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Hello, thank you for your question. Sometimes the puffiness can be breast tissue, sometime this can be fat. The breast tissue will be difficult to sculpt with just lipo and may require an excision. An examination by a board certified plastic surgeon would be the way to get the best advice.
Thank you for your question. It is possible to address puffy nipples without reducing the size of the areola, but you would need an in-person exam to know for sure. It may be that your breasts are a bit constricted (tuberous), and that would need to be addressed to correct the puffy areolas. This could be an office procedure, or it might require going to a surgery center--it all depends on the overall breast shape.
Hello, thank you for your question. It is hard to predict how the scar will heal. It may be a bit more sharper color difference between the areola and breast skin after surgery.
Thank you for sharing your question and photographs. Based on the relative size of the tattoos I think it imprudent to pursue removal as it would lead to a significant cosmetic deformity.
While it is not guaranteed, you should understand that your ability to breastfeed following surgery may be negatively impacted. This is a risk related to any cosmetic breast surgery, even if it is rare in occurrence.