About breast size - breast augmentation Korea 

There are many patients who do not know how the breast sizes change after the breast augmentation.

The doctors say that he/she would use 300cc or 275cc, but the patients do not know how the breasts would change along with the different sizes of the implants.

About 13~14 years ago, the internet shopping started.

At that time, people didn’t know how to buy the clothes on line just by looking at the clothes through the internet. Most people though that one must wear the clothes to buy one.

This was something unimaginable at the time, however, this internet shopping industry has grown tremendously in the past 10 years. Now, there are many who buy clothes on line. People are more comfortable with the internet shopping and they are aware of different sizes.

Internet shopping website providing explanation on sizes

There are some common sizes in shoes such as 235, 240, and 245. As for bra, there is a band size 70, 75, 80, and cup size of AA, ,A, B, C, etc.

A size is something that a person remembers as she buys things with that particular size.

But breast surgery is different from clothes in that a person would have a breast surgery just once in her life time and it is also difficult for her to know what size other people use.

I have divided the size of the implant into 3; small, medium, and large; because the patients are not aware of different cc. Below is the explanation of different sizes. (Most patients do not choose small and X-large so one can say that there are only 3 sizes)

Natrelle anatomic shape implant cannot be officially imported to Korea

　 　


This reference may help you understand the increase in size.
The difference in the cup size is difficult to estimate, as explained before.


Most of the women in their 20’s select high medium size. The next popular choice is large size followed by medium size.

This is similar with those in their 30’s as well, but there is relatively high percentage of large sized implants. The numbers are the same. (Most patients decide to get breast augmentation after giving birth and breast feeding their babies, therefore the patients tend to select large sized implants)

Most of the patients in the 40’s have re-surgeries or want to fix the sagging breasts therefore they tend to choose medium and large sized implants.

In Korea, an average patient would be 163cm tall, wears 75A bra and the diameter of the breast is about 11 ~ 11.5cm.

However, most of the patients want their breasts to be larger than small or medium sizes therefore choose high medium sized implants the most.

There aren’t many of those who have large enough breast diameter to use the large sized implants here in Korea.

I think this would kind of give you an idea of what sized implant you could use.


Today’s post was to provide a measure guide to those of you who do not know how cc is related to the size that you could have.

There is no scholastic reference for this, but I looked at many catalogues to come up with the measurement matrix to give a simple explanation that has led to positive feedback.

However, there is a downfall in this, it is a profile of the implant.





As you can see in the image above, ‘Low profile’ refers to long diameter and low height implant, ‘High profile’ refers to short diameter and high height, and there is a ‘Moderate profile’ in between the two.
People who study after breast augmentation at home through the internet do not know about this also.

Another point is that although you use the same 275cc implant, meaning although the volume is the same, the shape would not be the same once the implant goes into the body due to the different profiles.

We will explain more about this profile at a later posting.


It is already summer in Mid-May. I think one can expect how the weather would be in the next two months. Most people are already in short sleeves and pants. Are you worried about showing off your body? I am!

This is all for today. Thank you for reading.
 

[Breast augmentation Korea]

Those who need recovery in 24 hours _ Career women

Everyone at our country is busy. But there are those who are busier than others. I would like to share about a quick breast surgery recovery for those career women in such need.

Let’s look at some occupations that I can think of.

Housewives who need to take care of their children
Flight attendants
Nurses / doctors, and other medical related
Skin therapists, beauticians
Athletes
And so on.





Those women who gave birth, breast-fed babies before and currently have babies that are about 5 years old have sagging and less volume breasts that lead to stress.
But is there anything more difficult than raising kids? Housewives are those who have the most need for 24 hour recovery.
It is recommended that you stay away from the children on the day of the surgery. Some simple house works are possible if necessary. You will be able to somewhat take care of the kids on the very next day. In about 3 days, most patients would not have any difficulty taking care of their children.



Flight attendants must be able to do their everyday job quickly enough. They have one of the most difficult physical jobs. Also, their daily schedule is rather irregular therefore they do not have much free time as well.
The frequently asked questions is something like, “when can I start carrying heavy luggage to put it in the glove compartment?” You can take care of luggage that is about 5kg within 3 days. But you would need to wait about a week to carry anything heavier than that.


Flight attendants are mostly worried about bleeding or other emergency problems that may arise during the flight or in a foreign country. Such problems can be avoided by 24 hour recovery system that is carried out by approaching the 밑선. Such women need to select surgery system that controls hemorrhage and minimizes pain.




There are many medical related patients who visit me as well. For example, it is difficult for nurses or doctors who have irregular schedule to get much time off from their work. Physical labor is intense and stressful. Also this is a very difficult occupation in that there are many lives at stake and you have to leave or delay your job.
These patients also need 24 hour recovery system. One must be comfortable and recover quickly to help the others.
If you can get 3 off, then you can consider having a breast surgery.
Other simple procedures can take place on the day of the surgery, but one cannot make beds or move the beds right away. The patient needs to rest about 3 days and then start doing these activities.



There are many skin therapists and beauticians who visit me as well.
These occupations do not require lifting of heavy object, however, they need to move constantly and they use their hands and arms a lot. So most of these patients are curious about how easily they can move their arms after the surgery. Such activities do not have any limitations in work on the day of the surgery, and if you are one with good fitness, then you can get back to your work normally on the very next day of the surgery.
You might even forget that you had a surgery.




Athletes ask a lot of questions as well.
There was a pro golfer who god cohesive gel breast implants. The biggest question was when she could get back to playing golf after the breast augmentation. I believe that she went back on the field with 3 days. She could not carry the golf bag herself, but she could swing the golf clubs without any problem.
Aerobic exercise such as walking or running lightly can be done by anyone on the very next day of the surgery.
Weight training would take some time. You need muscular strength in order to do this. The breast augmentation involves the chest muscles therefore; it takes some time for recovery.  Normally I recommend the patients to do weight training after two weeks.



I also recommend 2 weeks for those who enjoy swimming. There is no problem with getting into the water, but staying in the water continuously for 2 or 3 hours is a different story.

Today, we looked at the breast augmentation according to different occupations .It is not impossible to get the breast surgery when you are working. This is all for today.

Thank you very much.

[Information about Breast augmentation surgery Korea]

Is it good or bad to use drains after a breast augmentation surgery? Is it necessary?

These questions are asked often because the patients get different answer from all the hospitals that they visit.
 



Some doctors say that using drains are necessary
Some doctors do not require it. So the patients are very curious about this.

I do not have an absolute answer, but I usually recommend that the patient does not need one.
I will share the reason for this on today’s post.

 
Why do the doctors have different opinions?

Breast augmentation is one of the most popular beauty surgeries around the world today.

Therefore, there are various types of techniques, and implants. Also, there are different views about the breast surgeries as well.

This is why the doctors have different opinions. There are a numerous number of doctors and all these doctors have different thoughts and approaches.

But one thing for sure is that the implants and the techniques have developed much continuously. So there is a major trend through this development.


Breast surgery used to be a day long, scary surgery on the whole body, but this is changing into a day time surgery, i.e. you can recover in 24 hours.
 


Surgical drain is a drainage tube. Substances in the body need to be quickly removed from the body.

Drains are a linkage from the body to the outer environment therefore there is a high change that the pocket or the implant gets infected. This infection leads to inflammation and capsular contracture.

I believe that it is best to close the pocket of the implant as soon as possible.

Now, we do not use the drains for 90% of the patients.
If there is a patient who needs a drain, I think that it should be removed as quickly as possible.

Instead of thinking about whether using the drains are good or not, the important things is that the doctor needs to do the surgery good enough so that drains are not necessary.



Thank you for reading today’s post.
Have a great day.

How large does the breasts become after the breast augmentation?

Q. I will be using cohesive gel 275cc (or 300cc) and my breasts are currently AA cup. How will the size change?

Let’s look at how we measure the cup size before we answer the question above. When the difference between the upper breasts circumference and the lower breasts circumference is about 12.5cm, we call this B cup. The cup size increases for every 2.5cm.



Although the top bust is big, visibly big, but if the under bust is small, your cup size can be A or AA.

If your top bust is not so big, but the under bust is very small, then your cup size could be G or F.

So the answer for the question above is:

Breast cannot be measures by the cup size that determines the size of your underwear, and you shouldn’t measure in such a way either. Also one cannot estimate how much the upper bust gets bigger with the implant.



Implant size and volume; Volume differs from one person to another although they use the same sized implants, therefore one should rely on the experience and the judgement of the surgeon (Cohesive gel 250cc, 275cc, 300cc implants)

1)    When the implant is put it, it get pushed down by the skin, muscle, fat, etc therefore the original shape of the implant is not maintained. So if you measure the upper bust size, it will not be aligning with the size of the implant.

2)    Our body has liquidity and flexibility, therefore if a substance gets inside the body, the substance will press down on our tissue. The bigger the implant is, more it will press down on the skin, therefore, it is difficult to estimate the breast size. The degree of pressing down differs from one person to another.

3)    I tried to make an formula that will measure the size differences before and after the surgery by looking at the chest as a oval. One needs to calculate the indefinite integral to get the circumference of the oval but this is complicating so I came up with a simpler version as below.




L is the circumference of the oval. A is the major axis and B is the length of the short axis.
You can see the change in the breast size before and after the surgery by looking at the image below.




The problem here is that one cannot estimate the ‘b’ unit. One cannot know what level of the implant would come across the line that passes through the two nipples and also one cannot know how much the implant would press on the tissue. So we cannot apply this equation before the surgery.

4)    There are many errors and variables as above, so we cannot know how much cc of implant would lead to a particular cup size (how much the circumference of the breast increases).

5)    However, many people ask this question. So I would like to use “volume” to share how large the breasts become.
If you use the implant, the cup size increases, but the volume does not only depend on the height, but it also considers the width. This means that the volume may not increase as much as the cup size.
Also, the purpose of the breast augmentation is not to increase the cup size, but it is to have more volume.

I tell my patients how much volume increase there is after the breast augmentation and this comes from my experience.

Your clothes have sizes such as 44 / 55 / 66. 44 is extra small, 55 is small, and 66 is medium size. The implants can be measured by volume is such a way.



This model wears 55 size. One can say that that she is using a medium sized implant.


Small size (~235cc) ;

Polytech TMS 220cc, Natrelle Midrange 222cc, and Mentor Moderate plus 225cc are in this group. The width of the implant is about 9~11cm. We recommend this when the diameter of the breast is 10.5cm.

Although you use a small sized implant, a person with A cup can become a C cup. The high profile implant is 235cc and the height is about 4.4cm, but the volume does not increase as much.

Small size implant leads to ‘appropriate big size’.

Medium size (240~265cc) ;

Polytech TMS 255cc, Natrelle Midrange 253cc, Mentor Moderate plus 250cc are in this group. The width is about 10.5~12.3cm. These implants can be used if the diameter of the breast is about 11cm.
Medium size implant leads to ‘relatively large’ size.

High Medium size (270~285cc) ;

Polytech TMS 285cc, Natrelle Midrange 272cc, and Mentor 275cc are in this group. The width of the implant is about 10.8~12.5cm. These implants can be used when the diameter is about 11.5cm. High medium leads to ‘large breast’.

How large the original breasts are, how tight the tissue is, and how high the implant are the determinants on whether your breasts become B cup or C cup.

Large size (290~315cc) ;

Polytech TMS 315, Natrelle Midrange 290, and Mentor moderate plus 300 are in this group. The width is about 11~13cm. The diameter of the original breast needs to be about 12cm. Also, the original breast tissue should not be too tight but loose so that the implant can be put in easily, shoulders need to be broad, and the chest size needs to be big for the person to use the large sized implants.

Large sized implants lead to ‘very large breasts’ with any cup size of B / C / D.

But fi you have small original breasts, and if your tissue is tight then your breasts may not be larger than B cup. This does not mean that you have a small volume. This just refers to how the cup size is measured.

Extra-large (320cc or more) ;

In US, it is common to use 400cc or larger implants. Patients with big sized body and sagging breasts use such implants.

It may seem like one should not use large sized implants for sagging breasts but since there is no volume on the breasts, the implants would put much volume.
So one needs to choose long diameter implant in such case.

The cup size is not important in breast augmentation. Cup size does not have any meaning. The cup measurement has limitation on how much the volume can be. One needs to know how the volume would be changed but the cup size is very subjective. Saying you are short or tall is subjective and this applies to breast size as well.

No matter how large the implants are, one may not feel that the breasts are large enough. A person who is 166cm tall and 48kg might feel that she is fat and go on a diet. It just feels that one cannot objectively judge her own body.

 
Today we looked at how large breasts become with the implants.

Thank you for reading.

Using artificial skin(alloderm) for breast re-surgery [KIES-U Korea]

We have been using the artificial skin in breast revision surgery since the early 2000’s. It was first used for the breast cancer patients but then the usage has expanded into the beauty area and is now applied on the breast surgeries.



The artificial skin is made by pig skin but has been biochemically alternated to fit into a human’s body, therefore, it is different from Alloderm that uses the skin from a corpse.
Alloderm is a brand name and the product from the brand is called Strattice.
Today, we will look into how the artificial skin is used for the breast revision surgery.





There are many causes that lead to breast revision surgery, one of which is the capsular contracture.
Also there are other causes such as the position of the implant, implant defect, leakage, hematoma / seroma.

The artificial skin(alloderm) is used when a patient’s skin becomes really thin so that the artificial skin is necessary to cover the implant.

This usage is rather an additional measure for the breast surgeries.

The position of the implant, such as going too much to the inside, lower bottom, or coming out, can be a problem, but this is caused because the pocket is too large compared to the size of the implant. So the artificial skin(alloderm) is used as a barrier for the implant to be fixed at the most appropriate position.




Capsular contracture is the main cause of breast revision surgery. Usually, we will cut off the epithelium or remove it and also change the plane of the implant, i.e. depth, during the revision surgery. Alloderm used in this case means that the implant would be covered by the product.

The artificial skin(alloderm) minimizes the possibility of the capsular contracture, and acts as a barrier between the implant and the patient’s immune system. Also, through this, the epithelium becomes really thin.

As for the reconstructive surgery, the incidence rate of the capsular contracture is decreased from 10~16% to 5% when using the artificial skin.

The sagging of the breasts is caused because the skin becomes really thin after the breast augmentation. The skin becomes thin quickly if the implant is too heavy or as the patient gets older. Normally, one would consider breast lifting is such cases but we could use the artificial skin(alloderm) so that it supports the implant therefore avoiding the sagging breast.



Rippling and wrinkling: This is normally found with patients who are thin. We use the artificial skin(alloderm) by covering the implant from the top on the part where there is refilling or wrinkling.

Many patients apply the methods mentioned above for the revision surgeries. Statistically, we have seen great improvements with the capsular contracture, and some with the sagging breasts and the wrong positioning of the implants.

However, we see many recurrences of refilling or wrinkling even after the artificial skin so we do not have much statistically significant data for such cases.




Today, we looked at how artificial skin is used on the breast re-surgeries. In summary, we can say that the artificial skin is used only when it is necessary for re-surgeries or re-constructive surgeries. Also there is a high cost for it.

Thank you for reading. Have a great day.