Doctor Q&A

Yes, I think it is possible to achieve a good improvement with breast implants alone, as an implant can provide additional volume, improve shape and create some degree of lift.
At your age and based on the photo, I would not recommend a breast lift at this stage, including a periareolar or vertical lift. These procedures leave permanent scars, and scar quality can be unpredictable. In my opinion, the trade-off may not be worthwhile for your present condition.

The implant size, shape and...

After reviewing your photos, I think the sizes you chose are a good fit. Your tissues are thin and your are very lean. I would probably go with a more moderate profile implant instead of high profile because I think it will look more natural for your frame. High profile implants may look too "ball like" on your frame. I would probably go to the slightly larger implants because, once the implants are in and the tissues heal and settle, then tend to look a little smaller than when outside...

Dear SamShadowx, Thank you for your question. I consider that a simplistic answer to a complex question of whether to have implants placed 'dual plane vs subfacial' would be unhelpful to you. There are numerous variables involved in assessing and advising about plane of augmentation. You have mentioned but a few and also included fat grafting which further complicates the picture. In short, you need good professional advice to help you select the most appropriate option(s) for you. I suggest...

Choosing your breast implants is important, but choosing who performs your breast augmentation is even more important. One of the first things I tell patients is to make sure they are comparing apples to apples when researching surgeons. The terms “plastic surgeon” and “cosmetic surgeon” are often used interchangeably, but they do not necessarily represent the same training or credentials.
When considering breast augmentation, I recommend looking for a surgeon who is Board-Certified by the ...

Heat and sun can make redness or uneven pigmentation more visible after rhinoplasty, but a new change at nine months should not automatically be considered normal healing. Splotchiness alone does not mean infection or necrosis. Send your surgeon clear photos, both during flare-ups and after cooling down. Meanwhile, use broad-spectrum SPF 50 and a hat to protect your nose. If you develop increasing pain, warmth, swelling, discharge or fever, seek medical evaluation promptly. Dusky or black...

Creating a smaller, more refined version of your nose
Your second photograph appears to have been altered to show the sort of result you would like. That is a helpful starting point, although an edited photograph cannot always show what surgery can realistically achieve.
Rather than simply making the whole nose smaller, the first step is to work out which parts make it feel too large to you. Narrowing the bridge, refining the tip and reducing the nostril width are separate changes, and you...

After reviewing your photos and your weight and height it does appear that you do have enough of excess in the abdomen, flanks, upper hips, mid and lower back to harvest enough fat to recued these areas safely and begin to create a more hour glass shape to you body. Your waist will look slimmer just by liposuction. Next, this fat is prepared and then carefully injected into the buttock and hip dips. This will create more fullness of the buttocks and roundness of the outer hips. This will...

Dear siebie073,

based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic...

Pain that persists or newly appears two years after a BBL should not be assumed to be normal, especially with a new contour dip and pain when sitting or lying down. In my experience, possibilities include scar-related tethering, fat necrosis or calcification, nerve irritation, pressure-related pain, or a separate hip, spine, or tendon problem; an online description cannot distinguish these. I would pause hip-dip filler until the cause is clear, because filler can add inflammation, nodules,...

At 158 cm, 47 kg and starting from a 32A with minimal breast tissue, 300 cc will create a noticeable augmentation, although whether it looks “too big” cannot be determined from the cc number alone. Your 12.75 cm breast base width, tissue thickness, implant dimensions and desired projection are more important when selecting the implant. Since your priority is a proportional and natural result, I would personally consider a smaller-volume, moderate-profile implant rather than automatically cho...

The size of tissue removed may be replaced by getting an implant in the same size, however it may not give you the same size/shape before your breast reduction. This is because the shape of the implant and where it’s placed may differ.

Dear Ozzy65, Thank you for your question. Offering the best treatment 'option' now depends upon the nature of the underlying problem(s). It is possible that such contour defect(s) may relate to suture placement/fixation, internal scarring and/or buccal fat pad resection. I suggest you discuss the matter in detail with your surgeon to understand fundamental causation and ensure that you consult are a specialist plastic surgeon trained and experienced in facial aesthetic surgery. Kind regards,...

Hello. This is partially true as it depends on the type of facelift you get. Some techniques are designed to better address the nasolabial folds. The deep plane facelift technique, where you do an extended sub-SMAS dissection and release the retaining ligaments of the face, specifically the ligaments in the mid-face, will help address mid-face tissue descent and improve the nasolabial fold. Without ligament release, a facelift would not be able to improve the nasolabial folds much and would...

Since the problem started after filler, first check whether any product remains, even after dissolving. Ultrasound may help locate residual filler. Next, distinguish fluid retention from true lower eyelid bags or hollows, as treatments differ. This may explain why Morpheus8 did not help. If residual filler is present, targeted dissolving may help. If fat bags and hollows are present, lower blepharoplasty with fat repositioning could be considered. However, surgery should not be the first...

Hello,
You pose a great question. Old scars and their place on your body are very important to consider when planning surgery. In general, from your photos you appear to be a great upper eye lid surgery candidate. You have clear excess skin on your lid that could be improved by an upper blepharoplasty procedure. Your noted scar is in an area that would be close to your upper blepharoplasty operation but should not be in the way or prohibitive as it is higher on your lid and closer to your...

Dear Diligent564279, Thank you for your question. From your photograph you appear to have excess upper eyelid skin, perhaps a little moreso on the right and your brows appear to have ptosed to some degree. The upper eyelid and forehead are considered together by plastic surgeons as a single unit; if they are not managed appropriately, either together or in isolation, future complications can be significant. Accordingly, I would advise you to seek the assessment of a specialist plastic...

From the looks of your photos, I think you’re a great candidate for lipo 360. Pick the correct surgeon and there’s a real good chance you’ll love the results.

In my experience, the three photos show some fullness and skin laxity in the upper-arm and underarm area, but close-up, posed photos cannot assess skin recoil or how much is fat versus loose skin. Liposuction can help when pinchable fat is the main issue and skin has good elasticity; with thin skin, stretch marks, or laxity after a 30-kg loss, lipo alone may leave or worsen looseness. An arm lift (brachioplasty), sometimes with limited lipo, removes excess skin but creates a scar. At 56 kg...