Pectus Carinatum Breast augmentation Surgery 

I have personally analyzed statistically that there are about 12~16% of those with Pigeon chest. This is rather a common form of chest cage.



Pigeon chest is when the chest cage is roundly shaped by ribs, and breastbones. We call pigeon chest medically pectus carinatum.

The shape is formed because costal cartilage and breastbone stick outwards. A bad case of pigeon chest comes with scoliosis but there is almost no case where pigeon chest leads to respiratory problems and therefore, this is not a type of illness.

I use the term pigeon chest on a situation where the middle part of the chest sticks outwards and does not look pretty or good physically. Of course, there are many with pigeon chest who receive a breast augmentation surgery.

In most cases of pigeon chests, there are situations where the breasts look far apart from one another. This is due to the location of the nipples that are far apart.
Also, if the upper body sticks out, there the breast augmentation surgery does not lead to a natural look but there might be a bad case of bad looking upper block.

Difference between normal chest and pigeon chest

So, we mostly recommend water drop shaped implant for the pigeon chest breast augmentation. This is more effective for the upper block. Also, it is not good to use a large volume implant. There is a high pressure on the mid part of the chest, therefore, physically there would be more pressure on the chest if the implant is larger therefore, causing a push outwards, making the breasts look even more far apart.

Therefore, you need to be more conservative in selecting the implant size and to select water drop shaped implant.

Breast augmentation for Pigeon chest

There are cases where the chest from top to bottom comes out for where only the upper part sticks out in pigeon chests.

In the former case, the breasts look far apart, and most of the patients who come in for an consultation know that they have pigeon chests.

For the latter, the breasts do not look wide apart, and there are many of those who do not know that they have pigeon chests. If a surgeon is unaware of the bird chest and just conducts the breast augmentation surgery with normal sizing and implant, then there might be a bad upper block on the chest.







So there are at times when I have difficulties when consulting. The chest look different from a normal person but this is not something abnormal. This is just s characteristics of the chest. This is something similar to a nose surgery. Your nose might be a little closed or lifted. The surgeon must select the type of the implant according to the type of the chest and decide on the surgical procedure. However, if the patient does not accept the characteristics of her chest and accept it, then we might have difficulties in proceeding with the breast augmentation surgery.


I talked about percentage earlier on, but there are many of those who have costal cartilage and breast bone that stick out. This is not something abnormal. It is important to plan out the breast augmentation surgery according to the shape of the chest to have most effective results.




This is for today. I hope you understood the contents. Have a nice week.
Thank you very much.

Passion to protect the patient’s rights

KIES-U Realtime Surgery Monitoring System

Q. Today we will be interviewing with Kies-U’s Doctor Lee about a unique real-time monitoring system in the surgery room. Hello Doctor Lee.

A. Hello.

Q. There is an issue about people playing with implants, cutting cakes, and having a party inside a surgery room in one of the plastic surgery clinics in Kangnam. Does this happen quite a lot in the surgery room?

A. I have read that news as well. I think something this ridiculous happens for a reason. A surgery room is a much closed environment, therefore, people inside the room think that they think it is ok to be by themselves in the room and do anything. A surgery room needs to be closed for the safety and hygienic issues of the patients, but to think that anyone could do anything that they want inside this room is a very serious issue.

Q. You can do anything in a surgery room that is a closed environment… this is rather scary. What do you think about a “shadow surgeon” issue?

A. Shadow surgeon, by the words themselves, means that the doctor is just a shadow without a face. There is a doctor who does an interview with the patient and there is another doctor who does the surgery. However, the patient does not about this so it is unethical to have a shadow surgeon and another one who interviews the patients.

KIES-U Realtime surgery monitoring system

Q. After listening to you, it seems that there is a relation between the shadow surgeon and people have parties in the surgery room that these activities are happening in a closed environment. Is it alright for me to understand that you have made ‘real-time monitoring system for the surgery room’ in order to prevent such activities?

A. A surgery room needs to be a closed environment in respect to safety and hygienic status for the patients, not anything more. The trust between the patients and the surgeons, the hospital and the family members of the patients is at the bottom. I think that the related members of the patients need to know what is happening insider the surgery room in order to recover the trust between the doctor and the patient. The best method to do this, is making it possible for the relative members to see real-time activities in the surgery room through wifi connection. As a result, the relatives will feel secure. They will be able to see from the anesthetic stage until the patient comes out from the room. They will be able to check if the patient is being treated properly or not, and if the surgeon and the nurses are not doing anything inappropriate. Therefore, I think that the real-time monitoring system in necessary.

Q. Do you feel uncomfortable if you think that someone is watching what you are doing behind your back?

A. I have done many surgeries with other doctors on site who ask various questions and I provide answers and description of the surgery to them. The relatives of the patient have the right to check and see if the patient is being treated properly therefore, this is not something that is uncomfortable to me. 

Q. Thank you very much for the interview Doctor Lee.

A. Thanks a lot.

There are many of those who have difficulty on deciding where to do the incision for the breast surgery.

Today, we will look at how you can make such a decision according to different situations.

Breast Augmentation Incision Options,

How to decide the incision site on Breast augmentation

1. Breast size 

If the breast size is rather small and if you are young, it is difficult to know about the breast anatomically. This is where the areola is very small also. For those who are in such a situation, the choice is limited to arm pit or belly button.

In opposite, if the breast size is rather large, then it is easy to know about the breast anatomically. The areola is clear to see. In such case, you do not have to worry about the scar wherever the incision is done.

If you want the incision on the areola but you have a narrow one, then we need to conduct the surgery from the arm pit or the bottom line of the breast.

If you want the incision on the bottom line of the breast however, if the line is not clear enough, then we need to conduct the surgery from the arm pit of the areola.





2. Revision

If we need to do a revision, then we need to fix the problem cause in the first surgery. If there is inflammation, problems with structure, rotation, position, etc and need second or third revision, the surgeon must have a good view of the overall surgery so that there aren’t any further problems caused and also for the surgeon to see and check if the problem has been fixed.





The location for the best possible view of the surgery is the bottom line incision. I recommend bottom line incision for the revision. If bottom line incision cannot be done, then I would recommend the areola.

If it is a simple revision, for example, if you just want to change the size of the implant, we can use endoscope on the arm pit. But most of the revision is required because 90% of them are due to severe problem.



3. Sagging breast

The difference between the sagging breast and other breast surgery is that we need to put the implant from the upper part of the breast and set initial prevention so that there is no wrinkle or double bubble line formed.

We need to conduct bilayer surgery in order to solve such as problem, and also use secure water drop shape type.



Also, such bilayer, water drop shape implant is most effective for the bottom line incision.

Bilayer level is differentiated according to how much the breast lags as well. In order to align the symmetry, and side effects, the surgeon must have 100% visibility. This visibility can be found from bottom line incision, and the procedure can be accurate and delicate as well.


4. Location of the scar

If you do not want to see the scar while you are lying down, then the incision at the bottom line should be avoided. If you do not want to see any scar around the areola, then the incision on the areola should be avoided as well. Also, if you are a model who takes a lot of photos, or are a fitting model who needs to wear sleeveless clothes, then you might not want the incision on the arm pit as well.




5. Large water drop shaped implant vs Small sized implant

Water drop shaped implant is very secure meaning that it is agglutinable and strong. If you have a small body but use a large volume implant, the implant would tear much of your skin when the surgeon puts it in. Such trauma causes a lot of bleeding and can be a cause that changes the structure or the location of the implant in the long term. If you want to avoid such a problem, then the best place for the incision would be the bottom line.

However, if the size of the implant is small, then none of these would be a problem. We can do the incision on the areola or arm pit or any other place that you want.



6. Size of the areola

If the Cohesive gel implant is to be successful, the diameter of the areola has to be about 2.5 cm. For saline bag implant, the size does not matter.

But if you want to use securely shaped water drop type implant, the process of putting in the implant is difficult, therefore, the areola’s width has to be bigger. If you have a naturally small areola, then it is advised that you do not do the incision on the areola for the water drop type implant.



7. Recovery period

If you want to get back to your normal life quickly after the surgery, then bottom line incision is recommended. The periosteum does not get damaged during the peeling stage so there is less pain and the surgery duration is very short so we do not need to use much of anesthesia. You can also recover mentally quickly as well and you do not feel awkward or bad after you wake up from the anesthesia. Athletes who perceive the recovery period to be important prefer the bottom line incision the most.

Before & After breast augmentation surgery [KIES-U Korea]

We looked at the various considering factors of each of the incision locations. On the internet, we can only refer to the advantages and disadvantages of the locations and the context seem like a reading from a textbook.

So this post looked at different situation and the appropriate incision locations. I hope such details would be able to help you out more.

Have a great day, thank you for reading.

This is a second post on the new trends in plastic surgery for correcting those who are aged between 20~30’s and look older compared to others to look younger.


There are many cases where we do V-line correction for those who are young with double chin.

For example, if you see Son Dam-bi’s (South Korean singer and actress) chin line, the angles are very clear and there is a sharp looking line between the chin and the neck. In order to have such a sharp line, the border between the chin and the neck must be very clear. The angle needs to be clear and the lower face needs to be definite to look pretty.

As you age, this part of the face becomes less clear. This is due to the drooping skin.

Double chin