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Do I have to get New Breast Implants every 10 years?

Do I have to get New Breast Implants every 10 years?

 This too is one of the most common plastic surgery myths I hear from patients. See my previous post for the other one. The answer is a resounding NO!! There is no validity to this at all. Zero, zilch, nada, none!

Here are the stats to explain the answer.

For Saline Implants, the reported deflation rates show numbers in the 3 to 4% range at 7 years. So at 7 years almost 95% of all implants are alive and well! Now, 7 years is not 10, but after doing this for 12 years and inheriting charts of thousands of implant patients I can confidently tell you there is no reason to change out an Implant just because of its age.

For Silicone Gel Implants the deflation rates are a bit higher, in the 7-8% range at 7 years. But still, that leaves over 90% of the women in good shape. Valid reasons to exchange implants are appearance related. You want a smaller/larger breasts, you had kids the breast shape and consistency has changed, you gained/lost weight and your breasts have gotten too large or too small. You want to go from saline to gel. These are reasons to exchange implants. Now, if you have a burning desire to pay me to take out perfectly normal implants every 10 years I will. I don’t get many takers on this option though…for good reason. So, forget the 10 year stuff and remember this, “if they ain’t broke, don’t fix ‘em”.

Lee Corbett, MD

https://www.corbettcosmeticsurgery.com/

 502.721.0330

All posts on this blog are authored by Louisville, Kentucky 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.

Will I gain weight somewhere else if I have Liposuction?

 This is one of the most common misconceptions I hear from patients. The other one will be addressed in my next blog.

Somewhere the concept has been popularized that if you have Liposuction of your tummy, your thighs, or some other area, will grow. Not True!

When we do Liposuction, be it traditional, ultrasound, Vaser, PAL, or SmartLipo, we remove fat cells in an area that is out of proportion to the rest of your figure. We are not removing every fat cell in that area. For one thing that is impossible, secondly it would kill the skin overlying the area. So that is not done. Think of Liposuction as a nail file. It is a tool we use to shape and smooth out a rough edge. It is not a way to shrink someone. If you need to be shrunk, Liposuction is not for you.

So, if you have a bulge on your tummy that is out of proportion to the rest of your figure and we do liposuction there it will flatten. Period. End of story. Now, if you gain weight, your tummy will grow again because there are still fat cells there that can enlarge and you can grow new fat cells there too. If you maintain your weight, you will maintain your result. It is NOT as if your other body parts are conspiring against you. Your butt is not whispering to your thighs… “She has Liposuction on her tummy, we’ll show her…let’s grow!!” Additional weight will go wherever your body is programmed to store fat. If you tend to store fat in your thighs and we suction your thighs, new fat will still be prone to settle there in the face of weight gain. I hope this explains away one of the great myths of plastic surgery.

Lee Corbett, MD

https://www.corbettcosmeticsurgery.com/

502.721.0330

All posts on this blog are authored by Louisville cosmetic  surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery of the face, breasts and body.

Who’s Having Cosmetic Surgery?

Last year over 10 Million surgical and non-surgical cosmetic procedures were performed in 2008. Of those having things done, women made up 92% and men 8%. But even Plastic Surgery was affected by our economy as we saw about a 15% decrease in the number of procedures performed in 2007.

Overall, the top five most common surgical procedures nationally and here in the Louisville Plastic Surgery community were 1) Breast Augmentation 2) Liposuction 3) Eyelid Surgery 4) Rhinoplasty and 5) Tummy Tuck

The top 5 non-surgical procedures were 1) Botox Injections 2) Laser Hair Removal
3) Hyaluronic Acid Wrinkle Filler Injections 4) Chemical Peel and 5) Laser Skin Resurfacing

The five most common procedures for Women were 1) Breast Augmentation
2) Liposuction 3) Eyelid Surgery 4) Tummy Tuck and 5) Breast Reduction

The five most common procedures for Men were 1) Liposuction
2) Rhinoplasty 3) Eyelid Surgery 4) Breast Reduction (Gynecomastia Treatment) and
5) Hair Transplantation

People aged 35 to 50 had most of the procedures. Most of the procedures (53%) were done in the office.

These are provided courtesy of the American Society of Aesthetic Plastic Surgeons for 2008.

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

502-721.0330

All posts on this blog are authored by Kentucky 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.

What happens at my Cosmetic Surgery Consultation?

 A lot, really. Your Louisville Cosmetic Surgery consultation is a key exchange between you and your surgeon. It is your opportunity to explain what you hope to accomplish and learn what options are available to treat your area of concern. From the surgeon’s point, we are working to make certain we understand your goals and then, based on your starting point, make a reasonable determination as to whether your goals are realistic and achievable. Most consultations will start out with a review of your medical history. It is crucial that you be thorough chronicling your history. It is best to tell your doctor everything, and let him or her decide if it pertinent to your care. Your doctor will then ask what your concerns are. This is not the time to hold back! Tell your doctor exactly what you hope to accomplish with surgery. We are not going to think you are being too vain, unreasonable etc…We need to know what you want. Perhaps surgery can produce the results you desire or maybe it cannot, but this is best determined before you have surgery. Trust me, it is every Plastic Surgeon’s goal to never hear a patient come back after surgery and start a sentence with“I thought….”  Unmet expectations are bad for all involved. You will then be examined and then your treatment options will be explained. Your surgeon will likely tell you what surgeries will benefit you, the details of the procedures and how they are different, your recovery, treatment alternatives, and the potential risks and complications that can result. In most cases your photo will be taken focusing on your problem area and if you request most Plastic Surgeons will have before and after photos of other patient’s who have had the procedure you are entertaining. Your final step is typically to meet with the Cosmetic Surgery coordinator who will explain your fees. The cost of the surgery is usually broken down into Surgeon’s Fees, OR fees, and Anesthesia fees. When you leave you should have a solid idea of the costs involved. So, in the end, a tremendous amount of information should be exchanged. If successful, you will leave your consultation well informed and more confident about your decision to undergo your procedure.

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

What is a Pain Pump?

   Pain Pumps are relatively new to cosmetic surgery, becoming widely used in the past 3 or 4 years. There are different brands of pumps but the most well known is the On-Q® Pain Buster® Pump. In Plastic Surgery, pain pumps are typically used for Mini-Tummy Tucks and Full Tummy Tucks but can also be used for Breast Augmentations, Breast Reductions, Breast Reconstructions, Body Lifts, and Thigh Lifts. The pump stays on the outside and you carry it in a fanny pack. It consists of a reservoir about the size of a tennis ball. This holds some volume of anesthetic, typically Marcaine. From the pump comes one or two small catheters. The catheters are about the size of an IV. The catheters are threaded through the skin and laid in the surgical site. They are attached at the entrance site into the skin with just a couple of steri-strips. The pump is attached and it starts to do its’ thing. The reservoir is built such that is squeezes out a measured number of cc’s of the medicine each hour. Typically there is enough Marcaine to last for 3 days. So, for three days after surgery there is a steady stream of a novacaine like drug numbing the sore area. When the pump is empty, you just pull the catheters out and throw it all away. The sites can be covered with a band-aid. It doesn’t hurt when it is removed. After the pump is empty, patients fear a spike in their pain. This doesn’t really occur because you will still have traditional pain pills and you are now about 72 hours out from surgery so things are naturally less tender. Why have one, because they do add a little cost to your surgery? Well, besides the obvious, they make your surgery safer. The best defense against some problems like fever, pneumonia, and blood clots is early mobility. Less discomfort means earlier, easier mobility. So they improve your safety and comfort.

Lee Corbett, MD

 http://www.CorbettCosmeticSurgery.com 

502-721.0330

All posts on this blog are authored by Louisville , Kentucky plastic surgeon Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery of the body.

Does it really matter if my Plastic Surgeon is Board Certified?

First, let me make you aware of things that may surprise you.

Anyone with a medical license can do cosmetic surgery. There is no one Board that oversees the “Cosmetic Doctors” that practice today. There is no requirement to have any formal surgical training. Many of these doctors took residency training in Family Practice, Internal Medicine, Dermatology, and Emergency Medicine to name some of the more common ones. The doctor may have learned to do your procedure of interest at a weekend seminar. But, legally they have every right to present themselves to be a cosmetic doctor or cosmetic surgeon so long as they have a medical license.

As a Plastic Surgeon with a valid medical license, I can deliver a baby, do a hysterectomy, fix a broken leg, or even do brain surgery. I’d have to do it in my office O.R., but it’s legal!

I am Board Certified and I will tell you that being “Board Certified” is not a magic designation. It does not shield a surgeon or his patients from complications or less than perfect outcomes.

But, while there are no guarantees, your doctor being a Board Certified Plastic Surgeon does tell you the following:

• Your surgeon completed the proper training as prescribed by the leaders of the specialty, the American Board of Plastic Surgery (ABPS). This usually amounts to 7 years of 100+ hour weeks of Surgical Residency training.

o After residency, only 80-85% of new Plastic Surgeons pass the first part of the certification process, the written exam.

o A year later, those that pass the written exam submit and have the surgeries they have performed reviewed by the leaders of the ABPS. If their practice patterns are deemed acceptable, they go on to take a series of oral exams administered over a 3 day period. The pass rate on this is also in the 80 to 85% range.

o In the end, only about 65% of all finishing Plastic Surgery Residents, men and women who have trained for 7 years, achieve Board Certification. It is not an easy process.

• In order to maintain privileges at hospitals, doctors are required to be certified in their specialty. So, the hospitals think it’s important.

• Insurance companies generally require participating doctors to be certified in their specialty. So, the insurance companies think it’s important too.

In order to be an Active Member of the American Society of Plastic Surgeons (ASPS), the only National Society of Plastic Surgeons, one has to be Board Certified. Obviously, the ASPS find it important.

Why do the insurance companies and hospitals and governing bodies require certification? Well, because there is no substitute for proper training and experience. These, attributes, ones ensured via the certification process, maximize your safety and offer the best chance of achieving the surgical results your desire.

So, it isn’t a 100% guarantee, but Board Certification is important and is a factor you should consider as you choose your Plastic Surgeon.

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

4121 Dutchmans Lane, Suite 305
Louisville, KY 40207
502-721.0330

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

Why do I have ‘Bags’ under my Eyes?

 Well, you can probably blame your Mom or Dad. More often than not, when I meet a new patient who has bags, they tell me someone in their family had them.

But, the real answer is all based 100% on our anatomy. Our eyes live in a hard bone, our skull. Since our eyes are delicate and wouldn’t tolerate banging around in our eye socket when we run, jump etc…they are surrounded by fat pads. The fat serves as a shock absorber. In front, the fat is held in place by our orbital septum. This is basically a retaining wall. It spans below from the edge of the eye socket up to the edge of the eyelid just under the eyelashes.

Now that you know the anatomy, the rest is easy to understand. Basically, the bags are there because the septum has weakened and stretched and the fat pads are bulging out into your lower lids. Since most rooms are top-lit, the bulge from the bags casts a shadow. That is why you have the dark circles under your eyes! What can you do about it? Well, when people have their “eyes done”, this is what we are correcting, at least for the lower lids.

This operation is called a Blepharoplasty. It involves an incision just underneath the lash line or on the inside of the lid. The fat that is bulging is either removed or repositioned to do away with the “bags”. If an external incision is used a small strip of skin can also be removed. Weight loss will not correct the problem nor will creams or skin care. It is a deep structure problem that is anatomically based. So, blame your folks and live with them or have a Blepharoplasty!

Lee Corbett, MD

http://www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Louisville plastic 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.

Are My Breasts Droopy?

Most every woman I meet in consultation, especially those who have had children or are over 30, feel like their breasts are droopy. In the majority of cases, they are not.

First and foremost, the fact that your breasts are not as full at the top as they used to be does NOT constitute droop…at least not to a Plastic Surgeon. So, again, upper pole flattening is not droop. So, let’s explore droop. Droop is all about where the nipple is in relation to the crease under your breast. The medical term for droop is Ptosis. Ptosis is broken down into categories depending on the severity Grade I, II or III and glandular or pseudoptosis.

Let’s start with glandular or pseudoptosis. In basic terms, this means the nipple still sits over the middle of the breast and points outward, but the lower pole of the breast hangs over the crease a bit. In other words, you can put a pencil under your breast and it will stay there. This category of droop is correctable with Breast Implants and Breast Augmentation.

Grade I droop is defined as the nipple being at or 1 cm (½ inch) below the crease. Depending on your skin tone, this can be correctable with just an implant (this is a whole blog in and of itself) or may require an implant and a lift (Mastopexy).

Grade II droop describes the breast where the nipple is more than a centimeter below the breast crease but is still above the lowest point of the breast. If the nipple is at the lowest point of the breast and points downward then Grade III droop is the diagnosis. Grades II and III ptosis require a lift whether an implant is used or not.

So, now you can look in the mirror and make your own accurate assessment of your breasts and then impress your Plastic Surgeon with your knowledge of Ptosis!

Lee Corbett, MD

https://www.corbettcosmeticsurgery.com/ 

 502-721.0330

All posts on this blog are authored by Louisville, Kentucky  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 Laser Tattoo Removal work?

Removing a tattoo can be accomplished using direct excision or by laser. In most instances, the tattoo is too large to be “cut out” or in a place where a scar would be unacceptable and laser is the only logical alternative.

The laser works by breaking the tattoo ink into microscopic particles. The way it is accomplished is as follows. The laser is set to emit a wavelength of light specific for the color we are treating. A 2 mm circular beam of laser light is then used to trace over the tattoo. Treatments are done in an office setting and usually take 10 to 15 minutes. There is no downtime. As for recovery, the treated area may scab or blister so it will require some care, on about the same level as a skinned knee.

With any treatment 8-12% of the tattoo pigment is broken up. This means that for a professionally done tattoo, it will take between 8 to 12 treatments to get rid of it. Treatments are usually spaced at least 1 month apart to allow the skin to heal and avoid a scar. As we near the end of the treatment, longer intervals will elapse so as we can appreciate the full benefit of the previous treatment before we re-treat.

Amateur tattoos are much easier to treat owing to inferior pigments and more shallow placement. 3 to 5 treatments are enough for most amateur tattoos.

Problems associated with the laser use are primarily pigmentary changes of the skin. “Ghosting”, or a lightening of the lasered skin, can result, especially for those who tan easily. This typically resolves over time but can last 1 to 2 years. Those of Asian, Middle Eastern, or African American descent are not treated for fear of severe skin bleaching.

Lee Corbett, MD

https://www.corbettcosmeticsurgery.com/

4121 Dutchmans Lane, Suite 305

Louisville, KY 40207

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

Botox® Cosmetic

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What is Botox® Cosmetic?

Botox® is one of the most commonly requested cosmetic treatments in  the United States. While the most common cosmetic surgeries number in the hundreds of thousands each year, Botox® treatments are performed over 10 million times per year.

Still, through interactions with patients, it is apparent that there is still a great deal of misunderstanding about how it works, where it can and cannot be used, how long it lasts, etc…

In the most basic terms, Botox® acts at the connection of a nerve and muscle. When your brain sends a signal through a nerve to make a muscle move, the nerve releases a liquid chemical and binds to receptor sites on the muscle. As a result the muscle will move. Botox® blocks this by disabling the receptor much like a child safety cap on a plug. In other words, the lamp still works, there is still electricity at the outlet, but the connection is blocked. So there is no permanent harm to either the nerve or the muscle. Botox® is not the same as the fillers, such as Restylane®, Juvederm®, Radiesse® etc…These agents are intended to fill deeper skin folds. Botox® smoothes the skin of fine lines by weakening the underlying muscles that cause the wrinkles.

Botox® is used primarily for frown lines between the eyes, forehead and crow’s feet. It can be used lower on the face around the mouth but these treatments require more expertise on the part of the injector and carry more risk for unwanted muscle weakening. For many, B serves as a nice substitute or at least a temporizing treatment for a brow lift or blepharoplasty (eyelid surgery)

The full effect of a Botox® treatment is not apparent for 14 days and the results typically last 3 to 4 months.

With its’ ease of administration, quick treatment time (less than 10 minutes), no recovery or downtime, and dramatic results, Botox® has become the most commonly performed cosmetic procedure in the U.S.

Lee Corbett, MD

https://www.corbettcosmeticsurgery.com/

4121 Dutchmans Lane, Suite 305

Louisville, KY 40207

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