Preparing for your plastic surgery consultation…

I met a very nice patient a few days ago and we had a very different but very fun type of consultation. She was a 40ish lady and wanted to know what could be done about her face. The thing is, she couldn’t really tell me what she didn’t like, she just knew she “looked older” and didn’t like that part. She wanted me to analyze her face and help her figure it out.

Sooooo…off I went and we broke down every aspect of her face from top to bottom. We found a couple of minor issues that were easily addressed with a little Botox® and a couple of syringes of filler and she left the office happy BUT with some homework before her next visit.

Her ‘homework’, and I would recommend this to anyone before their facial aging consultation, was to sit down in front of her makeup mirror and simply make a list of what she saw that she didn’t like. I also asked her to do this with a photo in hand of her when she was in her mid 20’s so she could compare and really see what changes had occurred.

If you can give your plastic surgeon a very specific, detailed list, we can offer a list of “fixes” starting from easiest/least complicated up to surgery and that way you can decide which approach you want to take.

Lee E. Corbett, MD

Corbett Cosmetic Aesthetic Surgery and MediSpa

The misunderstandings about fillers…

About every other day I have someone ask me why so and so looks the way she does or why the celebrity of the day has “lips like that”? What they are questioning is the look you can get when you add a lot of filler, such as Restylane® or Juvederm®, to the lips or cheek areas. Usually it’s the lips.

Well, the thing is, it’s not the filler and it’s not the injector, at least not in my office, it’s the patient who is directing this. When we inject filler what you see is what you get right on the spot. Now in the day or two after you may have swelling or bruising that can slightly alter what the real result is, but that is transient. So the point is, when you see someone with really full lips, that you might think are overly plumped, well, they are that way because she wanted them that way. We don’t make that decision for the patient.

When we inject filler we have the patient there with mirror in hand. We treat and then have her take a look. If she likes what she sees we stop. If she wants more, we add more in small amounts until she is pleased. It’s that simple. So don’t be afraid of filler!  Fillers are GREAT products and are actually the treatment that is growing in popularity by the day. If you only want a mild to moderate correction/enhancement that is entirely possible.

Fillers are your friend!

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and MediSpa

The 3 P’s of Medi-Spa safety

The idea and a lot of the content of this blog comes directly from the ASPS website blog but it is really informative and so I thought I would copy it and add some additional thoughts. MediSpa treatments are a group of minimally invasive things that usually involve an injection. What we are talking about here are things like Dysport, Botox, Juvederm, Restylane, Perlane, Sculptra, Radiesse, chemical peels and lighter laser/IPL treatments. So what are the 3 P’s? Product, Place, and Practitioner.

Product: Know what product your MediSpa is using. If you haven’t heard of a particular product or heard of it being used in the manner being proposed ask some questions. A great example of this is the Botox and Dysport debate. Botox is used to smooth wrinkles around the eyes and forehead. It is the market leader and everyone knows it by name. Well, Dysport is effectively the same product. But, it is produced by a British company and doesn’t have the same name recognition. So here is an example of something you might not have heard of that is perfectly acceptable. The other end of the spectrum would be something like liquid silicone injections. These are bad. These are the plastic surgery horror stories that you can google. Research your products! Know what is being injected. If it isn’t FDA approved to be injected say “NO!”.

Place: I’ll be the first to admit I have injected close friends with Botox and Dysport in my kitchen. Very close friends. But if you are considering injectables, be it toxins or fillers, be safe with your choice. These are medical procedures. They need to be done in the proper environment. Injectables in hair and nail salons just isn’t a great idea. Honestly the chances of immediate problems with an injection is remote, but if, just if, something unexpected occurs, you want to be in the proper venue. Finally, let me comment on the “Botox Parties”. I know plastic surgeons and derms do these but I disagree. Injecting a group of women in someone’s home when there is alcohol involved just isn’t a great idea.

Practitioner: Who are you letting put that needle in your face?? Are they trained? Who oversees them? You need to know this. In a lot of offices the Plastic Surgeon does all of his own injections. That’s ok. A lot have a nurse or a nurse practitioner do their injections. For instance in my office, I do some toxin injections, but my RN, Lyzah, does most of them. But, before she injected anyone, she was trained by me and then 3 company approved trainers for the products. Then she injected me and all of my staff. Then she injected patients with me literally looking over her shoulder. Now she has injected 1000’s of patients and I have yet to see anyone with a problem. So a properly trained non MD injector is perfectly acceptable. But if you encounter an Aesthetician or LPN or Medical Assistant injector, I would be wary.

Lee E Corbett, MD

Board Certified Plastic Surgeon

Cosmetic Surgery Defined

What is cosmetic surgery? Well, it’s basically defined as a procedure or surgery that is intended to improve your appearance. Cosmetic procedures are divided into surgical vs non surgical. So let me break down the two categories and give examples and a brief description of the MediSpa procedures.

Botox/Dysport: These are two of the most common cosmetic treatments at this point. Both of these injectable treatments immobilize a muscle so that the skin above it can’t wrinkle. That means the frown lines between the eyes, the wrinkles on the forehead and your crows feet will disappear for 3-4 months. Repeat treatments are needed but well worth it.

Peels: Chemical peels are one of the mainstay of MediSpa skin care options. The peels utilize a light acid that exfoliates and tightens the skin.

Lasers/ IPL: Lasers and IPL use high intensity, focused light to treat a variety of skin conditions. Facial spider veins, excess skin pigment (brown spots), and hair are commonly treated. Almost everyone is a candidate for an IPL treatment. Stronger lasers also treat tattoo removal and deeper wrinkles.

Tattoo Removal: Tattoo removal is an in office laser procedure. Treatments do require local anesthesia but are well tolerated with no down time.

Fillers: Today the mainstay of fillers are Hyaluronic Acid fillers. HA is a protein that is already a part of your skin. Brand names you may have seen are Restylane, Juvederm and Perlane. As we age, the youthful fullness of our face is lost and these products are used to restore volume in the mid face, the area between the bottom of the eye and the top of the mouth. They usually last about 18 months and restore the youthful, full appearance to your face. Treatments are done in office and take about 20-30 minutes.

Cosmeceuticals: This is a term for prescription strength skin care products that are sold via Plastic Surgeons offices. These products contain prescription strength levels of fading creams for brown spots and pigment, glycolic and salicyclic/ acids to improve skin texture, Retin A for fine lines, growth factors for increased collagen production, acne treatments to prevent break outs, and improvements in redness, dullness and volume loss.

Lee Corbett, MD

Medical Director, Corbett Cosmetic Aesthetic Surgery and MediSpa.

What happened to Cheek Implants?

When I was a Plastic Surgery resident in the mid 90’s we often used silicone cheek implants to restore mid facial volume (cheek area). These were relatively short and fairly easy operations and gave nice results. The problem is the implants could migrate causing facial asymmetry and the need for more surgery. They were also a bit firm. Plus, placement meant a trip to the operating room and anesthesia. In 2014 these implants have all but been replaced by injectable fillers. These fillers are usually composed of Hyaluronic Acid which is a protein that is already found in the skin and our joint surfaces. Think of the HA’s as the 2014 version of the old collagen injections but they last much, much longer. The treatments are done in the office with just topical anesthesia and other than the chance of a bruise and some mild swelling there really is no down time and the risk of complications is very, very low.

Lee Corbett, MD

Medical Director, Corbett Cosmetic Aesthetic Surgery and MediSpa

Are prescrition strength skin care products really better?

Yes, absolutely.

With a prescription strength product what you are getting are much higher concentrations of the active ingredients that you’re buying the product for in the first place. For instance, if you buy a product at a department store that has glycolic acid in it the highest concentration they can sell is 2.5%. Most of the prescrition strength lines start at 5%. Fade creams use hydroquinone. Again, the most the department stores can sell is 2%. The prescription products have 4%. And ironically, the prescription products are usually no more expensive!

Lee E Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and MediSpa

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

Palomar Icon IPL System

Icon SystemCorbett Cosmetic has just added the Palomar Icon system to our Medi Spa further expanding our anti aging repertoire. The Icon is an IPL (intense pulsed light) that functions much like a laser. The Icon is capable of permanent hair reduction, treating Rosacea, spider veins, hyperpigmentation and pigmented lesions on the face, neck, chest and hands. If you have any questions please e mail Allyson our Aesthetician at Allyson@corbettcosmeticsurgery.com

Lee Corbett, MD M

Medical Director Corbett Cosmetic Aesthetic Surgery and Medi Spa

A final 2013 “Thank You”

On behalf of my staff and I, I would like to say a huge “Thank You” to all of our patients who made 2013 the best ever at Corbett Cosmetic! 2013 saw huge changes for our practice. We moved in April to our new location in the Eastpoint area, doubled the size of our office…without a parking garage to navigate!!! (Thank God!), and welcomed our new Aesthetician Allyson to our staff. Part of our growth included the development of a full service Medi-Spa where we now offer facials, chemical peels, dermaplaning, IPL (Intense Pulsed Light) treatments for facial vein and pigmentation in addition to Laser treatments for hair and tattoo removal. We have also added 3 new lines of prescription strength skin care products including Skin Medica, SkinCeuticals, and Neo Cutis to complement our full line of injectible treatments with Botox, Dysport, Restylane, Perlane, & Juvederm. Finally, we recently added SmartLipo to our surgical practice to offer the latest in Laser Liposuction to our patients! Thank you for making 2013 our best ever and we look forward to assisting you with your aesthetic needs in 2014! Happy New Years!

Lee Corbett, MD

Medical Director of Corbett Cosmetic Aesthetic Surgery and Medi Spa

Medi Spa Menu

With the move to our new location to Eastpoint, we are pleased to offer an expanded service menu for our Medi-Spa! Services include facials, chemical peels, Derma Planing, IPL treatments for facial spider veins, facial pigmentation (brown spots), pore size and overall skin quality. We also offer laser treatments for hair removal and tattoo removal. We have also expanded our product line and now offer Neo-Cutis, Skin Ceuticals, Skin Medica, and Obagi.

Lee E. Corbett, MD

Corbett Cosmetic

Aesthetic Surgery and Medi-Spa