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My Breasts are different sizes…

Tag Archives: breast augmentation

In my Louisville Kentucky Cosmetic surgery practice I encounter this complaint frequently. And that is no great surprise becasue every woman’s breasts are uneven.

When a woman is considering a Louisville Breast Augmentation, I will frequently use different volumes to account for the asymmetry or even different style implants. I tackle the size problem  by using implant sizers. These are trial implants that we place and then fill to different volumes to see what balances things out. They only run $30 or $40 which is a lot better than trialing a $1000 silicone implant only to find its the wrong size!!

When I do Louisville Breast Lifts or Louisville Breast Reductions, I can simply remove more tissue from the larger breast to balance things out.

What is more difficult to correct is if the breasts are vertically asymmetric. It is hard to adjust the breast crease a lot so these asymmetries tend to persist. Likewise, if your rib cage is different from side to side, there is very little to do.

Lee Corbett, MD

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

In my Louisville Plastic Surgery practice a common question is “When can I tan again?”  It seems like this question is most common after a Louisville Breast Augmentation or a Louisville Tummy Tuck.

When a surgeon wounds the skin by making an incision, the tanning cells, your melanocytes, are prone to produce pigment along the edges. This is particularly true for darker skin types. That is why some fresh scars are darker than the skin around them. If you get into a tanning bed and expose the wound to more tanning stimulus, it very well may result in your scar becoming hyper-pigmented (very tan).

My advice is to never get into a tanning bed, but if you are going to at least wait 6 weeks after surgery or keep your incision covered.

Lee Corbett, MD

I blogged about his topic a few days ago but I wanted to stress how much easier the keller funnel makes Louisville  breast augmentations.

The funnel looks like the bags used to apply icing to cakes. The way it works is I am able to drop the silicone implant into the funnel, place the smaller opening of the funnel thru the incision into the implant pocket. Then I just squeeze and the implant goes in. This keeps it from touching the skin and getting contaminated. Skin bacteria are thought to be one of the causes of scar capsule formation. Thus, the hope is that using the funnels will help reduce capsular contracture rates.

Lee Corbett, MD

When I meet a new patient considering a Louisville Breast Augmentation, a Louisville Breast Lift or a Louisville Breast Reduction they often share a common misconception. That is, after one of the aforementioned procedures, their breast tissue will change. This isn’t the case.

After an augmentation the breast will be larger. The upper volume will be restored. Droop can be corrected. BUT…the breast tissue that sits on top of the implant is still the same breast tissue you started with. It will not become firmer. The skin will not change. Stretch marks will not go away etc…

The same is true for a reduction or lift. These are great operations because they work! But, again, the nature and consistency of the breast tissue itself is unchanged.

Lee Corbett, MD

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

A new product is making Louisville Breast Augmenations easier. The Keller Funnels is a new product that allows silicone implants to be placed more quickly and easily. The implant is placed in the funnel using a “no-touch” technique, the neck of the funnel is placed thru the incision into the implant pocket, and the  implant is then squeezed thru the funnel. This allows placement of the implant without any contact with the skin.

To my knowledge I am the only Louisville Plastic Surgeon using this new technique.

Lee Corbett, MD

When doing a Louisville Breast Augmentation using a Louisville breast implant, usually silicone, there is a new insertion technique.

A new device called a Keller Funnel now enables us to do a Louisville breast augmentation more easily. The implant is placed in the funnel, the neck of the funnel is placed thru the incision into the breast. The implant is then squeezed thru the funnel into place.

This allows the implant to be placed without being touched or touching the skin which minimizes infection and capsular contracture.

Lee Corbett, MD

When I see new patients considering Louisville KY Breast Augmentation, a frequent concern is them breaking from a mammogram.

Mammograms are not going to break an implant. These implants are tough. They are not intended to be placed and then for you to go stand in the corner and look nice. They are good, durable products.

My two sons, ages 10 & 13, use my sample implants and sling them at each other when I drag them to the office on weekends. (Implant wars are much more fun than waiting for me and acting right!) They can throw pretty hard and the implants more often than not smack up against the wall. They never break. This is an odd example with my point being go get the mammogram.

The potential risk of injury to your implant is far outweighed by the benefits of the mammogram.

Lee Corbett, MD

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

An attorney friend of mine called today because a person called his office and wanted to sue a Plastic Surgeon who used different sized implants for her augmentation.

Using different sized gel implants or inflating saline implants to different volumes is very common and not malpractice.

When I do a Louisville, KY breast augmentation , I would estimate that I use different volumes about 75% of the time. A lot of people are surprised to hear this but it shouldn’t come as too big of shock. Our right side and our left sides are different. One arm is longer, one foot bigger etc… and the same holds true for a woman’s breasts. To compensate for this we use different sized and shaped implants.

This isn’t malpractice, it’s a neccessity.

Lee Corbett, MD

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

Symmastia is a condition where the breast implants have displaced beyond the midline and meet in the middle of your chest. In other words, the pockets that hold the right and left breast implants communicate. It gives you the look of having one large breast.

This is an uncommon, but known problem after breast augmentation. The fix requires surgery and can be very difficult to correct. The problem can occur with either saline or silicone implants placed above or below the muscle.

If you think you have this problem you are welcome to call our office at 502.721.0330 to schedule a complimentary consultation.

Lee Corbett, MD

As a Louisville, KY Breast Augmentation surgeon, I am frequently asked when implants need to be replaced. My answer is…”If they ain’t broke, don’t fix ’em.”

The only absolute indication for replacement is deflation.

Other relative indications are weight changes and breast changes resulting from pregnancy and aging. A lot of times I will meet with a patient who has implants that are twenty-soemthing years old, she has had a few kids, and has added a few pounds over the years. The actual implant is usually fine, but the appearance of the breast, particularly out of the bra, may not be. Often, due to weight gain, the original implants are making the breast too large. Another common problem is that the breast is now drooping off the implant and a lift is in order.

So the answer to the question is that implants only need to be exchanged if they have failed or if you are unhappy with your breast’s appearance.

Lee Corbett, MD

All posts on this blog are presetned by Louisville, KY Plastic Surgeon, Lee Corbett.