Arlene, Thanks for asking that question. Results of all cosmetic procedures vary depending on what the patient looks like prior to surgery will determine how “flat” they will be after surgery. The amt. of improvement should be discussed with the surgeon prior to surgery. Also, most women who have had this surgery have a good improvement as long as the patient has realistic expectations. Make sure your surgeon takes the time to discuss with you the pro’s and con’s of the procedure. Hope this helps. Noela