Doctor Q&A

Your plan makes sense on the surface, but there is an important point to understand: an implant and a lift solve two different problems. An implant adds volume; a lift repositions the breast tissue and nipple that have descended. When there is already some sagging and a large implant is placed to "fill" the loose skin instead of lifting it, the implant tends to sit where it is placed while the natural breast tissue continues to slide down over it and that is precisely the waterfall or...

The good news is that you may not need to choose between the two. A tummy tuck and hip dip correction can often be performed in the same surgery, which fits your wish to avoid multiple operations. In fact, they can complement each other well: hip dips are usually treated with fat transfer, and the fat removed with liposuction during the tummy tuck typically from the waist, flanks, or abdomen can be used to fill the hollow areas on the sides of your hips. This way, one surgery addresses both...

A lower abdominal pooch after a tummy tuck is something patients bring up often, and there are a few things that can contribute to it worth understanding.
First, timing matters. Swelling after abdominoplasty can persist for several months, and what looks like a persistent bulge early in recovery sometimes resolves as the tissue settles. Patience through the full healing process is genuinely important before drawing conclusions. Despite this, at 9 months, the majority of swelling should have...

Congratulations on losing 36 pounds, that is a real achievement. Looking at your photos, I agree with your own impression, there does appear to be a meaningful visceral component, meaning fat that sits inside the abdomen around the organs. That type of fat cannot be removed with a tummy tuck or liposuction, it only decreases with weight loss, and it is also what keeps the abdomen rounded after surgery. So continuing down to your 140 pound goal is definitely recommended before a tummy tuck,...

Yes, these three procedures can be performed together in a single session, and combining them is actually quite common in facial surgery. Your reasoning is sound: one anesthesia, one recovery period, and one interruption to your daily life instead of three. The procedures work in different areas of the face; the nose, the upper lip, and the lower eyelids; so they do not interfere with each other surgically. The total operating time stays within safe limits for a healthy patient, which makes...

You have researched well. Aggressive liposuction of the banana roll area is risky because that fat supports the buttock crease, and overresection causes sagging. At 48 kg a skinny BBL adding small amounts of fat to the transition zones, sometimes with very conservative lipo, can smooth the area. An infragluteal lift removes skin directly but leaves a scar in the crease, so it is usually reserved for true skin excess. Continuing your glute training is genuinely helpful alongside any of these.

Since you are a full year out from your implant exchange, what you see now is your settled result, so it makes sense to address it rather than wait longer. The two issues you describe often go together and usually have a mechanical explanation. Extra tissue on the sides typically means either residual skin and fat that was not fully addressed at the outer edge of the previous surgery, or breast tissue that has been pushed outward. The flat look at the outer bottom of the breast usually means...

A tummy tuck, mons lift or liposuction, breast lift, and selective fat transfer can all be discussed under a mommy makeover plan. After a 100-pound weight loss, the main questions are how much skin must be removed, whether the mons needs direct lifting as well as liposuction, and whether enough safe donor fat is available for the hips or buttocks.

Combining every procedure in one operation is not always the safest approach because operative time, blood-loss, wound-healing, and clot risks...

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.

If you don't want to do a facelift, the procedure that would be HIGHEST yield on you is fat grafting. You have quite a bit of volume loss that is likely making you appear older and more asymmetric. Adding volume back will significantly help with that and also some of the dynamic lines. A facelift can help too but I don't think it will be nearly as helpful as fat grafting. FInally, laser is always good to help clean and maintain the skin of the face/neck.

Thank you for your question. The best approach depends on the amount of loose skin and the location of the excess fat, which is difficult to determine without photographs or an in-person examination. If the fullness is isolated to the pubic (mons) area, liposuction through one or two small, well-hidden incisions may be all that is needed. If you also have significant lower abdominal skin laxity after weight loss, a tummy tuck may be recommended, as it can tighten the lower abdomen and...

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.

As your concern is related to lower eyelid surgery lower blepharoplasty) we recommend a detailed in-person consultation.

We have reviewed your photos. Eye asymmetry can have several causes and requires a detailed examination. We recommend consulting an experienced oculoplastic specialist for an accurate diagnosis and appropriate treatment.

For upper eyelid scarring, it is reasonable to attempt nonsurgical treatment first such as steroid and/or 5-Fluorouracil injections. If these do not alleviate the scarring, surgical options would be to perform a scar revision (excising the existing scar and re-suturing it closed), or potentially a Z-plasty. The correct treatment depends on whether it is simply a thickened scar, or whether there is true tethering/banding. An in person consultation with a plastic surgeon will help to determine...