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    A New Trend?

    Author Archives: drlcorbett

    A New Trend?

    Posted on November 30, 2010 by drlcorbett

    Many women seek Louisville Breast Reductions because of chronic neck, shoulder and upper back pain.  Usually these procedures are covered by insurance provided enough weight can be removed from each breast. The amount that needs to be removed is determined by your Body Surface Area (BSA).

    Recently we have had several of these cases turned down by insurance companies because the patient’s BMI ( Body Mass Index) was above 30. At a BMI of 30 one is considered “Obese” which is typically defined as being 20% over ideal body weight.

    I don’t know if BMI will become the new deciding factor as opposed to BSA. We will have to wait and see.

    If you are plagued by large breasts and would like to learn more about Breast Reductions at Corbett Cosmetic Surgery, join us for a complimetary consultation.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    “Life Expectancy” of Plastic Surgery

    Posted on October 29, 2010 by drlcorbett

    Often times in my Louisville Plastic Surgery office I get questions about how long the results of an operation will last. The answer is there really isn’t an answer so here’s how I answer the question.

    Be it a Louisville Facelift, a Louisville Breast Lift or a Louisville Tummy Tuck, all of which are lifting/tightening procedures, some diminution of results is to be expected. The reasons are varied but all are based around the fact that our skin is a living breathing ever-changing tissue. So, with continued aging, health changes, sun exposure things will change. Now, what I also tell my patients is that though the results do fade over time, it isn’t like all of a sudden everything goes to “heck in a handbasket” at a certain point in time. You will always see an improvement vs. doing nothing at all.

    Some patients do come back in 10-20 years for a redo lift, be it face, breast, brow, etc… but many do not.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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

    Replacing Implants

    Posted on October 29, 2010 by drlcorbett

    In my Louisville Breast Implant practice one of the most common misconceptions I encounter deals with breast implant replacement.

    A significant percentage of new patients come in with the belief that they have to get new implants every 10 years. This is 100% false. The failure rate for implants that are 10 years old, silicone and saline, is very low. Exact figures aren’t available for the 10 year point but we do know that at 7 years the failure rate on saline is about 2-3% and at 6 years the failure rate for gel implants is about 1%.

    So it makes no sense that at 10 years we would throw away 98% of the breast implants out there when they are fine. Said another way, “If they ain’t broke, don’t fix ’em.”

    Dr. Lee Corbett

    www.CorbettCosmeticSurgery.com

    Fat Freezing gets FDA approval

    Posted on September 22, 2010 by drlcorbett

    Louisville Liposuction is one of my more commonly performed procedures, but now it appears new technology in on the way that may replace liposuction in selected cases. The process has been used in Europe apparently for some time to treat small fat deposits close to the skin surface. The skin is pinched between cooling plates and the fat pad trapped between the plates is frozen and killed. The dead fat cells then are broken down by the body. The skin, due to its superior blood supply, is able to survive the freezing.

    The treatment is not applicable to deeper fat deposits nor for very large areas. Here Liposuction, a tummy tuck and of course diet and exercise are still the main players.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Nipple Sensation after Surgery

    Posted on September 8, 2010 by drlcorbett

    As a Louisville Plastic Surgeon, a common question from women considering a Louisville Breast Augmentation or from men considering a Louisville Breast Reduction is the issue of nipple sensation after surgery.

    Contrary to what may seem intuitive, an incision at the areolar edge does not lead to long  term nipple sensory loss. This is true for a female breast augmentation or breast lift and a male or female breast reduction.

    The reason that you loose sensation to the nipple area on a permanent basis stems from an injury to the 4th Intercostal Nerve. This nerve lives deep within the breast on the rib cage surface. It is not affected by a skin incision but rather the deeper maneuvers Louisville Plastic Surgeons make to perform your breast surgery.

    Lee Corbett, MD
    www.CorbettCosmeticSurgery.com

    All posts on this blog are presented by Louisville Plastic Surgeon Dr. Lee Corbett

    Dysport and Restylane in the OR

    Posted on August 23, 2010 by drlcorbett

    FYI…If you are planning a Louisville cosmetic surgery in the future don’t forget that we can add in a Louisville Dysport or a Louisville Restylane treatment. And, the best part is you will already be asleep so you won’t feel a thing! It only takes a minute and the facilities do not charge you to have this done if you are in the operating room already.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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

    Your breasts are NOT droopy…

    Posted on July 27, 2010 by drlcorbett

    I’ve heard this complaint thousands of times in my Louisville Cosmetic Surgery office and a lot of the time the breasts are not droopy…technically.

    The fact that the upper part of the breast has lost its fullness with age and babies does NOT constitute droop in Plastic Surgery terms.

    Droop, or Ptosis ( toe-sis)  as we call it, is all based on where the nipple rests in relation to the crease under the breast (Infra-Mammary Fold or IMF). By definition, if your nipple sits above your IMF you do not have ptosis and a breast lift or Mastopexy may not be needed. A Louisville Breast Augmentation will often correct this situation.

    If your nipple sits at or below your IMF you do have ptosis and a Louisville Breast lift will be necessary in most cases.

    Now, a lot of times her nipple is well situated above the IMF but the bottom part of the breast sits below the IMF. We call this pseudo-ptosis and depending on the severity and the size of your breast, this situation may also call for a mastopexy (lift).

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    All posts on this blog are presented by Lousiville Breast Augmentation specialist, Dr. Lee Corbett.

    My Breasts are different sizes…

    Posted on July 27, 2010 by drlcorbett

    In my Louisville Kentucky Cosmetic surgery practice I encounter this complaint frequently. And that is no great surprise becasue every woman’s breasts are uneven.

    When a woman is considering a Louisville Breast Augmentation, I will frequently use different volumes to account for the asymmetry or even different style implants. I tackle the size problem  by using implant sizers. These are trial implants that we place and then fill to different volumes to see what balances things out. They only run $30 or $40 which is a lot better than trialing a $1000 silicone implant only to find its the wrong size!!

    When I do Louisville Breast Lifts or Louisville Breast Reductions, I can simply remove more tissue from the larger breast to balance things out.

    What is more difficult to correct is if the breasts are vertically asymmetric. It is hard to adjust the breast crease a lot so these asymmetries tend to persist. Likewise, if your rib cage is different from side to side, there is very little to do.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    all posts on this blog are presented by Louisville Cosmetic Surgeon, Dr. Lee Corbett

    Your BMI and Surgery

    Posted on July 14, 2010 by drlcorbett

    Often times in my Louisville Plastic Surgery practice I encounter patients who want to know if they need to loose weight before surgery. This is particularly true for those seeking a Louisville Tummy Tuck or Louisville Liposuction.

    Your BMI, or Body Mass Index, is a good tool to use to help answer this question. A normal BMI runs from 18 to 24. Anyone in this category is an acceptable candidate for surgery. Overweight is defined as a BMI of 25 to 29. Patients in this category are also good candidates.

    When the BMI gets above 30, we need to take a closer look. At a BMI of 30 a person is about 35-40 pounds overweight. BMI’s of 30-40 land one in the “obese” category. Folks in this range can safely have surgery, and do everyday, but their medical history becomes more pertinent and they may be better served having surgery in a hospital setting as opposed to an outpatient setting.

    Patients with a BMI above 40, which is about 100 lbs overweight, are typically not the best candidates for elective surgery in my opinion. These cases need to be considered very carefully.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    New Bras

    Posted on June 16, 2010 by drlcorbett

    After a Louisville breast augmentation an obvious question is “When should I get new bras?”.

    It depends. If you had your implants placed under the muscle you will swell more and longer. In this case I recommend waiting at least 4 to 6 weeks.

    If you had your implants placed above the muscle the swelling is less severe and doesnt last nearly as long. For these patients I recommend waiting in the 2 to 4 week range. Same holds true for bathing suits.

    No reason to go spend $50 for a bra or $100 for a bikini only to have it not fit perfectly.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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    Louisville
    13125 Eastpoint Park Blvd
    Suite 102
    Louisville, KY 40223

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