Monday, July 2, 2012

Plastic Surgery Q and A

Question: I am booked to have a breast reduction. I am going from a DD to around a C cup. I am in good health and not a smoker. I try to maintain a healthy weight and exercise regularly. I have to get rid of these huge breasts! My back and shoulders are aching. I have never had any surgery before and I am so nervous about what to expect afterwards.
Answer: Post operative discomfort is common, but subsides over time. Each patient heals differently; however, following breast reduction surgery some patients may experience fatigue, temporary pain, swelling, soreness loss of sensation in the nipples, throbbing, tingling, dry skin and possible bruising. The incisions will flatten and fade in time depending on the individual. It has been our experience that patients are very happy with their post op results and their new look.

Sunday, July 1, 2012

Plastic Surgery Q and A

Question: I love your work!! The only problem is that I am in St. Louis MO and I can't afford to fly to LA to have surgery. Is there anyone really good who you would recommend I have my surgery with? Thanks for your help.
Answer: Thank you for contacting my office. I would be happy to recommend another surgeon to you, but I don't know anyone in your area. What I can suggest is contacting ASPS Plastic Surgeon Referral Service 1-888-4-PLASTIC (1-888-475-2784). Book consultations with 2 or 3 Board Certified Plastic Surgeons. Interview the surgeons to see who the best is for you. Ask questions about the risks and benefits of breast surgery make sure you see many photos of the operation you are seeking. And ask to speak with a couple of his or her patients. Ask if the surgeon has hospital privileges to perform breast surgery. Try and find a plastic surgeon who does all 4 approaches to breast surgery. If he or she can successfully put implants in through the Axilla, Nipple, bellybutton or breast crease he may be able to get a better surgical result than someone who uses the same approach on all his or her patients. There is not one approach that is best for everyone. Breast surgery if done well ca
n be a very rewarding surgery. All the best to you.

Saturday, June 30, 2012

Plastic Surgery Q and A

Question: This might seem like a stupid question, but can men grow breasts? My boyfriend looks good in clothes, but when he takes off his shirt he looks like he has breasts. He is very self conscious about this and I am wondering if Dr. Corbin can help him?
Answer: Male breasts is a medical condition referred to as Gynecomastia. Gyno as some people call it can be due to actual breast tissue or fat. The cause of gynecomastia can be developmental, a side affects of medications, a side affect of anabolic steroids, smoking marijuana or weight gain. Whatever the cause this appearance of breasts on a man's body can be a source of embarrassment and or physical pain. The male breast tissue or extra fat can be removed via liposuction, excision or in combination. Small incisions are inconspicuously placed along the border of the nipple areolar.The average length of gynecomastia surgery is between 1 to 3 hours. Following a successful surgery most patients return to work in 5 to 7 days. For photos of other men I have helped with Gyno go to www.GynecomastiaExpert.com. On this site you and your boyfriend can see a television clip of a gynecomastia surgery I performed, as well as before and after photos. When he is comfortable have him call
my office to book a personal consultation to be evaluated. I look forward to hearing from you and helping him achieve a body image he is proud of. Thank you for contacting my office.

Friday, June 29, 2012

Plastic Surgery Q and A

Question: I've seen on line a plastic surgeon who does navel incisions is that worth it. Do you do put implants in this way? Whats the advantage and disadvantage??
Answer: I do perform the TUBA (Trans Umbilical Breast Augmentation) and I have patients who are very happy with this approach. The advantage of a TUBA is that patients who are candidates for this approach will have no scars on their breasts. A minor disadvantage of having breast implants placed in through the belly button is that patients will have a scar around the belly button. Another potential disadvantage of the TUBA is incorrect implant placement. I have corrected patients done else where who have had problems with implant placement. One implant was submuscular and the other was in front of the muscle leaving the breasts looking different. Or one breast implant is higher than the other. Another disadvantage of the TUBA is that not everyone is a candidate. Only patients with excellent measurements, symmetrical breasts, nipples that are at the same heights and no drooping or sagging are candidates for this procedure. The surgeon's evaluation of his patient's anatomy is k
ey to getting the best surgical outcome and some may do a TUBA on a patient who would get a better result with another approach. Further disadvantages of the TUBA are that the belly button is a long way from the breasts and the long tunnel created to put the breast implants in through creates a track leading from the belly button to the breasts that in some patients may leave irregularities. If patients wish to have the more natural feeling silicone breast implants they can not be put in using a trans umbilical approach and the breast implant manufactures recommend using saline breast implants only for the TUBA approach. The final disadvantage of a TUBA is if the patient is unhappy with the final outcome or needs a breast revision rarely can the correction be done using the same belly button scar and new scars may have to be placed elsewhere to correct a problem.

Thursday, June 28, 2012

Plastic Surgery Q and A

Question: Hi, my name is Abby, 24 years old. I had a breast augmentation 2 years ago. Silicone implant. and a nipple revision although the nipple went back in. I was wondering if there is still a chance I could get my breast more bigger? Right now it's about a c cup went down a little bit but im not happy with my breast. I really want to go bigger than c. do you have to take out the existing implant? please e-mail me back if there's a way.and I do not really want to go back to the same doctor where I got these.Thank you,Abby
Answer: Hi Abby, thanks for your E-mail. I do breast surgery revisions on a regular basis. First, I need to examine you to see what changes you want to make to improve the appearance of your breasts and nipple. It is possible for you to have larger breast implants. You asked if I would have to remove the old implants and the answer is yes. I would remove and replace the old implants and do any breast and nipple revisions at the same time. Please contact Dee my patient care coordinator at (714) 671-3033 to book your consultation. Please bring your operative report and photos from your other surgeon.

Tuesday, June 26, 2012

Plastic Surgery Q and A

Question: I have heard that the breasts can be made smaller using liposuction. Who are the best candidates for this type of breast reduction?
Answer: Liposuction only breast reduction is an alternative to the traditional breast reductions where breast tissue is cut out. The best candidates for liposuction reduction are patients who have very fatty breasts with high nipples.

Monday, June 25, 2012

Plastic Surgery Q and A

Question: I have had breast implants for over 8 years and I love them. This year I noticed that one of my breasts was becoming firm and shifting a little on my chest. I went to see a doctor and he said I have Baker Class 3 Capsular contracture. What exactly does this mean? Can Dr. Corbin fix this?
Answer: The Bakers classification of capsular contracture is the most popular method doctor's use as a way of describing clinical firmness of the breast implant. It is a grading system I through IV. I is normal feeling like a natural breast, II is slightly firm, III is firmer than a natural breast and slightly distorted and IV is firm, distorted and painful. I do correct capsular contracture by removing the old capsule and breast implant and putting in a new implant. There are no guarantees, however, that capsular contracture will not come back even after corrective surgery. In most patients capsular contracture never returns, but in a small percentage of women they will have reoccurring firmness of the breast implants.