Doctor Q&A

Hello, I had a breast Aug in 2023. It was great but it laterally displaced a lot and bottomed out. The left one also had troubles dropping and cap con was suspected. I decided to get a revision surgery in Feb 2025 from a diff surgeon due to where I moved. I asked the surgeon to go a bit bigger and move them in slightly. I think between a slight miscommunication, the bigger implants, and them sitting closely, I have been so unhappy. It has really thrown me off and started to cause some back and chest pain. Along with some numbness I still have in the bottom right quadrant of my breast and achiness throughout. The bottom of the breast also feels a bit crackly and bumpy, I have scheduled an ultrasound. I did not know there was a difference between cosmetic board certified and plastic surgery board certified. I am from canada where all surgeons have to do the extensive requirements And connot pratice as a GS. The surgeon I saw did her year long fellowship after she was a GS. She had only been practicing approx 1.7 years. She had great bedside manner and was extremely great to work with, but now I question the experience and hope there was no life long chronic pain caused. I am wondering if it’s possible to go from the 415 cc to 315-25 without a lift? Is a 2nd revision a bad idea? The second surgeon had to modify the old pocket with slight transaction and bilateral capsulorrhaphy. Would I be able to go back more to the way my original pockets were with breasts further apart

I had breast augmentation at 17, I'm 35 now. The shape of the breast and scars are almost identical to what they were since I had the operation. I always hated the scars. In fact, a few months after the procedure, they re-did them and since then they stayed as they are. They always show under bras and the area is completely numb, which is a weird sensation. The implants are in good condition, so I don't need a replacement but as I'm getting older I would love to make them smaller. I believe I had 450cc of silicone gummy bear implants. I would love to have maybe half the size if I did replace them. My main concern is, if the pocket is made smaller, the scar would be even further away from the breast fold. I cannot afford putting the implants lower as I think they sit already slightly low so my nipples would be out of position. I am 1.58 CMS tall (5'2') Weigh 45 kgs, 99 pounds What is your opinion: 1: if I kept the same size, is there anything on the shape or position of my breast that needs improving? Can the scar be moved upwards somehow? 2: Can I do anything now on these old scars to improve? 3: What would the outcome be if I wanted to get a smaller implant? What's the lowest I could expect to go with the current scar position? Could it be moved upwards to the new and higher crease fold? 4: I also have some rippling when my chest is parallel to the floor on my outer sides and on the left inner side when leaning to the left. How can that be improved?

My left incision seems fine whereas my right incision is having some sort of white discharge. I took these photos after the shower, since the steri strips are wet you are able to see through them. I dried them with a blow dryer after taking these photos, as I was instructed to by my PS. I am unable to ask my PS in person because I live out of town. There is 0 pain or heat around the incision or breast. Also, I was put on antibiotics after my surgery, but have already completed them.

I am a female turning 50 yo. I had my 1st rhinoplasty at 18 yo. I wanted my nose to become thinner and shorter. I was happy with my nose after the surgery when I didn't smile, but when I would smile-my nose would twist to the left...My surgeon told me that he would have to take a cartilage from my ear and put it inside my nose. I've remembered that another patient next to me was complaining of having a flat ear after that procedure, so I decided to try another surgeon. So, 12 months after the 1st rhinoplasty I had a revision. The surgeon didn't explain how he would stop my nose from twisting during me smiling, but reassured me I would be fine. I saw a cartilage in a jar in the nurse's hands just before my surgery, so I realised that it would be inserted inside my nose. The surgery was badly botched, the nose became horrible. I knew if I waited for 12 months, I could have another revision. I went to the 3rd surgeon. He hardly changed anything. I think he just lifted the skin, got horrified and put it back on, as I didn't see any change in the shape or form afterwards. However, the nose became blue and it was blue for years. I had laser done to make the skin on the nose become less blue and to remove red huge capillaries on the nose. I used to smoke at the time (nobody asked me if I did), which worsened the blood flow even more. Thick scars appeared where nostrils are supposed to be. Now, 30 years later, is it worth doing the 4th revision or my scars can become worse?

I had septoplasty and tip only rhinoplasty in July 2018. I had some swelling the two years after that went away until 2024 after I started accutane in 2020. In 2024 my nose began swelling a lot mainly on one side. Finally in fall 2025 I got a keloid injection and my Nose was perfect for 8 months. When it got hot out, not sure why, the swelling returned. However it’s not nearly as bad as it was and is very close to just right. I am going back on accutane for my back acne in two weeks and wonder if this might correct the situation again. I am open to another keloid but just learned about the risk of blindness. Is that only with an injector who isn’t skilled or are you risking that every time you get a keloid injection? I will definitely not do it again if that’s the case, that’s not worth it.

I'm 38, have had 5 pregnancies (1 c/s), and have lost about 100 lbs. This has resulted in significant skin sagging everywhere, and loss of volume in my butt. I'm 5'4" and about 120 lbs. I initially was thinking of getting a BBL, followed by a separate tummy tuck - the main reason being concerns about recovery (how to sleep when you can't lay on your tummy OR your butt?). It also seemed logical to me that you would want to have some fat in your abdomen to harvest for the BBL, so I was planning to do the BBL first. But when looking at patients with similar body types after significant weight loss, it seems like lower body lifts are being recommended. I'm fairly certain my butt is too saggy to "re-inflate" from BBL fat transfer alone, and that no matter what, some kind of traditional "lift" will be necessary for my butt, due to all the loose skin. Would I be a candidate for a lower body lift? Can a lower body lift be combined with BBL? The loss of butt volume is my priority concern (TT would be secondary), and it seems like a lift alone would help tighten up the skin, but would not help with butt volume. What procedure(s) might help give me the results I am looking for?

the left side is unedited, the right side is my edited ideal outcome. would this be a possible outcome from a bbl?

How effective is this procedure please

I am a 41 year old female. I‘m 5’2 and weigh 140lbs. I’m noticing in the past 5 years my face seems to be getting more square with jowling. I’ve tried massater Botox and a Nefertiti lift but it hasn’t taken care of the jowling. I’m considering whether I would be a candidate for a mini facelift?

I notice that USA surgeons say their FL/NL etc are of up 4 - 6 hours but overseas, including Thailand are up to 10 hours. Why is there such a big difference and how can they even perform for that long? Also US surgeons tend to use IV sedation and overseas favour general which is more risky. Why such a disparity?

I have an astigmatism in one eye and some bad vision. I also have a lot of sinus issues and pressure behind my eyes. I’ve started to notice that my eyes looks very different from another and I could use some help

I lost a fair bit of weight and my eyes now have so many deeeep wrinkles. I do also have sagging in other parts of my face but the eyes are what really bother me. I’ve previously had a facelift but then lost a lot of weight and destroyed it. I don’t have the time, money or inclination for another facelift but I’m open to almost anything else that will actually help.