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    What is a Rhinoplasty?

    Author Archives: drlcorbett

    What is a Rhinoplasty?

    Posted on May 18, 2010 by drlcorbett

    NoseA Louisville Rhinoplasty (nose job) is the proper medical term for a “nose job”.

    A Rhinoplasty (nose job) is an operation that can change the entire appearance of your nose or make a very subtle difference noticable to only you and close friends and family. Alterations are made to the upper bony part of the nose. Here we are typically removing a hump or bump. Changes can also be made to the tip of the nose as well. Several things are possibilities here but normally the tip is made smaller, less boxy and thus more feminine.

    Rhinoplasty surgery typically takes place in an Operating Room under anesthesia. I do these both as outpatient and inpatient.

    If you have an interest in the procedure, please let us know!

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    All posts on this blog are courtesy of Louisville Rhinoplasty surgeon, Dr. Lee Corbett

    Breast Implants and the Dentist

    Posted on May 7, 2010 by drlcorbett

    A fairly common question posed after a Louisville Breast Augmentation is should you take antibiotics before dental procedures. The ratinonale is that when the teeth are manipulated, bacteria get in the blood stream and if they find the implant they could result in an infection and loss of the implant.

    In reality, the chances of this happening are very, very low. As a rule I do not put my patient’s on antibiotics before a trip to the dentist but there are exceptions. If the implants were placed within the previous 6 months I think it’s not a bad idea to take a dose before the dental appt. I also recommend them for my patients who have implants for breast cancer reconstruction. These patients may have weakened immune systems and are more prone to infections. In 12 years I have only had 1 patient get an infection after dental work and she was a cancer patient.

    The bottom line is that there are no definitive studies that answer this question. If you have breast implants and are concerned it is best to discuss it with your surgeon.

    Lee Corbett, MD

    Louisville, KY Cosmetic Plastic  Surgeon

    www.CorbettCosmeticSurgery.com

    Drains and Plastic Surgery

    Posted on May 4, 2010 by drlcorbett

    If there is one constant in my Louisville Ky cosmetic surgery practice, it is the dislike of Drains.

    Drains are round or flat tubes that are placed in surgery. They exit through the skin and empty into some form of reservoir. Patients don’t like them at all but they are necessary “evils” following procedures like Louisville Tummy Tucks and Louisville Facelifts.

    During surgery if we elevate the skin, as in a facelift, breast lift, or tummy tuck from the underlying muscles, our body will leak serum into that new space. Serum is basically the watery part of our blood. If there is no method to evacuate that fluid, it will form a collection called a seroma. Seroma can cause a variety of problems and so we do our best to avoid them. Thus,  the drain. The drains are placed and serve as an exit route for the fluid. They stay in after surgery anywhere from 12 hours to a week or two depending  on the procedure. They are typically removed not based on time but on output.

    So, while they are not the most popular part of cosmetic surgery, they do serve a valuable purpose in helping you achieve a great surgical result.

    Lee Corbett, MD
    www.CorbettCosmeticSurgery.com

    A better Restylane??

    Posted on May 4, 2010 by drlcorbett

    It’s been around for a little while, but today in my Louisville, KY plastic surgery office I used Louisville Restylane with Lidocaine for the first time.

    Lidocaine is a common injectible anesthetic that is widely used in surgery. It’s just like what your dentist uses.

    Well, one of the knocks on any filler is that there is a little discomfort associated. When I used the Restylane with Lidocaine today my patient’s reaction was very positive. After the initial stick, she didn’t feel anything!! ( I treated her Naso-Labial folds)

    For the Naso Labial folds I’m a believer! I will have to use it on the lips, which typically require a dental block, to see how good it really is though!

    I’ll keep you posted.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Who is YOUR cosmetic surgeon?

    Posted on April 27, 2010 by drlcorbett

    I just read an interesting article in this months American Society of Plastic  Surgeons  journal. It looked at just exactly who was providing Cosmetic Surgery services in Southern California. Here’s a snapshot of what was found. 

    Doctors providing Liposuction, the second most commonly performed cosmetic surgery in this country, came from a variety training backgrounds, some surgical and some not. The fields include Plastic Surgeons, ENT, Dermatology, Family Practice, Ophthomology, General Surgery, Ob-Gyn, Oral Surgery, ER, Radiology, Pathology, and Urology. The eye opening thing, in my opinion, is that about half of the represented specialties had no formal surgical training in their residencies. They learned Liposuction at weekend courses.

    When you are considering cosmetic surgery, you need to take a close look at your surgeon’s credentials…they may not be what you think they are.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Complications and Fillers

    Posted on April 27, 2010 by drlcorbett

    Injectible fillers in Louisville, such as Louisville Juvederm and Louisville Restylane, are some of the most commonly requested services requested in my Louisville Cosmetic Surgery practice. In the vast majority of cases, the injections are well tolerated with good results and happy patients.

    Fillers have been extensively tested and are very, very safe. Most problems are actually not a result of the filler itself, rather a problem with injection technique.

    Early problems are the most common ones we encounter and include redness and swelling. Bruising can occur if a small blood vessel is injured by the injection. With the exception of fat injections, an allergic reaction can occur with any filler but this is extremely rare with todays fillers.

    Late problems are primarily related to granuloma formation. A granuloma is basically a scar reaction to the injected material. If this occurs it is typically 6 to 24 months after injection.

    Lee Corbett, MD

    Louisville Ky. Plastic Surgeon

    www.CorbettCosmeticSurgery.com

    Combining Cosmetic Procedures

    Posted on April 26, 2010 by drlcorbett

    Here in my Louisville Plastic Surgery office we are seeing our usual “Spring Rush”.  More than ever, it seems like patients are wanting to do more than one operation simultaneously. Common examples are a Louisville facelift with a blepharoplasty or a Louisville Breast Reduction with a Lousiville Tummy Tuck.

    My opinion on combining procedures is based on many factors. First, I look at your overall health status. Secondly, I look at the scope of the procedures we are planning and their physiological impact, and finally we need to consider how much time it will take to get you in and out of the O.R.

    My advice is to come in for a consultation, let me see your “wish list”, then we’ll take a look at your starting point. I can then map out a plan and we can then decide the feasability. Our consultations are complimentary.

    Lee Corbett, MD

    Louisville KY. Cosmetic Plastic Surgeon

    www.CorbettCosmeticSurgery.com

    Liposuction: Ultra Sonic

    Posted on April 6, 2010 by drlcorbett

    Back in about 1996, when I was doing my Plastic Surgery Residency, Ultra Sonic Liposuction was just hitting the scene and was all the rave.

    In this technique, a solid probe is inserted into the fatty area to be treated. Ultra Sound waves are transmitted down the probe and pass into the fatty tissue. The physics are sort of complicated but in the end, the sound waves cause the fat cells to implode by increasing the pressure surronding the fat cell. Thus, the fat is broken down and then can be aspirated more easily using standard liposuction equipment.

    The advantages of Ultrasonic Liposuction are the ability to treat large volumes of fat with minimal blood loss, less bruising, and possible skin retraction. The disadvantages stem from the heat the solid probe generates. The ultrasound waves make the probe extremely hot which necessitates larger incisions to keep from burning the skin edges and if the end of the probe hits the under surface of the skin it can burn a hole in the skin. These issues are not present with typical liposuction.

    Ultrasonic Suction is still used but it’s popularity has declined substantially.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Liposuction: Tumescent Technique

    Posted on April 6, 2010 by drlcorbett

    The “Tumescent Technique” is probably the way most people have heard of  in terms of Louisville Liposuction. This is because  the word “Tumescent” is often used to describe any technique that involves the use of wetting solutions.

    But, this really isn’t accurate. The Tumescent technique of Louisville Liposuction is very specific in that the surgeon will infiltrate 3 to 4 times the amount of wetting solution as he/she plans to suction out. So a planned suction of 1000 cc’s calls for the infiltration of 3 to 4000 cc’s of wetting solution.

    This technique is the preferred one if general anesthesia is not going to be used because it allows for substantially larger amounts of lidocaine to be used. It also keeps the blood loss to about 1% of the volume aspirated.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Liposuction: Superwet Technique

    Posted on April 6, 2010 by drlcorbett

    This is my preferred technique for Louisville Liposuction…the Superwet Technique.

    The super wet technique expands the concept of using the wetting soloutions, which is a mixture of Lactated Ringers, a type of IV fluid, Lidocaine for pain control, and Epinephrine which causes vasoconstriction to minimize blood loss. In this method, I add wetting solution to achieve a 1:1 ratio of infiltrate to aspirate. In other words, if I anticipate suctioning out 2000 cc of fat, I will first infiltrate the area(s) with 2000 cc’s of wetting solution. I then wait and allow the lidocaine and epinephrine to take effect before introducing the liposuction cannula.

    With this method of Louisville Liposuction, blood loss drops to about 1% of the volume of fat removed. So we can suction out 2000 cc’s of fat and only lose 20 cc’s of blood. The typical person has 5600 cc’s of blood in their body so a 20 cc loss in inconsequential. You lose more than this when you have blood drawn for your yearly physical!

    I find this technique very safe and it yields very nice results, at least in my hands.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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