Louisville
13125 Eastpoint Park Blvd.
Suite 102
Louisville KY, 40223

Current Specials Patient Forms Photo Gallery

Botox side effects

Do not use BOTOX^® Cosmetic if you:

have an infection where BOTOX^® Cosmetic will be injected
are allergic to any of the ingredients in BOTOX^® Cosmetic
are pregnant or think you might be pregnant.

What should I tell my doctor before using BOTOX^® Cosmetic?

Only your doctor can decide if BOTOX^® Cosmetic is right for you. Before starting treatment, tell your doctor if you:

have any diseases that affect your nerves and muscles. These diseases may increase your chance of side effects with BOTOX^® Cosmetic treatment.
are breastfeeding
are planning to become pregnant soon.

Can any of my medicines interact with BOTOX^® Cosmetic?

Be sure that your doctor knows the names of all the medicines you are using, including:

antibiotics used to treat infections, such as gentamicin, tobramycin, clindamycin, and lincomycin
medicines used to treat heart rhythm problems, such as quinidine
medicines used to treat different conditions, such as myasthenia gravis or Alzheimer’s disease.

As with all prescription medicines, you should also notify your doctor if you are taking any over-the-counter medicines or herbal products.

This is not a complete list of medicines that can interact with BOTOX^® Cosmetic. Ask your doctor or pharmacist for the Professional Package Insert for complete information.

This information was taken from the Botox website.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are presented by Louisville Botox provider,

Dr. Lee Corbett.

I want fuller lips, what can I do?

My preference for lip enhancement is to use injectible fillers. My two favorite fillers are Juvederm and Restylane.

I like these products because they are easy to use and they last a pretty long time, at least 1 year. Either can be placed in the office under a local dental block and it usually only takes about 15 to 20 minutes. I also like that the products give a 1:1 correction. In other words, when we inject the lip and plump it, what you see is what you get, which increases patient satisfaction. This way the patient can hold a hand mirror and make sure she gets exactly what she wants. In the past, with some of the collagens, we had to over-correct anticipating some absorption so our results were less certain.

There are permanent implantable lip plumpers but these have historically been plagued with palpability, extrusion, and infection problems. Personally, I prefer to stay away from these.

Fat is also a good filler choice. A small amount of fat can be harvested from your tummy or thigh and then re-injected. This is a very good technique and I think you will find some plastic surgeons who prefer this and others who prefer the Hyaluronic Fillers. Both are good.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Louisville Restylane expert, Dr. Lee Corbett.

Can I breast feed if I get implants?

My answer to this question is ‘yes’.

An implant in and of itself does nothing to interfere with your breast’s function. The implant just sits there either under the breast or under the muscle. The breast is on top and should react to the hormones of pregnancy as expected.

The potential for problems with breast feeding comes from the insertion route. If the implant is placed thru an incision in the crease under the breast or thru the underarm, I don’t think there should be any problems. There is not really any milk producing breast tissue in these areas to disturb. Now, if the implant is placed through a nipple incision, some milk ducts will be disturbed and problems with breast feeding do become a reality. The chances of problems are fairly high in some studies so this route merits some thought by those considering more children.

My advice is to just stay off the nipple if you are contemplating breast feeding in the future. It’s that simple. The other two approaches are perfectly acceptable.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

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

Age Limits and Breast Implants.

Mentor and Allergan (formerly Inamed) saline-filled breast implants are approved for: (1) reconstruction (primary reconstruction and revision-reconstruction) in women of any age and (2) augmentation (primary augmentation and revision-augmentation) in women 18 years or older.

Mentor and Allergan silicone gel-filled breast implants are approved for: (1) reconstruction (primary reconstruction and revision-reconstruction) in women of any age and (2) augmentation (primary augmentation and revision-augmentation) in women 22 years or older.

FDA restricts the marketing of breast implants for augmentation to women of a minium age because young women’s breasts continue to develop through their late teens and early 20s and because there is a concern that young women may not be mature enough to make an informed decision about the potential risks. However, there is there is no age restriction on the marketing of these products for reconstruction, so as to allow young women to have access to breast implants to replace breast tissue that has been removed due to cancer or trauma or that has failed to develop properly due to a severe breast abnormality.

As for devices that are not approved for marketing, there are various age criteria and other restrictions for women who receive breast implants as part of a clinical study. Contact one of the companies conducting a study for more information.

FDA approved saline-filled breast implants for augmentation in women ages 18 and older. FDA approved silicone gel-filled implants for women ages 22 and older. The age restrictions are different because the risks are different for the two products. For example, silicone gel-filled implants will require frequent MRI monitoring to detect silent rupture (a rupture that can go undetected by you or your doctor). There is no risk of silent rupture for saline-filled implants. In addition, the health consequences of a ruptured saline-filled breast implant are different from those of a ruptured silicone gel-filled breast implant.

This information was taken directly from the FDA website.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

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

What types of breast implants are approved by FDA?

FDA has approved four breast implants for marketing in the U.S.:

In May 2000, Mentor and Allergan (formerly Inamed) received approval for saline-filled breast implants. These implants were approved for breast augmentation in women 18 years or older and for breast reconstruction in women of any age.

In November 2006, Allergan and Mentor received approval for their silicone gel-filled breast implants. These implants were approved for breast augmentation in women 22 years or older and for breast reconstruction in women of any age.

All breast implants other than these four approved devices are considered investigational devices, including the more-cohesive (“gummy bear”) implants. For a woman to receive an investigational breast implant in the U.S., she must enroll in a clinical study.

This post was taken from the FDA website.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

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

Liposuction with a Tummy Tuck. A good mix?

In plastic surgery there is a little controversy about combining liposuction of the abdominal wall at the time of a tummy tuck.

Some plastic surgeons will not do any liposuction, some will do as much as they want, while others will do some. Why the differences. It all revolves around blood supply.

There are 3 sources of blood supply to the abdominal wall. There are vessels that loop back onto your tummy from below. We cut these when we make the incision. There are vessels that come straight up out of the muscles on the front of your abdomen. We cut these when we elevate the skin/fat layer to tighten your muscles. So what we are left with is a whole series of vessels that come off your flanks and course through the upper layer of fat, just below your skin, in the upper abdomen. Well, the upper abdomen is usually full and could use a little liposuction.

This gives us the potential for a problem. If we aggressively suction your upper abdomen we can injure these vessels and end up with a wound healing mess. If we do no suctioning, most patients will feel like the improvments on their lower tummy just make the upper part look even worse. Some suctioning will give an improvement, but will it be enough for you to be happy?

Most plastic surgeons have developed a policy on this based on his or her experience. So, if you are considering having your tummy done, just ask. With the information above you should have a better understanding of your surgeon’s bias.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Dr. Lee Corbett, a board certified cosmetic plastic surgeon in Louisville, Kentucky.

What are some of the important factors I should consider when deciding whether or not to get breast implants?

Some important factors to consider include:

* Breast implants do not last forever. If you decide to get breast implants, you will likely need additional surgeries on your breasts over your lifetime due to complications or unsatisfactory cosmetic outcomes.

* Many of the changes to your breasts following implantation cannot be undone. If you later choose to have your implants removed and not replaced, your breasts will not change back to the way they looked before your implant surgery. You may have permanent dimpling, puckering, wrinkling, or other cosmetic changes.

* When you have your implants replaced (revision), your risk of complications increases compared to your first (primary) surgery.

* Routine mammograms to screen for breast cancer will be more difficult with breast implants.

* Breast implants may affect your ability to breast feed, either by reducing or eliminating milk production.

Factors to consider specifically about silicone gel-filled breast implants include:

* If your silicone gel-filled breast implant ruptures, you may have no symptoms. This is called a silent rupture because, most of the time, neither you nor your doctor will know that your implant has ruptured.

* The best way to determine whether or not your silicone gel-filled implant has ruptured is with an MRI examination. You should have your first MRI three years after your implant surgery and every two years thereafter.

* Over your lifetime, the cost of MRI screening may exceed the cost of your initial surgery. This cost may not be covered by medical insurance.

Some important factors to consider include:

* When you have your implants replaced (revision), your risk of complications increases compared to your first (primary) surgery.

* Routine mammograms to screen for breast cancer will be more difficult with breast implants.

* Breast implants may affect your ability to breast feed, either by reducing or eliminating milk production.

Factors to consider specifically about silicone gel-filled breast implants include:

* Over your lifetime, the cost of MRI screening may exceed the cost of your initial surgery. This cost may not be covered by medical insurance.

*****This post was taken from the FDA website on breast implants.*****

Lee Corbett, MD

CorbettCosmeticSurgery.com

502-721-0330

The posts on this blog are authored, unless specifically noted, by Louisville, Kentucky cosmetic plastic surgeon Lee Corbett.

Should you have an implant and a breast lift at the same time?

This is a loaded question and your answer depends upon whom you ask.

Lifts alone and implants alone are fairly straightforward operations. Not much controversy there.

When we combine the procedures things change though. Here’s why.

These two operations are fundamentally opposed. An implant operation is a stretching operation. A lift operation is a tightening operation. Adding an implant to the breast adds weight to the breast. Patients who need lifts have skin that can’t support the weight of the breasts as they are. How can we expect the skin to support the breast and an implant? Well, on a level, we can’t.

There are also marking issues. When we do a lift, we will mark the breast pre-op, and follow our lines. It is pretty straight forward. Well, if I mark your breast pre-op and then put an implant in, all of my marks are invalid. So the operation is more difficult.

If it’s so bad, should it be done? Personally, I think it’s reasonable to do it together, but only if the patient realizes that the chances of needing a revision are higher than if the two are done seperately. In my practice, I do a lot of lift and implant combination procedures because a lot of women need it.

In the end, what universally happens, is that the implant will settle and the breast is not quite as perky as it was in the first few weeks or months after surgery. You will see a big improvement compared to pre-op, but the implant just wont stay quite as high as it was intially placed.

If you are considering this combination, make sure you and your surgeon are on the same page. I do this with my patients and things turn out very well.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Dr. Lee Corbett, a Louisville, Kentucky breast augmentation specialist.

Over the Counter Medicines and Surgery.

Im my eleven years of plastic surgery in Lousville, over the counter meds and supplements have become much more popular. In general, it’s best to stop taking all over the counter medications 2 weeks before surgery. There are a couple of reasons.

First, we don’t know what’s in a lot of the stuff that’s out there, especially the weight loss products and nutritional supplements. Most of the ingredients are probably OK, but sometimes there are ingredients that can result in dangerous swings in your blood pressure during anesthesia. This is especially true of the diet drugs. For this reason, your Anesthesiologist will probably cancel your surgery if you show up on diet drugs or supplements that don’t have a list of ingredients.

I also see a lot of folks who are taking “healthy” supplements like Vitamin E or Fish Oil. These are normally fine, but both can cause bleeding during surgery. The same is true for Aspirin, advil, motrin, alleve and these types of non-steroidal drugs.

The best thing to do when you have surgery upcoming is to make sure you let your doctor know everything you are taking. Don’t assume anything, it may result in your surgery being cancelled. And don’t just stop taking everything, your doctor may have you on aspirin for your heart. It may be that you can’t safely come off the aspirin!

As for prescription drugs, you must talk with your surgeon before altering your routine. Remember, when in doubt ask your doctor.

Lee Corbett, MD

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 Mini-Tummy Tuck?

There are Tummy Tucks and there Mini-Tummy tucks.

Big picture: the difference is that a Mini addresses the lower part of the tummy only. A full tummy tuck treats the front of your torso from rib cage down to your pubic area. A mini treats from the umbilicus down.

When we do a full tummy tuck the incision is from hip to hip, we lift the skin/fat layer up to just below the breast bone, tighten the muscles from top to bottom, and then remove the loose skin between your belly button and pubic line.

With a Mini, we shorten the incision so that it’s just a bit longer than a C-section incision. The undermining goes just up to the belly button and the muscle tightening is from the belly buttton down.

So, Mini tucks are intended for a woman who has a typical bulge of the lower abdomen and a little loose skin from pregnancy. Full tummy tucks are better suited for those who have more generalized laxity of their abdominal wall, more loose skin, and generally more fatty tissue. The best way to figure out which one is best for you is to let a Plastic Surgeon take a look at your tummy. A quick look and your input on what you’d like to improve and your surgeon ought to be able to tell you if a Mini is enough .

Lee Corbett, MD

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.

Botox side effects

Monthly Archives: June 2009