Dr. Sanjay Grover

It's a decision that we make together. More than 95 percent select a silicone implant these days because it's a much more natural feeling implant. A saline implant may feel more like a bag of water and is more prone to issues with rippling than the silicone implant which has a much softer feel.

For radiofrequency devices we use Refirme, which is done on a monthly basis for a period of three to five months initially and then some sort of maintenance. And then we have Ulthera, which is an ultrasound technology that delivers more aggressively with much more energy than Refirme does and affects a fibro fatty layer that we then tighten with a facelift. Those results can be more long lasting because of the amount of energy that's being delivered. But again with all these treatments it's not like you are going to reverse the aging process, it's just going to set back the clock.

Well, you still have subcutaneous fatty tissues everywhere so if you gain weight you can gain weight everywhere because each fat cell that remains can get larger. There are certain areas of the body that are more prone and predisposed to gaining weight than others. If you're prone to gaining it in your abdomen you're still going to be prone to gaining it in your abdomen.

The stereotype of a mommy makeover is usually a breast procedure, usually a breast augmentation in conjunction with abdominoplasty and liposuction on the waist. A mommy makeover in reality can be anything that is done to correct the untoward effects of pregnancy. It can be breast augmentation, a breast lift, a breast reduction, nipple reduction, liposuction of the abdomen, abdominoplasty, liposuction of the waist, liposuction of the thighs, labiaplasty or vaginoplasty. There are a number of things that are affected from pregnancy.

Although it's possible it's not recommended. There are some surgeons who do it but it's not something I would recommend. There are too many overall issues that are affecting a person during pregnancy as far as their overall health and blood volume and their tissues and so it's best to wait at least three to six months after a C-section to allow for normalization of blood volume and tissues and also make sure that the mom's not nursing. If she requires medication she would be transmitting it to the baby.

I know people who just have neck laxity and don't have lower facial issues and so they may have extra fatty tissue in the lower neck. They may have diastasis or separation of the platysma muscles that can be improved so you can do contouring of the neck, sometimes with liposuction alone and other times with an open neck lift with a platysmaplasty. This is more likely for a man than a woman.

No. This is a common misconception among husbands and trainers. There are certain physical changes, following pregnancy, that a woman may not be able to correct on her own, without surgery. An abdominoplasty may benefit many women following pregnancy if they suffer from excess fatty tissue, loose abdominal skin, stretch marks and a loose abdominal wall.

Liposuction is for contouring. It's not ideal for weight loss. It's for contouring the stubborn areas that are resistant to exercise and diet. You don't want to remove every single fat cell. Instead you want to keep a nice thin layer of subcutaneous fat there so there isn't any dimpling and there aren't any irregularities visible.

That varies with every patient. Some patients may only need a browlift, others may only need an upper blepharoplasty and others may need a combination of both depending on where their aging is.

You can do shaping of the eyebrows or a chemical brow lift using neurotoxins such as Botox or Dysport and that involves injecting the toxin in the appropriate places to relax the muscles in certain ways to allow for the shift in the way the muscles pull and allow the brow to elevate.

It depends, it's a moderate amount of swelling, not necessarily too much discomfort. The important thing is to be off of the buttocks for several weeks following the procedure to allow for the healing, and if it was done with fat grafting you want the incorporation of the fatty tissues for the transfer fat cells to develop a new blood supply and be incorporated into the body. With an implant you'll want to be off of your buttocks so you allow for healing so the area doesn't develop any seromas or blood collections around the implant.

It depends on what needs and concerns there are for each patient. There are some patients who only have periorbital aging because that's usually the first area to show signs of aging, even in the mid-30s, late 30s or early 40s. So these are patients who don't need facelift procedures but they need eye lid rejuvenation. And then there are other patients who may be in their 50s or 60s and they need a full facelift, which involves an endoscopic browlift, upper and lower blepharoplasty, and a facelift and necklift.

I use Botox as well to do a chemical browlift for periorbital aging. There are times when I may use a filler like Restylane in the lower lid tear trough area, sometimes alone and sometimes in combination with surgery. I think surgery is the best option for the periorbital area in most patients.

A mini facelift is usually more appropriate for somebody with early signs of aging just on the lower face with minimal aging in the neck.

Implants can obscure with mammograms. There's better visualization with implants under the muscle as opposed to on top of the muscle. It's important to relay that information to your mammographer when you go in for the mammogram so they take additional views to try and visualize as much of the breast as possible.

Facial aging may present itself in one’s early 40s with signs of minimal skin laxity, jowling and deepening of the nasolabial folds. This may be exaggerated when one leans forward. Minimal facial aging can sometimes be addressed with nonsurgical options including devices such as Ultherapy, Exilis and ReFirme^TM, or with injectables including fillers and biostimulants. As aging progresses, a short-scar facelift with limited incisions may be indicated. If greater laxity of the neck skin appears, a full facelift and platysmaplasty (necklift) may be indicated. The desired goal is to achieve a beautiful, natural-looking, rejuvenated appearance with inconspicuous scars.

Facial aging may present itself in one’s early 40s with signs of minimal skin laxity, jowling and deepening of the nasolabial folds. This may be exaggerated when one leans forward. Minimal facial aging can sometimes be addressed with nonsurgical options including devices such as Ultherapy, Exilis and ReFirme^TM, or with injectables including fillers and biostimulants. As aging progresses, a short-scar facelift with limited incisions may be indicated. If greater laxity of the neck skin appears, a full facelift and platysmaplasty (necklift) may be indicated. The desired goal is to achieve a beautiful, natural-looking, rejuvenated appearance with inconspicuous scars.

Periorbital aging or aging of the eyes and brow is usually one of the first areas to reveal signs of premature aging. This can occur for many in their late 30s and early 40s. Aging around the eyes may manifest itself by a droopy brow or hooding, excess skin on the upper and lower lids and even protruding fat. Many patients will benefit from an endoscopic browlift and an upper and lower blepharoplasty. However, each patient presents with an individual set of circumstances and may only require one of these components by itself.

One should generally wait at least three months following cosmetic surgery to attempt to get pregnant in order to give your body the time it needs to heal and prepare itself for pregnancy.  Scars may potentially worsen if one becomes pregnant soon after surgery as the increased estrogen can worsen scars.

It is reasonable to consider body contouring/liposuction/CoolSculpting if you are unable to achieve the shape you desire with diet and exercise.

One should generally wait at least three months following cosmetic surgery to attempt to get pregnant in order to give your body the time it needs to heal and prepare itself for pregnancy.  Scars may potentially worsen if one becomes pregnant soon after surgery as the increased estrogen can worsen scars.