Your implants can be replaced with larger implants. I would recommend that if the implants are replaced, they continue to be located behind the pectoralis muscles, but in a pocket that has been modified to create a partial submuscular position (or so-called dual plane position) to achieve the best result. Placement of your implants in a completely subglandular position (i.e. completely above the muscle) will likely not produce the best result.   « less

Fat harvested from other areas of the body to place in the buttocks to enhanse the buttocks has become more and more popular. It requires that you have sufficient fat elsewhere to obtain for buttocks injection to achieve the result you desire. The biggest problem would be limited results of the procedure if sufficient injected fat does not survive after it is transplanted.   « less

Computer analysis of the potential results of plastic surgery is a frequent tool used at the time of consultation with a plastic surgeon. I find it particularly helpful when discussing rhinoplasty (nose jobs), but it can also be performed with other procedures. The accuracy of the results depends on the skill of the individual doing the analysis, the sophistication of the software (often a variant of Photoshop), and the nature of the area to be analyzed. It is often helpful, but should not be considered to exactly duplicate the results of surgery.   « less

Adrienne, There could be several reasons why the right iplant is higher than the left. The most common would be some increase in scar tissue on the right side forcing the implant higher. Sometimes a minor internal bleed will produce this result. Correction of the proble could be as simple as expansion of the pocket downward to match the other side. There is no problem with using the original implant. Since your physician is the best one to understand how the procedure was performed, Iwould strongly recommend returning to him for what will probably be a minor revision.   « less

Fat injections can be used to create fullness and lift to the buttocks with or without the use of implants. A significant amount of fat is required and this is obtained by liposuction from other parts of your body (abdomen, hips, back and thighs). If the injected fat survives, then the result is permanent. Injection of foreign substances like liquid silicone gel is illegal and will lead to disastrous problems.   « less

Otoplasty for correction prominent ears can be performed in children under local anesthesia. Typically these kids are very motivated and are willing to put up with the discomfort of the local anesthesia injections. The procedure itself is painless. The combination of a caring, patient, and understanding physician along with a motivated and mildly sedated child can be successful. If these factors are not present, then general anesthesia in an excellent outpatient center is a safe alternative.   « less

Reconstruction of the earlobe is a well recognized procedure. It should not be performed until the ear is fully grown at four to five years of age. Consult with a local plastic surgeon in your area.   « less

There are a number of techniques to successfully thicken lips. The simplest approach is the injection of a filler such as collagen or Restylane. This provides immediate results, but these fillers willlast only four to six months before they are reabsorbed and require repeat treatments. Surgically implanting strips of dermis (the structural substance of the skin) or artifical materials (like Softform) also work and are longer lasting, but can sometimes be felt. The best technique that I use is the injection of microdroplets of the patient's own fat obtained by performing a "mini-liposuction." Once the initial swelling is down, and with proper technique, the fat will provide a permanent soft result. This procedure is easily done under local anesthesia in the office.   « less

This problem may be the result of problems with early healing of the area or possible reaction to suture material. Revision of the scar may be appropriate, but it should wait until your scars are fully mature (anywhere from six to twelve months post surgery).   « less

IF you believe that you will loose another 30 pounds before the surgery, I would advise you to wait. Weight reduction will reduce your intra-abdominal fat and allow the internal tightening of your abdominal fascia at the time of a tummy tuck to be more successful.   « less