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Driving after Surgery

Driving after Surgery

A common question patients have when they are planning their cosmetic procedure is when can they drive after surgery.

The answer is that you can drive when you are off of your pain medicine AND when you are reasonably able to react to normal driving situations. If you drive while taking a narcotic, and are pulled over for poor/erratic driving, you very well may get a DUI. While it is perfectly legal for you to have the narcotic pain medicine as they were prescribed for you, it is not legal to drive impaired, be it pain medicine or alcohol. You simply cant drive impaired.

The other factor is your ability to react normally. For instance, if you are too sore to rotate and look over your shoulder, you probably shouldn’t drive. This is more of a common sense issue/decision that you need to make yourself.

I hope this short blog helps as you plan for your cosmetic surgery procedure.

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and Med Spa

Are fillers extremely painful?

lyzahLyzah, Registered Nurse

Myth 2: “Aren’t fillers extremely painful?”

No, fillers are not extremely painful.  In fact, we pride our practice on making every procedure as comfortable as possible. Not only do ALL of our fillers already contain a 1% Lidocaine mixture, but we also apply a strong topical numbing agent prior to injection. Our topical ointment is comprised of Lidocaine, Tetracaine, and Phenylephrine. We apply the ointment to the areas we will be treating and allow it to sit for at least 10-15 minutes to gain the numbing benefits. For most patients this achieves a completely numb experience with little discomfort if not. I also use ice sticks throughout the injection process to help decrease inflammation. Another great product we love is Arnica. Arnica is a homeopathic medication used to temporarily relieve bruising, swelling, and pain associated with tissue injury. I apply it to every filler patient before we finish, and also educate they use the topical form and/or the pill form as they recover. Lastly, I send everyone home with a travel size reusable gel ice pack to use for the next 24- 48 hours. So in fact, fillers are really easy. Most of my patients say “Wow I should have started this a long time ago”.

Retinol Really Works!!!

allyson

HI, I’m Allyson and I am a licensed Aesthetician at Corbett Cosmetic.

I can not emphasize enough just how important it is to be using Retinol, daily. This SINGLE active ingredient can tackle acne, pores, fine lines, wrinkles, skin texture, and skin discolorations. It’s amazing!

Now with all of that being said, it is also important to know the proper way to use retinol. Exfoliation is like exercise. You can’t start out lifting 100lb weights as a beginner, you start with 1-5lb weights. When you initially begin your use of retinol, it’s important to use a lower percentage (such as .25) and introduce the product to your skin slowly (starting with use only every 2-3 days). Almost everyone will better tolerate retinol vs. retinoic acid. The difference is that retinol can be micronized, time released, and buffered to make the continued daily application much easier. Retinoic acid is RX Tretinoin and is not micronized, time released, or buffered. This can cause more skin irritation than retinol.

Despite Retinol’s superstar status is does not eliminate the need for a balanced skincare regimen. This will ultimately give you beautiful, healthy skin that look and acts younger.

Allyson, Licensed Aesthetician

Corbett Cosmetic Aesthetic Surgery and MedSpa

Filler Myths

lyzahHi I’m Lyzah your personal Registered Nurse/ Expert Injector. (More so expert injector than Registered Nurse, I must admit.)  Like if someone needs life-saving medical intervention I’m probably not your girl, BUT if you want a FABULOUS face I’m THE girl. I love love love what I do! Part of that love is helping others look and feel like their best self (which I think go hand in hand).

Originally from Virginia, I attended The University of Kentucky and started my nursing career in dermatologic skin cancer surgery (MOHS) at a practice in Ohio. Basically, our practice specialized in extensive skin cancer treatments of the head and neck. I learned from what I consider to be the best surgeons in the business, and am so glad I had those years of experience. I then moved back to Louisville and worked mostly with general Dermatology before switching to the amazing cosmetic side. Combining all that I have learned over the years is why I think I’m a great artist. I really think this business is about true artistry and getting to know your patients well. I want all of my patients to enjoy coming in to see me, feeling like I give them personal attention at each visit, and MOST of all helping them look and feel their best. Too often I hear about bad experiences and bad results; as a result, patients are often too scared to do anything. This leads to my latest blog topic ‘Myths and misconceptions about fillers’.

Over the past few years Injectable Fillers have dramatically increased in popularity. They are most commonly used to treat fine lines, wrinkles and facial volume loss.  According to the latest statistics from the American Society of Aesthetic Plastic Surgery, cosmetic dermal filler treatments have increased by 8% in the last year alone. What makes them so appealing is their ease of use and noninvasive alternative to surgery with fantastic results. However; as popularity has grown, many myths and misconceptions have also developed.

Myth 1:   “Am I going to look like Joan Rivers, or those crazy celebrities on TV?”

My favorite line I use with my patients is “you are going to look like yourself, only better”. My goal is not only making you look better, but also feeling great about yourself. I don’t ever want anyone to leave our office feeling unnatural or overdone. One way I achieve this is taking the time to discuss with my patients exactly what bothers them, and what outcome they are trying to achieve.  I carefully explain each option and what will work best for them.  In all, fillers can be very natural and easy with the correct techniques and injector.  It’s truly all about catering to each patients needs and what will work best for their lifestyle.

“Do you have to detach my nipple?”

In my 19 years of practice I have heard this question a lot and I always wonder where this information comes from. At our consultations my patients tell me that they heard or usually read when they consulted Dr. Google, that during a breast lift or a breast reduction the nipples have to be removed from the breasts.

This is unequivocally WRONG. Totally False. Untrue!!

I know you are never supposed to use “always” and “never”, but in this case I’m gonna break that rule and then comes my disclaimer. I “never” detach a nipple during a breast lift and I “never” detach a nipple during a breast reduction. I “always” leave them attached. There, I just broke both rules.

Disclaimer time: There actually is a time when we DO have to detach the nipple. The operation is called a Free Nipple Graft, but we ONLY do this when the breasts are EXTREMELY droopy. What does ‘extremely droopy’ mean. Well, get a tape measure and measure from the top of your breast bone diagonally down to the nipple. That distance should ideally be between 19 and 21 cm. For most patients who need a lift or a reduction the number will be more in the 27-30 cm range. It is only when the number exceeds the 41-42 cm mark that we even discuss detaching the nipple. The other measurement to look at is from the crease under the breast back up to the nipple. Lift the breast and place the tape measure at the crease and then measure back up to the nipple. Ideally that number is 5-7 cm. It’s not until 21-23 cm we that we even start to discuss detaching the nipple.

So, for 99% of women considering a lift or a reduction, detaching the nipples isn’t even remotely a consideration. It just never happens. When we see the kind of numbers I mentioned above, then, and only then, do we discuss the need to detach. Stated another way, in 19 years of practice and having done literally thousands of these procedures, I have never, ever detached a nipple that I didn’t plan on detaching from the get go to extreme breast size and extreme droop.

Lee E Corbett, MD

Corbett Cosmetic Aesthetic Surgery and Med Spa

 

What’s a Mommy Makeover?

At Corbett Cosmetic, a Mommy Makeover is one of our most requested operations. A ‘mommy makeover’ is a generic term for some combination of breast procedure and tummy procedure.

The breast portion can be a lift, a reduction, an augmentation, or a lot of times an implant and a lift are combined. This allows me to restore the fullness to the top of the breast and reposition the natural breast tissue so that is doesn’t droop below the crease that is below the breast.

For the tummy portion, we typically will do a tummy tuck with liposuction, but sometimes Liposuction alone is all that is needed. The decision is based on how much loose skin you have, how much your muscles were stretched by the pregnancies, and how much fatty tissue we are dealing with.

These decisions are pretty simple to make after your consultation. It’s really just a matter of you stating your goals and then I can match the operation best suited for your particular problem.

If you are interested just give us a call at (502) 721-0330 or by e mail at [email protected]

Lee E Corbett, MD

Medical Director: Corbett Cosmetic Aesthetic Surgery and Med Spa

 

Chemical Peels

allyson

I love chemical peels!

Chemical Peels are a non-invasive path to improving your skin’s overall appearance. Depending on the concentration and number of peels in your series, you can expect minor to major improvements. Superficial Chemical Peels typically contain alpha and beta hydroxyl acids (glycolic and salicylic acids). Peels can help with fine lines, wrinkles, skin discolorations, skin texture, and blackheads. You may experience some redness, increased skin sensitivity, and yes- FLAKING. Though in about a week, all is replaced by fresh, smooth, new skin. The most important thing to keep in mind is that chemical peels are not anti-aging miracles! You must keep your expectations realistic. All in all, the combination of superficial chemical peels and the right daily skincare routine will help you to achieve healthier, younger looking skin. –  Allyson, Medical Aesthetician

What are my options if I want a cosmetic procedure?

There are fewer options out there than before the credit crisis / recession that hit in ’08, but you still have several ways you can go.

Cash of course is king. Can’t ever go wrong with cash and a lot of offices do offer a discount for those paying cash. Personal checks are fine provided they are received early enough before surgery. Trust me, there isn’t a Plastic Surgery office out there that hasn’t taken a personal check a day or two before a surgery only to have the check bounce and the patient dissappear. Kind of the one bad apple spoiling the barrel thing. Credit cards are fine.

Most offices take them all, Visa, MC, Amex and Discover. In fact, I have a few pateints who have the cash ready but use the credit cards instead to get ther frequent flier miles and pay the balance off when the bill shows up.

Now, the financing world has changed. Before the Fall 2008, my office got a daily barrage of offers to finance our cosmetic surgery patients. Well, those offers have dried up and even some of the bigger nationally known banks, like Captial One, who are still viable, have pulled out of the market. But there is still financing available. In my office, we work with a couple of lenders, like Care Credit, that our patients find to be fair and user friendly. So there are still several options out there. If you want to finance the lenders are a little pickier, but they are still lending!

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery in Louisville, Kentucky.

What are all of those initials I see behind a Plastic Surgeon’s name?

Good question. As a Louisville Plastic Surgeon I am so used to seeing all of them that I mistakenly assume everyone else does too. I figured out most people don’t a few years ago. A patient asked me if I was Board Certified. I was and told her so. Then I asked her if she knew what that even meant. She didn’t, she had just been told to make sure she asked that question.

So here are the explanations of what you might see in a Plastic Surgeons office.

M.D.: This person is a medical doctor.

FACS: This means your surgeon is a Fellow of the American College of Surgeons. In order to be a Fellow you have to be Board Certified in a surgical field and be in good standing within your respective society. You can link to their website by clicking here.

ASPS: This stands for American Society of Plastic Surgeons. This is the mainstream society for most Plastic Surgeons. In order to be a member you must complete a proper Plastic Surgeon residency. At that point you are a Candidate Member. Once the Plastic Surgeon passes his Boards (see my blog on Board Certification), he or she can become an Active Member of the ASPS. You can link to their website by clicking here.

ASAPS: This is the American Society of Aesthetic Plastic Surgeons. This is a subset of the ASPS. The members of this society must be Board Certified Plastic Surgeons whose practices are heavily devoted to cosmetic surgery. You can link to their website by clicking here.

Any society with the words “cosmetic surgery” in its’ title is going to be made up primarily of Dermatologists but can include physicians from any training background who practice cosmetic medicine.

Hopefully this gives you a better understanding of what all those framed diplomas on your surgeons wall mean. If you see one you don’t recognize, ask!

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Dr. Lee Corbett who has practiced cosmetic plastic surgery in Louisville, KY for 11 years.

Do Breast Implants cause Breast Cancer?

No!!!!

I get this question, not infrequently, from patients interested in implants. Typically it is a younger woman whose family member is trying to scare her out of doing the surgery. The answer is a resounding “NO”!

There currently is no link, nor has there ever been any connection between implants and breast cancer, or any kind of cancer. The whole silicone gel investigation never asserted that cancer was a problem. That claim was that the silicone, if it escaped from the implant, would give women one of a long list of connective tissue disorders like fibromyalgia, rheumatoid arthritis, lupus, chronic fatigue to name a few. But, Cancer was NEVER on the list.

Futhermore, when women with Breast Cancer have reconstruction, we use the very same implants to reconstruct their breasts as we use for augmentatin. Obviously we wouldn’t put a cancer causing device in a woman who already has cancer.

Now, on the flip side, there is a recently publised early European study with indicates women with breast implants seem to be getting breast cancer less often than expected. What they did was look at a set number of women with implants and then apply typical cancer rates for the countries(Sweden and Denmark) for all types of cancer. What they found out was that while the other types of cancer were found in the study group at expected percentages, the group had fewer cases of breast cancer than predicted. ( International Journal of Cancer, Volume 124 Issue 2, Pages 490-493)

Now, it is way too early to run around saying that breast implants ward off breast cancer, but as we sit here in 2009 there is zero evidence to link implants to breast cancer.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Louisville plastic surgeon Dr. Lee Corbett. Dr. Corbett specializes in plastic surgery including breast augmentation, breast lifts, breast reductions, and Louisville, Kentucky breast reconstruction.