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    Why does the skin sometimes ripple after liposuction?

    Author Archives: drlcorbett

    Why does the skin sometimes ripple after liposuction?

    Posted on August 5, 2011 by drlcorbett

    In my Louisville Liposuction practice, I find this procedure to be often reqeusted, right behind breast augmentation in popularity.

    One known side effect of liposuction is rippling of the skin. Plastic Surgeons refer to this as a contour irregularity. This isn’t very common but it certainly can occur.

    The reason patients experience this problem is twofold. First, if the patient is older and/or has loose skin, when the fat is removed the skin isn’t able to snap back tightly enough and it can leave some ripples. The second reason we see this is if the liposuction cannula is passed just under the skin. Everytime we advance the liposuction cannula a small tunnel is made. As the tissues heal and the tunnels collapse on themselves, if they are just under the skin, the skin can be pulled in which will cause a rippling effect. To combat this we try to stay a bit deeper with the cannula and will cross-hatch the tunnels.

    Are you prone to this problem? The only way to really know is to let your Plastic Surgeon examine the area you are interested in having treated.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    All posts on this blog are provided by Louisville Liposuction doctor, Lee Corbett, MD.

    Do Breast Implants affect Breast Feeding?

    Posted on August 5, 2011 by drlcorbett

    This is a topic that comes up a lot with my younger patients who are considering Breast Augmentation for obvious reasons. The answer “No”, implants have no bearing whatsoever on a woman’s ability to breast feed.

    When an implant is placed it is either under the muscle/breast complex or the breast itself.  But what most patients are confused about is how the space for the implant is made. When I create the pocket for the implant I seperate the undersurface of the breast from the muscle, the entire breast lifts forward, and the implant slides in under it. If the implant is going under the muscle then the breast is basically undistrubed as it and the muscle are lifted and the implant slides behind the muscle.

    Now, where the implant can make a difference is when we talk about incision site. If you choose to have your implant placed through an incision around the nipple, this can definitely affect breast feeding as some milk ducts will be divided. There is little to no milk producing tissue in the crease under the breast so that is a good choice. An armpit incision is also safe to use, though not as commonly chosen.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    Can fat return to an area that has been Liposuctioned?

    Posted on August 3, 2011 by drlcorbett

    I hear a lot of misconceptions about fat deposits after Liposuction. In my Louisville Liposuction practice patients are often concerned that if they have liposuction of one area, another area will get even larger when/if she gains weight.

    Here’s my opinion on this. Fat can return to an area previously liposuctioned if you gain weight. Our bodies are all different and we all store fat in different areas. Some women gain a little weight and it is all in their thighs, others their backside etc… So if you gain a lot of weight and you had your thighs liposuctioned, and your body stores fat in your thighs, they can get bigger.

    Your body will NOT “penalize” you for having liposuction though. If you have your tummy suctioned your butt will not get bigger if you gain weight. Again, we all store fat differently and your body will store fat wherever it wants wether you have had liposuction or not.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    What happens if I have an Implant & Lift surgery and then have another baby?

    Posted on August 3, 2011 by drlcorbett

    This is a great question that I frequently encounter in my Louisville Cosmetic Surgery practice. With the changes that a woman’s breasts experience during pregnancy I would expect some deterioration of your result. How much depends on how much your breasts enlarge with your pregnancies and how much weight you gain.

    The breast implants themselves will remain unchanged. What changes is the benefit we achieved with the breast lift component. If there is significant size change in the breasts the skin will stretch and in all likelihood you will have some degree of skin excess. This could result in a revision of the lift. This isn’t a disaster though. It typically means a small revision with a bit more skin removal.

    My advice to the new patients I meet considering an implant/lift combination is that if they know they are having another baby soon, wait to have the surgery until after the baby comes. If you are unsure or know you are going to wait several years I think it is reasonable to have the surgery but just be aware a small revision might be necessary.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

     

    How old is too old?

    Posted on June 13, 2011 by drlcorbett

    In my Louisville Plastic Surgery practice I am frequently asked “Do you think I am too old to be doing this?”

    I just read an article in this months American Society of Plastic Surgeons journal and they looked at complication rates and age. The procedure they studied was the Facelift.

    What the studied showed was the regardless of the type of facelift, mini or full , first time or re-do, the complication rates were the same for those younger and older than 65.

    The difference maker was how healthy the patient was before surgery. In other words, a 55 year old who is obese, diabetic and has high blood pressure is likely to be more risky to operate on than a 70 year old with no medical problems.

    Chronological age is not as important as physiologic age.

    If you are unsure if you are a good candidate, just ask you surgeon.

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    Breast Expansion and Fat Grafting

    Posted on June 13, 2011 by drlcorbett

    In the Plastic Surgery literature there is a new technique being described to enlarge the female breast. In contrast to traditional Breast Augmentation, no type of implant is used. The breasts are being transiently enlarged using a Brava system, and then fat grafted.

    The Brava system consists of two domes that fit over the breast and create a suction. This expands the breast. Once the breast is expanded fat is suctioned from elsewhere in the body, and grafted to the breast to maintain the size.

    Now before everyone goes running to their favorite Plastic  Surgeons office, because have fat suctioned from you rear and put is your breasts has been joked about for years, please remember that these techniques are new and long term safety has not been established.

    But if this works and the results are safe and reproducible, it will be a very nice alternative.

    Dr. Lee Corbett

    https://www.corbettcosmeticsurgery.com/

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

    Summer Skin Care

    Posted on May 31, 2011 by drlcorbett

    Now at Corbett Cosmetic Surgery, my Louisville Plastic Surgery practice, we are offering several summer MediSpa packages.

    We have Laser Genesis treatments that help reduce redness, pore size and build new collagen to firm the skin. SkinCeutical Peels are available to lighten and brighten your skin. Microdermabrasions are also available to exfoliate dead skin and deeply cleanse the skin.

    If you have any interest in our MediSpa services please give us a call at 502.721.0330

    Lee Corbett, MD

    https://www.corbettcosmeticsurgery.com/

    Breast Augmentation with Fat

    Posted on March 28, 2011 by drlcorbett

    In my Louisville Breast Augmentation practice, like most Louisville Plastic Surgeons, I use either saline or silicone implants. Not infrequently though patients will joke and ask if I can suction fat from their rear and inject it into their breasts.

    The answer is “Yes, we can.” Fat grafting is nothing new in Plastic Surgery. It has been used for years for facial rejuvenation. Recently its use has increased in breast surgery. The problem is if the fat cells don’t survive the transfer they can die, form masses, or even calcify. This can wreak havoc on cancer surveillance and thus the controversy.

    This technology will continue to be evaluated, in the meantime I think it safest to stick with traditional implants until more is known.

    Lee Corbett

    www.CorbettCosmeticSurgery.com

    Brow Lift or Eyelids

    Posted on March 1, 2011 by drlcorbett

    In my Louisville Cosmetic Surgery practice I see a lot of patients considering what we call an upper lid Blepharoplasty. This is an eyelid lift and what it does is remove the excess skin of the upper lid that hoods over the eye lashes.

    The problem is, a lot patients really need a brow lift instead. Anatomically what we refer to as the ‘brow’ is basically your forehead. When the forehead droops it causes the skin of the upper eyelid to droop. So, a lot of the times if you lift the forehead, that will eliminate the ‘excess’ skin on the upper lid. 

    If you upper lids are making you look tired and you have been considering an eyelid lift, maybe it’s not your eyelids after all.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

    Moderate Profile Breast Implants

    Posted on February 13, 2011 by drlcorbett

    In my Louisville Breast Implant practice I frequently encounter the woman with a more normal breast width. As opposed to the very petite woman with very small breasts, this patient may benefit from something other than a high profile implant. This is the patient for whom the Moderate (Allergan) or Moderate Profile Plus ( Mentor)   implants were developed.

    These implants have a a slightly wider base yet still offer a nice amount of projection. This allows me to give you a full appearance while still filling the entire width of the breast. Overall, the implants are shaped such that they give a nice full, yet perky appearance to the breast.

    Implant choice can really only be decided at your consultation.

    Lee Corbett, MD

    www.CorbettCosmeticSurgery.com

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    13125 Eastpoint Park Blvd
    Suite 102
    Louisville, KY 40223

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