In my Louisville Breast Augmentation practice, like most Louisville Plastic Surgeons, I use either saline or silicone implants. Not infrequently though patients will joke and ask if I can suction fat from their rear and inject it into their breasts.
The answer is “Yes, we can.” Fat grafting is nothing new in Plastic Surgery. It has been used for years for facial rejuvenation. Recently its use has increased in breast surgery. The problem is if the fat cells don’t survive the transfer they can die, form masses, or even calcify. This can wreak havoc on cancer surveillance and thus the controversy.
This technology will continue to be evaluated, in the meantime I think it safest to stick with traditional implants until more is known.
In my Louisville Cosmetic Surgery practice I see a lot of patients considering what we call an upper lid Blepharoplasty. This is an eyelid lift and what it does is remove the excess skin of the upper lid that hoods over the eye lashes.
The problem is, a lot patients really need a brow lift instead. Anatomically what we refer to as the ‘brow’ is basically your forehead. When the forehead droops it causes the skin of the upper eyelid to droop. So, a lot of the times if you lift the forehead, that will eliminate the ‘excess’ skin on the upper lid.
If you upper lids are making you look tired and you have been considering an eyelid lift, maybe it’s not your eyelids after all.
Lee Corbett, MD