Doctor Q&A

As long as you are healthy, you are a candidate for augmentation.

The lack of breast tissue is not a contraindication but will necessitate more careful planning and implant selection. There may be limitations on the size that can be achieved in a single procedure.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

As long as you are in otherwise general good health your current cholesterol level is not of great concern. Your surgeon will review your lab values and advise if there are results that would place you in a high risk category or postpone your procedure.

You have a beautiful shape and are an excellent candidate for a BBL and would have a significant difference with liposuction through the key area. However, there is no surgery or procedure or amount of exercise that can create an infra-gluteal crease. You have one but it is short and your butt blends directly into your leg. That is fairly common but there is no correction or anything that can be done to change that.

Hello and thank you for your question. Based on your photograph, you may benefit from a revision rhinoplasty. Maneuvers for your surgery would include placement of spreaders grafts to help improve symmetry of the dorsal aesthetic lines, possible morselized bone dorsal onlay graft to help improve dorsal contour, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon...

It is vitally important that you cease all nicotine use prior to surgery. This includes cigarettes, vaping, patches, and nicotine gum. Nicotine can lead to serious issues such as wound healing, infection, and blood clots. You want to stop smoking as long as you can prior to surgery, but generally at least 6 weeks is recommended. It's important that you continue not smoking during recovery period as well. I encourage you to speak with your surgeon as time recommendations may vary.

Star gazing NAC/too high is a challenging issue to correct. Actually lowering the NAC will leave a scar above the areola.

The best option is excision of the lower pole in the hopes of drawing the NAC downward as well as shortening the nipple to fold distance. It creates the illusion of improved position without actually lowering the NAC.

This is by no means a solution but can be helpful by offering a more balanced appearance. The 45/55 rule suggests for optimal placement 45% or the...

Implant flip can occur.

This is more common in large implants or over-dissected pockets which allow for greater movement.

It is difficult to diagnose from photos alone. An exam is more appropriate for assessing and potentially correcting a flipped implant.

This can be corrected with physical manipulation. In recurrent/recalcitrant cases, surgery is sometimes necessary to reorient the device and potentially tighten the pocket to prevent flip from recurring.

As always, discuss your...

HI there. You are too young for a facelift. I would be curious to know if your weight has changed over the last 2-3 years. I would not add any more volume to your face. Buccal fat removal with minimally invasive skin tightening ie. Facetite may be good options. But you you should certainly seek an in-person consultation form a qualified Plastic Surgeon.

A double fold, often called a banana roll, is a difficult area to fully correct. Improvements can be made, but you may always have some evidence of a depression a the smaller, higher fold. Some options that are nonsurgical include cool sculpting to reduce the fatty tissue between the creases, but this can be imprecise. Other options include fat removal with liposuction in the roll itself, combined with subcision - a procedure that releases any tethers from the muscle to the skin creating the...

Relax. At least from the photos provided, the use of an appropriate, robust HA volumizing filler properly injected can typically yield immediate results and engender little to no significant downtime. The upper cheeks are a major support for the under-eye region. Hence, the layering of a robust HA filler in that region can restore a smooth transition between the upper cheeks and lower eyelids, I.e. elevating the hollow and smoothing the transition to the under-eyes. In experienced hands,...