Doctor Q&A

We don’t “move fat.” Migration often means the fat was placed in the wrong plane or in unstable tissue. The correction plan might include lipo in those areas and proper grafting to stable gluteal layers. It’s fixable — but safely, strategically, and with imaging.

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is...

Having a diabetic diagnosis puts you at higher risk for healing complications. A1C's need to be below 7 to consider safe surgery. I also check many labs prior to surgery to assure optimal healing outcomes.

I have cared for several patients who previously underwent a breast reduction and later chose to have breast augmentation. It’s important to understand that an implant will behave differently than natural breast tissue, which is made up of a mix of fat, dense tissue, and glandular tissue. The implant helps restore lost volume and enhances fullness in the upper portion of the breast (upper pole). The final result will depend on several factors, including the type of implant used, the p...

Thank you for submitting your question and photo! Liposuction on the thighs can absolutely be an option for patients who struggle with stubborn fat that doesn’t respond to diet or exercise. The procedure works best for targeted contouring rather than overall weight loss.
For many patients, leg liposuction helps improve shape and proportion, giving a smoother and more defined contour. However, ideal candidates are typically at or near a stable weight, with good skin elasticity — this hel...

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Yes, even after a deep plane facelift, brow lift, upper blepharoplasty, and fat transfer, tear troughs can sometimes look uneven, hollow, or shadowed if the initial volume placement wasn’t fully balanced or if some fat resorption occurred. Improvement is possible, but it requires a careful, conservative approach since the area has already been s...

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. What you’re describing—persistent flushing and burning after a facelift combined with profractional laser, starting a couple of months post-procedure—can occur even in patients with no prior rosacea. This may represent a post-procedural inflammatory or vascular response, sometimes called persistent post-laser erythema, or a form of iatrogenic rosac...

Deciding whether a lift is recommended or not is best done after an exam and discussion of your surgical goals. As a general rule if your nipple is above your natural breast fold you do not need a lift. If you have pseudo ptosis this could impact the recommendation but it depends on the degree. I encourage you to begin by visiting with a few board certified plastic surgeons near you for a consultation to learn more.

Swelling is common and expected after a tummy tuck. Swelling can last a few months, but the majority will be resolved by six to eight weeks for most patients. Yes there are things that you can do to help with swelling. The best advice is to closely follow your surgeon's post op instructions. Use of compression garments is helpful in managing swelling. Return to activity as okayed by your surgeon and do so gradually. Watch your diet and eat foods that are beneficial for healing. I've...

This question is best answered by your surgeon who is most familiar with the details of your surgery and how you've been progressing through recovery. In general at three weeks post op you should be able to begin varying your sleeping positions. Sleeping on your side and supported by pillows may be more comfortable than laying flat which can put tension on your abdominal muscles, but you should be able to shift in bed as is comfortable.