Doctor Q&A

I’m 5’5”, 120 lbs, currently a small 32B, and considering Motiva Ergonomix or round in a subfascial placement. I’m deciding between 475 or 525 cc Demi and 500cc Full. I want a natural big look with good bounce, which is why I prefer over the muscle. My main concern is long term sagging/stretching. Which option would be better for long term support? Does consistently wearing a supportive bra make a significant difference? How will my breast look like in 5 years if I go subfasial with these implants? Will I need revision eventually? I’d really appreciate opinions from surgeons experienced with Motiva and subfascial placement.

My breast have always been about a half cup size different and felt further apart than normal. I have some breast tissue in my armpit on my smaller side so I just assumed that was why. My plan was always to have a child, breastfeed, and get a lift/implants. Over the past year I’ve gotten leaner than I’ve ever been and noticed an indent/curve in my sternum and ribs attachments. Pectus excavatum has been confirmed. Less worried about that, more worried about how itll impact implants. Ive heard the implant can settle into the concave side or become lopsided ie cross eyed nipples. Are there any remedies that can prevent this? Would a mesh bra help?

Hi, I had 355cc motiva implants above the muscle in May 2025, I will attach a photo a few days post surgery. Am I bottoming out or are the implants laterally displaced? One implant sits a lot lower than the other, my nipples are not in line, and when I lie down they lie to the side near my armpit a lot. If I could get professional options please

I had Lipo 360 in September 2025. Before my surgery, my stomach hung down to the point that I had to physically lift it. My surgeon explained beforehand that I would likely have excess skin after the procedure and would probably need a tummy tuck to achieve the results I was looking for. Now, at 54 years old, and 35 years after giving birth to three children, I’m ready to pursue the stomach I’ve always dreamed of! I understand that there are different types of tummy tucks, and I would love to learn which procedure might be best for my body and the results I hope to achieve. Although this may not be the best photo to assess my situation, I would appreciate feedback from experienced professionals. Based on what you can see, might I be a candidate for a tummy tuck, and which type of procedure would you recommend I explore? I know every body is different, and I understand that an in-person consultation would be necessary to determine the best approach. I’m simply looking for some guidance as I take this next step toward achieving the results I’ve been longing for.

I got a tummy tuck in Feb of 2022 in DR. I also got lips of my sides and muscle repair, bbl. I kept my drain for 30 days because it was still at about 75 cc everyday. Everything healed nicely no infections or issues. I wore my raja for about 6 to 7 months. When I finally stop wearing it I will swell up as soon as I got out of bed. Finally went and had an abdominal ultrasound, I had a very small slither of a fluid pocket that the interventional radiologist say was too small to drain, there was a lot of fluid with my abdominal tissue though. It’s been 3 years and I still swell up badly, no pain just swelling. I have never experienced a flat stomach. My swelling is above my belly button but I can even feel the swelling in my middle back. I don’t know what to do. Is it swelling or did my muscle repair possibly come loose and is there a way to know before having anymore surgery done?

Just had a tummy tuck 2 weeks ago and my skin is very dry and itchy especially under the compression garment. I don't want to scratch and get new stretch marks!

I’m interested in rhinoplasty and would appreciate professional opinions on my nasal anatomy and what improvements may be possible. My main concerns are my bulbous nasal tip, the slight crookedness of my nose, the bump along my bridge, and what appears to be a hanging columella. Ideally, I’d like a straighter nose, a smoother bridge, a more refined tip, and less of a downward appearance beneath my nostrils. I would still like to maintain a natural appearance that complements my facial features. Based on my photos, what changes would you recommend, and what results could I realistically expect? I’m also considering a subnasal lip lift and would appreciate any advice on how these two procedures might affect one another.

I don’t like the size and shape of my nose despite people saying that my nose is literally the perfect nose for them but I actually don’t see this what do I need alarplasty full rhinoplasty or tipplasty Iam actually so fed up

Hi, I’m considering rhinoplasty mainly to reduce the width of my nose from the front. My nose is bony and slightly wide at the upper part, while the lower part is also a little wide. However, I like my nose from the side and I don’t want to significantly change my profile or projection. Do you think it would be possible to achieve a successful result by narrowing the nose from the front while keeping the side profile looking natural and attractive? Is this type of result realistic with rhinoplasty?

I'm 44 and had a surgical BBL in May 2025. I was initially happy with my results, but I've since lost some volume and would like to improve the size and shape of my buttocks and hips. I'm considering hyaluronic acid filler, around 150 ml per side, but several surgeons have advised against it. Would filler be suitable after a previous BBL, or would another fat transfer BBL be better? I'm unsure whether I have enough donor fat, and I'm not keen on implants. I'd really appreciate your professional opinions based on my photos. Thankyou

Recently lost 70+ lbs 5ft 157lbs now and I’m wanting to get a bbl but unsure if I should get a tummy tuck or bbl first? Some surgeons advised I do tummy tuck first then lipo with bbl but wouldnt that make me have loose skin on my stomach?

I am 14 weeks post op (Full TT and BA)... and I have purpura in my thighs (I have already seen a doctor). I'm getting blood work results later today but is it possible to have internal bleeding 3.5 months post op? I have issues with bleeding and my would did not heal until 6 weeks post op (at least externally) Should I inform my surgeon of my developed condition?

i am coming up to 60 and would like a breast reduction , I’m 5 foot and currently a 36g/h . I have decided with navigating back pain , groives and neck ache and the weight of my breasts I need to have this done Not to mention my low self esteem . I currently have a 7cm hiatus hernia . I am been monitored by the hospital and take medication to manage it . I sometimes regurgitate albeit not often . My concern is would this stop me having a breast reduction . I would appreciate a medical opinion so I know if I can go forward with this .

I have two consultations for breast reduction scheduled for next month. I have large breasts (40J) and know breast reduction would be beneficial. Insurance won't cover it, so I'll pay out of pocket. Surgeon 1 is certified by the American Board of Plastic Surgery and has only a few pictures on his website, but they're all of patients with smaller breasts than mine. Surgeon 2 is certified by the American Board of Cosmetic Surgery and the American Board of Surgery; he also has multiple pictures of his work on his website with patients who look similar in size to me. My question is: What is the difference between these certifications? Should one be considered over the other for a breast reduction on larger breasts? Thanks in advance for taking the time to answer this question!

I had a BA a week ago. My surgery and recovery has been great. My PS and I were on the same page with my expectations and I am thrilled with the results.My pain was well managed and was off pain killers two days after the surgery with only an occasional Tylenol.Everything is going well. So why am I so sad? I have random moments when I cry for no reason. Other times I have anxiety. I don't have previous issues with depression. I am wondering if it is from the anesthesia? What's happening?

My facial anatomy paired with recent weight loss have resulted in some series bulging beside my nose when i smile. I don’t want my nasolabial folds filled, and I want to know whether it’s coming from my levator muscles and whether conservative neuromodulator treatment is appropriate. Im open to suggestions, and really appreciate the help! (PS i just got my lips done, dont mind the bruising)

Hello! I have been getting botox for over a year now. I have recently started to notice that my sleep lines, if and when i get them, stay on my face longer. The other day, while at work, after I took my face sheild off, I had an indentation on my forehead. It eventually went away after a few hours. Is this normal? Thank you!

Had botox done in end of year 2022, suffered from brow ptosis, and still suffering. It is now february 2024.. so about 14 months. how long will this last... my brow feel heavy and numb. I feel depressed and sad, and helpless. It will not go back to normal. What to do..?

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’m having my breast done, and have always hated my pigeon, long chest. So I’m getting this done to mask it a little. I just want advice. My surgeon has suggest over the muscle 350 teardrop tall height moderate plus. i had been to another surgeon who had said the same about teardrop being best because of my chest wall. However he would only ever do a 300cc and never any bigger due to narrow chest. So my question now it, I dont want big boobs I just want more shape and more upper fullness but worried on having big low set boobs. So my surgeon has said either 330s medium height or 350cc tall what is the diffrence with medium and tall? And what would you suggest with my chest wall? also when I’ve looked at mesurements both them implants are a bigger width that my messurments is that ok? Or avoid? Or do I go with 305cc tall, which i keep thinking because I don’t want massive boobs. I just want them to look the best they can with being low set. Advice please

I have a small a cup and not a lot of breast tissue. I did consult a surgeon but he told me he recommends 350cc round high profile mentor implants dual plane. Now I do want more upper pole fullness because there’s not much tissue but the pictures of round HP mentor implants tend to look bolted on and I was hoping for more natural results with maybe a moderate+ profile because I do not want them sticking up and out that much. I used an app to simulate the results I want, do you think a high profile round implant will sit like that?

I am a 46-year-old woman concerned about lower-face/jawline sagging, upper-neck laxity/crepey skin and a small localized fat pocket under my chin. I also have an asymmetric fatty bulge beside my mouth, considerably more prominent on the left. I have consulted two plastic surgeons and received opposite recommendations. Surgeon 1 recommended a deep-plane facelift extending into the upper neck to improve my lower face, jawline and neck. He believes the bulge beside my mouth is buccal fat and advised doing the facelift first, then considering conservative buccal-fat reduction later if it remains bothersome. Surgeon 2 declined to operate, saying I have insufficient indication and that any improvement would be marginal and largely disappear once the initial postoperative tightness/swelling settles. He recommended injectables for the lower face and fractional laser for my neck. He also thinks I have a muscle on the left cheek pulling my cheek inward causing more of a depression than on the right cheek. My main goal is meaningful improvement of my jawline/lower-face contour, upper neck and small under-chin fat pocket. Based on my photos, would you consider me a reasonable facelift/face-and-neck lift candidate? Would you expect enough lasting improvement to justify surgery? Does the asymmetric mouth bulge appear consistent with buccal fat? And would a facelift improve the bulge?

50, female, 144, 5’6”

I had lipo over 15 years ago. I had a revision with fat transfer shortly after, but I still have irregularities that I am very self-conscious about. I’d like to finally address it once and for all. Is a tummy tuck my only option (if it even is an option)?