Doctor Q&A

Hi. My breast augmentation surgery is in 2.5 weeks. I just bought arnica montana 30c and bromelain 500 mg.

Because my surgeon does not endorse nor prevent from taking, I do not have a protocol for dosage and timing.

Can you please suggest, for each supplement - how many days before and after surgery, how many times a day and how many pills at a time?

Thank you

I am a 38 year old female planning on getting a breast augmentation. I breastfed two babies many years ago and my breasts never recovered. They are small and deflated. I am thinking 350-400 cc motiva implants and willing to go over or under the muscle, whatever needed to get the aesthetic I am hoping for. I am 6 ft tall, 150 lbs, breast width is 13 cm, sternal notch to nipple is 22.5 cm, nipple to IMF is 6 cm. Very active, running and strength training. Currently a B cup, looking to get to D or DD. Wondering if I need a lift or just an augmentation. The last thing I want is bigger breasts that look saggy. Not super concerned with nipple position, they currently point forwards and I am ok with them being slightly lower on my breasts but absolutely want to avoid them pointing down and looking droopy.

During a consultation I have been told by a surgeon that I qualify for a full Tummy Tuck with a shorter scar. So more extensive than a mini Tummy Tuck where my belly button would be redone because loose skin be pulled from the top down but with a smaller incision than a usual TT. My fear is this may not remove all the loose skin I want and leave me with uneven bulges if the hip area loose skin is not taken along with fat removal if required? Im 49kg and 5ft 1 are my fears correct?

I’m 43 years old and 4’11”. I’m already slim, so part of me worries that undergoing a full tummy tuck with muscle repair may be unnecessary or a waste of money. However, I remain very self-conscious about my lower abdomen and do not feel comfortable wearing a bikini. My surgeon recommended a full tummy tuck with muscle repair and told me that I will also have a short vertical scar on my lower abdomen, in addition to the horizontal tummy-tuck scar. Based on my photos: 1. Does a full tummy tuck with muscle repair appear appropriate for my anatomy? 2. Is muscle repair likely to provide a meaningful benefit for someone who has never been pregnant? 3. Does the short vertical scar appear necessary? 4. Could a mini tummy tuck, skin-only tummy tuck, or another approach improve my lower abdomen without the vertical scar? 5. Would the improvement likely be significant enough to justify the procedure for someone who is already slim? I understand that photos cannot replace an in-person examination. I’m seeking additional professional opinions before making my final decision.

I’m considering a primary rhinoplasty and have very thin skin, so I want to be extremely conservative. My #1 priority is reducing/flattening my dorsal hump WITHOUT making my nose look wider from the front. Preserving my current frontal width is extremely important to me—I would genuinely rather keep the bump than end up with a wider-looking nose. Would I potentially be a good candidate for a let-down/preservation rhinoplasty to lower the dorsum while maintaining my frontal appearance and dorsal lines? My secondary concern is my tip. I would like slightly more definition and possibly a very subtle lift, as it droops a little when I smile. However, with my thin skin, I’m worried about grafts, cartilage edges, or irregularities becoming visible. I would strongly prefer to refine my existing cartilage without adding cartilage or skin/soft-tissue grafts if possible. I also do NOT want to change the shape or orientation of my nostrils. My goal is to still look like myself—essentially my current nose with a flatter profile and, if safely possible, subtle tip refinement. If addressing the tip adds too much complexity or risk, I would rather prioritize reducing the hump while preserving my frontal width and consider the tip separately later. Based on my anatomy, would a let-down approach be appropriate, and what technique would best minimize the risk of frontal widening?

I have a very distinctive nose. It’s a hugeeeee insecurity of mine. To the point I wear a hat everyday so people don’t focus on it. It’s really affecting my day to day love. When I smile it looks huge. Is my type of nose a difficult rhinoplasty? I’m just worried it’s going to be crazy expensive because I’ll most likely need a piece of rib for the tip of my nose.

13 months post op bbl lipo 360 and on the right side where I had a right hip replacement 7 years ago has drooped. Can it be fixed?

I have a family history of blood clots, so I had a blood work done to test for a blood clotting disorder before my planned lipo 360/BBL. Everything was normal except pretty elevated Factor 8 & Factor 5. I met with a hematologist, who recommended prophylactic blood thinners either before or after surgery. He is coordinating with my surgeon about the timing. I’m now very worried about developing a DVT or PE. Does elevated Factor 8 mean I’m likely to develop a blood clot from this surgery, or is it simply an additional risk factor that can be managed with appropriate clot-prevention measures? Would this finding make you advise against elective lipo 360/BBL altogether?

Two years later and I ve been experience pain in my hips and certain parts of my Butt. At first is was on one side and I also noticed that a huge dip on my hip/side butt had appeared last year by the time of my 1 year post op appointment. I've expressed that concern to the surgeon who at that time, advised me to get hip dip filler to correct the dip. I never got he filler because Im nervous about it migrating. However fast forward to now and the other side of my hop is also aching. I don't know what is going on. My surgeon also has stated he doesn't know. if anyone has any information about the please advise what is causing it to hurt after two years. I feel it more when I sit or lay on my butt/ sides.

Hi, Please give your honest opinion on when I should safely fly (3.5 hour flight) after mummy make over (abdominoplasty, liposuction and breast reduction). I have booked my surgery (in Istanbul) and current plan is to fly home 7 days later but I am concerned that this is too soon and could risk complications. Thank you, Melina

Wondering if it’s possible to have a partial hysterectomy and abdominoplasty at the same day?

I am struggling to explain what I am wanting during my consultations. I am currently a DD and would prefer to be a C cup. However, I would also like fullness in the upper breast and don’t want to have to rely on a bra for cleavage. So, I want to be approximately a C—but I don’t want the deflated upper-pole appearance I see in many reductions. I want noticeable upper-pole fullness and projection, while still having a natural breast position and contour. I don’t want them sitting excessively high or looking large or obviously implanted. Is this even a possibility? Many consults have told me that a lift with implants defeats the purpose and I 100% understand that too. I am 49 yo, healthy female. Please help!

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!

How effective is this procedure please

I have been advised by a surgeon to have anatomical implants for a natural look. I dont have breast deformity, no sag. Starting at a 32B. I prefer the idea or round and worried about textured implants. I am 5ft 6 126lb going with dual plane. He is looking at around 295-340cc medium to full profile.

I want a natural look that is propotional for me. I am 158cm tall and weight 47kg. My base width is 12,75cm. I have minimal breast tissue after 2 kids. My bra size is 32A. I don’t want them too big or too small.

Hello, I have received mixed opinions. My nipple is just above my crease. . I just want to replace volume and have a natural slope. Im 5’4 and 135lbs. I do NOT want the high round augmented look. Should i ask for a lift to prevent future sagging from implant?

47 yr old F 110 lbs now 7 yrs post revision chin implant and still hate it. Ever since surgery you can see there is a crease in my face on the right profile, and there Is a very prominent horizontal indentation across my chin. The skin on my chin look puckered i think from nerve damage. I can’t believe I went in for rhinoplasty and the surgeon convinced me to redo the old gortex chin implant I had with this silicon wing implant and botched my chin like this. My kids now ask why my chin looks so weird. It makes me very sad. I’m afraid of surgery after this but obviously it’s the only way to fix this. Would you recommend sliding genioplasty or face lift? Should it be a deep plane facelift or doesnt have to be? Open to how I can get rid of the creases on my chin and get rid of the double chin appearance I now have.

I’m considering having a FL but skin only because I’m very scared of hematomas hardness and tightness my question is how long last a skin only mid facelift that could potentially remove 1 cm of skin on each in a 49 year old? I read that can take year two years etc what is the true and also why skin relaxes or comes down faster in a skin only mid FL that a deep FL,

In January 2026, I had a transconjunctival lower blepharoplasty. I adhered to post-op procedures well, and to this day still sleep slightly elevated to reduce inflammation. The results gave improvement, but there are still skin flaps rather than the taut under-eye look I expected. The surgeon has been gracious and said he agrees the results are not what we wanted. He has suggested, as a next step, an Eco2+ laser treatment under the eyes, which he would do for free, to see if that will tighten up the skin under my eyes. Is that a meaningful next step? Is there going to be some other surgical intervention needed? I'm a 46 y/o male.

37 year old female with botox

I’ve noticed from a young age I’ve had excess skin on my upper eyelids, my mother had it as well. Some mornings when i wake up and i’m slightly puffy they look how i want! Wondering what a good option would be, I know this would be considered A Frame and I have researched slightly, just weighing out options and looking for input, theres a lot of online that makes filler/fat transfer seems worrying, but also worry about a bleph being uneven or excessive. Thank you!!

Hi, I’m 36 years old and had 3 kids. I’m about 185pds and 5”5. I mostly just want to remove the fat in my abdomen And have less downtime but scared I may have loose skin , should I get tummy tuck or lipo?

I have a muffin top that i didnt have before or maybe didnt notice before. After my tt and lipo of the abdoman and flanks, a very noticeable layer of fat is sitting on my hip making my hip dips look even worse. What can i do that doesnt include surgery? Im afraid of going under due to a plumonary embolisim i got after my procedure in 2024 which doctors say may or may not be there anymrore. Im no longer on medication for it.

44 yr old female. Curious what would be the most effective procedure to get rid of my asymmetrical neck fat. I’m not sure if it’s my muscle or just elasticity? Would love to hear my options, thanks.