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Lower Eyelids: Surgery vs Filler

Lower Eyelids: Surgery vs Filler

tear troughMore and more we are meeting patients who are dissatisfied with their lower lids. Commonly the complaint is what we call a “tear trough” deformity. It is the result of the shrinkage and descent of the cheek fat pad where the cheek and lower lid meet as is demonstrated in the photo. Many patients present assuming that they need surgery when in reality we can completely correct this problem with the use of Injectible fillers such as Restylane, Juvederm, and Perlane. This treatment is done in the office with topical anesthesia and while a bruise and some mild swelling may result there is no true recovery. If you have any interest or have questions about this procedure please e mail our nurse injector Lyzah at lyzah@corbettcosmeticsurgery.com

Lee E. Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and Medi Spa

We’re Moving!

Corbett Cosmetic Surgery is moving!! Our anticipated move date is around April 1st. Our new location will be in the East Point area in our own building with store front parking. No more parking garage!!

In addition to our existing cosmetic surgery procedures, we will now offer a full menu of non surgical medi-spa services in our state of the art new facility.

We’ll keep you posted as our move date approaches.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

What can I do about my “double chin”?

A ‘double chin’ is a common problem as we age. In my Louisville Plastic Surgery practice I encounter this issue frequently. Usually it is a result of an accumulation of fatty tissue and skin laxity. Sometimes a lack of muscle tone factors in. If it is just a thickening of the fat pad, in office liposuction is an effective treatment with little or no downtime. This only takes about 15 minutes and is done under local anesthesia. If the problem is significant loose skin or muscle laxity a neck lift may be in order. This is typically done in the operating room under anesthesia.

Your Plastic Surgeon should be able to easily tell you which procedure will best suit your needs.

Lee Corbett, MD

CorbettCosmeticSurgery.com

Breast Reductions with Implants

In my Louisville Cosmetic Surgery practice I occasionally have a patient request a breast reduction with an implant placed. This really isn’t possible for a few reasons so I thought I would elaborate. After fielding this request several times, I asked why in the world someone would want to make their breasts smaller via the reduction then put an implant right back in. Seemed counter-intuitive. Well, what the patients were envisioning was having all of their breast tissue shelled out and then the skin tightened around the implant. The ultimate goal being a more firm, perkier breast.

It doesnt really work that way though.

When we do Breast Reductions we leave a central portion of the breast intact with the nipple attached to protect the blood supply to the nipple. Without adequate blood flow, the nipple dies. That is a bad thing. So we cant just shell everything out. If we then elevate the muscle to place an implant in behind, this can compromise the blood supply and result in a disaster. Also, it would be difficult to shape the breast.

Now, I can, after the breast is well healed, perform a breast augmentation behind a previously reduced breast to increase upper pole fullness. This isnt a very common request because the last thing most reduction patients want is to get that weight back on their chest but it has been done.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

Tummy Tucks and Swelling…How long will it last?

As Spring nears I have done several Tummy Tucks the past few weeks and one of the most common questions after surgery is how long the swelling will last. The answer is that some patients will have swelling for as few as 6 weeks but some will have some swelling for 3-6 months. Now, before you get too worried, understand that after these procedures, you will look significantly better immediately swollen or not. These operations produce very dramatic results for most patients and are very popular. The swelling is more of how the tummy feels as opposed to how things look. Patients will report feeling a bit bloated by the end of the day yet they still look flat. The swelling is a result of the tiny veins and lymphatic vessels that are divided as part of the operation. It takes those a while to grow back and until they do some swelling will result. The good thing is, in the end, it always goes away!

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

 

What is the typical recovery after Plastic Surgery?

Recovery after Cosmetic Plastic Surgery varies  significantly, as you might imagine, but there are some general guidelines. In my Louisville Cosmetic Surgery practice, I tell my patients no exercise for two weeks to avoid post operative bleeding. For facial surgery, I ask that they sleep with their head elevated for the first 48 hours. With Breast and Body procedures, past the two week point, most restrictions involve strenuous exercise and heavy lifting, pushing, pulling. As a rule most patients are up and around the day after surgery and are capable of taking care of themselves after the first 48 to 72 hours. With more minor MediSpa procedures like Botox or fillers, there is no downtime.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

Antibiotics and Surgery

As part of my Louisville Plastic Surgery practice, I  recently completed continuing education for maintenance of my Plastic Surgery Board Certification. An interesting fact that many patients find surprising concerns breast augmentation and antibiotics. The lowest rate of infection, and this has been verified by several scientifically sound studies, results from one dose of IV antibiotics an hour before surgery. So, in this case, less is more!

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

New Breast Reduction Rules

In my Louisville Plastic Surgery practice, I see a lot of women with very large breasts seeking a Louisville, KY breast reduction. Unfortunately, it seems the insurance companies are moving away from covering these procedures.

Just recently one of the main insurers in our market added the requirement that the women who complain of upper back pain must have a full evaluation by a spine surgeon AND a complete spine X-ray, CT scan or MRI. I think this is idiotic. They are forcing the patient to waste her time and the spine surgeon’s time. They are wasting money on Dr. visits and very expensive X-rays, not to mention that spine X rays and CT scans expose the patients unnecessarily to a lot of radiation.

So, in classic form, they will gladly cash your premium payment checks but god forbid you try and use your insurance.

I’ll get off my soapbox now.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

If I get Botox in my armpits will it help with excess perspiration?

Easy answer on this one, “Yes”. Botox has been given FDA approval to be used for excessive sweating, or hyperhidrosis.

There are a few things you need to know before you head off to your doctor’s office. First, it takes an entire bottle of Botox to treat both armpits so depending on your doctor’s fee schedule you may be looking at a $900 to $1200 bill. Secondly, your body perspires to cool you off, so if you do not sweat from your armpits you will sweat elsewhere because your body will cool itself off. Nature has made us that way.

Should you decide to have this done the treatments are easy and only take a few minutes. The effects tend to last about 6 months in my experience. I only have a few patients willing to spend this much money but the ones who do are pleased with the results.

Lee Corbett, MD

https://www.corbettcosmeticsurgery.com/

Why do some doctors put implants in through the armpit and others under the breast?

Breast Augmentation can be carried out through a variety of incision sites. The choice of site depends on your preference, your breast shape and size, your nipple size and surgeon preference.

Under the breast is the most commonly used access point. It is very flexible for surgeon, allows any type of implant to be placed, and the scar is well hidden and typically heals quite nicely.

An armpit, or Trans-Axillary, approach has the main advantage of leaving no scar on the breast, but it is very difficult to place a silicone implant through this incision and the implant must go under the muscle. So, this route is normally used for  saline implants to be placed under the muscle.

In Louisville Breast Augmentations are most normally done through the crease under the breast but all routes are used.

Lee Corbett, MD

http://www.corbettcosmeticsurgey.com/