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I plan on getting a tummy tuck and breast implant. I would like to know how doctors determine if you need a breast lift.

I plan on getting a tummy tuck and breast implant. I would like to know how doctors determine if you need a breast lift.

Q: I have always felt like one of my nipples is a slight higher than the other, is there anything to do for that? Also with a tummy tuck will my “love handles” be smaller? Thank you!

A: In general, the start of any breast enhancement procedure usually begins with determining nipple location. Proper location of the nipple is determined by several methods, but an easy way to do this on your own is to stand in front of a mirror and place your thumb under your breast in the fold between your breast and chest wall. Next, use your index finger to pinch your breast. In general, the index finger marks the location that your nipple should be. If the center of your nipple is above this point, you most likely don’t need a breast lift. However, if center of your nipple is at or below this position, you will look best with some type of breast lifting procedure. Remember that while your breasts are sisters, they aren’t twins. No one’s breasts are perfectly symmetrical. With that in mind, any asymmetry will be more noticeable once your breasts are enlarged. It is possible to reposition one or both nipples surgically.

A tummy tuck alone will flatten your upper and lower abdomen, but it doesn’t address your sides. Consider liposuction on your flanks to get rid of the lovehandles. Best of luck!

Can you have a Brazilian butt lift after already having a liposuction?

Can you have a Brazilian butt lift after already having a liposuction?

A:Probably. You should meet with a plastic surgeon certified by the American Board of Plastic Surgery. The issues are your fat stores and scar tissue. You need significant fat to harvest in order to have a Brazilian Butt Lift. The other issue is scarring. Performing liposuction in a previously treated area can be difficult due to the formation of scar tissue. Look for a plastic surgeon who performs the Brazilian Butt Lift regularly. He or she will be able to evaluate you and your desired outcome and tell you whether or not it is possible for you.

I have S shape scoliosis. I’m 28 years old and I want to get a Brazilian butt lift. Is it safe to get it?

I have S shape scoliosis. I’m 28 years old and I want to get a Brazilian butt lift. Is it safe to get it?

A: Mild to moderate scoliosis does not affect your ability to safely have a Brazilian Butt Lift as long as your scoliosis is severe enough to affect your lung function. Many patients with scoliosis have an asymmetry to their butt. In general any asymmetry will be more pronounced after the butt is enlarged. I try my best to even the butt cheeks during surgery, but it is not always possible to create perfect symmetry.

Should I get labiaplasty? What surgery would I be fit for?

Should I get labiaplasty? What surgery would I be fit for?

Q: I don’t like my vagina, I think it is so weird and abnormal! My clitoris has extra skin and it goes down to my lips and one lip is bigger than the other. This is also makes it to where if my legs are closed that one lip sticks out unless I adjust myself to a way where it doesn’t do that. Does my vagina look normal? What surgery would I be fit for? Labiplasty? Clitoral hood reduction? I’ve never seen any other females vagina so I don’t know if mine is normal.

A: Rest assured, the appearance of your vagina is normal. The size and shape of both the inner and outer vaginal lips varies from woman to woman. However, like other areas of the body, if you are bothered by the appearance of your labia minora (the inner vaginal lips), it can be corrected surgically. Based on your pictures, you might consider a labiaplasty. With this surgery, the labia minora are surgically reduced in size so they are completely inside the labia majora (outer lips) and symmetric. Some women have also reported discomfort during sex or tampon insertion due to large inner lips. This is also improved with labiaplasty.

Is the inside of my vagina normal? If not, can it be fixed with surgery?

Is the inside of my vagina normal? If not, can it be fixed with surgery?

Q: I am a mom, I gave birth years ago, and was split….. I don’t now if I don’t heal properly or if this is just how it looks…… Is this normal please help I’m desperate

A: It is normal to undergo vaginal changes after childbirth. It is difficult to get an adequate sense of your anatomy based on the one photo you submitted, but it appears that you have some asymmetry of your labia majora (outer vaginal lips) that may be due to a healed episiotomy. Today, there are many surgical techniques to address both the aesthetic appearance of a woman’s genitals and increase her enjoyment during sex. Sexual satisfaction is due in large part to friction.We have techniques available to reverse vaginal laxity, make the clitoris more accessible and/or enlarge the G-spot.In addition, many cosmetic concerns like wrinkling, sagging and excess skin around the vagina can be corrected. An in person consultation would be a great next step.