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    Nipple Sensation after Surgery

    Author Archives: drlcorbett

    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

    Dysport Challenge Extended

    Posted on June 8, 2010 by drlcorbett

    Louisville, KY. Dysport is another form of botulinum toxin used to smooth wrinkles. It is the main rival to Botox in the U.S.

    Dysport and Botox work by chemically creating a disconnect between a nerve and a muscle. The analogy I frequently use is that both are much like a child safety cap one would put on a plug. 

    In an effort to gain more market share Dysport has offered a Love it or Leave it challenge. The offer has now been extended through September. This is a great offer for the patients enabling you to save $150 on your next Louisville Dysport or Louisville Botox treatment.

    Call our office for details at 502.721.0330

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    All posts are provided by Louisville Dysport expert Dr. Lee Corbett

    Tanning after Surgery

    Posted on June 3, 2010 by drlcorbett

    In my Louisville Plastic Surgery practice a common question is “When can I tan again?”  It seems like this question is most common after a Louisville Breast Augmentation or a Louisville Tummy Tuck.

    When a surgeon wounds the skin by making an incision, the tanning cells, your melanocytes, are prone to produce pigment along the edges. This is particularly true for darker skin types. That is why some fresh scars are darker than the skin around them. If you get into a tanning bed and expose the wound to more tanning stimulus, it very well may result in your scar becoming hyper-pigmented (very tan).

    My advice is to never get into a tanning bed, but if you are going to at least wait 6 weeks after surgery or keep your incision covered.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    “Mini” procedures

    Posted on May 19, 2010 by drlcorbett

    In my Louisville Plastic Surgery practice there have been a lot of “Mini” procedures hit the Plastic Surgery scene in recent years.

    Mini type procedures are legitimate and do have a place in our anti-aging repetroire. BUT…”Mini” procedures also tend to produce “Mini” results. Most of these procedures are related to Louisville Tummy Tucks and Louisville Facelifts. Conceptually Mini is great. The surgery is less invasive, the recovery shorter and easier, less down time and less cost. Can’t beat that!

    The problem comes when a Mini operation is applied to a patient whose starting point exceeds the capabilities of what the Mini version was intended to handle. So, as appealing as they are, as you go to your consultations and learn about your options, don’t become blinded by the allure of the “Mini”. Remember, Mini procedures were not intended to fix “Maxi” problems. Mini procedures and maxi problems make for unmet expectations and unhappy patients.

    Lee Corbett, MD

    Louisville, KY Cosmetic Plastic Surgeon

    www.CorbettCosmeticSurgery.com

    Going Home after a Tummy Tuck

    Posted on May 18, 2010 by drlcorbett

    After a Louisville Tummy Tuck, the question of an overnight stay vs. going home frequently comes up.

    Reasons to stay: A tummy tuck, aka Abdominoplasty, is a pretty big operation. They typically take 2 or 3 hours or longer. My take on staying is that it provides for good nursing care which translates into pain control and early mobility which helps keep complications at bay. The cost is minimal in the overall scheme of things and a lot of surgeons think it’s safer.

    Reasons to go home: You won’t get woken up all night, you can be in your own bed, and you might simply hate hospitals. It does save a  little money. We give you narcotics and I use pain pumps so a lot of patients don’t feel like they need to stay for pain control reasons.

    In the end, there are no set rules. I let some folks go home and ask others to stay. A recent study published in the Plastic and Reconstructive Journal looked at this question and found that complications were no higher for the patients who went home vs. the ones who stayed overnight.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    all posts on the blog are presented by Louisville Tummy Tuck surgeon, Dr. Lee Corbett

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