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How many procedures can I have done at once?

Tag Archives: breast augmentation

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. 

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.

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.