18 years is a long time.  Is this a very recent change?? ... a gradual change?? ... any pain?? Without the benefit of an exam, my guess is that the scars may be tethered to the deeper tissues and if you gained any weight in the last 18 years, like most people do, liposuction alone may reduce the protrusion.  The recovery from that would be substantially less than a tummy tuck.  The alternative would be to combine liposuction with a possible revision of the scars.  Discuss this with your surgeon at the time of your consultation.  Thank you for your question.

Tummy Tuck

As your breasts only "droop a little," it is quite possible that you may not need a lift at the same time. Often after having children, the breast may lose some volume or the skin may have stretched. Frequently, an implant alone will fill up the skin envelope and improve small amounts of "droop" without the need for the added incisions of a lift. Each patient however is different, and your plastic surgeon will advise you after an examination. Thank you for your question.

Breast Augmentation

You can have the areola reduced at the time of breast augmentation, but there is a chance the incisions may spread due to tension on the skin from the implant volume. You may need an enhancement of the periareolar scar at a later date. Or you may choose to have the areola made smaller with a subsequent, separate procedure. A lot depends on the quality and elasticity of your skin, and your current size versus your desired size. I suggest a consultation with an ASAPS surgeon who will have the opportunity to examine you and make a recommendation.

Breast Augmentation

Plastic surgery can improve the shape or position of the ears. Most commonly, the ears are positioned closer to the head so that they do not protrude as much. Incisions are behind the ear to keep them concealed in a natural skin crease. Sometimes earlobe reduction is required to reduce the size of the earlobe. Torn (or split) earlobes can also be repaired under local anesthesia as an outpatient.

Ear Reshaping

I generally try to avoid absolute terms like “all”……..

You need to be examined, and there are a variety of options depending on the severity of your problem, your overall health history, and how much correction you are trying to achieve. The following options may be appropriate in certain circumstances, depending on the quality of your tissues, the experience of the surgeon and the desired goals:

- liposuction of the excess tissue/jowl - addition of your own fat (or another material) to the low points around the jowl to fill it in. - an extended chin/jowl implant to smooth the transition along the jowl - a "short scar" facelift - a traditional incision lift - a combination of the above procedures.

Be sure to clearly state your goals and your plastic surgeon will examine you and make a recommendation that is appropriate.

Facelift