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    Nipple Surgery

    Author Archives: drlcorbett

    Nipple Surgery

    Posted on August 24, 2009 by drlcorbett

    Louisville, KY: Breast Augmentation and Breast Reduction patients are often interested in downsizing their areolae and on occasion even the nipple itself. Most are surprised to learn both procedures are really quite simple.

    Areolar downsizing is a typical part of Breast Reductions and Breast Lifts. This is done using an instrument called a “cookie cutter”. This is a circle of varying diameters  that has cross hairs. The cross hairs are placed over the nipple, pressure is applied and a perfect circle is made on the skin surface indicating the new, smaller areolar diameter. A ‘normal’ areola size is 42 mm.

    Nipple downsizing is more unusual. This is accomplished by removing the apex of the nipple and closing it to itself. The patients I have encountered who seek this operation have nipples that are about an inch long and are irritated by their bra.

    Both operations, if done as stand alone procedures, are doable under local anesthesia in the office.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    All posts on this blog are presented by Louisville,  Kentucky Breast Augmentation surgeon, Dr. Lee Corbett.

    Sizing for Breast Augmentation.

    Posted on August 13, 2009 by drlcorbett

    Todays topic: Breast Augmentation Louisville, KY.

    Other than implant type, size of implant is of utmost importance as you consider augmentation.

    So, an obvious question most patients have, is how do we figure out what size to use. The answer is we try them on. It’s pretty simple, we have a lot of silicone gel implants here in the office for sizing. We will put a bra size on you that you are aiming for and then stuff your bra with the sample implants. Then we will have you pull on a snug T-shirt and we put you in front of the mirror. We will stuff the bra with different sizes until you find what you like. I will then chime is as to whether the size you have chosen makes sense based on your starting point.

    This isn’t a perfect sizing system, in that a given implant usually looks a little smaller once it is behind the breast than it does when you are trying them on. But knowing this, I will push you to the top of your size ‘comfort zone’.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

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

    Cosmetic Surgery Tax

    Posted on August 10, 2009 by drlcorbett

    Probable tax on cosmetic surgery in the USA

    Tucked away in the volumes of information on the overhaul of the US health and health insurance systems, is a measure to help pay for it all.

    Cosmetic surgery procedures could be subject to a 10% tax. Doesn’t sound a lot does it?  Until you realize that the American cosmetic surgery industry is worth $10.3 billion a year, spent on 12.1 million plastic surgery operations. Despite early fears, all signs are that despite the economy, the number of cosmetic surgery operations is not reducing. Some people cynically suggest that more people are actually having surgery as if you look young you may keep your job.

    Tax deductions are now allowed on reconstructive surgeries such as after a patient has recovered from cancer, and will not be taxed. However non-reconstructive surgeries, the vast majority of operations, would be subject to the new tax. The plan is to cover all procedures that are not currently tax deductible and are not commonly covered under standard health insurance policies.

    Previous attempts to tax cosmetic surgery failed, but they were state taxes, the new one would be a federal one.

    Would it apply to people coming to the USA for cosmetic surgery? This is not certain, but the argument goes something along the lines that if you can afford cosmetic surgery and can afford to travel to the USA, you can easily afford a small tax.

    If it goes ahead, it would encourage Americans to look even more closely at traveling to Canada, the Caribbean or South America for cosmetic surgery.

    As a Louisville, KY Plastic  Surgeon, I certainly hope this tax does not become a reality.
    Lee Corbett, MD
    This blog was copied and pasted from the internet.

    Breast Reconstruction with Implants

    Posted on August 10, 2009 by drlcorbett

    Breast Reconstruction with Implants is one the primary options in 2009.

    The process usually takes at least 2 if not 3 steps to complete over a 6 to 12 month time period. At the first surgery, which usually takes place at the time of the mastectomy, a tissue expander is placed. An expander is a special implant type that has a built in fill port that allows for filling with a needle and a syringe. After surgery, usually starting at about a month out, we access the expander and add saline to it. We do this each week until the volume in the affected breast is similar to the unaffected side. When we reach this point it is time for an exchange.

    At the exchange operation we remove the expander, make necessary adjustments to the implant pocket, and place a permanent implant. At this point, if you choose, we can quit. Often times though a third surgery is chosen so we can adjust the unaffected breast for better symmetry and to re-create a nipple on the affected side.

    Lee Corbett, MD

    www.corbettcosmeticsurgery.com

    Your Rhinoplasty Consultation…take a close look in the mirror.

    Posted on August 4, 2009 by drlcorbett

    If you are considering a Louisville Rhinoplasty, aka a ‘nose job’, my recommendation is for you to take a long look at your nose in the mirror. Make a detailed assessment of exactly what it is you are unhappy with.

    A lot of times patients come in and when I see they are in for their nose I will ask them how I can help. Answers vary but usually are along the lines of  “Just make my nose look good”. This is a red flag answer. What is good? Is my idea of good the same as yours? Do you like the same kind of nose I do?

    So, my first move is to put a mirror in your hand. Then we can go about the business of picking your nose apart, pardon the pun, and making a detailed list of what it is you are unhappy with. With this information, I can develop an operative strategy to address your individual needs. But again, this is all dependent upon you having done a thorough and honest evaluation of what you see as your problems and your subsequent wish list of changes.

    Rhinoplasties are great procedures, but they are very delicate, finesse operations that require an exact evaluation of your nose and its’ ‘problems’. So get in front of that magnifying mirror and get to work. I’ll see you in the office.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    This blog is presented by Louisville Rhinoplasty surgeon, Dr. Lee Corbett.

    Complications after Cosmetic Surgery. Who pays?

    Posted on August 4, 2009 by drlcorbett

    This is one of the tricky areas of Louisville Cosmetic Surgery. Complications like bleeding problems or infection are rare after cosmetic surgery. The risks fall in the range of 1% or less for most procedures like Louisville Breast Augmentations, Louisville Liposuction, or Louisville Rhinoplasty.

    But…the reality is these problems do occur and when they do a trip back to the Operating Room may be necessary. This brings the problem of money into the situation.

    Most insurance companies will not pay for a complication that results directly from cosmetic surgery, like a bleed or infection at the surgical site. This is an issue that  I recommend all potential cosmetic surgery patients strongly consider. Chances are everything will turn out just fine, they almost always do, but someone out there is going to be that “1” when we tell you chances are “1 in a 1000”.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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

    Recurrent Skin Laxity in Massive Weight Loss patients

    Posted on August 3, 2009 by drlcorbett

    Massive weight loss patients are those who have had gastric bypass or lap band surgery. Most lose over 100 pounds and this leaves them with a lot of loose skin. As a result they seek a number of Plastic Surgery procedures like facelifts, brachioplasty, mastopexy, tummy tucks, thigh lifts and body lifts.

    What we as a specialty have noticed is that after these surgeries, recurrent skin laxity is a problem. This brings revisions into consideration which entails additional surgery, fees, and recovery. MWL patients as a group tend to recur much more quickly and severely than ‘typical’ patients undergoing these surgeries. This doesn’t mean you should avoid these procedures, only that you should choose an experienced surgeon and have a good, candid conversation before you decide to proceed.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    Nipple Reductions

    Posted on July 25, 2009 by drlcorbett

    It’s not a very common request but occasionally I see a woman with very long nipples. As long as an inch. Their complaints are usually that they are always visible through their shirt and that they get irritated by the bra, particularly while exercising.

    There is a corrective surgery and it is quite simple. For comfort, I usually do this in the operating room. A lot of times I will do it when women are already having some other breast surgery, like an augmentation, lift or reduction. The surgery only takes about 15-20 minutes. There really is no recovery and the sutures I use do not have to be removed. It is very user friendly and well tolerated.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    The posts on this blog are presented by Louisville, KY Breast Augmenation specialist, Dr. Lee Corbett

    Areolar Downsizing

    Posted on July 25, 2009 by drlcorbett

    The areola is the pigmented skin on the breast that surronds the nipple. It is not uncommon for the areola to enlarge with weight gain and/or pregnancy and some women just have large areola.

    The “normal” areola is about 42mm in diameter or about 2 inches wide. There are a lot of women with areolae larger than this who do not like this appearance.

    This problem can be easily addressed as part of a Breast Augmentation, Breast Lift, Breast Reduction or as a stand alone procedure. What we do is place what is called a cookie cutter over the nipple. This is a metal circle that is 38 to 45 mm in diameter. We center it over the nipple and press down (you are asleep) and then mark the circle. We then make an incision along our mark and a second one along the natural areolar border. The excess areola is then removed and the outer circle is sewn closed to the inner circle. You now have a smaller areola.

    If done alone, this can be performed in the office under local anesthesia. When part of one of the other procedures, it will be done in the O.R.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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

    Facelift Incisions

    Posted on July 25, 2009 by drlcorbett

    Understandably, when patients are considering a facelift, they are concerned about the extent and placement of the scars.

    A traditional facelift includes an incision that starts just above and in front of the ear. The incision comes down in front of the ear and loops around the earlobe to the back. Once there, we keep the incision in the crease behind the ear up to the level of the hairline, and then extend it outward along the hairline. This is your typical, classic incision and most facelifts follow some variation on this pattern.

    In the last few years newer “mini” facelifts have become en vogue. There are a bunch of trade names for these like a “Quick Lift” or Lunch time Lift. These procedures use less incisions. Typically there is a transverse incision that runs just under the sideburn to the front of the ear and once there, it follows the crease in front of the ear down to the earlobe. There is no incision behind the ear with these operations.

    From a scar perspective, these usually heal very well and are inconspicuous. They end up as a thin white line that is very easy to camouflauge with make-up or even your hair.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    All posts on the blog are presented by Louisville Facelift surgeon Dr. Lee Corbett

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