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

    Author Archives: drlcorbett

    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

    What all do Plastic Surgeons do?

    Posted on July 25, 2009 by drlcorbett

    Plastic Surgery is a very diverse field.

    Most are familiar with the Cosmetic Surgery component. In Louisville Cosmetic Surgery is very popular. There are reality shows all over cable and articles about the topic in almost every woman’s magazine. But Plastic Surgeons do a lot of other things too.

    Children: Plastic Surgeons deal with a number of issues involving kids. We are the ones who repair cleft lips and palates and skull malformations. We also treat birthmarks.

    Burns: Plastic Surgeons typically man most Burn Units in conjunction with General Surgeons and Critical Care experts.

    Hand: About half of all hand surgeons are Plastic Surgeons, the other half are Orthopedic Surgeons. We treat traumatic and congenital hand problems.

    Head and Neck: Plastic Surgeons treat trauma and cancer affecting the head and neck.

    Soft Tissue Loss: We are also experts at treating significant soft tissue deficits. Usually this is breast reconstruction following cancer, but we also reconstruct defects that occur all over the body that result from Trauma or Cancer.

    Plastic Surgery is a huge field. Most Plastic Surgeons will narrow the scope of their practice simply because it is impossible to do it all.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Recovery after breast augmentation.

    Posted on July 24, 2009 by drlcorbett

    Breast Augmentation is the most common cosmetic surgery performed in the U.S. In Louisville Breast Augmentation is equally as popular. So, I thought it worthwhile to blog on the recovery following the procedure.

    Silicone Implants: Because these are most commonly placed above the muscle, recovery is easier. I advise patients to expect moderate discomfort for the first 48 hours. From day 3 to 7 you should be able to increase your activity level to near normal, exercise excluded. If you have an office position getting back to work after 4 or 5 days is reasonable. Exercise is allowed starting 2 weeks after surgery. Full activity should be reasonable by 1 month.

    Saline Implants: Recovery with saline is a little longer and more difficult because the muscle is involved. Moderate or more pain can be an issue for the first 3 to 5 days and can be accompanied by significant breast swelling. Return to activities of daily living is possible within 24 hours and to a desk job, 7 days is reasonable. Again, I recommend against exercise for 14 days. Full unrestricted activity can resume in the 3 to 6 week zone.

    Remember though that everyone’s pain levels are different. Some women come back and say the operation was a breeze and other that it was as much as childbirth. In all cases, you will be given enough pain medicine and muscle relaxers to maximize your comfort.

    All posts on this blog are presented by Louisville Breast Implant specialist Dr. Lee Corbett.

    What is a hematoma?

    Posted on July 23, 2009 by drlcorbett

    A hematoma is collection of blood that can form after surgery. It usually results when a vessel starts to leak blood after your surgery has been completed.

    Hematomas are not very common, less than 1% in most surgeries and a bit higher with facial surgery. But, they are always a risk whether you are having a Breast Aug, Facelift, or Tummy Tuck. In fact, a hematoma can occur after almost any surgery. If they occur, unfortunately, a second surgery will usually be required to drain the blood.

    When the occur it is almost always within the first 24 hours after surgery. During this time period, at about the 6-8 hour point, your body actually starts to release proteins that break down blood clots to keep you from clotting too much. When this happens, the clot on the end of a tiny blood vessel that was not bleeding during surgery can dissolve and bleeding ensues. This can lead to a hematoma.

    The good news is that in the vast majority of cases, the diagnosis is made quickly, treatment rendered, and in the end your surgical result and health are in good stead!

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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

    After surgery, will I have stitches or do they dissolve?

    Posted on July 23, 2009 by drlcorbett

    Surprisingly, I find that a lot of my patients are more scared about having their stitches removed than having surgery!

    Be it a facelift, breast augmentation or tummy tuck, there are usually a few sutures that need to be removed. Sorry. Here’s why.

    There are absorbable and non-absorbable sutures. Both can be used to re-approximate deep tissues under the skin or the skin itself. More often than not though, we use the non-absorbable kind to close the skin. The reason is that they tend to be a mono-filament, like fishing line. This type of suture elicits less of a scar reaction than a braided suture. Most absorbable ones are braided. So non-absorbable ones make for nicer scars, the goal of every Louisville plastic surgeon.

    What I like to do is use a long lasting absorbable mono-filament suture for skin closure. I put one stitch outside the skin, tie a knot to anchor it, and then run it under the skin surface and when I get to the other end of the incision I tie another knot to secure the stitch. That way, all I have to do is clip the knot on either end the rest will dissolve. Plus, because the suture lasts several months, it continues to add strength to the stitch line to keep the scar from widening. So yes, most of the time I do have to remove sutures but I try to make it as user friendly as possible!

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

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

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