Small hematomas are not uncommon after a facelift procedure. After syringe aspiration, scar tissue will build up in the area resulting in the lumps that you feel. Do not worry. They will gradually disappear over the next several months. Massage of the lumps will help, but time is the best cure. The same is true for the areas of irregular skin contour which are due to adherent scar tissue under the skin. This will also resolve.   « less

The best way of correcting this problem is injections of your own fat into the smaller side. This fat can be harvested (liposuctioned) from the hips or abdomen. If the injected fat survives the transfer, the result is permanent. This is, however, a surgical type solution. I know of no non-surgical correction for this problem.   « less

A tummy tuck will produce a number of benefits following C-sections. First, the C-section scar will be eliminated, but of course, replaced with the low scar needed for the tummy tuck. Second, loose skin from the belly button to the pubic area will be removed and the skin above the belly button stretched and tightened to achieve tight flat abdominal skin. Finally, the stretched rectus muscle fascia (the tendinous layer overlying the stomach muscles), will be tightened. This reproduces the same abdominla wall condition you have before you were ever pregnant. In short, a tummy tuck will correct both skin and muscle problems associated with pregnancy and C-sections.   « less

Jenny, I think it is best to wait two to three months following discontinuation of breast feeding before undertaking a breast augmentation. This allows for reduction of milk production and resolution of the new breast shape to occur. Implants can then be properly selected to achieve the best shape and size.   « less

If the huge apron (panniculus) is a major problem, then I believe it would be appropriate to have it surgically removed. This is called a panniculectomy and is a well recognized procedure. As long as you have no major medical problems to contrindicate a general anesthesia, I would go for it.   « less

It is not clear to me what surgery was performed when you describe a "chin reduction". Was this an actual boney reduction or set back of the point of the chin (mandible) or a reduction of soft tissue about the chin and neck. I think you need to have a discussion with your surgeon about exactly what procedure was performed andto what he attributes your complications in terms you understand.   « less

There are actually many products now available for correction of laugh lines. these are injectable substances that are commonly administered with rare complications (the most common being rare allergic reactions). The most frequenly used product is hylauronic acid, a natural sugar contained throughout our bodies. Trade names are Restylane and Juvederm. These provide immediate results, but last about four to six months after injection. A more permanent solution is Artefill. This consists of collagen protein and microscopic artifical beads that remain permanently in the soft tissues and stimulate the formation of the body's own collagen. This last at least five years or more. I would first try a temporary filler to make sure you like the results. If so, then the more permanent product should be considered.   « less

There may be a limit to the ability to effecgively control and tighten your abdominal wall. Additional surgery with fascial tightening and more mesh may be helpful. Seek an opinion from both a general surgeon and a plastic surgeon about what the likelihood of success will be.   « less

Lasers are best used to treat matted collections of veins of the lower legs and injections will treat individual veins, with some overlap in treatment. Neither are completely effective. In addition, it is often necessary to treat the larger deep veins for deep venous insufficiency (lack of or destroyed valves) with either deep vein stripping or endolaser therapy.   « less

Mary, Since your mid facelift was done only two weeks ago and there was a lot of post-op swelling, I would wait at least several months for resolution of your healing before evaluating the status of your neck and chin. You obvioiusly have discussed this with your surgeon and it is much too soon to consider additional surgery.    « less