Getting to know about breast augmentation

Whoever gets on the surgical bed would be scared to get a surgery. This is something normal. The biggest reason for such fear is the pain that you would feel after the surgery.

Today, I would like to share about few things that you can do in order to prevent the pain and achieve a comfortable surgery for the breast augmentation.



There are those sho feel much pain and those who do not. There ar enot who do the feel the pain at all. You need to know the difference between these patients in order to know why there is a difference in pain level.





First, it is the pressuring strength of the implant. The pain is caused through the pressure that the implant sets on the skin and the bone that it is located on. The implant is made to put more volume to the skin but it causes pressure that leads to pain. It is know that the most pain is caused in the periost. The pain recpetors that cover the periost make you feel the most pain.

Second is the trauma or the external injury.In order to get a clear vision, the doctor uses retractor, endoscope and other equipment that physically tough the patient’s skin leading to much pain.

Third reasons is due to the breast skin that wants to resist the strength that make fascia-muscle-tissue strech. If the implant goes into the breast, the input area gets larger. The skin is similar to spandex that resist the power of the person wearing it. Therefore there are many sensing receptors that make you feel the pain.

The fourth reason, is the difference int he level of how each person feels the pain. A hit on the forehead might make some people feel a lot more hurtful than others. To them, it is not right to explain that they would feel less pain with the surgery. Each patient would feel different level of pain.



The first type of pain would be severe with larger implant, and less with smaller implant.
The second type of pain would be severe if the doctor is harsh and not careful. It would be less painful if the doctor is more careful.

The third type of pain would be more severe to those patient that are young because they have tighter skin. The skin sags as you age, therefore the pain would be less for older patients.

If you know what type of person you patient is, you would be able to know what to do so that she feels less pain when conducting breast augmentation.

You should avoid using an implant that is too large. The doctor should be careful when conducting the surgery. The patient’s skin needs to be less tight and she needs to feel less pain.

The third and the fourth reason for the pain are those that we cannot control. But the first and the second reasons are those that we can control.



The doctor should use an appropriate size implant and should be careful not to touch too much on those spots that have pain receptors.

If these directions are met, then the patient does not need to worry about the pain as much.

This the is answer for how to make the breast augmentation not painful. Today, I shared a brief content on the reason and the solution for this.
Hope this has helped. Thank you for reading.

Basic knowledge of anti-aging

Today, I would like to post on something that many of those who get thread lifting ask about.

There are those who say that thread lifting is very effective at first but the effect goes away very quickly.

Many people know that thread lifting is not a permanent thing and the effect disappears as the face skin sag, but they are also curious about what to do in order to have the effect last for as long as possible.

First, the sagging pattern of the face needs to be suitable for thread lifting. (This is very important)

Second, the thread must be applied at the appropriate spot and it needs to pull the skin in the right way.

Third, the thread needs to be strong and it needs to be durable by not having much straing on it.



There are many things to talk about, but today, I would like to focus on the fixation point and the pulling method.

We put in the thread at the spot above the earflap and send it to the point of the skin where we want to pull up.

We can remove the thread or leave it as it is.

The point where the thread comes out differs according to the target area of which we want to have the surgical effect, but the input spot is always the same, at the upper part of the earflap. What is the reason behind?



The skin where the thread is inputted must be fixed (there needs to be a spot where supports the process). The fixation point needs hard with strong bearing power in order for the the pulling effect to last for a long time.

The temple would be such a spot in the upper face. This area would include the temple as well as the fascia. The fascia is located very close to the skin and is very  tough and does not stretch easily therefore is used as a fixation spot for thread lifting.



Whatever type the thread it, if it does not have a solid fixation spot, the thread would not be able to have enough power to pull the skin. The pulling strength would disperse upwards and downwards.

When the thread penetrates through the skin, it must uniformly penetrate through the subcutaneous fat and SMAS. The penetrating direction needs to be appropriate for the soft tissue masses that form the face.



The end of the thread needs to go straight into the wrinkle line of the target part and the amount of threads used is depended on the depth of the wrinkle.

There are various methods for thread lifting and one cannot say which is better than the other. The doctor’s decion on the method through his / her experience is the best method that can be applied.

Has this post helped you answer your question? Thank you for reading.
Have a good day.

There was a person who asked about the seroma that could arise after the breast surgery using an implant. I would like to share about this today.

If you put blood sample in the test tube and leave it for a while, the liquid rises and the blood cell stay at the bottom. The clean serum gathered together at a particular place is called seroma.

Small blood vessel damaged leaks plasma and cases seroma. Infection can cause seroma as well.



A hermatoma containing red blood cell is wrong and an abscess containing pus is different.



Seroma is formed due to some kind of trauma on the body. It gets sucked into the body as time passes. This may take days or even weeks. Calcification can be cause after the seroma disappears.

This happens a lot during the breast surgery (mastectomy), abdominal surgery, and reconstruction.

More the difficult the surgery gets, there is a higher possibility of seroma and the more larger the seroma is, it takes longer time for it to disappear.

Also, there is a possibility of second infection as well. Such a large seroma can take years to go away.



In 2012, there was a plastic and reconstructive surgery journal article written by Spear and others. They analyzed 28 cases of late seroma after breast implant. The seroma was formed at an average of 4.7 years after the surgery and most of the cases used biocell textured implant, Allergan’s textured implant.
One can remove the epithelium or replace the implant in order to cure this. There are cases where only the seroma was removed as well. Some used antibiotics for the cure.



96% were found to be cured properly, however we do not know the cause. There were no cases of infection or malignant altercation in the journal that Spear and other wrote.
The first scholar to mention about seroma in breast augmentation was Elizabeth Findlay. Dr. Findlay reported that all cases of seroma were found with the usage of Allergan’s textured implants. The reason for this is that all Allergan’s textured implants have a surface of Biocell that have strong friction and this causes trauma damaging the blood vessel - causing seroma. The seroma found by Dr. Findlay was found 6 months after the surgery (This is why the term ‘delayed’ was used).

From my experience, I think that it is more common to find seroma right after the surgery lasting for 6 months, which is different from what Dr. Findlay found out.
We, at our country, use Polytech, Mentor, Allergan, Silimed, Cervin, etc implants and I don’t think that the seroma formation only applies to Allergan textured implants. There were such cases found in Polytech and Mentor implants as well. Smooth round type implants had the same problem also. There weren’t any cases found in Silimed implants as of yet.


So, I think that instead of calling this “late seroma”, it should be called “Nonabsorbing seroma”.

If the pocket for the implant is larger than the implant itself, the contract-union of the implant and the pocket is not be conducted properly causing much space in between. There would be liquid formed in this space that do not get sucked in for a long period of time leading to the seroma formation.

A certain type of implant from a certain brand do not fit in with the size of an average Korean woman’s rib size therefore there can be a mismatch and empty space between the implant and the body. I think that this could also be a cause of seroma formation. Of course, there needs to be more cases gathered and experiments conducted to know about this with certainty.

Today, I share content on the complications that can follow after breast correction.
I hope that this content has helped you enough.
Thank you for reading and have a good day.

Sagging breast correction

Many do not understand the cause of sagging breasts. If you think that correcting the sagging breasts is the same as lifting the sagging skin on your face, then you are mistaken. Sagging breasts correction is picking up something at the bottom and hanging it at the top. Sagging breast correction, especially for those Korean women who are small and thin, should be differentiated from the classical sagging breasts correction.
First, the implant is put in below the pectoralis muscle by applying the dual plan method and this should benefit the effect of having to be pulled up together to the part above the pectoralis muscle. The pectoralis muscle fascia is connected with outer skin of the breast and derma organization that leads to such results.

Plastic surgery Korea KIES-U

Second, as the implant goes into the breast, if forms a tightening effect by pulling on the skin resulting in optimized elastic feeling on the breast. Dual plane method for the implant makes you feel that the breast has been pulled upwards. This is very important to those Korean women who are really thin and do not have much fat in the upper body. It is important for the implant to fill up the volume on the upper part of the breast.

Third, we can remove the areola and the nipple to the upper location. This transfer gives enough lifting effect to the Koreans. If you have thick skin and your original breasts are comparably big, then we need to pull up the deep skin upwards to see positive results.





These are the three applicable methods in correcting sagging breasts for Korean women’s body. You will be able to understand better with the aid of the images.
Thank you very much for reading. Have a good day.

Today I would like to answer to those who are curious about HIKO(nose thread lift) correction through this post.

There has been a lot of interest and experiments on how to make the nose higher without the usage of a mes. When we talk about cosmetic surgery of the nose, it not only includes making the nose higher but also correcting the shape of the nose. Below are some methods.



1. Short nose correction (making the nose longer)
2. Blunt nose correction (making the nose tip sharper)
3. Nostril correction (making the nostrils narrower)
4. Crooked nose correction (making nose straight)
5. Roman nose (removing a bump on the nose)
6. Arrowhead / long nose surgery (reducing the size of the nose)
7. Rhinoplasty (making the nose bridge higher)
8. Nose tip correction (making the nose tip higher or correcting the shape)
9. Large nose correction (reducing the size of the nose)
10. Nose bone correcting (correcting broken nose bone)

There are many correction methods for various situations that have been developed from long time ago, and these techniques are not simple. This is why rhinoplasty or nose correction surgery requires much clinical testing and medical knowledge to retrieve higher success rate. It is an area of much complexity.



There has been continuous demand for cosmetic surgery that does not include the usage of knife, no bleeding but something that is comfortable, cheap and quick in result. This has led to development of many techniques.

Non-surgical methods are less successful but this does not apply to rhinoplasty. i.e. making the nose itself and the nose tip higher, which has been rather more progressive in getting positive results.



HIKO nose correction is one of the methods.

HIKO(Nose thread lift) correction requires the usage of melting thread that is put into the nose through a needle. The thread inside the nose mobilizes the inflammatory cell and starts to melt by itself. The mobilized inflammatory cell makes the surrounding area hard and the scar tissue, i.e. many types of fiber get mixed changing the structure.
This makes the shape of the nose look different.



This is the main essentials of nose lifting, HIKO correction. The silicone is used and the nose rises up, not as much as the usage amount of the silicone., but the silicone leads the change of the surrounding tissue, and finally changing the nose shape.

The degree of change and the time of lasting affect is less than the usage of silicone or transplanting cartilage. However, today, people do not want their nose to look obvious after the correction although the noses get higher therefore, such method of using thread for nose lifting is becoming popular.

If time passes by and the thread melts away and the nose turns back to the original state, this method can be applied again.



Cosmetic surgery / method can be perceived to be similar to makeups.

The number of patients who want a big surgery to get a full make over are decreasing these days. Most of the patients are approaching with the concept of cosmetic surgery / procedure. This is even more clear with aged patients. High blood pressure or diabetes cannot be cured therefore one needs to take care of the body all the time. Beauty is perceived as the same and people are trying to take care of the body (antiaging or obesity).

There are some cases that need big surgeries. The patient must be clear about how much change he or she want in the body. The more the patient wants, ‘caring or maintaining’ turns to ‘changing’ of the body.

There are many who are aware that caring does not apply to crooked nose correction. But if they want some level of change, caring is the more closer approach that people accept.

It is common to combing thread lifting with other methods for HIKO.

The most representative case would be the usage of the filler.

Filler is effective when you want some level of volume but it is half liquid therefore when it is put into some spot, it tends to disperse to the surrounding area. In opposite, the thread does not give volume but it tends to stay at the injected spot. Therefore there are many cases where both methods are used to complement one another.



There are times where Botox is applied at the nose tip as well.

There is a muscle that pulls the nose tip down at the nose pillar. If you put Botox here, the muscle loses strength and the nose tip will stand up higher. If the thread is applied at this stage, the effect becomes multiple.

Most of the thread used for HIKO procedure is PDO. The thread hydrolyses within 3 months. The lasting effect is for around a year or a year-and-a-half. Filler is about the same, therefore you would need a non-surgical nose reshaping once every year or two. If this fact is acceptable, then high nose correction can be an ideal procedure for you.

When would you need HIKO(Nose thread lift) procedure and when would you need a nose surgery?

If the nose is not too short or crooked, or if it is not too low that the nose can be corrected for cosmetic reasons, then HIKO(Nose thread lift) is recommended.

Today, I have shared some contents on high nose correction. I hope it was helpful to you.
Thank you for reading. Have a good day.