what you’re experiencing. Even without a direct "hit" to the eye, a small bruise can appear on the eyelid. The skin there is the thinnest on the body, so even a tiny amount of blood under the surface is very obvious. An 11-hour flight involves significant cabin pressure changes. If you had a tiny, fragile capillary in your eyelid, the pressure s...

Thanks for your photos and questions.
Botox will soften some of the lines when you smile as this is just normal muscle contraction. Over time it leads to wrinkles. A laser resurfacing (CO2 or Er:Yag) can improve some of the skin texture issues and fat grafting or even lower blepharoplasty with fat repositioning can improve some of the hollowing.
Hope this helps and best of luck!Kyle Kimura, MD

From your photo, the “tired/sad” look usually comes from a combination of upper lid heaviness, under-eye hollowing, and sometimes a subtle lid position issue (ptosis). You’re smart to ask for a starting point, because these are different fixes for different causes.
1) Do you look like you might have ptosis?
Possibly. If one upper lid sits a bit lower and covers more of the iris, that can create a sleepy or sad look. Ptosis repair (if present) is the most direct way to “open” the eye — and...

Thank you for your question.
Based on your concerns, you appear to be a suitable candidate for both upper and lower blepharoplasty. This combination can address excess skin on the upper eyelids and under-eye bags or puffiness, creating a more refreshed and youthful appearance.
A consultation would help confirm the most appropriate approach based on your anatomy and goals.

According to what you mentioned, the main concern appears to be lower cheek laxity, while your neck and jawline remain relatively well-contoured. For a long-lasting and natural improvement, I generally recommend a lower facelift. This procedure repositions the deeper tissues of the mid and lower face, creating a smoother and more youthful contour.
Looking at the upper portion of the face, if there is sagging or excess skin in the upper or lower eyelids, combining upper and lower...

Thank you for your question.
You appear to be a suitable candidate for a deep plane facelift and neck lıft to address both the face and the neck. This approach can improve midface descent, redefine the jawline, and provide meaningful tightening of the neck for a more comprehensive and harmonious result.A consultation can confirm the most appropriate surgical plan based on your goals and medical history.
I hope this helps.