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The areola is the pigmented skin on the breast that surronds the nipple. It is not uncommon for the areola to enlarge with weight gain and/or pregnancy and some women just have large areola.

The “normal” areola is about 42mm in diameter or about 2 inches wide. There are a lot of women with areolae larger than this who do not like this appearance.

This problem can be easily addressed as part of a Breast Augmentation, Breast Lift, Breast Reduction or as a stand alone procedure. What we do is place what is called a cookie cutter over the nipple. This is a metal circle that is 38 to 45 mm in diameter. We center it over the nipple and press down (you are asleep) and then mark the circle. We then make an incision along our mark and a second one along the natural areolar border. The excess areola is then removed and the outer circle is sewn closed to the inner circle. You now have a smaller areola.

If done alone, this can be performed in the office under local anesthesia. When part of one of the other procedures, it will be done in the O.R.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

All posts on this blog are presented by Louisville Breast Enlargement Surgeon, Dr. Lee Corbett.

Breast Augmentation is the most common cosmetic surgery performed in the U.S. In Louisville Breast Augmentation is equally as popular. So, I thought it worthwhile to blog on the recovery following the procedure.

Silicone Implants: Because these are most commonly placed above the muscle, recovery is easier. I advise patients to expect moderate discomfort for the first 48 hours. From day 3 to 7 you should be able to increase your activity level to near normal, exercise excluded. If you have an office position getting back to work after 4 or 5 days is reasonable. Exercise is allowed starting 2 weeks after surgery. Full activity should be reasonable by 1 month.

Saline Implants: Recovery with saline is a little longer and more difficult because the muscle is involved. Moderate or more pain can be an issue for the first 3 to 5 days and can be accompanied by significant breast swelling. Return to activities of daily living is possible within 24 hours and to a desk job, 7 days is reasonable. Again, I recommend against exercise for 14 days. Full unrestricted activity can resume in the 3 to 6 week zone.

Remember though that everyone’s pain levels are different. Some women come back and say the operation was a breeze and other that it was as much as childbirth. In all cases, you will be given enough pain medicine and muscle relaxers to maximize your comfort.

All posts on this blog are presented by Louisville Breast Implant specialist Dr. Lee Corbett.

Surprisingly, I find that a lot of my patients are more scared about having their stitches removed than having surgery!

Be it a facelift, breast augmentation or tummy tuck, there are usually a few sutures that need to be removed. Sorry. Here’s why.

There are absorbable and non-absorbable sutures. Both can be used to re-approximate deep tissues under the skin or the skin itself. More often than not though, we use the non-absorbable kind to close the skin. The reason is that they tend to be a mono-filament, like fishing line. This type of suture elicits less of a scar reaction than a braided suture. Most absorbable ones are braided. So non-absorbable ones make for nicer scars, the goal of every Louisville plastic surgeon.

What I like to do is use a long lasting absorbable mono-filament suture for skin closure. I put one stitch outside the skin, tie a knot to anchor it, and then run it under the skin surface and when I get to the other end of the incision I tie another knot to secure the stitch. That way, all I have to do is clip the knot on either end the rest will dissolve. Plus, because the suture lasts several months, it continues to add strength to the stitch line to keep the scar from widening. So yes, most of the time I do have to remove sutures but I try to make it as user friendly as possible!

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are presented by Louisville Cosmetic Surgery expert, Dr. Lee Corbett.

I think this is a debatable topic on which Plastic Surgeons will vary including Louisville, KY breast augmentation surgeons.

Some surgeons feel like massage, particularly with silicone gel implants, is crucial. I think some others are of the opinion that it is of no benefit.

The reason we suggest massage it to avoid capsular contracture. This is a process whereby the body surronds the implant with scar which can leave the breast unnaturally firm. The risks of contracture are higher when implants are placed above the muscle and silicone implants typically go above the muscle. That is why we recommend with gel implants.

The theory is that if you start to massage the breast, thereby moving the implant around within its’ pocket, you will make it more difficult for the body to organize the scar shell. I recommend that you start massage as early as you can tolerate it comfortably, usually after the first 2 or 3 weeks. The massage process involves applying pressure to the breast in a side to side and top to bottom manner. This technique will keep the implant mobile and help avoid contracture.

Some surgeons will tell you this is a waste of time because some women still get capsules with massage. My take on it is that yes, that is true, but it causes no harm and even if it is only helpful some of the time, it’s worth the minimal amount of effort it requires.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All blogs are presented by Louisville Breast Implant surgeon, Dr. Lee Corbett

Silicone Breast Implants for Louisville Breast Augmentations are on the rise.

From 1992 until November of 2007 Saline Implants were the only choice available for women considering augmentation in the U.S. The moratorium on the gel implants was lifted at that time after satisfactory safety data was submitted to the F.D.A.

In March of 2008, sales of the implants were still tilted in favor of the saline variety. About 55% of implants being used were saline and the other 45% were the silicone gel. In just a little over a year the ratios have basically flip-flopped. Now sales show about 60% of women are choosing silicone gel implants and 40% saline.

My practice stats show its about a 50:50 split.

I think a couple of important points are 1) that silicone implants are proven safe and a nice addition to your choices if you are considering augmentation and 2) that both implants are good, safe devices each with its own merits.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

All posts on this blog are presented by Kentucky Breast Implants surgeon Dr. Lee Corbett

Recently one of our implant manufacturers released the newest stats on their silicone breast implants. It’s very good news!

Deflation rates after a 6 year time period were very low, only 1.1% for breast augmentation patients. For the ladies with implants placed for reconstruction, the number for the same time period was only 3.8%.

In addition, the rates for scar capsule formation and subsequent hardening  of the breast are very low as well. The capsular contracture rate was 9.8% for augmentation patients and 13.7% for reconstruction patients. While these numbers may seem high, the capsular contracture rate for previous versions of silicone gel implants was reported as high as 30% making todays implant a huge improvement.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are presented by Louisville, KY breast implant surgeon, Dr. Lee Corbett.

This phone call comes into our office every day after Louisville Breast Augmentation, so I wanted to address it. The answer is there is probably nothing wrong. This can be totally normal.

Each breast has it’s own nerve supply and it’s own blood supply coming to it. The nerves come off each side of your spinal cord. They travel along with your ribs and as they do, they shoot off branches into your soft tissues. As the nerves come around under you arm they send off branches into your breast. Well, when we are making the pocket for your implant to live, we can irritate the nerves. That is why the side of the breast can get do tender.

Because each side has its own nerve supply, one side can be more sore than the other. It’s that simple.

If you have this problem, I recommend massage, non-steroidals (ibuprofen) and sometimes heat can help. The good thing is that it will go away and should get a little better each day.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are presented by Louisville, KY Breast Augmentation surgeon, Dr. Lee Corbett.

I have dozens of them on my website. Most every plastic surgeon does. There are Breast Augmentation sites all over the internet that have huge galleries of before/ after augmentations.

They serve a valuable purpose. I think they allow the prospective patient a glimpse at what their prospective surgeon produces, they show what implants look like, and the allow you to see how the different types of implants look.

BUT…be careful trying to use them to answer your most important question…”How am I going to look?

The first problem that I encounter when women bring in after pictures is that they don’t take into account the starting point they see in the photo vs. theirs. For instance, if you are 38 and have had 3 kids and breastfed, your tissues are not going to be the same as a 24 year old who has never been pregnant. You may be the same height, same weight, same starting bra size, but your breast is just different. So, your result will probably be different.

The other main issue is size. I can put the very same type and size implant in two women who on paper are identical, only to have them look totally different from a size perspective. Why? Because the width of your chest, the base width of your breast, the amount of skin laxity you have all factor in. Plus, your band size has to be taken into account. A C cup on a 34 bra is smaller than a C cup on a 36 or 38 band bra. Why? Because a woman with a 38 band has a bigger torso than a 34 band woman, so it takes more breast to make a C cup on her than it does on the 34 band woman.

My advice is to use the galleries as a guideline for size and appearance. If you print out a picture and tell your Plastic Surgeon you want to look exactly like this photo, he or she will probably hesitate. Look at lots of photos and develop a size range and then see how your surgeon thinks this will work for you.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are presented by Louisville Breast Augmentation surgeon, Dr. Lee Corbett.

This blog is created with Men in mind. Ladies, you already know this stuff.

Not infrequently, I field the question, “My wife/girlfriend wants a ‘boob job’, what’s that cost?” In Louisville, boob job is typically synonomous with Breast Augmentation or the combination of a Breast Augmentation with a Breast Lift.

An augmentation is where only an implant is placed behind the breast to increase its’ volume. Often, her complaint is that with aging and after kids the upper half of the breast has lost volume. An implant will restore the volume and give her the full appearance and improved cleavage she has lost.

Now, if most of her breast and or the nipple  rests below the fold under her breast, she will need a lift with or without an implant. If she is happy with her size, a lift alone is good. If she wants everything back up where it used to be and size, she will need the lift implant combo. This is a more complex operation with a higher cost and more scarring implications.

Costs vary pretty widely depending on what type of implant is used and how much of a lift is needed. Things can range from $4,000 up to 7 or $8,ooo depending on her starting point.

Guys, I hope this helps. It’s not all inclusive of what’s involved,  but it will catch you up with what your wife/girlfriend probably already knows.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are presented by Louisville, Kentucky breast implant specialist, Dr. Lee Corbett.

My answer to this question is “No”, but it is possible.

Having done Louisville breast augmentations for many years, and having placed thousands of implants, I have seen only one woman who returned with stretch marks after an augmentation.

Stretch marks represent a tear of the deep surface of the skin and the tear heals by making scar. So a stretch mark is a scar. The amount of stretch we put on the breast skin is typically not great enough to create stretch marks. Also, the skin of the breast is typically very mobile, much more so that the skin of the hips or tummy where stretch marks typically occur. This laxity and mobility serve to protect against the problem.

If you look in the product literature from the implant manufacturers, stretch marks are not even mentioned in the list of potential complications.

An offshoot of this question is “Will implants make stretch marks worse?”. My experience is that they don’t go away but they tend to be less noticable after an augmentation.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330