Doctor Q&A

Hello, I was looking at getting a breast augmentation because I had a breast reduction six years ago that I was very unsatisfied with. Since then I have lost only about 10 pounds but I’ve lost a lot of body fat and gained muscle so my breasts are very deflated I’m wondering which route I should go because they’re still in a good position , but I don’t want big implant. Maybe 200 cc. I’m very unhappy and it’s so hard to look at them in the mirror. I was quoted $14,000 and $21,000. Money is a little tight but I’m 33 years old and I’m finally happy with myself except for my breasts.

Hello I am 5 2 and 145 pounds femail. Aftwr 3 pregnancies i kbow i need a lift but have a hard time choodinf implamt size. My dr says he will be uaomg rhe sizer once im on the operating table and at consultation he literaly just said i wouls be gopd with 275cc ...i want to remain natural but i dont want to regret if breasta turn our to small eithee. Bra size is 38D

Hi! Im a 38 yo female, non smoker. My stomach has been my biggest insecurity and I’ve lost quite a bit of weight over the last 2 years. I’m curious to know what type of tummy tuck I would be able to get. I have not had children so I don think I need muscle repair, but please let I am wrong to assume that.

Im interested in a cartilage rhinoplasty to fix my button nose. I live in the United States and was wondering if it was worth it to go to other countries (Thailand) to get the procedure done. Im also wondering how much I can expect my nose to change with the surgery.

I have a history of upper neck pain and TMJ issues. I am interested in undergoing rhinoplasty, but I have concerns about the intubation process required before surgery. My understanding is that intubation may involve manipulation of the jaw and upper neck to secure the airway, and I am worried this could aggravate my existing upper neck and TMJ problems if done aggressively. Would my history of neck pain and TMJ dysfunction be considered a contraindication to rhinoplasty? Additionally, would it be possible to wear a hard cervical collar during the procedure as a preventive measure, or as a reminder to the surgical and anesthesia teams that I have pre-existing neck concerns? My goal would be to help minimize unnecessary neck and jaw manipulation and ensure that extra care is taken during intubation.

I really want a bbl and was looking into “awake” bbl procedures due to less down time but would my results be the same ? If I were to do a traditional bbl are there doctors that specialize in less downtime due to surgery technique ?

I have been reading about some cases where people have developed blood clots after surgery. How long after surgery is the safe zone, where if you haven't developed a clot, you won't? Do a lot of people develop non life threatening clots after surgery? I am specifically inquiring about a tummy tuck/ breast lift surgery together.

My breasts are about 34DDD+. It's hard to do any physical activities without them being painful. I have tried losing weight, but they still sag pretty low. What do you recommend I do? I can never go out comfortably without being self-conscious about how large they look in T-shirts. When I don't where bras they hurt even more. My breasts are flatter towards the top and most of the weight is low if that makes sense lol. Should I wait until I'm older and try to fix it naturally or would surgery be the best bet?

I am considering liposuction for the breast area. After liposuction to the abdominal area, I gained a few pounds and it all seems to have gone to my breasts. Does anyone have experience with this? What are the benefits/risks? If this commonly done?

Good morning, I am about to do my breast reduction in 9 days. I weaned my two years old, but i realize I still have milk when I press hard around my nipples. My PS said it won't bother the procedure, but it stresses me out a little. Also, I breastfed more than 2 years so boobs are already empty and like they were before. So I am not concerned about the shape changing once totally dry but more the presence of milk still during and after procedure.

Hello. I am starting my reduction process. I have two questions. First question is will they reduce my nipples. I know the areola is made to be proportional to the new breast, but my nipples are larger than average at about 20mm. I’d like them to be around the 10mm mark that ive read is average. My second question is if im a good candidate at all. I have quite a few medical things that my insurance would need to approve, but wasnt sure with breast size. Im 5’4”-5’5” and about 150 pounds (give or take). I wear a 34DD-36DD.

I'm a trans woman planning breast augmentation. I'm 5'9", around 100 kg, with a broad chest and roughly a 40-inch underbust, currently about an A to B cup. My surgeon has shown me three Mentor silicone options on a 3D simulation, all placed over the muscle (subglandular) and all on the same base width: a 470cc moderate classic, a 600cc moderate plus, and a 750cc high profile. He has recommended the 600cc moderate plus. My goal is a natural, gently sloping look rather than a high, round, heavily projected upper pole — but because my frame and chest are large, I'm concerned that going too small won't look proportional or won't show enough on my body. So I feel caught between wanting something natural and wanting enough volume to suit my frame. For a body and chest like mine, is 600cc moderate plus a sensible middle choice to balance those two goals, or would you lean smaller or larger? Since all three share the same base width, how much difference in projection and upper-pole fullness should I expect between the moderate classic, moderate plus, and high profile? And does the over-the-muscle placement change what you'd advise?

I am a 39 y/o, 5'8.5, 127,5 lbs woman and scheduled a BA end of October. If I remember correctly my breast width is around 12cm. I am going for Motiva Ergonomix, 340cc/400cc dual plane. Currently barely an A size and I want a full C size or a small D. I keep on changing my mind about the size, would love to hear a professional opinion! I hear women usually would have gone bigger in hindsight. Any advice is highly appreciated!

I had a reduction in 2009 and will be going for a tummy tuck and breast Augmention later this year. My goal is upper pole fullness and cleavage without going too big. I’m 5’8” and 155 lbs. what cc and profile would you suggest?

I am 45yo with DDD breasts that have been bothering me for years. I have a phobia of general anesthesia which has kept me from seeking a traditional breast reduction. I’m at my whit’s end with these heavy knockers and would love to hear from some doctors who have performed breast Lipo under light/twilight sedation. I have scattered fibroglandular breast tissue, and am 5’3” 150lbs, menopausal and finding weight exceptionally hard to shift now and breast tissue much bigger than 10 years ago.

Hi, so I underwent general anesthesia two weeks ago for a face cosmetic surgery and that I understand it stays in your system for two weeks. Google says to wait six weeks to undergo anesthesia again but since I’m looking to do local this time, I’m wondering if the rules still apply? is it that serious since it’s general vs local and what are the risk for not waiting it out ?

48yo female 159cm and 65kg, postmenopausal due to oopherectomy age 38 and Aromatase inhibitor treatment (aggressive breast carcinoma). Ive noticed skin laxity and volume loss in my face post menopause , wprsening with recent 20kg weight loss. I feel that my face looks drawn and tired, and my neck looks ‘older’ than 48. I do clench my teeth. Have tried masseter botox (helped the clenching but made jowls more noticeable), skin needling, lasers. Always use sunscreen and good skincare. Drink water and get adequate sleep - but feel I look drawn and tired. Am i a candidate for lower face and neck lift? How long do results typically last if weight remains stable? It is significantly impacting my self esteem. Thank you

Hello, I am a younger patient with laxity and volume loss from another procedure. I have had many consultations however there has been a variety of responses - the main contrast is surgeons saying fat grafting alone would be the best choice, and others saying a deep plane facelift with fat grafting is a better choice. Considering the invasiveness of the facelift I am considering trying the fat grafting to see how I "feel" afterwards and if it's enough. If it's not, and I plan for the facelift after how long would you generally have to wait between surgeries? This is assuming only conservative facial fat transfer is done. Additionally, does this sound like a bad idea and should I do it all at once? It is true that fat transfer won't fix laxity but my main issue is definitely volume loss, however I do not want to make my face look "heavier" by mistake. Thank you for your thoughts

61 y-o male. Had upper and lower bleph nearly two years ago to correct fairly severe eye bags. Since the surgery, the area under my eyes has progressively hollowed, particularly on the right where there is a slight divot. Before I contact the surgeon, I would like to get a professional assessment of the work done. It seems to me that he overcorrected. Wondering if I'm being realistic about expectations and what remedies might be available. Thanks in advance.

Hello, I have had a blephoraplasty done to get a double eyelids , it's been 2 years and I no longer like the result, will it be possible to go back to original monoids I had. When I try to pull from the side, I get my original eye looks.

I am 34 and I’ve always had some kind of undereye bag / circles and malar bag/festoon situation but with age and time it continues to weigh on me literally and figuratively, lol. I have tried fillers, lasers, morpheus 8 and pdgrf and nothing seems to work. I started shopping around for surgeons and options and so far had one surgeon surprisingly tell me i am not actually a candidate for undereye bleph, but instead recommended fat transfer and co2. I have been anticipating needing all 3!? I would also consider maybe even a pinch or lower face lift too while Im at it…lol. There are so many options idk where to start. My biggest concern is this festoon on my right eye. Its sooo bad. I know filler will make it worse so I havent had tear trough filler since 2020 when I had rhinoplasty! Now i just have some cheek filler hanging out trying to camoflauge it. Nonethless, its always been there, just gets worse with age.

I had an upper blepharoplasty last July (it’s been almost a year now) and I’m concerned about how my scars look. It looks like he’s missed the actual crease of my left eye (pics attached) and my eyelid skin has become much more crepey, which they didn’t look like before. Is there a way to treat this? I feel more insecure than I was before.