Driving after Surgery

A common question patients have when they are planning their cosmetic procedure is when can they drive after surgery.

The answer is that you can drive when you are off of your pain medicine AND when you are reasonably able to react to normal driving situations. If you drive while taking a narcotic, and are pulled over for poor/erratic driving, you very well may get a DUI. While it is perfectly legal for you to have the narcotic pain medicine as they were prescribed for you, it is not legal to drive impaired, be it pain medicine or alcohol. You simply cant drive impaired.

The other factor is your ability to react normally. For instance, if you are too sore to rotate and look over your shoulder, you probably shouldn’t drive. This is more of a common sense issue/decision that you need to make yourself.

I hope this short blog helps as you plan for your cosmetic surgery procedure.

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and Med Spa

Your Weight and Cosmetic Surgery

A common question that I hear when new patients are considering a cosmetic procedure, particularly liposuction or a tummy tuck, is “Should I lose weight first?”

My answer is that you should be within about 10 to 15 pounds of your goal weight at the time of surgery. Mind you “goal weight” is not the same as ideal body weight. Ideal body weight is a weight range that you will find on Body Mass Index charts. However, for a variety of reasons ideal body weight isn’t attainable , and honestly a lot of people feel more comfortable / think they look their best at a weight that is outside of this range. I call this your “goal weight” and I want you close to that number at the time of surgery.

The reason it’s ok to proceed with 10 pounds left to go is because as you lose weight it doesn’t all come off of one body part. There is no such thing as targeted or spot weight loss. Doing crunches doesn’t melt the fat on your tummy, it makes your abs stronger. Doing lunges doesn’t make your thighs smaller, it makes them stronger. When you lose weight you lose it all over your body. So 10 pounds isn’t really going to affect the  outcome. So, if you are more than 10 -15 lbs above your goal weight, it’s best to work on that before surgery.

Every plastic surgeon will have some guidelines on your weight, there are no hard and fast rules on this. But, most of my colleagues tend to agree on the 10-15 pound zone.

I hope this helps those of you who are contemplating cosmetic surgery prepare appropriately.

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and Med Spa

 

Are fillers extremely painful?

lyzahLyzah, Registered Nurse

Myth 2: “Aren’t fillers extremely painful?”

No, fillers are not extremely painful.  In fact, we pride our practice on making every procedure as comfortable as possible. Not only do ALL of our fillers already contain a 1% Lidocaine mixture, but we also apply a strong topical numbing agent prior to injection. Our topical ointment is comprised of Lidocaine, Tetracaine, and Phenylephrine. We apply the ointment to the areas we will be treating and allow it to sit for at least 10-15 minutes to gain the numbing benefits. For most patients this achieves a completely numb experience with little discomfort if not. I also use ice sticks throughout the injection process to help decrease inflammation. Another great product we love is Arnica. Arnica is a homeopathic medication used to temporarily relieve bruising, swelling, and pain associated with tissue injury. I apply it to every filler patient before we finish, and also educate they use the topical form and/or the pill form as they recover. Lastly, I send everyone home with a travel size reusable gel ice pack to use for the next 24- 48 hours. So in fact, fillers are really easy. Most of my patients say “Wow I should have started this a long time ago”.

Toxins and Fillers and the Holidays! Plan Accordingly…

It’s Holiday party season, are you ready?

This time of year we see a rush of patients refreshing their Dypsort/Botox and Filler to look their best in time for all of the Holiday parties. So, for those who are new to the game, I wanted to help you plan your treatments.

Botox/Dysport are so commonly used today that this may be unnecessary, but these are used to soften lines on the forehead, between the eyes and on the sides of the eyes (crow’s feet). The treatments themselves really only take a minute or two. Small amounts are strategically injected to soften and smooth out unwanted wrinkles and lines. But, because of the injection itself, you can get a bruise or a little swelling. Also, neither product works immediately. Dysport works more quickly but you wont see its full effect for about 4 or 5 days. So I would recommend treating about a week before your event.

The fillers, Restylane and Juvederm are the most widely used, are used to plump. They are commonly used on tear troughs, cheeks, nasolabial folds, and lips. Now, the effects of the filler are immediate, but again you can get a bruise and everyone gets some amount of swelling with fillers. So, again I would recommend you treat about 1 week before your event.

I hope this information helps you plan. Be sure to check our website at www.corbettcosemticsurgery.com for our Holiday specials!

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and Med Spa

Retinol Really Works!!!

allyson

HI, I’m Allyson and I am a licensed Aesthetician at Corbett Cosmetic.

I can not emphasize enough just how important it is to be using Retinol, daily. This SINGLE active ingredient can tackle acne, pores, fine lines, wrinkles, skin texture, and skin discolorations. It’s amazing!

Now with all of that being said, it is also important to know the proper way to use retinol. Exfoliation is like exercise. You can’t start out lifting 100lb weights as a beginner, you start with 1-5lb weights. When you initially begin your use of retinol, it’s important to use a lower percentage (such as .25) and introduce the product to your skin slowly (starting with use only every 2-3 days). Almost everyone will better tolerate retinol vs. retinoic acid. The difference is that retinol can be micronized, time released, and buffered to make the continued daily application much easier. Retinoic acid is RX Tretinoin and is not micronized, time released, or buffered. This can cause more skin irritation than retinol.

Despite Retinol’s superstar status is does not eliminate the need for a balanced skincare regimen. This will ultimately give you beautiful, healthy skin that look and acts younger.

Allyson, Licensed Aesthetician

Corbett Cosmetic Aesthetic Surgery and MedSpa

Filler Myths

lyzahHi I’m Lyzah your personal Registered Nurse/ Expert Injector. (More so expert injector than Registered Nurse, I must admit.)  Like if someone needs life-saving medical intervention I’m probably not your girl, BUT if you want a FABULOUS face I’m THE girl. I love love love what I do! Part of that love is helping others look and feel like their best self (which I think go hand in hand).

Originally from Virginia, I attended The University of Kentucky and started my nursing career in dermatologic skin cancer surgery (MOHS) at a practice in Ohio. Basically, our practice specialized in extensive skin cancer treatments of the head and neck. I learned from what I consider to be the best surgeons in the business, and am so glad I had those years of experience. I then moved back to Louisville and worked mostly with general Dermatology before switching to the amazing cosmetic side. Combining all that I have learned over the years is why I think I’m a great artist. I really think this business is about true artistry and getting to know your patients well. I want all of my patients to enjoy coming in to see me, feeling like I give them personal attention at each visit, and MOST of all helping them look and feel their best. Too often I hear about bad experiences and bad results; as a result, patients are often too scared to do anything. This leads to my latest blog topic ‘Myths and misconceptions about fillers’.

Over the past few years Injectable Fillers have dramatically increased in popularity. They are most commonly used to treat fine lines, wrinkles and facial volume loss.  According to the latest statistics from the American Society of Aesthetic Plastic Surgery, cosmetic dermal filler treatments have increased by 8% in the last year alone. What makes them so appealing is their ease of use and noninvasive alternative to surgery with fantastic results. However; as popularity has grown, many myths and misconceptions have also developed.

Myth 1:   “Am I going to look like Joan Rivers, or those crazy celebrities on TV?”

My favorite line I use with my patients is “you are going to look like yourself, only better”. My goal is not only making you look better, but also feeling great about yourself. I don’t ever want anyone to leave our office feeling unnatural or overdone. One way I achieve this is taking the time to discuss with my patients exactly what bothers them, and what outcome they are trying to achieve.  I carefully explain each option and what will work best for them.  In all, fillers can be very natural and easy with the correct techniques and injector.  It’s truly all about catering to each patients needs and what will work best for their lifestyle.

Do I have to stay in the hospital after Surgery?

This is obviously a pretty common question patients have when they are considering cosmetic surgery. The answer is “probably not” in most all cases. Let me explain.

As the surgeon, when I make that decision, I am factoring in many issues. The time under anesthesia, the scope of the procedure, anticipated level of post op pain, and your co-existing medical problems all are considered to maximize patient safety. Let’s look at each of these factors individually and I’ll elaborate.

Time of under anesthesia: Most of the operations I do are pretty short. An hour or two, if we combine procedures 3-4 hrs. A long procedure would be one lasting say 6 hours or more. A healthy person can easily tolerate an hour or two of anesthesia and go home after. Examples of popular surgeries that fall into this category include Breast Augmentation, Breast Lift, Breast Reduction, Blephaorplasty, Facelift, Necklift, Liposuction, and a Tummy Tuck. These cases are commonly done as out patient procedures. When patients opt to have several things done at once, the time in the OR can get longer. Once OR times pass the 6 or 7 hour mark chances of complications can go up. In those cases it makes sense to keep the patient overnight for monitoring. It’s ok to go past 6 hours, I’m not saying that, but those patients may have needs that first night that are best handled with good nursing care.

Scope of procedure: A lot of times patients are surprised I will do 4 or 5 different surgeries in one setting. It’s not the number of procedures so much as it is the time they will all take and the scope of the procedures. For instance, the impact of the combination of a blepharoplasty, liposuction under the chin, and a breast lift on your system is less than if you have a lot of liposuction. The recovery from the eyelids, a small area of lipo and a breast lift are fairly benign while high volume lipo ( > 5 liters) can result in fluid shifts where we need nursing care to monitor IV fluids and urine output. Likewise I can lipo 4 or 5 areas on a patient who has small localized problems areas removing a total of 1-2 liters of fat and safely send that person home. Conversely, I might keep a person who is heavier and we are treating just one area, like the front of the abdomen and flanks but here we might be removing 4 or 5 liters of fat. Those are two completely different operations in regards to their impact on your system the night of surgery.

Post of pain: Some surgeries just hurt more than others, it’s that simple. A great example is a thigh lift. These leave the patient uncomfortable and they often do better staying over night. It’s not that the surgery is all that long, usually 2-3 hours, or anything like a big lipo case or an extended tummy tuck case like we see with patients who have had lap bands with weight loss in excess of 100 lbs. It’s just that the patient may need more than pain pills to be comfortable.

Medical Problems: In general, if a patient is unhealthy, I wont operate on them. Why take the risk of having a problem for what after all is an elective procedure. But I do see a lot of patients with well controlled diabetes, or high blood pressure or asthma who seek cosmetic surgery. These patients are very good candidates for surgery, but sometimes they need a little monitoring after surgery. The diabetic patient is the perfect example. We don’t let you eat after midnight, then we do surgery, and sometimes patients are nauseated and don’t feel like eating. So how much insulin they need can require more checks and monitoring. It’s not a big deal or hard to do, but it needs to be done and the overnight stay and good nursing care solves the problem.

So in summary, I’d say that 99% of my surgeries are done as outpatient because I am operating on healthy people and rarely combine things that will take more than 3 or 4 hours. Now, I might ask you to come to the office the day after for a check (I do this with some of my face lift patients) but you can still go home. And in the end, if you do need or want to stay, the hospitals only charge around $250 for the night, so it’s very reasonable.

Hope this helps

Lee Corbett, MD

Corbett Cosmetic Aesthetic Surgery and Med Spa

“Do you have to detach my nipple?”

In my 19 years of practice I have heard this question a lot and I always wonder where this information comes from. At our consultations my patients tell me that they heard or usually read when they consulted Dr. Google, that during a breast lift or a breast reduction the nipples have to be removed from the breasts.

This is unequivocally WRONG. Totally False. Untrue!!

I know you are never supposed to use “always” and “never”, but in this case I’m gonna break that rule and then comes my disclaimer. I “never” detach a nipple during a breast lift and I “never” detach a nipple during a breast reduction. I “always” leave them attached. There, I just broke both rules.

Disclaimer time: There actually is a time when we DO have to detach the nipple. The operation is called a Free Nipple Graft, but we ONLY do this when the breasts are EXTREMELY droopy. What does ‘extremely droopy’ mean. Well, get a tape measure and measure from the top of your breast bone diagonally down to the nipple. That distance should ideally be between 19 and 21 cm. For most patients who need a lift or a reduction the number will be more in the 27-30 cm range. It is only when the number exceeds the 41-42 cm mark that we even discuss detaching the nipple. The other measurement to look at is from the crease under the breast back up to the nipple. Lift the breast and place the tape measure at the crease and then measure back up to the nipple. Ideally that number is 5-7 cm. It’s not until 21-23 cm we that we even start to discuss detaching the nipple.

So, for 99% of women considering a lift or a reduction, detaching the nipples isn’t even remotely a consideration. It just never happens. When we see the kind of numbers I mentioned above, then, and only then, do we discuss the need to detach. Stated another way, in 19 years of practice and having done literally thousands of these procedures, I have never, ever detached a nipple that I didn’t plan on detaching from the get go to extreme breast size and extreme droop.

Lee E Corbett, MD

Corbett Cosmetic Aesthetic Surgery and Med Spa

 

What’s a Mommy Makeover?

At Corbett Cosmetic, a Mommy Makeover is one of our most requested operations. A ‘mommy makeover’ is a generic term for some combination of breast procedure and tummy procedure.

The breast portion can be a lift, a reduction, an augmentation, or a lot of times an implant and a lift are combined. This allows me to restore the fullness to the top of the breast and reposition the natural breast tissue so that is doesn’t droop below the crease that is below the breast.

For the tummy portion, we typically will do a tummy tuck with liposuction, but sometimes Liposuction alone is all that is needed. The decision is based on how much loose skin you have, how much your muscles were stretched by the pregnancies, and how much fatty tissue we are dealing with.

These decisions are pretty simple to make after your consultation. It’s really just a matter of you stating your goals and then I can match the operation best suited for your particular problem.

If you are interested just give us a call at (502) 721-0330 or by e mail at Misty@corbettcosmeticsurgery.com

Lee E Corbett, MD

Medical Director: Corbett Cosmetic Aesthetic Surgery and Med Spa

 

Chemical Peels

allyson

I love chemical peels!

Chemical Peels are a non-invasive path to improving your skin’s overall appearance. Depending on the concentration and number of peels in your series, you can expect minor to major improvements. Superficial Chemical Peels typically contain alpha and beta hydroxyl acids (glycolic and salicylic acids). Peels can help with fine lines, wrinkles, skin discolorations, skin texture, and blackheads. You may experience some redness, increased skin sensitivity, and yes- FLAKING. Though in about a week, all is replaced by fresh, smooth, new skin. The most important thing to keep in mind is that chemical peels are not anti-aging miracles! You must keep your expectations realistic. All in all, the combination of superficial chemical peels and the right daily skincare routine will help you to achieve healthier, younger looking skin. –  Allyson, Medical Aesthetician