Doctor Q&A

From the four patient photos, I can see asymmetry in breast height and lower-pole position, and the implants appear to move laterally when lying down, but photos cannot confirm bottoming out, lateral pocket widening, or implant rupture. In my experience, the May 2025 timeline makes an in-person exam important; your surgeon should compare implant position with early postoperative photos, measure nipple-to-fold distances, assess skin stretch and pocket support, and review implant records....

Thanks for your question! As long as you don't get greedy with implant size, you can get a wonderful result just like any other patient. If you go too big, you will have kissing cleavage and it may look unnatural. Make sure you find a surgeon who is comfortable operating on patients with pectus excavatum and look at their before & afters. Best of luck!

From the four photos, the lower abdomen appears to have stretch marks and some skin redundancy, but photos cannot show the true pinch thickness or muscle separation. In my experience, tissue expanders are used mainly in staged reconstruction; using one solely to create more skin for an elective tummy tuck is uncommon and adds another operation, infection or scarring risk, discomfort, expansion time, and cost. Because your weight is changing from 130 toward 110, I would reach a stable goal...

The photographs show a bulbous tip with thicker skin and downward movement on smiling. The morph appears to show a narrower, more defined bridge and tip, but a computer morph is a planning and communication tool—not a promised result. A surgeon cannot reliably guarantee 90–95% similarity, especially when the skin envelope is thick and the tip changes dynamically with facial movement.

A rhinoplasty may improve the dorsal contour, tip definition, and resting tip position. Depending on the exa...

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,...

A consultation can be reasonable, but I would not choose a surgeon for a mommy makeover based mainly on positive reviews, Instagram, or years of experience. The American Board of Cosmetic Surgery and the American Board of Facial Cosmetic Surgery are not the same as specialty board certification in plastic surgery, and maxillofacial training does not by itself establish training in breast surgery, abdominoplasty, or body contouring.

Ask exactly what residency and fellowship training she...

Thank you for your question. It can be done in the appropriate patient.
A good candidate is a woman whose breasts are mainly fatty in nature with good skin elasticity. As a woman ages, breasts naturally become more fatty as the glands shrink. However, aging also causes breasts to sag, and liposuction can sometimes make this sagging worse. Liposuction breast reduction might be an acceptable method for a patient with co-morbidities who cannot withstand a more invasive surgical procedure. It...

From one frontal photo, I can see cheek and nasolabial-fold asymmetry, but a photo cannot determine whether the main issue is skin laxity, volume loss, anatomy, or facial expression. In my experience, a facelift is most helpful when laxity, jowling, or lower-face and neck descent are the dominant concerns; it does not replace lost cheek volume. Depending on the examination, options may include strategic fat grafting or filler, energy-based treatment, or a facelift with volume restoration. A...

From your photo, there appears to be a combination of some excess upper eyelid skin as well as crepey skin texture. An upper blepharoplasty remains the most effective and predictable way to remove true excess skin; however, surgery alone does not necessarily correct all of the fine wrinkling or crepiness.

For patients like you, I often consider fractional CO₂ laser resurfacing, either alone when the laxity is mild or in combination with an upper blepharoplasty when there is more s...

The best procedure depends on what is actually causing the asymmetry. It could be related to differences in upper eyelid skin, eyelid crease, brow position, fat distribution, or eyelid ptosis. An upper blepharoplasty may help in some cases, but it is important not to assume that removing skin alone will correct the asymmetry.
Because you already have dry eyes, I would recommend a careful evaluation by an experienced oculoplastic surgeon before considering surgery. Your tear film and ability...

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...