Doctor Q&A

The photo shows a slim frame with modest existing breast volume and a fairly limited soft-tissue envelope, so implant width, profile, and tissue coverage matter more than the number alone. The difference between 300 cc and 320 cc is small; most patients would not see a dramatic difference between those two sizes once healed. If 320 cc fits your breast base width and is not too wide or too full for your tissues, it can still look natural. If you are anxious about looking too full, 300 cc is...

Yes, you would definitely want to address the soft tissue envelope. In your particular scneario, you have some soft tissue laxity and asymmetry that would best be addressed with a simultaneous implant + lift. This will be also be proven/shown/determined by your soft tissue measurements. The breasts will determine what is needed and will guide your surgeon as well to select the proper implant and mastopexy (breast lift).

The photos show a smooth, flat standing abdominal contour with skin folds appearing mainly when you bend forward or hold a plank. Some folding and downward movement in those positions is normal because the abdominal skin must remain flexible enough for sitting, bending, and breathing. No tummy tuck can keep the skin completely tight in every position.

A revision should not be based on the plank view alone. Removing too much additional skin can create excessive tension, higher or longer...

Your oblique and profile photographs show a dorsal bump and a long, downward-projecting tip. These features are visually connected, so treating only the bridge or only the tip can leave the profile unbalanced. A modest hump reduction together with limited tip deprojection, rotation, and support may create a natural improvement without an extensive transformation.

Being over 50 is not by itself a contraindication; overall health, medications, smoking, blood pressure, and anesthesia fitness...

A hemoglobin of 10.5 g/dL is below the usual range and should be evaluated before a combined tummy tuck and BBL, which can involve substantial blood loss. Previous uncomplicated surgeries at a similar level do not establish that another operation will carry the same risk. A cell saver can sometimes return part of the blood lost during surgery, but it does not correct the low hemoglobin beforehand and cannot eliminate the possibility of transfusion or other complications. For an elective...

A pubic lift is often incorporated into the lower abdominal portion of a fleur-de-lis abdominoplasty, so those two goals may be addressed together. A crescent breast lift can also be performed in the same session, but it provides only a small degree of lift and may distort or widen the areola if used for more significant sagging.

A fleur-de-lis operation is already extensive, with long incisions and meaningful wound-healing, blood-loss, seroma, and clot risks. Whether adding breast surgery...

Great question, and one I hear often from patients who want a natural result without adding volume through implants.
A breast reduction with a lift is really about two things working together: removing excess tissue and repositioning what remains into a better shape. When no implant is involved, the final result depends heavily on the quality and volume of tissue you start with, because that tissue has to do all the work.
The major factors include the amount of natural breast tissue...

The decision is not based on age alone but on whether your breasts have fully developed and how much they are affecting your daily life. Pain during physical activity, discomfort without a bra, and feeling self-conscious are all valid reasons to consider surgery. Unfortunately, if the skin and breast tissue have already stretched, weight loss alone is unlikely to improve the sagging. A breast reduction combined with a lift can relieve the weight of the breasts, improve their shape and...

Thank you for your inquiry. There will be swelling and bruising after the surgery. We recommend sizing up for the first week or so until the breast swelling goes down. This will not be your final size in the beginning as the breasts will settle and the swelling will continue to go down with time. We suggest a zip closure to the front of the bra with good compression that feels like its hugging you. It is always best to schedule a consultation with a Board-Certified Plastic Surgeon to discuss...

Thank you for sharing your concerns. While official FDA labeling indicates silicone gel breast implants for patients aged 22 and older, silicone augmentation is frequently performed "off-label" by plastic surgeons for mature patients under 22, such as at age 19. This means individual board-certified surgeons evaluate your physical maturity and tissue thickness to determine candidacy rather than being universally restricted. Saline is not your only option. An in-person physical examination...

Yes, having pizza once on Day 8 will not ruin your BBL or kill your transferred fat. Fat cell survival depends on blood supply and avoiding direct pressure, not on a single meal.

So, if you've been craving a slice, you haven't destroyed your investment! However, there is one major reason to be cautious with heavy foods like pizza so early in recovery: sodium.

Juvelook Volume is a biostimulatory injectable containing PDLLA and hyaluronic acid, so it behaves differently from a purely hyaluronic-acid filler. It stimulates collagen and the PDLLA component cannot simply be dissolved with hyaluronidase. Prior treatment would not usually rule out a facelift years later, but there is limited long-term evidence specifically examining Juvelook Volume before facelift surgery. Any collagen stimulator can occasionally cause nodules, inflammation, or tissue...

Heterozygous Factor V Leiden does not automatically rule out surgery, but it increases the importance of formal clot-risk assessment before elective liposuction or fat transfer. Your surgeon and a hematologist should review any personal or family history of DVT or pulmonary embolism, estrogen-containing medication, smoking, BMI, other clotting disorders, planned operative time, amount of liposuction, travel, and how quickly you can walk after surgery. The prevention plan may include...

We have reviewed your question. Liposuction can improve fat deposits but does not treat bloating. Please send clear photos or schedule an in-person consultation for proper evaluation.

We have reviewed your question. Your concern may be related to upper eyelid volume loss rather than excess skin. We recommend consulting an experienced eye specialist for detailed evaluation and suitable treatment options.

A well executed upper blepharoplasty can freshen the appearance of the eyes and avoid creating hollowness. The key is be conservative - with the amount of skin removed, preserving the underlying muscle, and gently removing excess protruding fat, without skeletonizing the eye. The fat pads can also be transposed, rather than removed, to preserve a healthy fullness. An in-person consultation with a plastic surgeon will allow them to examine your eyes and make recommendations for how to best...