Doctor Q&A

First, congratulations on your weight loss, that’s an incredible accomplishment and takes real dedication! A creatinine level around 0.5 is actually quite common after weight loss or in people with lower muscle mass or lower protein intake. It’s usually not a reason to delay surgery, but of course, your own surgeon and anesthesia team will review your complete lab results to be sure everything looks safe.
In the meantime, focus on staying hydrated and nourishing your body with enough pro...

Hello, and thank you for your question regarding how many tummy tucks a woman can have, and does a history of four prior abdominal procedures makes the healing process harder or longer. Thank you for your history and your picture. Since you have two autoimmune diseases, namely, Lupus and Hashimoto‘s thyroiditis, your healing will probably be harder and longer than a patient without autoimmune diseases. Autoimmune diseases can certainly prolong healing during your tummy tuck and breast l...

Yes, you seem to be a good candidate for small, skinny buttock augmentation. In person or teleconference consultation with a board certified plastic surgeon with expertise in this procedure is recommended. Good luck.

You would benefit from a rhinoplasty. You have a convexity of the dorsum and need tip refinement. The tip is a little bulbous as well. You would also benefit from a chin implant. The wings of the chin implant will smooth out the mandibular appearance.

Best Wishes,

Gary Horndeski, M.D.

In my opinion, it’s not ideal to combine a full Mommy Makeover (tummy tuck, breast lift/augmentation, and 360 liposuction) with a BBL—even a “skinny” one—in the same operation. Here’s why:
Surgical time and safety: Combining all these procedures significantly lengthens operative time, which increases anesthesia and complication risks. A fatigued surgical team can also impact precision and outcomes.
Recovery conflict: After a Mommy Makeover, you’ll need to rest on your back; after a BBL, ...

Liposuction might help. I recommend an in person consultation with a plastic surgeon who may do this procedure. Make sure the surgeon has pictures to show you as well. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Repeat augmentation is always an option.

However, given your narrative, returning immediately to such oversized implants is unlikely to be accomplished with a single surgery. Mastopexy removed the skin which was stretched by previous augmentation. Thus, your skin will need to be stretched to accommodate a new device.

Additionally, I would caution against oversized augmentation as the complication rate rises exponentially in these cases.

As always, discuss your concerns with a board...

Epinephrine is commonly used in the liposuction solution. The purpose is to constrict blood vessels to control bleeding during surgery. It does have an impact on heart rate though. I encourage you to discuss your medical history with your board certified plastic surgeon to determine what is recommended for you.

You may benefit from an in-person examination with a board-certified facial plastic surgeon who can demonstrate what might be achieved with each procedure.

I recommend an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.