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Post Operative Pain

Post Operative Pain

Pain, to varying degrees, is universal after surgery, Plastic Surgery included. I think everyone expects this. What I find that most folks do not expect is to have lingering dicomfort 2 or 3 months post operatively. I am not talking about stop-you-in-your-tracks pain, but a mild to moderate discomfort usually along the suture line. It is often described as a stinging, burning or deep itching type of feeling.

Breast Reduction, Breast Augmentation, and Tummy Tuck patients often come in for their 3 month check with the above complaints. What I tell them is that the healing process takes almost 2 full years. So, at the 2 to 3 month time period there is still a lot going on in the areas we operated, especially along the scar line. Some sensation is still expected at this point and this is normal. It will go away as the scars mature and the healing process nears completion.

Lee Corbett,MD

Inverted Nipple Correction

Inverted Nipples are a fairly common problem women experience, particularly after childbirth and breast feeding. The correction is easily done as an  office procedure. Often times inverted nipples are corrected in conjunction with a Louisville Breast Augmentation or Louisville Breast Reduction.

Inverted nipples can result from breast cancer so a mammogram and breast exam are an essential part of the work up before correction is undertaken.

The procedure is done under local anesthesia. Small incisions are made at the base of the nipple and the milk ducts that tether the nipple are released. Small sutures are then placed to keep the nipple in its’ new released position.

Lee Corbett, MD

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

Nipple Surgery

Louisville, KY: Breast Augmentation and Breast Reduction patients are often interested in downsizing their areolae and on occasion even the nipple itself. Most are surprised to learn both procedures are really quite simple.

Areolar downsizing is a typical part of Breast Reductions and Breast Lifts. This is done using an instrument called a “cookie cutter”. This is a circle of varying diameters  that has cross hairs. The cross hairs are placed over the nipple, pressure is applied and a perfect circle is made on the skin surface indicating the new, smaller areolar diameter. A ‘normal’ areola size is 42 mm.

Nipple downsizing is more unusual. This is accomplished by removing the apex of the nipple and closing it to itself. The patients I have encountered who seek this operation have nipples that are about an inch long and are irritated by their bra.

Both operations, if done as stand alone procedures, are doable under local anesthesia in the office.

Lee Corbett, MD

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

Sizing for Breast Augmentation.

Todays topic: Breast Augmentation Louisville, KY.

Other than implant type, size of implant is of utmost importance as you consider augmentation.

So, an obvious question most patients have, is how do we figure out what size to use. The answer is we try them on. It’s pretty simple, we have a lot of silicone gel implants here in the office for sizing. We will put a bra size on you that you are aiming for and then stuff your bra with the sample implants. Then we will have you pull on a snug T-shirt and we put you in front of the mirror. We will stuff the bra with different sizes until you find what you like. I will then chime is as to whether the size you have chosen makes sense based on your starting point.

This isn’t a perfect sizing system, in that a given implant usually looks a little smaller once it is behind the breast than it does when you are trying them on. But knowing this, I will push you to the top of your size ‘comfort zone’.

Lee Corbett, MD

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

Cosmetic Surgery Tax

Probable tax on cosmetic surgery in the USA

Tucked away in the volumes of information on the overhaul of the US health and health insurance systems, is a measure to help pay for it all.

Cosmetic surgery procedures could be subject to a 10% tax. Doesn’t sound a lot does it?  Until you realize that the American cosmetic surgery industry is worth $10.3 billion a year, spent on 12.1 million plastic surgery operations. Despite early fears, all signs are that despite the economy, the number of cosmetic surgery operations is not reducing. Some people cynically suggest that more people are actually having surgery as if you look young you may keep your job.

Tax deductions are now allowed on reconstructive surgeries such as after a patient has recovered from cancer, and will not be taxed. However non-reconstructive surgeries, the vast majority of operations, would be subject to the new tax. The plan is to cover all procedures that are not currently tax deductible and are not commonly covered under standard health insurance policies.

Previous attempts to tax cosmetic surgery failed, but they were state taxes, the new one would be a federal one.

Would it apply to people coming to the USA for cosmetic surgery? This is not certain, but the argument goes something along the lines that if you can afford cosmetic surgery and can afford to travel to the USA, you can easily afford a small tax.

If it goes ahead, it would encourage Americans to look even more closely at traveling to Canada, the Caribbean or South America for cosmetic surgery.

As a Louisville, KY Plastic  Surgeon, I certainly hope this tax does not become a reality.
Lee Corbett, MD
This blog was copied and pasted from the internet.

Breast Reconstruction with Implants

Breast Reconstruction with Implants is one the primary options in 2009.

The process usually takes at least 2 if not 3 steps to complete over a 6 to 12 month time period. At the first surgery, which usually takes place at the time of the mastectomy, a tissue expander is placed. An expander is a special implant type that has a built in fill port that allows for filling with a needle and a syringe. After surgery, usually starting at about a month out, we access the expander and add saline to it. We do this each week until the volume in the affected breast is similar to the unaffected side. When we reach this point it is time for an exchange.

At the exchange operation we remove the expander, make necessary adjustments to the implant pocket, and place a permanent implant. At this point, if you choose, we can quit. Often times though a third surgery is chosen so we can adjust the unaffected breast for better symmetry and to re-create a nipple on the affected side.

Lee Corbett, MD

Your Rhinoplasty Consultation…take a close look in the mirror.

If you are considering a Louisville Rhinoplasty, aka a ‘nose job’, my recommendation is for you to take a long look at your nose in the mirror. Make a detailed assessment of exactly what it is you are unhappy with.

A lot of times patients come in and when I see they are in for their nose I will ask them how I can help. Answers vary but usually are along the lines of  “Just make my nose look good”. This is a red flag answer. What is good? Is my idea of good the same as yours? Do you like the same kind of nose I do?

So, my first move is to put a mirror in your hand. Then we can go about the business of picking your nose apart, pardon the pun, and making a detailed list of what it is you are unhappy with. With this information, I can develop an operative strategy to address your individual needs. But again, this is all dependent upon you having done a thorough and honest evaluation of what you see as your problems and your subsequent wish list of changes.

Rhinoplasties are great procedures, but they are very delicate, finesse operations that require an exact evaluation of your nose and its’ ‘problems’. So get in front of that magnifying mirror and get to work. I’ll see you in the office.

Lee Corbett, MD

This blog is presented by Louisville Rhinoplasty surgeon, Dr. Lee Corbett.

Complications after Cosmetic Surgery. Who pays?

This is one of the tricky areas of Louisville Cosmetic Surgery. Complications like bleeding problems or infection are rare after cosmetic surgery. The risks fall in the range of 1% or less for most procedures like Louisville Breast Augmentations, Louisville Liposuction, or Louisville Rhinoplasty.

But…the reality is these problems do occur and when they do a trip back to the Operating Room may be necessary. This brings the problem of money into the situation.

Most insurance companies will not pay for a complication that results directly from cosmetic surgery, like a bleed or infection at the surgical site. This is an issue that  I recommend all potential cosmetic surgery patients strongly consider. Chances are everything will turn out just fine, they almost always do, but someone out there is going to be that “1” when we tell you chances are “1 in a 1000”.

Lee Corbett, MD

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

Recurrent Skin Laxity in Massive Weight Loss patients

Massive weight loss patients are those who have had gastric bypass or lap band surgery. Most lose over 100 pounds and this leaves them with a lot of loose skin. As a result they seek a number of Plastic Surgery procedures like facelifts, brachioplasty, mastopexy, tummy tucks, thigh lifts and body lifts.

What we as a specialty have noticed is that after these surgeries, recurrent skin laxity is a problem. This brings revisions into consideration which entails additional surgery, fees, and recovery. MWL patients as a group tend to recur much more quickly and severely than ‘typical’ patients undergoing these surgeries. This doesn’t mean you should avoid these procedures, only that you should choose an experienced surgeon and have a good, candid conversation before you decide to proceed.

Lee Corbett, MD