X's Q & A

Q&A: What can I do if I had liposuction and weight is constant and my stomach is flat but my buttocks and thighs are getting larger?

Wearing the garment at this time would be a waste of effort. Since your weight is remaining constant and you excersise quite regularly additional liposuction may be th only solution.

Q&A: Is there a cure for genital warts?

There is no cure. Sorry. The virus incorporates its DNA into that of your cells. Fortunately, most people do not have ongoing problems with the disease. It remains relatively inactive in most people infected. The are various treatments to control the disease. These include local destructive therapy (laser, acid) and immunomodulaors. Regular pap smears are very important for women infected with HPV (the virus that causes genital warts) as some strains are associated with an increased incidence of cervical cancer. Cervical cancer is essentially always treatable in patients with regular pap smears (at least yearly).

Probably not. Good luck. Carmen Paradis M.D.

Q&A: Can I have BOTOX done on my face if I am breast feeding my child?

Dear Renee, Although all of the toxin is bound locally, I would suggest that you stop breast feeding for two days following a Botox injection.

Q&A: I had Lap RNY gastric bypass surgery and have a lot of excess skin. Am I right for a body list?

Dear Susan, It is important that you see a plastic surgeon who has quite a bit of experience with body lifts, as it is not the same as a tummy tuck, for example. Please let me know if you need further assistance Josh Korman, M.D.

Q&A: Could laser whitening remove my dark tooth stains?

Thanks for your question, Sharon. Frequently, dentists hear from peapole who have not gotten the results they wanted through over-the-counter whiteners. In fact, I have never seen a patient that has gotten good results this way. Several factors can contribute to the darkening of teeth, including the effects of age, foods and drinks, smoking and some medications. Darkened teeth caused by oral supplements or medications pose more of a challenge. The whitening process involves placing a whitening solution in contact with the teeth, causing oxidation of stains and subsequent lightening. There are a variety of systems available, ranging from those done in the dental office to dentist supervised at-home systems. You specifically asked about laser whitening. This is a procedure that is becoming less popular and is being replaced by light-activated in-office whitening systems. For a high percentage of our patients, this whitening technique has been very successful. It usually takes a couple of hours and usually costs about $500 many times, the laser whitening used to cost from $1,200 to $2,000). A smile darkened with the color of yellow, brown or orange responds better to whitening than brown or white spots caused by fluorosis, smoking or tetracycline (grayed teeth). If you have very sensitive teeth or teeth with worn enamel, we can use whitening materials that are designed specifically for sensitive teeth. The more traditional tray whitening takes a little longer to complete. Tray whitening is accomplished by wearing a form-fitted matrix containing a whitening or whitening agent at home for two to four weeks. The take home systems tend to cost a little less than in-office systems. In the take-home system, we mold your teeth and make the trays to fit snugly to your teeth to prevent spillage of the whitening gel. Usually you place these trays over your teeth before going to sleep and take them out in the morning. With tray whitening most people will notice a change in the color of their teeth the first night they bleach. Tray whitening takes about seven to ten days to complete. How Does It Work? Both in-office and take home systems are based on a hydrogen peroxide solution, which releases oxygen. The oxygen works on the teeth by breaking down the protein stains in the teeth without harming the tooth itself. The lightness should last from 1 to 5 years, depending on your personal habits. People, who smoke, drink a lot of coffee or tea will have results that do not last as long. Touch up whitening can be used after several years or for a special occasion. It is important to note that whitening does not lighten caps or crowns or tooth colored fillings, such as composite resins or porcelains.

Q&A: Can I remove my stretch marks?

Dear Myrna, No there is not. There is a new laser which holds some promise in that it rejuvenates collagen without removing the top layer of skin. This laser assisted skin rejuvenation may be a help with stretch marks. All lasers to date have been uniformly disappointing in such treatment.

Q&A: How do I get rid of a double chin? Cost? Timing? Risks?

It depends on what is composing the double chin----fat, skin, muscle. Usually the best results are achieved with operations that attack what ever is causing the excess. Sometimes just liposuction will work. Sometimes liposuction with muscle tightening. Sometimes a neck lift, sometimes a face lift. It is a good idea to seek out a qualified plastic surgeon and let him/her examine you. No exercise will reduce the redundancy.

Q&A: Can plastic surgery be performed to correct and inverted nipple?

Correcting inverted nipples is a very commonly performed procedure with excellent results. If the inversion is recent, I would certainly have a breast examination by a competent physician to rule out any concerns over what is causing the inversion.

Q&A: How do you remove bags beneath the eyes?

Dear Paul, The bags are removed through a procedure called lower eyelid blepharoplasty where the fat that is spilling over the rim of the orbit (where your eye sits) is removed, the ligaments holding the lower eyelid in place are tightened and the excess skin is removed either directly or tightened with laser resurfacing.

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