First, I would like to share about constricted breasts. (Today’s topic is a little difficult to understand. Please ask me any questions after reading the contents)

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Constricted breasts happen inherently. There are different cases. In one case, your breast might look like it only has a root. In another, you might see a breast that is shaped upwards only. I think that the connective tissues (collagen fiber / bundle) have some influence on the structure and formation. The tissue that shapes the breast become tight and pulls the breast making it look constricted or conical.

There are other terms such as tubular breast, snoopy breast, and conical breast. We also call this subformation of the bottom tissue of the breast.

Most of the patients with constricted breasts do not know the exact characteristics and think that it is caused due to subformation.

Common characteristics are wide and swollen looking areola, widened separated breasts, small breast tissue, high inframammary fold, small area at the bottom of the breast. Severe case can hinder breastfeeding as well. But there is no influence on pregnancy and giving birth.

Those with constricted breasts have short distance between the nipple and the inframammary fold. The skin on this part is tight as well. This is why the bottom part of the breast cannot be visible and one cannot look glamorous.

The solution for constricted breast is breast implant. Implant can be used to disperse the tightness of the breast.

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If you skip this stage and just use the implant, the tissue at the bottom part of the breast do not get improved. Therefore, this results in worsening the constricted breasts.

The surgeon needs to hold onto the bottom part of the breast, cut off enough fiber and other tissue so that the breast can intake the implant with enough extendibility. This requires dual plane augmentation.

If the implant is located under the pectoralis muscle, there cannot be enough gravity or pressure on the bottom part of the breast, therefore the dual plane procedure is necessary.

Also, the sagging breast can be corrected as well. As I have stated in other posts earlier, dual plane makes the pectoralis muscle lift up improving on the sagging breast.

This was a brief summary on the constricted + sagging breast. I hope the contents are clear.

This is all for today. Thank you.




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- Food can get spoilt due to the temperature and humidity. Can the temperature and humidity affect the breast augmentation wound as well?



According to medical basic knowledge, if the body’s metabolism functions properly then it cannot get attacked by the germs easily Therefore, the person’s physical body status is more important than temperature / humidity. So the hot weather cannot have any influence on the wound of the normal healthy person unless you put some rotten food on the wound.

However, one cannot say that the temperature / humidity does not have any influence on the healing process. Warm temperature leads to better blood circulation therefore, this is more positive for the healing of the wound. Also, an appropriate level of humidity can help generate the skin quicker therefore this level of humidity is necessary.

In opposite, the blood vessels tend to retract in the cold weather, limiting the blood circulation and leading to the blockage of immune cells supporting the wound. Physiologically, the healing process takes longer during the cold weather than hot.

Also, the dry conditions do not provide enough liquid on the wound that is already dry. You might think that wet scar might lead to more discharge of substance from the scar but the scar needs more liquid in order to heal quickly and better. Scar treatment patches help the scar remain in humid condition.




The incidence rate of inflammation / infection does not increase due to hot and humid weather. Not enough provision of oxygen and nutrition can lead to worsening effect. However, this becomes a whole different story if you consider freshness. If you have compression bra on for a week with taping on the scars, you might feel uncomfortable and it is suffering to maintain such dressing on you the whole time. You might want to take off the tape quickly or even your compression bra off. You might also want to take a shower. Such factors make you feel really uncomfortable.

If it is possible, it is best that you avoid any work that you might sweat on during the hot weather for at least 3 days after the breast augmentation. You can undress the compression bra and take shower once you get off the early stages in recovery, therefore the healing process is not so different from other times.


If you have plans in going to the water park, it is best if you put some water resistant taping to cover the wound for at least a week after the augmentation. If it has a month after the surgery, it is ok to go inside the water without any taping. But is would consume some more time for you to go scuba diving, etc.

Today’s topic was on breast augmentation during the summer. Hope it has helped you out.

Thank you. Have a good day.

There are those, with scars after breast augmentation on armpit, inframammary fold, and areola, who are curious about “when to start treating on the scars.”

Today, I would like to answer this question.



We put scalpel on the skin for incision and this is called and operation. Incision to look inside the body is necessary for an operation.  The skin is like clothes with spandex. Can you imagine cutting this spandex clothes with scissors? The clothes would spread away from the incision line. If you put a knife onto the skin, this would lead to forming of the scar. The degree of the scar is different according to different situations.




The skin with the scar goes into healing effect instantly. This amazing healing process is still not analyzed or understood properly in the medical world. Which cells what type of substance? What stops the bleeding and what covers up the scar so that the body is protected from outside pollutant? These are some things that are really complicated and something that happens which we cannot control.



One thing that a doctor can do is to close the scar as much as possible so that the healing process becomes quicker. we call this stitching.

Now many know what stitching is why it is necessary. Stitching makes the scar heal quicker than when it is not applied. But, there is another difference. If the scar is not stitched, new skin would form between the scar, ie. the scar becomes wider. Stitching would gather the skin therefore, there is less room for new skin formation. Therefore, this makes the scar as minimal as possible.



Stitching in cosmetic surgery makes the wound heal safely but another important purpose is the avoiding of the formation of the scar and making it less visible as well.


Then, here is the answer to your question.

The first two weeks after the breast augmentation is important for healing. It is best that you do not touch the scar at this point in time. If there is no problem such as the stitch breaking up, then you should just leave it as it is. Nothing can make the healing process better than just leaving it when there is no problem.

If the thread does not melt in 2 weeks, we will remove it manually. The thread will remain but the tightness disappears within the two weeks. So whether the thread is there or not, we need to dress up the scar so that the skin does not widen again.




There is a paper tape called steri-strip. It helps out alot if you use such tape for about 2 months. There are many who ask how long the tape should be used. It is good to use it for as long as you can. If the scar widens due to the pulling pressure of the skin, the scar would get bigger in time.




You can know if the scar is healing properly or not in 2~3 months. Although the wound is healed, the skin surrounding the wound is weak. This part of the skin remains red. There is not much blood circulation in this area and the blood vessels are not healed properly therefore it is best to spend this time concentrating on how to protect the skin. If you apply laser on the skin, it would damage the skin.

Then, when do we apply laser treatment and other types of treatment?

It’s about 6~8 months later when the skin comes back to it complete state and recovers its original condition. It is best that you take care of the skin as much as possible by rubbing ointment and etc, during this time. You can apply the paper tape or patch (such as cica-care, f-sheet) and get laser treatment if necessary.

Detailed laser treatment method according to different types of scar will be brought about in another post for your reference.

Thank you and have a great day.