Doctor Q&A

Choosing the right size and profile breast implants for you. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very...

A tummy tuck is considered a cosmetic procedure and is not covered by insurance. It removes excess skin and subcutaneous fat as well as correcting the abdominal wall laxity, which would likely make a big difference for you after a twin pregnancy. The result will be a flatter, tighter tummy. There are several credit companies that specialize in helping with credit lines for medical procedures. We accept CareCredit, PatientFi and Alphaeon. See a board certified plastic surgeon near you to...

Great question—most of your result happens in the first 6–8 weeks. You control a lot of it with prep, surgeon choice, and how you protect the grafts while they “re-plug in.”
Before surgery (sets the stage) • Stable weight for ~3–6 months; avoid crash diets after surgery. • Absolutely no nicotine/vaping 4 weeks before and at least 6 weeks after—nicotine chokes the tiny vessels your fat needs to survive. • Control diabetes/thyroid/iron issues; high-protein diet (about 1.2–1.6 g/kg/...

Based on your photos, you are a great candidate for rhinoplasty. The bump can be taken down, and the tip, which is a bit wide, can be narrowed some. This would create a nicely improved nose that also continues to look natural and masculine. Be sure to see a rhinoplasty expert for consultation.

In general, it is best to wait at least 6 to 12 months after giving birth before having a mommy makeover that includes a tummy tuck and breast augmentation. This allows your body to recover fully, hormones to stabilize, and for you to return close to your pre pregnancy weight.
If you are breastfeeding, surgery should be delayed until at least 3 to 6 months after you stop nursing, so that breast tissue and gland size return to normal. This helps ensure safer surgery and more predictable...

In some cases of larger areolae, it may be safer to leave behind a vertical remnant of areola, because complete areolar removal may jeopardize blood flow of the skin flaps during closure. After several months for the new skin to soften and post operative edema to resolve, there is usually sufficient skin laxity to remove the remaining areolar tissue. This may potentially be performed in an office procedure under local anesthesia.

Both implants you are considering are on the conservative side and should give you a nice result. If you are afraid of being underwhelmed you may want to go with the larger one. Many surgeons have sample implants available that you can "try on" to get an idea of how you may look after surgery. I prefer to use sizers during augmentation surgeries to help my patients get the look they are wanting. I've included a video I hope you find helpful.

It seems you have an overall nice result. You do have a mild indentation in the right lower lid and this could be a from a mild overcorrection but this is a known risk of the surgery though uncommon. I would speak with your surgeon about replacing the lack of volume in this area with filler or fat. Sometimes a discounted rate can be offered if you go back to the same provider.

It would not be accurate to make a definite judgment without an in-person examination, but based on your description and photo, there appears to be some skin laxity and stretch marks on the abdomen. These usually indicate that the skin’s elasticity is partially reduced after pregnancy.
In such cases, liposuction can sometimes make looseness more visible because removing fat decreases the support underneath the skin. However, since you are young, your skin still has some capacity to r...

Thank you for your question. Based on your photo and description, your concerns seem to be from both volume loss and some skin laxity after weight loss. Fillers or fat grafting can help restore volume, but since you also have loose under-eye skin, they may not fully correct the issue and could cause puffiness.
A midface lift or lower blepharoplasty (with or without fat repositioning) would more directly address the sagging and hollowness by lifting the cheek area and tightening the under-eye...