William E. Alison, Jr., M.D.
Is it possible to lighten the areola and nipples as well as make them smaller? What are the side effects, risks, and the cost for such a procedure?
Currently the best intervention for lightening the areola or any pigmented area would be with skin bleachers, such as hydroquinone and kojic acid that will remove pigment with continued use. You should be able to receive guidance in this regard from an ASAPS-member plastic surgeon. Cost would be ongoing, and would include charges for office visits and products. Costs may vary depending on your geographic area and the surgeon you select. Risks and side effects are minimal, assuming the patient is not allergic to the product(s). This treatment would be contraindicated during pregnancy or breast-feeding.
I have one breast much larger than the other. I want to have breast reduction to even out their size. Before surgery, how does a surgeon determine how much to remove? Do they weigh each breast before surgery to ensure the right amount of fat is removed or is it decided visually?
During the physical exam, the surgeon estimates how much extra breast tissue there is. During surgery, as the tissue is removed, the surgeon will compare the two breasts to get the size match as close as possible.
I want to have liposuction in the thigh area to reduce unsightly bulges and cellulite. I'm 37 and want to have a baby within the next year. Should I wait to have the surgery after pregnancy? My fear is that pregnancy will bring on excessive weight gain and the problem areas may worsen, so I would like to have it taken care of now. What is your opinion?
Your end result will be much more predictable if you wait to have your surgery until you have completed your family size. Your best success will be achieved by taking a year after your childbirth to get on a good diet and exercise program, lose as much weight as you desire or are able, and then proceed with liposuction if you are still not happy with the appearance of your thighs. You may also want to consider some of the new treatments for cellulite after your liposuction....Cellulite is difficult to treat, but the combination of liposuction and laser assisted cellulite treatments can create a much smoother appearance.