Ayesha Punjabi, MD - Plastic & Reconstructive Surgery (Board-certified)

Is it safe to combine body contouring surgeries after major weight loss?

Patients often wish to address several areas like the abdomen, chest, arms and thighs. Combining two procedures (such as a breast lift and an arm lift) is generally safe, but since each creates significant healing areas, it's best to focus on one or two regions per surgery. Combining more than two areas is not recommended.

What should I know about breast reduction surgery?

It relieves pain and skin irritation caused by large breasts and is often considered medically necessary.
The procedure includes a lift, enhancing both comfort and appearance.
It's an outpatient surgery with a quick recovery. Most patients return home the same day and can resume light activity right away.

How do I choose a qualified plastic surgeon?

Confirm your surgeon completed an accredited plastic surgery program recognized by the Accreditation Council for Graduate Medical Education (ACGME).
Ensure they are certified by the American Board of Plastic Surgery.
Check if they are a member of the American Society of Plastic Surgeons (ASPS).

What if I don't want implants or flap reconstruction after a mastectomy?

Breast reconstruction is always a personal choice. If you prefer not to pursue implants or complex reconstructions, your surgeon can still help you achieve smooth healing and minimal scarring so you can return to your normal activities comfortably and confidently.

What's the difference between a panniculectomy and an abdominoplasty (tummy tuck)?

Panniculectomy: Removes excess skin below the belly button, often for medical reasons like skin rashes or irritation, especially after weight loss.
Abdominoplasty: A cosmetic procedure that removes excess skin, tightens abdominal muscles, and may include liposuction to improve contour.

What's the difference between saline and silicone breast implants?

Both types have a silicone shell, but saline implants are filled with salt water, while silicone implants use gel.
Saline implants deflate when they rupture, making leaks immediately noticeable, though they feel less natural.
Silicone implants feel more natural, but ruptures are "silent" requiring periodic MRIs to check for integrity.

What are my options if I'm unhappy with older breast implants?

Remove the implants (though breasts may appear deflated).
Remove the implants and have a breast lift to improve shape.
Replace the implants with new ones.
Replace the implants and have a lift for optimal breast positioning and contour.