Neither Belotero or Restylane should be injected under the eye. The results are unpredictable. I have yet seen any physician who can provide even half a dozen before and after photos of patients who have archived a beautiful, natural result with either restylane or Belotero. I think consumers should look for dozens of before and after images before making a long term change to their appearance. In some cases, the damaging effects of under eye injections can be permanent. The only material I use for under eye enhancement is structural fat grafting using a patient's own fat. I have many, many before and after images of patients who have received fat grafting. These photos range from weeks, to months, to years after the treatment has been performed. Structural fat grafting is the placement of fat - harvested using a syringe aspiration technique from a remote location on the trunk or thighs – into an area of hollowness or soft tissue deficit using small syringes and small blunt cannulas. As needles are not used, fat grafting is technically not an ‘injection’. The key to success with structural fat grating is the meticulous placement of small amounts of fat (tiny globules) diffusely throughout the area that is being enhanced.

It is highly unlikely that you would benefit from a forehead lift at your age. It is difficult to tell without an in person consultation, but a full forehead lift is a significant surgery for anyone at any age. It is also a surgery that can leave people looking unnatural. Many people benefit from a lateral brow lift. At tour young age, skin care and Botox could potentially provide a nice result although a consultation would be in order.

Natural looking breast implants can absolutely be achieved. Start by viewing many, many before and after images. "Natural looking" means different things to different people. If you look at the breast implant before and after gallery on the website of a plastic surgeon, you can get an idea of their perception of "natural". Photos can also give you an opportunity to see evidence of performing surgery with expertise. A natural looking result means breast implants of the correct size, the right shape, with ideal placement of positioning. Biodimensional planning principals can help a plastic surgeon customize a plan for the ideal, natural looking breast implant surgery.

The goal of mastopexy surgery is to produce an aesthetically pleasing, projecting breast that ideally maintains its improved shape over time. This can only be accomplished by some internal rearrangement of breast tissue which often involves removal and/or repositioning of lower pole tissue, and suture repair of the internal structure of the breasts. Unfortunately, the terms used to describe different mastopexy surgeries primarily refer to the surgical scars, and they do not communicate what technique is used to actually produce the lifted breast appearance. Breast lift surgery (mastopexy is a surgery to lift the breasts. An important concept for prospective patients to understand is the fact that a breast lift which is a skin surgery only, when performed on breasts with significant volume and advanced ptosis (droopiness), is doomed to fail. Skin is elastic and stretches out when placed on tension, and is therefore unable to support the weight of the breast over time. A mastopexy that consists only of removal of skin excess without some internal rearrangement of breast tissue will inevitably result in a breast that appears bottomed out and once again droopy over time. A ‘bottomed out’ appearance refers to a breast where lower pole tissue has stretched out the lower pole skin, allowing the lower pole tissue to descend below the inframammary fold. Bottoming out of lower pole tissue also serves to ultimately make the nipple-areola complex appear too high on the breast, which is a distinctly unaesthetic mastopexy appearance and is to be avoided at all costs. I strongly prefer to perform mastopexy surgeries primarily using a vertical mastopexy technique, which includes removal of excess lower pole tissue below the nipple-areola complex. Once the tissue is removed, the remaining medial and lateral lower pole elements are sutured together below the nipple-areola complex to tighten the lower pole and lift the breast. In patients who need additional upper pole fullness, the central lower pole tissue that would otherwise be removed can actually be mobilized but left attached to the chest wall at its base - which preserves its blood supply - and then advanced in a submammary pocket behind the upper pole of the breast where it is sutured to the chest wall to maintain its lifted position. This is referred to as an ‘auto-augmentation mastopexy’, and in appropriate patients it is an excellent technique for creating long-lasting upper pole fullness in a mastopexy patient who does not require (or who does not want) simultaneous breast augmentation using an implant, but who would benefit from additional breast volume locally in the upper poles.