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    I just had a baby, how should I wait before I have by breasts ‘fixed’?

    Author Archives: admincor

    I just had a baby, how should I wait before I have by breasts ‘fixed’?

    Posted on May 25, 2009 by admincor

    This is a good question and it applies to you whether you are contemplating an augmentation, lift, or reduction. The problem is that there is no hard and fast rules to answer this issue.

    One obvious issue is if you are breast feeding. If you are breast feeding you cannot have surgery, period. So that is easy.

    Now, once you stop feeding, or if you have decided to use formula, it gets a little trickier. Basically we need to wait until you think your breasts have plateaued. As you know, when the hormones of pregnancy kick in, your breast enlarge. After, when things settle down, most women find that their breasts are about the same size, but they have lost some of their upper fullness. Some women loose a fair amount of volume, especially if they breastfed, and some stay larger but this seems to be the minority of women. You need to wait until your breasts have stopped changing and that is the point where surgery becomes reasonable. For some women that time is as short as a month for smaller breasted women and as long as 6 months for others. In general though, if I had to give a number, I would recommend you wait about 3 months before you proceed.

    Lee Corbett, MD
    CorbettCosmeticSurgery.com
    502.721.0330

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

    I need to lose 30 pounds, will Liposuction work?

    Posted on May 23, 2009 by admincor

    Unfortunately, no.

    I see several new patients a year who are 50, 75 even 100 pounds over weight and were told Liposuction is their answer. This is just not true.

    Don’t think of Liposuction as a way to loose weight. Liposuction is a sculpting tool. It is intended for those who are at or very close to their ideal body weight. The analogy I make when I meet with new patients is to compare Liposuction with a nail file. We use it much the same way you would use the file in that we are smoothing “rough” edges to give the area a better shape and to make the problem area blend better with the areas around it.

    Let me give you more of an explanation though. A large volume liposuction would be the removal of 7 to 10 liters of fat. By the way, if you had this volume removed your surgeon would likley keep you over night in a hospital and monitor your fluid status. Now, understand that when we do liposuction, the first step in the process is to pump a saline/lidocaine/epinephrine solution into the area. Then we suction out a combination of fat and the solution. So if we take out 10 liters, a lot of this volume is the water we just put in. 10 liters weighs 20 pounds but remember that a lot of this weight is the water. So, you might actually lose say 7 0r 8 pounds of fat, max. Basically, we just can’t safely remove huge volumes of fat because of safety issues.

    Another issue is skin laxity. If you are carrying an extra 50 pounds your skin has stretched to accomodate the weight. Liposuction results in some skin retraction, but it cannot tighten loose hanging skin. This problem has to be treated with direct excision, usually in the form of  a tummy tuck or body lift.

    So, while a Liposuction cannula is a great tool to help shape and smooth your curves, it is not a magic wand we can use to shrink you.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

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

    What are “Cosmeceuticals”?

    Posted on May 22, 2009 by admincor

    “Cosmeceuticals” are prescription strength skin care products. A few of the more popular ones are Obagi, Glytone, and Skin Medica. These products are sold exclusively from a physician’s office, usually a Plastic Surgeon or a Dermatologist. In many ways these products are similar to what you are able to purchase at any upscale cosmetics counter. But, there are some very real and important differences.

    First, most effective skin care lines contain some form of acid, be it glycolic, trichloractetic etc… The advantage of the products sold at your doctor’s office is that they are stronger. Basically, we can offer more concentrated products which will give you a more noticeable result. For instance, the max concentration of glycolic acid is 2.5% in an over the counter product. The Cosmeceutical lines start at 5% and go up to 12.5%.

    Some components of prescription lines are simply not available over the counter. Hydroquinone and Retin-A are examples. Hydroquinone is a fade cream that is commonly used to fade sun spots and help blend and smooth your complexion. Retin-A is a vitamin A derivative that is used on the fine lines, especially around the eyes. It promotes a gentle exfoliation of the skin and a firming and tightening.

    So, while they are more expensive, prescription grade skin care product lines are definitely more effective. Basically, like many things in life, you get what you pay for.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    502.721.0330

    All posts on this blog are authored by Louisville skin care plastic 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.

    What is the new product to grow Eyelashes?

    Posted on May 20, 2009 by admincor

    eyelash-2Latisse is the new product that improves the length and thickness of your lashes.

    The active ingredient is actually a glaucoma drug. The lash benefits were noticed when those using the eye drops for their glaucoma started growing thicker, longer eyelashes.

    Our hair, be it on your head, arm or eyelashes, are either in a grwoth phase, a dying phase, or a dormant phase. The Latisse works by lengthening the time the individual eyelash is in its growth phase and it increases the total number of lashes that are in the growth phase.

    The product takes effect in about 12 weeks and must be used nightly. After the lashes have changed it is possible to cut back on the applications to 3 or 4 nights per week.

    There are specific instructions for use and if you have any existing eye probems you will want to get clearance from your eye doctor before using this product.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    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, blepharoplasy, Botox, Juvederm, Restylane, breast augmentation, breast lifts, breast reductions, body lifts, liposuction,  and tummy tucks.

    I’ve had Weight Loss Surgery, will my insurance cover my Plastic Surgery procedures?

    Posted on May 20, 2009 by admincor

     I see a lot of folks, both men and women, who have had gastric bypass or a lap band and experienced what we call ‘massive weight loss’. Typically this is a weight loss of over 100 pounds. Universally, if you are in this group of patients, you will have loose skin on your neck, upper arms, breasts, flanks, back, tummy and thighs and this picture probably looks pretty familiar . The loose skin can be a problem not only due to rashes and skin care issues, but because a lot of patients tell me they still feel heavy with all of the loose skin still there. Commonly performed treatments are skin reduction of the arms (brachioplasty), breasts (lifts and reductions), tummy tucks, and thigh lifts. In today’s times, these procedures are almost always considered “cosmetic”. This translates into no insurance coverage. Over the last 18 to 24 months, at least in my office, we have seen almost a 100% denial rate when we seek insurance pre-approval. If you are considering one of these procedures, my advice is to go into the process assuming you will have to cover the cost yourself. Now, that being said, the costs usually aren’t as high as most folks assume. I have people tell me all the time that they assumed the costs would be in the $20,000 to $30,000 range. The reality is that it is no where near that much. For instance, an arm procedure is about $5,000 total cost. A tummy, about $6,600 and financing options are available. Why no coverage? Well, loose skin removal is simply not considered “medically necessary” by third party payors. Period.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    All posts on this blog are authored by Louisville weight loss surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including  body lifts, liposuction,  and tummy tucks.

    What are High Profile Breast Implants?

    Posted on May 20, 2009 by admincor

    Both Allergan and Mentor, the two implant manufacturers in the U.S., offer high profile implants both in saline and silicone gel for Breast Augmentation in Lousiville, Kentucky.

    When I see a woman considering implants, one of the most important issues I consider is the base width of her breast. In other words, how wide is the breast. A “normal” breast is 16 or 17 cm wide. That being said I see lots of women whose breast is more narrow than that, maybe 13-15 cm wide. Well, if we put a moderate profile implant in this woman, the implant may be wider than her natural breast which can leave her with too much breast out on the side. The only option is to downsize the implant volume but this may force you to choose an implant that is too small. So, a moderate profile implant may not work very well.

    This is where high profile implants come into play. If you take two implants that are both 400cc’s, one high profile and one moderate and sit them side by side, you can see an obvious difference. The high profile implant will be more narrow but it projects more. The result is that it fits nicely behind a narrow breast but still gives a very nice, full appearance to the breasts because of the better projection.

    The implants are all the same though in their construction, risks, benefits etc…so from a safety standpoint there is no difference between moderate and high profile for either the saline or gel implant lines.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Louisville cosmetic breast surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including  breast augmentation, breast lifts, breast reductions.

    How big of an Implant can I get?

    Posted on May 20, 2009 by admincor

    This is a fairly common question I field when I meet with women considering a Louisville Breast Augmentation. The answer depends on a few issues. Skin quality, breast size, chest wall shape and size, and the breast base width are all important issues we need to consider.

    The skin is my first consideration. No matter what the implant size, at the end of the day we are adding weight to the breast when the implants go in. So, if you have good thick skin without stretch marks that has withstood pregnancies, we can use more implant. On the other hand, if your breasts are covered with stretch marks and the breast droops we have to be a bit more careful to avoid the “rock in a sock” look.

    Breast size and chest wall dimensions are next. The biggest issue here is to keep the implant from being too far under your arms. If you have a narrow chest or a smaller breast, you may want to consider a smaller implants. The reason why is that as the implant size increases so does the diameter of the implant. As the diameter gets larger there is more breast out laterally that your arm will bump into. A lot of women do not like this, especially those that exercise a lot.

    Base diameter is also a key issue. You will want to choose an implant that fits within the starting dimensions of your breasts. If you choose an implant that is wider than your breasts you run the risk of having a “stacked ring” look where there is a stepoff because the implant base is wider than your breast width.

    These are the issues I consider when we discuss size. Ultimately, you will decide on what you want to do, but I will defintely make recommendations based on the things I’ve described above.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

    All posts on this blog are authored by Southern Indiana cosmetic plastic surgeon Dr. Lee Corbett. Dr. Corbett specializes in breast augmentation, breast lifts, breast reductions.

    When can I Exercise after Liposuction?

    Posted on May 19, 2009 by admincor

    There are two parts to this answer when it comes to Louisville, Kentucky liposuction.

    First is comfort. From my experience, most patients wait at least a week or more before they start exercising again. I recommend starting with a light version of your typical routine. Guage how you feel, and then ease back into things as your comfort allows.

    Second, is swelling. When we do surgery on you, what happens is that the blood vessels in that area get leaky. The purpose is for the cells that heal us need to be able to leak out of the blood steam and get in there to do their thing. So, in effect, think of the blood vessels as leaky piping, much like a soaker hose. Well, if you exercise you increase your blood pressure and pulse rate. So, you are driving the blood through a leaky system faster and with more pressure. The end result is the watery part of the blood leaks into the tissues and you swell. From this point of view, I typically recommend waiting 2 weeks before doing cardio. At that point, you can get going again and see how you do. If you swell up like the Michelin Man we need to hold off a little longer. But it’s important to understand that the swelling wont hurt you, it just temporarily affects your weight and appearance.

    In the end, there are no hard and fast rules. You have to stick your toe in and see how you do!

    Lee Corbett, MD
    http://www.CorbettCosmeticSurgery.com
    502.721.0330

    All posts on this blog are authored by Breast Augmetnation plastic surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including liposuction  and tummy tucks.

    Man Boobs

    Posted on May 11, 2009 by admincor

    Got man boobs? Search has information about your condition, what it is and what you can do about it.

    What it is. Of course, there’s a technical name for it: gynecomastia.
    What does it looks? Search here.

    Not surprisingly, real gynecomastia (see more on pseudo gynecomastia below) is often caused by an imbalance between the hormones testosterone and estrogen, both of which are naturally occurring in men.

    You knew about testosterone, but yes, guys need estrogen, too.

    There are other causes as well, including the use of some recreational drugs. 

    At least one hair-loss drug may also cause it. Can’t a guy get a break?

    What to do. As many as half of all adolescent boys show signs of gynecomastia during puberty. It makes gym class tough, but it also usually disappears in a couple of years.

    It’s a different story for adult men, for whom breast reduction surgery is a common form of treatment. Some dietary supplements purport to treat the condition. You’ll have to judge those for yourself.

    When it’s not gynecomastia. Some man boobs, maybe even most, aren’t caused by hormone imbalances at all. This would, of course, be pseudo gynecomastia.

    For those cases, the problem is being overweight, and all the usual solutions apply. Chief among them: Put the cookie jar back on the shelf, get off the couch, and get some exercise.

    ****I copied this from MSN. Couldn’t say it any better myself.****

    Lee Corbett, MD
    https://www.corbettcosmeticsurgery.com/

    All posts on this blog,except this one, are authored by Louisville cosmetic plastic 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.

    How does a Plastic Surgeon see your face?

    Posted on May 5, 2009 by admincor

    We see your face in 3 zones, 7 subunits, superficial and deep. I realize that makes no sense so let me explain.

     When a patient comes in for a consultation about their face I analyze them at first by looking at the whole picture. My eyes then break their face into thirds. Hairline down to eyes, eyes down to the bottom of the nose, bottom of the nose down onto the neck. Within the 3 zones, we see 7 subunits. The subunits are the forehead, the area around each eye, the nose, the cheeks, and the area around the mouth.

     I then go back to the whole face and decide if the problem is a surface, skin texture superficial problem vs. a deeper, supporting structure laxity problem.

     

    By using this systematic review technique we are able to identify and develop treatment plans. I then let you tell me what aspects of your appearance bother you. At this point we are ready to talk about treatment options and alternatives.

     

     Lee Corbett, MD

    http://www.CorbettCosmeticSurgery.com

    502.721.0330

     All posts on this blog are authored by Louisville facial surgery expert 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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    Louisville
    13125 Eastpoint Park Blvd
    Suite 102
    Louisville, KY 40223

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