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    On Line Beauty Treatments…Buyer Beware!

    Author Archives: drlcorbett

    On Line Beauty Treatments…Buyer Beware!

    Posted on July 6, 2009 by drlcorbett

    Please be careful when you buy beauty treatments on line.

    Case in point. Today I saw a patient for an Internist friend of mine. The patient thought she had burned her face using a chemical peel kit a friend bought off the internet.

    Chemical peels are great. The one she used was mainstream stuff and perfectly fine…but it was the perfectly wrong peel for her to use based on her skin type.

    Prescription strength MediSpa treatments are potent products. Assuming you actually get what is advertised, these products need to be used by someone who has knowledge and experience! Otherwise, you very well may get a result you didn’t bargain for! Worse case scenario is the product is bogus and then who knows what you can end up with.

    It’s your FACE! Spend a few dollars more and get your facials, botox, lasers etc…from someone you know and trust! It’s worth the extra.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com 

    All posts on this blog are prensented by Louisville Skin Care physician, Dr. Lee Corbett

    I had Breast Augmentation last week. The sides feel different. Is something wrong?

    Posted on July 6, 2009 by drlcorbett

    This phone call comes into our office every day after Louisville Breast Augmentation, so I wanted to address it. The answer is there is probably nothing wrong. This can be totally normal.

    Each breast has it’s own nerve supply and it’s own blood supply coming to it. The nerves come off each side of your spinal cord. They travel along with your ribs and as they do, they shoot off branches into your soft tissues. As the nerves come around under you arm they send off branches into your breast. Well, when we are making the pocket for your implant to live, we can irritate the nerves. That is why the side of the breast can get do tender.

    Because each side has its own nerve supply, one side can be more sore than the other. It’s that simple.

    If you have this problem, I recommend massage, non-steroidals (ibuprofen) and sometimes heat can help. The good thing is that it will go away and should get a little better each day.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

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

    Can I breast feed after a Reduction?

    Posted on July 6, 2009 by drlcorbett

    There is no doubt that having a Louisville Breast Reduction will affect future breast feeding.

    When we do a breast reduction, the breast is truly ‘dis-assembled’. Typically a segment of the breast which supports the blood supply to nipple remains undisturbed. This segment we call the ‘pedicle’. The tissue around the pedicle is then removed to effect the reduction. When we do this the milk duct system is disrupted to some degree and this is the problem. The breast that we leave behind will still make milk after the pregnancy, but the question is will it make it to the nipple to feed the baby.

    I have read studies that reported interference with breast feeding running as high as 80% after a reduction. This is what I quote my patients when they consult. If breast feeding is really important to you, you may want to wait until after you have had all your kids.

    Lee Corbett, MD
    www.CorbettCosmeticSurgery.com

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

    Ear Gauges. They CAN be removed and the ear repaired.

    Posted on July 4, 2009 by drlcorbett

    Earlobe Guages are not uncommon in the late teen and early 20 age categories. The problem is, as this age group starts to leave school and enter the business world, law enforcement, or military, the guages need to go and the earlobe is left fairly deformed.

    Repair for smaller guages is pretty easy. I can treat those like a typical split earlobe. The repair is done in the office, under local anesthesia, in 10-15 minutes. The stitches come out in a week and your problem is gone.

    Some larger guages, those in the 1-2″ category are a bigger challenge. These repairs are trickier and I find they are best carried out in an O.R. Because the problem is more complex, the repair can take 30-40 minutes per side, anesthesia is more of an issue, and because we are in an OR, the cost is much higher. A normal lobe contour is also harder to achieve because in some cases the lobe is so stretched and the anatomy so distorted, normal becomes a stretch. But, the repair can be done and though “perfect” may not be feasible, a near-normal lobe shape is a reasonable expectation.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    502.721.0330

    My earlobe is split & I can’t wear earrings. Help!

    Posted on July 4, 2009 by drlcorbett

    This is actually a pretty common problem. I have fixed a lot of Louisville split earlobes in my time.

    Typically, the patients are women in their late 30’s and 40’s. The reason is the big heavy earrings that were so popular in the 80’s you wore. Over time, the weight of the earring pulled the post downward and the piercing becomes a split.

    This is a very easy problem to correct. I can do it in the office under local anesthesia and it only takes about 10 minutes per earlobe. It isn’t terribly expensive either, ranging from $200 to $300.

    What we do is get the lobe numb, and then remove the skin that lines the split. Then I just sew it up with a few sutures and that’s it. We take the sutures out in a week.

    My recommendation is to wait about 3 months before you re-pierce. In the interim, clip on earrings are allowed.

    Lee Corbett, MD

    www.corbettcosmeticsurgery.com

    502.721.0330

    Why do they call it Plastic Surgery?

    Posted on July 4, 2009 by drlcorbett

    This is a pretty good question. A lot of people think as Plastic Surgeons we use plastic in our operations. Now we do use a lot of prosthetics like chin implants, cheek implants, titanium plates and screws, breast implants and many more. Thing is, none of these are made of plastic.

    The specialty got it’s name from the etymology of the word Plastic.

    The first known defintion of the word dates back to 1632,  and it meant “capable of shaping or molding,” from the latin word plasticus, and from the Greek word plastikos “able to be molded, pertaining to molding,” from plastos “molded,” from plassein “to mold” (see plasma). The Surgical sense of “remedying a deficiency of structure” is first recorded 1839.

    I thought this was a good nerdly bit of Plastic Surgery trivia you might enjoy.

    Lee Corbett, MD

    www.CorbettCosmeticSugery.com

    502.721.0330

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

    Before and After Pictures…use them wisely.

    Posted on July 4, 2009 by drlcorbett

    I have dozens of them on my website. Most every plastic surgeon does. There are Breast Augmentation sites all over the internet that have huge galleries of before/ after augmentations.

    They serve a valuable purpose. I think they allow the prospective patient a glimpse at what their prospective surgeon produces, they show what implants look like, and the allow you to see how the different types of implants look.

    BUT…be careful trying to use them to answer your most important question…”How am I going to look?

    The first problem that I encounter when women bring in after pictures is that they don’t take into account the starting point they see in the photo vs. theirs. For instance, if you are 38 and have had 3 kids and breastfed, your tissues are not going to be the same as a 24 year old who has never been pregnant. You may be the same height, same weight, same starting bra size, but your breast is just different. So, your result will probably be different.

    The other main issue is size. I can put the very same type and size implant in two women who on paper are identical, only to have them look totally different from a size perspective. Why? Because the width of your chest, the base width of your breast, the amount of skin laxity you have all factor in. Plus, your band size has to be taken into account. A C cup on a 34 bra is smaller than a C cup on a 36 or 38 band bra. Why? Because a woman with a 38 band has a bigger torso than a 34 band woman, so it takes more breast to make a C cup on her than it does on the 34 band woman.

    My advice is to use the galleries as a guideline for size and appearance. If you print out a picture and tell your Plastic Surgeon you want to look exactly like this photo, he or she will probably hesitate. Look at lots of photos and develop a size range and then see how your surgeon thinks this will work for you.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

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

    Help, I’ve got Cellulite!

    Posted on July 3, 2009 by drlcorbett

    Well, you’re not alone, that’s the good news. The bad news is that if you’ve got it, you’re stuck with some degree of it.

    Cellulite, most typically found on the thighs, results from ligamentous attachments that span from the skin undersurface down to underlying muscle or bone. Basically, the attachments are tether points and are immobile. As the skin around these points looses a little of its’ elasticity and we add weight, the skin stretches out except at the fixed point. The result…a dimple. Cute on your baby’s face, not on your thighs!

    The problem with getting rid of cellulite is that it represents normal anatomy coupled with a little skin laxity we all experience with age, pregnancy, and weight gain. So, you really can’t get rid of it.

    You can watch your weitht and avoid significant swings in your weight. But lifting weights or running to tone your leg muscles will not help cellulite.

    There are a lot of lasers and medispa treatments, like endermologie, which claim to help. I can’t say that these don’t work because I have not used most of whats out there, but be very cautious before spending a lot of money. Likewise, Liposuction is not an answer. It may help or it may not. It may even make it worse if the skin is really lax.

    If there was a sure-fire treatment, trust me, every Plastic Surgeon in the world would be all over it!

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    502.721.0330

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

    Size change operations for Men.

    Posted on July 3, 2009 by drlcorbett

    Two or three times a month my office will get a call from a male patient inquiring about increasing his size. There are options out there for this situation but none of them are very good.

    First, I don’t do any of these operations / procedures. If they are done, it is typically done by a Urologist.

    The only surgical operation I am aware of is to cut the suspensory ligaments that anchor the base of the  penis to the pubic bone. This will typically add length but may affect the ability of the penis to rise with erection. The length gains are limited, an inch or so.

    To increase diameter, or thickness, several things have been tried. Fat injections have been used, more recently Hyaluronic Acid fillers (Juvederm & Restylane) have been used, and even Alloderm (cadaver dermal grafts) have been used. Fat can cause scarring and leave the shaft with lumpy or even bent. The HA fillers will go away in a year and re-injection will be necessary. The Alloderm grafts require the penis to be degloved (skinned), the grafts placed and the skin repoistioned.

    The bottom line is that these procedures are all associated with some significant potential side effects and you should think very, very carefully before you have any of these procedures.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

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

    What is a “Liquid Face Lift”?

    Posted on July 2, 2009 by drlcorbett

    The study and analysis of facial aging is ongoing in the world of Plastic Surgery. One of the realizations that we have made is that as the face ages, it loses volume. This is where the “liquid face lift” comes into the picture.

    In the last few years there has been an increasing number of Hyaluronic Acid (HA) fillers hitting the market, the most commonly known ones being Juvederm and Restylane. These fillers are long lasting (over 1 year) and effectively re-establish facial volume.

    The new fillers can be used to camoflauge the signs of facial aging. Typical placement spots include: the groove between the lower lid and upper cheek,  just under the cheek bone, the groove between the cheek and the upper lip, around the mouth, and along the jaw line. When all of this is done in combination, it can offer significant facial rejuvenation, thus a liquid face lift.

    In Louisville, KY facelift surgery is a popular option for many. For a lot of others though, the thought of surgery is just not appealing. But remember, a facelift is a facelift and will always produce more dramatic results than fillers. So you need to be very clear with your doctor about your goals. But for those not interested in surgery, using fillers is now a very nice option we didn’t really have just 5 years ago.

    Lee  Corbett, MD

    www.CorbettCosmeticSurgery.com

    502.721.0330

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    13125 Eastpoint Park Blvd
    Suite 102
    Louisville, KY 40223

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