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    What’s a “Mommy Makeover”?

    Author Archives: admincor

    What’s a “Mommy Makeover”?

    Posted on May 30, 2009 by admincor

    A “Mommy Makeover” is a cutesy name someone came up with for the operations we typically perform on women who have had kids. I am preaching to the choir, but pregnancy obviously takes a pretty big hit on your breasts and tummy. A Mommy Makeover represents some combination of breast and tummy procedure.

    For the breasts, a lot of women have just lost the upper breast fullness and only will need an implant. Others have maintained size but now the breast droops (see my previous blog on droop) and they need a lift. Many women opt for an implant with  lift combination to reverse the changes we see from pregnancy, aging, and breastfeeding.

    On the torso, one of the biggest complaints I hear are a changed distribution of fat. You weigh the same as before your kids but your shape has changed. Most commonly I see fat in the waist & hip areas that need liposuction. Skin and muscular laxity are also common complaints. If your skin and muscles took a big hit we can address this with a tummy tuck. If your skin is good but you can’t get rid of that last little fatty pooch, we can also treat that with lipo.

    So, a Mommy Makeover isn’t anything new, just a good marketing idea to catch your eye.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville mommy makeover surgeon Dr. Lee Corbett.

    What is a Rhinoplasty?

    Posted on May 30, 2009 by admincor

    A Rhinoplasty, typically known as a “nose job”, is an operation intended to change the shape/apperance of your nose. The procedure is done in an OR and almost always requires a deep sedation if not a general anesthetic. It is not typically a very long operation, usually lasting less than an hour. Afterward, most patients go home but some do stay.

    So what are we doing when we ‘do’ a nose. Well, the most common manuevers involve taking down a hump on the back of the nose, straightening a crooked nose, or working on the tip of the nose to make it smaller, less round, less pointy etc…the goals very from person to person.

    The nose is made up of two things: bone and cartilage. The upper most part of your nose is bone. Pinch between your eyes and you can feel the hard bone. As you move your fingers down the nose gets softer, that is the transition to cartilage.

    Noses can be operated on by either an ‘open’ or ‘closed’ technique. Open surgeries involve a small incision on the columella, thats the fleshy part just above your upper lip that seperates your nostrils and the rest of the incision is inside the nostrils. Open procefures are usually done when tip work is being done. Closed surgeries use incisions that are only on the inside of the nostrils and unseen. We use this approach most often to address a hump or a crooked nose. A rhinoplasty will rarely change the way you breathe.

    Breathing difficulties are usually the result of problems with your septum, the caritalge that divides your nose into a right and left side, or your turbinates which are in the nose on the sides. These two parts are not always affected with a rhinoplasty.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville rhinoplasty surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including facelifts, browlifts, blepharoplasy, Botox, Juvederm, Restylane, breast augmentation, breast lifts, breast reductions, body lifts, liposuction,  and tummy tucks.

    Who are all those people I see when I go into the OR?

    Posted on May 28, 2009 by admincor

    There are typically going to be about 5 or 6 folks in the OR when you first get into the room.

    There are either one or two anesthesia folks. Typically there is an anesthesiologist, he or she is an MD who is there when you go to sleep and wake up, and a CRNA, who is a nurse anesthetist. This person is an RN who did two years of intense training to become a CRNA. The CRNA will be with you the entire case and make sure you are adequately cared for during your surgery. In some centers there is all MD anesthesia but this is rare. CRNA’s do over 95% of my cases and they do a very nice job and give flawless care!

    Next, there will be a circulating nurse. He or she will be in scrubs with a cap and mask. This person is a R.N. who has a lot of jobs. They will help you move onto the OR bed, get you warm covers and pillows, put a seat belt on you, and once we get started this person moves around the OR and gets any equipment, suture etc… that I need to do your surgery.

    The person in the OR gown is your scrub nurse. This person is either a tech or a nurse who hands me the instruments I use during your surgery. Before your surgery starts, this person pulls all of the equipment we will need for your procedure.

    Finally, you’ll see Yours Truly. At this point, they’ll be giving you the “happy juice” through your IV so you may not remember me being there, but I promise I am.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330.

    All posts on this blog are authored by Dr. Lee Corbett. Dr. Corbett practices cosmetic plastic surgery in Louisville, Kentucky and Southern Indiana.

    Do I have to go to sleep?!?!

    Posted on May 28, 2009 by admincor

    Understandably, a lot of patients are leary of being put to sleep. Those guys in the picture on the left can be a little scary. You have heard horror stories of people not waking up or of being awake the whole time but unable to move and being operated on. The reality is that yes, this sort of thing can occur, but these type of events are exceptionally unusual. Bottom line, and I got these numbers from an anesthesia colleague,  if you are an otherwise healthy person without significant heart and lung disease, your chances of dying from an anesthetic are about 1:12,000,000. One in 12 million is the same risk you run of being killed driving a car each day. It happens, but the chances are pretty good you are going  to be one of the other 11,999,999. The reason folks have trouble while under anesthesia is if they have coronary artery disease. Well, in my practice, I really don’t do a lot of surgery on folks with bad hearts. If your ticker is bad enough that your PCP won’t clear you for surgery, you have bigger concerns than drooping eyelids or wrinkles and I’m not operating on you. So, the converse of that is, that if I want to put you to sleep to do your surgery, you are a very healthy person and a very low anesthetic risk. Lee Corbett, MD www.CorbettCosmeticSurgery.com 502.721.0330

    All posts on this blog are authored by Dr. Lee Corbett who specializes in cosmetic plastic surgery. He treats provides Frankfort,KY cosmetic plastic surgery, Lexington, KY cosmetic plastic surgery and Elizabethtown, Ky cosmetic plastic sugery.

    How many procedures can I have done at once?

    Posted on May 28, 2009 by admincor

    This is a very common question that I deal with almost on a daily basis. In general, it is perfectly fine to combine procedures and I do it all of the time. The advantages are one anesthetic, one recovery, and you will save some money. Facial procedures are often combined, like eyelids and facelifts. Breast and body procedures are commonly coupled as well.

    But there are things I consider before I give a ‘yes’ or a ‘no’.

    First is the time it all takes. Most surgeons will agree that about 6 or 7 hours is long enough to have someone asleep for an elective cosmetic procedure. After this time period your risks for post operative complications start to go up. So I will combine procedures if I can do my best work in less than about 6 hours.

    Secondly, I take into consideration the type of procedures being performed. Though the incisions are very small, a large volume liposuction is a bigger shock to your system than combining an eyelid tuck and breast augmentation for instance. So we have to consider what we are planning and what kind of a toll this is going to take on you immediately after surgery and during your recovery.

    Lastly, we have to look at your medical history. A 30 year old woman with no medical problems can safely have more surgery than a 60 year old over weight diabetic patient.  And it’s not even the age that  matters that much. My mother is 80 and other than some aches and pains, she is completely healthy. I could safely operate on her all day long. The bottom line is we need to step back and look at your whole picture before we develop some grand plan that  may be too risky. So more often than not the answer I give is “Sure, that’s fine”. I even recommend it most of the time.

    Lee Corbett, MD

     https://www.corbettcosmeticsurgery.com/

    502-721-0330

    All posts on this blog are authored by Louisville cosmetic plastic surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including facelifts, browlifts, and blepharoplasy in Louisville, Kentucky. 

    I’m having a C-section, can I have a tummy tuck at the same time?

    Posted on May 28, 2009 by admincor

    My opinion, and it’s only my opinion, is No.

    There are Plastic Surgeons who will do a tummy tuck immediately after a C-Section, but most won’t. Here’s why.

    First, the abdominal wall is completely distorted. The skin and muscles are very streteched out and the uterus is still huge, so it’s hard to know how much loose skin to remove or not remove. In my opinion, it would be very, very difficult to get predictably good results. But, for the next reason, I will be the first to admit I have never done this combination of procedures.

    Second, when the uterus is opened to get the baby out, by definition the infection potential goes up. This is true because once your water breaks, the sterile environment in the uterus is lost because the unterus is back in communication with the vagina. So, by OR terms, the case has officially gone from a “clean case”, which carries the lowest risk of infection, to a “clean-contaminated” case which carries a higher infection risks. A post operative infection can be a threat to Mom’s health, render her unable to breast feed, and ruin the cosmetic result.

    Third, adding a tummy tuck to the ordeal will prolong your recovery. This is not a good thing when you have a new baby to care for, especially if there are older little ones around.

    So, I think it’s best to wait. There is little to gain and a lot of potential down side to combining the procedure. Plus if you decide to have more kids later all of our hard work gets “undone”.

    Wait…it’s safer.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    502.721.0330

    All posts on this blog are authored by Louisville tummy tuck surgeon Dr. Lee Corbett.

    My Plastic Surgeon insists I stop smoking, why?

    Posted on May 26, 2009 by admincor

    Here comes a smoking lecture that is a little different than any you’ve endured before. There will be no mention of lung disease. The culprits are vasospasm and carbon monoxide.

    I realize you probably don’t know what Vasospasm is, so I will explain what it is and why it affects plastic surgery procedures. When you smoke a cigarette the nicotine absorbs into your bloodstream. When it hits the very small vessels just under your skin, it makes them spasm closed. Well,  the problem is, for a lot of our operations, like facelifts and tummy tucks, we depend on those vessels for you to heal and for your skin not to die. So if you are smoking, you run the risk of segments of your skin dying. I don’t mean being numb, I mean dying and falling off! Trust me, this is not a good thing. Especially if it is on your face or breasts!

    Carbon monoxide plays into things because when this gets into your lungs it gets distributed to your tissues instead of oxygen. The problem is, your tissues don’t need carbon monoxide to heal, they need oxygen. So when you smoke you are effectively starving your tissues and this can lead to your wound falling apart. Smoking is horrible for wound healing. Period. That is why Plastic Surgeons are so adamant you quit. I don’t want your result to be ruined and I know you don’t either.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville Plastic Surgery physician, Dr. Lee Corbett.

    When can I tan after surgery?

    Posted on May 26, 2009 by admincor

    The real answer is you should really never get in a tan bed.  The science is pretty solid behind the fact that tanning beds can increase your risk for skin cancer. So you are reading this and thinking “Ok, I am tired of hearing that, now answer my question!”.

    If you are considering Plastic Surgery, here’s your answer.

    From a post surgery standpoint the response is based on skin color changes. When we make a surgical incision we are wounding the skin. In response to this wounding, the cells that produce pigment, our melanocytes, are prone to over-produce pigment. This is what makes the skin on either side of some incisions turn dark. Well, sun exposure obviously is another cause for melanocytes to rev up their production. That is why we tan. So, you have cells that already are in an ‘excited’ state, ready to pump out pigment and then you expose them to a second strong stimulus to produce pigment, and voila, you end up with a hyperpigmented scar.

    I recommend that you wait at least 6 weeks before exposing any fresh incision to a tan bed. If you are dark complected, a person who always gets a great tan without ever burning,  I would wait a solid 3 months and the longer the better. But when in doubt, refer back to my opening statement.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville, KY plastic surgeon Lee Corbett, MD.

    I want Breast Implants, but I heard my nipples can be numb after!

    Posted on May 25, 2009 by admincor

    Loss of nipple sensation is a risk of any breast surgery be it an augmentation, lift or reduction.

    For breast augmentation, the stated risk for loss of nipple sensation can be as high as 10%. So yes, it is definitely a known, accepted complication and you need to consider this before you have surgery. Let me explain why.

    First, permanent nipple sensory loss is NOT related to incision site. More often than not, implants are placed through an incision in the crease under the breast or one on the edge of the areola.  You will have some transient numbness wherever I make the incision, but this will go away and is not what gives permanent numbness.

    From the incision, we work straight down to the interface of the breast/muscle or under the muscle and make a space for the implant to live. The nerve that gives the central segment of your breast its’ feeling, including your nipple area, runs along your rib cage and comes into the side of your breast from under your arm. So, it is when we are developing the pocket to place your implant that the nerve is at risk. We take specific measures to protect the nerve but understand that most of the time we never see the nerve. It is within the breast tissue and can be stretched, pulled, cauterized, or cut as part of the process. Nerves are very sensitive and will short circuit with even the smallest amount of trauma. And, since we can’t see the nerve, it’s not really feasible to go back and repair the nerve.

    Now, if you have surgery and in the first few weeks or months afterwards, your feeling is there but not normal, this will get better! If you are completely numb, we need to wait and see. Chances are it will improve. If you get to 1 year from surgery and you still have no feeling, you are probably one of the 10% statistic.

    So think about his before you have surgery. For a lot of women nipple sensation is not a big issue, but if it is for you, it merits consideration before we decide to proceed with surgery.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville cosmetic breast surgeon Dr. Lee Corbett.

    I want to lose weight before my surgery, how close should I get to my goal?

    Posted on May 25, 2009 by admincor

    This is a good question that I discuss with prospective cosmetic surgery patients almost daily.

    The answer depends on a few things and is highly dependent on your starting point. Let me explain.

    First, if you are within 5 to 10 pounds of where you would like to ideally be, I think you are fine. There is no reason to delay your procedure. The reason is because when we lose weight we do it from fat stores all over our body. So it’s not as though you are going to lose all 5 pounds from your breasts or tummy or thighs or whatever we are working on. You will lose it from all over and so this amount of weight loss isn’t going to change the shape of one particular area that dramatically.

    Now, if you think that you are going to loose 15 to 20 pounds you should probably wait. It is safe to have surgery at this point but 20 pounds of fat is a LOT of fat. Fat as a tissue is not very dense, so 20 pounds of fat is a lot of bulk. For instance, when I do tummy tucks and take off that hand full of skin and fat  that lives from your belly button down to your pubic area, from hip to hip, that typically weighs 3 to 4 pounds, max! People are shocked to hear that, but it’s true. So, 20 pounds of fat coming off is like 5 of the lower tummy rolls being removed. That’s a lot, so folks in this category are better off dropping the weight. The weight loss probably won’t change the procedure we choose to do, it will change the specifics of what I do and you will look better after at a lower weight.

    If you are 50-100 pounds overweight, we need to talk. Significant weight loss in this category is not common so you need to be honest with yourself as to whether you are really going to loose this weight or not. Weight loss of this magnatude requires a total change in how you eat, what you eat, and a regimented exercise routine. If that’s not realistic, we can proceed with surgery, if it is we need to wait.

    If you are 100 pounds over weight Cosmetic Surgery is usually not an option. At this point, your risks for anesthetic and surgical complications start to really increase. In general, I think it is safer to delay until you are able to lower your body weight in order to maximize your safety and results.

    Lee Corbett, MD

    www. CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville, Kentucky body contouring surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including facelifts, browlifts, blepharoplasy, Botox, Juvederm, Restylane, breast augmentation, breast lifts, breast reductions, body lifts, liposuction,  and tummy tucks.

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    13125 Eastpoint Park Blvd
    Suite 102
    Louisville, KY 40223

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