Doctor Q&A

I am doing some research into finding a doctor to go to for my breast augmentation I had my breast done about 10 years ago. I had a child two years ago and I have noticed that they are signing a little bit and I feel as if I don’t have much upper pole fullness. I currently have saline under the muscle. If I am looking for them to sit higher up on my chest would switching to silicone be best? Thank you in advance.

I’m scheduled for breast implant revision surgery on November 4 and would really appreciate opinions from board-certified plastic surgeons. I’m 5’4”, approximately 125 lbs, and was naturally an A cup before my original augmentation. My current implants are Allergan Natrelle SRM moderate profile, placed under the muscle: • Left: 295cc, 11.75cm diameter, 3.9cm projection • Right: 310cc, 12cm diameter, 4.0cm projection My biggest concerns with my current implants are that they sit too far toward my armpits, lack cleavage and upper-pole fullness, and have animation deformity. My surgeon is planning to switch me to Mentor MemoryGel BOOST round implants, approximately 435cc, above the muscle. He explained that by moving to a completely different plane, he can position the implants more centrally without repairing the existing pockets. My goal is to be noticeably fuller, but not dramatically larger. I want natural-looking fullness, better cleavage, and more upper-pole volume. My surgeon recommended this size after reviewing my inspiration photos and reassured me that he wouldn’t recommend going excessively large. I’m nervous about whether 435cc might look too big for my relatively petite frame or cause my breasts to extend too far toward my armpits again. My questions are: 1. Based on my current photos and implant dimensions, does approximately 435cc sound reasonable, or would 375–400cc be more appropriate for a moderate size increase? 2. Can switching from under to over th

I have always had small breasts and struggle to create a cleavage. Do I just have very small breasts or is there an element of symmastia? I’m not keen to have anything major done, however would liposuction be an option?

Hello doctors, I am a transgender woman living with HIV, and I have been undetectable for several years while consistently taking my medication. My overall health is good, and I am considering breast augmentation as part of my gender-affirming journey. I have a few questions: * Does being HIV-positive but undetectable increase the risks of breast augmentation surgery? * Are there any specific requirements regarding my viral load or CD4 count before surgery? * Are silicone implants safe for someone in my situation? * What is the average cost for breast augmentation in Southern California? * Is there anything I should discuss with my infectious disease doctor before scheduling surgery? I appreciate any advice or recommendations. Thank you for taking the time to answer my questions.

My doctor says my tummy tuck surgery will be challenging due to scar tissue from 2 past liposuctions done 20 years ago, that I may not get as smooth or as tight a result. I am 70 years old, no pregnancies, fit, BMI 21. I don't know if I should have muscle tightening. Have not read anything about past lipo presenting problems and would like to understand this better. Am I not a good candidate? Don't PS's deal with this all the time? Pics are w/tummy pulled in & tummy relaxed.

Updated: Tummy tuck & BBL. - My belly button was not on the right side. She was too busy to get off the phone when she marked me and marked my line off-center. Never was my belly button to the right of my center. She has avoided me from the first office visit after surgery when I asked about it. Beware of doctors that blame the patient. .

Is it safe to return to full-intensity running 5.5 weeks after functional rhinoplasty with cartilage grafting? I’m planning to undergo functional rhinoplasty with cartilage grafting to correct nasal valve collapse, without any nasal bone fractures or repositioning. I’m a professional referee and may need to return to full-intensity running, including repeated sprints and quick changes of direction, approximately 5.5 weeks after surgery. I would only be officiating two games before having another two months without strenuous activity. Assuming there is no direct trauma to my nose, would returning to intense running at 5.5 weeks risk compromising the structural integrity or positioning of the cartilage graft, or would the primary concerns be temporary swelling and bleeding?

Hi, I got a closed rhinoplasty 3 years ago. I have been contemplating more and more about a revision because I am not too happy with my results. I knew I had thick skin, so the refining of the tip would be hard, but it is extremely bulbous. Moreover, I feel as though my nose has become more lopsided and I have a very prominent bump (bone callous maybe) on one side that sticks out. Do I need a revision?

Are there any doctors who specialize in doing a rhinoplasty, lip lift and lower lid blepharoplasty/fat repositioning for under eye hollows all in one? These are all on my wishlist but to save on anesthesia costs and life interruptions, I'd prefer to get them all done at once. Of course, I don't want to skimp on safety or quality though, so I would only go through ugh a 3-in-1 with someone who frequently does the combination bf has reliable results. Thank you!

Is it possible to just reduce tip without breaking the nose bone? I don’t mind a slight bump towards the top, and I think the tip has always been the biggest issue. I also want to get the surgery done awake if possible and without anesthesia only numbing and wondering if this is possible? TIA

the left side is unedited, the right side is my edited ideal outcome. would this be a possible outcome from a bbl?

I am a 65 year old woman weighing 120 lbs.

I was approved for $13,500 in financing . Care Credit ($7000) & Alpheaon Credit ($6500). I’ve been speaking with places and they stated they wanted a cash deposit to hold my spot & that I couldn’t use any of my financing . I was just curious is that common or or are there some places that except the financing for the surgery and the deposit ?

I am 40 y/o 5’2 158lbs. Ive struggled with having excess weight around my midsection my whole life mostly due to PCOS. I have recently lost around 75lbs. Would I get good results with a ex tummy tuck? I would also like my breast to be lifted. What procedure would you recommend for both?

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

I had a breast reduction over a year ago through insurance and about 400 grams was removed from each breast. I terribly miss the size and regret the reduction. If i get 425 cc implants will they be the same size as before? do grams of fat and cc of implants correlate in that way?

I have gone to a few different surgeons for consults and my most recent one (the one I’m booking with) is suggesting the largest of them all. I tried on a 300cc sizer (he said that’s approx what a 345cc mod profile would look like on me placed under the muscle and it felt so large and like they stuck out too much. With my BW of 12.5 he said my next option below that drops to low plus profile of 285 (which would look more like a 225 placed under the muscle). I’m leaning towards this as I really don’t want breastthat project outward a lot and look like two round balls I am wanting a nice slope and also want them to look nice in a hoodie/baggy clothes. I am fairly petite and when I tried a hoodie on with a larger implant I felt huge as they made like a “tent” Anyways.. will I be disappointed with 285cc low-plus profile like he says I will? Or is he just used to patients who want larger breasts?? I really wish I could do like a 300 moderate profile implant but he said they don’t have any that fit my BW I currentlt have barely any tissue (after breastfeeding 3 children) but I was so happy with my breastfeeding breast and kind of want that look but slightly larger. (I’m attach my breastfeeding breast photo)

Current Stats - 34AA/AAA with minimal breast tissue. Breast width is 13.5. Height and weight is 5'7 and 127lbs. During the consultation I was able to try on sizers and I ultimately gravitated towards the look of the Motiva mini 400cc round implant just because the side profile of the breast looked wider/taller compared to the other sizers they had me try on. I do not want my implants to look like two balls stuck on a flat washboard and I am fearful that the implants will be pushed towards the outer sides of my chest, giving that huge gap in the middle. If I did want more projection, I'm assuming that I would have to get a larger volume implant to get that same implant diameter, correct? Is a higher profile going to give me that washboard and two balls look?

Hello! I’m 25 years old, around 125 lbs and 5’4”, and I’m considering having a breast augmentation. I’ve had two consultations so far. One surgeon suggested 250 cc, while another suggested 300 cc, both placed above the muscle, as I have enough breast tissue to cover the implants. My main concern is that 250 cc might look too small on my frame, while 300 cc might end up looking too big. I also have a fairly wide rib cage, so it’s been difficult to compare myself to other women online, as many seem to have a much narrower chest. How much difference 50 cc would actually make in this situation?

I am getting a primary breast augmentation with silicone implants in two weeks. I recently had my pre-op appointment. Based on my goals and having tried on various sizers, my surgeon and I selected Sientra high profile 385cc round implants, dual plane.My rationale was that I loved the look of the 355cc sizers, but my surgeon advised that the healed implants would look a bit smaller and less projected. So, with that in mind, we felt it better to go a smidge bigger to account for the compression that placing it under the muscle will add, hence landing at 385cc.My question lies around my breast width diameter. My BWD was measured both physically and digitally at 10.5cm, whereas this implant has a base diameter of 12.5cm. Will this automatically spell doom for me?As we discussed at our consult and pre-op, I am hoping for noticeably fuller breasts with nice softness, more lower pole fullness than upper pole, nice cleavage, and a natural profile/slope.Does all of this sound reasonable? Should I be going with a smaller high profile implant to be closer to my BWD, or is it true that there is some wiggle room with respect to BWD and implant diameter, and that surgical skill plays a big part? I guess my only hesitancy with going forward is that the implants would be under too much tension and feel less soft than I'd like.I am 5'2" and 122 lbs, currently a 32B hoping to gain at least 2 cup sizes. My measurements right now are 33-26-38. I am petite in height but fairly curvy.

Hello — first, thank you so much for your time. I’m a 50-year-old single mother of two, pivoting from a career in the creative field to finishing a first-generation bachelor’s degree in business. After losing 80 pounds and being just a few months from graduation, I’m ready to upgrade my outside to match my new inside. I’ve had numerous consultations but find myself confused by the varying options I’ve been presented with. My budget is tight, and while I understand a full facelift is likely the most advisable path, I’m wondering whether a mid-face procedure or neck lift could reasonably address my most pressing concerns as a priority-based, budget-conscious starting point. My main questions are: ∙ Would a neck lift with fat grafting under twilight sedation be appropriate, or is that an incomplete approach given my overall goals? ∙ Is it fair to say that a more limited procedure now — addressing the neck and jowls first — could be a practical interim step, or does that approach create diminishing returns down the road? ∙ I don’t want to do a more limited procedure only to find myself back in 2–3 years watching the upper face decline. Is my timing off? Is a 5–7 year window more realistic before the upper face becomes a real concern — or can I reasonably get away with a neck-focused procedure for now? One important note: I carry the MC1R gene and have gone under general anesthesia twice. Medications tend to be less effective for me and metabolize very quickly.

I am only 35. My body look like 20 but my face look so old due my job which is in the kitchen all the time by the grill. I don't like looking at my face in the mirror. It scares and stresses me out. Do I need a Facelift? Thank you

What details of diagnostic examinations best distinguishes causes of a transverse abdominal indentation for treatment? I have a relatively horizontal abdominal contour indentation with greater projection of the lower abdomen. I would like to establish whether the appearance is primarily related to superficial tissues, abdominal-wall anatomy or dynamic factors before considering treatment. I have attached photos of the problem area from multiple breathing, bracing, and posture states. I am considering a targeted MRI or dynamic abdominal-wall ultrasound rather than a routine abdominal-organ ultrasound. My questions are: Which examination findings best distinguish superficial skin/fascial tethering, regional subcutaneous-fat distribution, rectus/linea-alba anatomy, abdominal-wall defects and posture-dependent changes? Would dynamic ultrasound with measurements during rest, contraction, respiration and appropriate straining maneuvers meaningfully distinguish these possibilities? Which anatomical levels, measurements or additional observations should be documented to make the results useful for a plastic surgeon's assessment? What relevant structures or causes might not be adequately evaluated by ultrasound/MRI or another investigation be justified? Posture, spine abnormalities/scoliosis or leg length discrepancies, feet/walking dysfunction, persistent APT and/or rolled shoulders, etc could be contributors or factors. I can supply further information on these observations.

I am 32, 75kg and 180cm and looking to get liposuction to remove excess fat from my upper arms. Would I be able to get a good result with traditional liposuction or am I likely to need an alternative option e.g. vaser liposuction?

Hi all! I am an almost 49 year old woman who has 3 pregnancies. I had a consult recently with a highly recommended local plastic surgeon to address my lower belly pooch. She recommended a tummy tuck for the best result. I was hoping for lipo but she thinks I will be left with sagging skin and would be unhappy with the result. She also thinks I am a great candidate for CoolSculpting. In fact, she has said that she thinks that she would prefer coolsculpting for me over lipo. I was surprised to have been presented with the option of a TT as I am not chasing perfection. I just want to remove the belly pooch that has accumulated over the last 4 years or so and slim my love handles. Thoughts on coolsculpting versus lipo? I respect my surgeon so I am not taking their recommendation lightly but the horror stories of Coolsculpting are giving me pause. I will also add that my Plastic Surgeon’s office is very highly respected in my town and their CS provider is highly regarded as well.