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)

Plastic surgery Korea KIES-U

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.

Plastic surgery Korea KIES-U

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.




Breast augmentation Korea KIES-U
Contact us  WhatsApp +82-10-2687-4790
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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.

Things to consider before a breast surgery

There are many who are curious about our real time minotoring system, therefore I would like to introduce the system to you all.



Although the purpose for it’s application is saddending, real time monitoring system was applied to build up the trust between the patient and the clinic. The patient’s trust on the doctor is strong in developed countries such as US or Japan and such trust was not built up in a day or two but in many years.




Our country has developed really quickly and the idea of capitalism entered our country really easily. This is why the hospitals are also focused on earing money and expansion leading to bad perception from the patients. The patients think that the hospitals are only concerned with making money and power hungry doctors.

Also, national insurance cannot be applied to cosmetic surgeries therefore cosmetic surgeries tha consume much money have lost more trust of the patients.

There are many patients who visit 5 to 10 clinics before coming to us, as it is located in Gang-nam. As I see more of such patients, I think that the doctor and the patient have been distanced very far apart.

We used to call such behavior “doctor shopping” when I was in school. It is not the doctor who decides on the proper procedure and method for the patient, but it is the patient who chooses the doctor and the clinic just like when they are shopping for something.

Doctor shopping can be one of the characteristics of the IT world that we are living in today, but there has been too much commercial influence on this. The consumers are searching for cheap surgeries, and the clinics are marketing on low cost as well leading to a fierce price competition and what we call low price, high volume strategy.
Low price, high volume is appropriate if you conduct many surgeries. If one doctor has to take care of treatment, surgery, post-surgery treatment, the hourly cost would not be higher than the profit earned.



In order to get to the break even point, there are many clinics that use a “shadow surgeon” method. This method includes different person for each process. A consulting staff before the surgery, a doctor for pre-surgery treatment, and a doctor dedicated to only the surgery itself. This helps to save time, as the patient can move onto the next process without any boundaries. It would be more time consuming if one doctor has to take care of all these processes. This woul lead to low price, high volume and highest hourly revenue as well.

The first doctor to think of such process should be acknowledge in economic world but this is ethically and morally wrong for the doctor. Surgery should not be perceived economically. The management has to hire shadow surgeon at low income to save costs. This would not gurantee quality. Also, one person has to repeat his/her task one after another, therefore, a loss in concentration could lead to medical accident. Also, the surgeon would be somebody absolutely new to the patient therefore, the surgery itself could be a lie and a cheat to the patient.

When I was in school, the students would take care of the pre and post surgical treatment with the professor perfomrning the main surgery. This might have been right at that time, but when I come to think of it right now, it might not make sense. However, the residents spend more time with the patient in the university hospital more so than the professors. This is different to that of shadow surgeon in a small clinic.
There are xx clinics that are opening in all districts today. These are more of an “office clinics” that are focused solely in making money and appropriate to the system today. A person (not a doctor, but a business man) with marketing ability sits as the persident and manages the hospital. The clinics can only be opened by those with medical license so the beginning doctors or very cheap income doctors are hired to sit in such position. Such clinics have never ending medical accidents. There are lots of personal and civil complatins, but those presidents with much know-how can still bring in more patients.




Such clinics disappear in 2~3 years and the doctors are changed as well. This is one way to avoid taxation, medical inspection, etc. The patients who have suffered damages during this time cannot be compensated properly because everything has changed and the owner of the clinic is hiding behind somewhere.

Anyway, how do you think that we can differentiate such clinics from proper ones? I think that this is nearly impossible. There is no way if the owner is hiding or not, if the president of the clinic is fake or not or when the clinic will disappear.

Real time monitoring system is applied to cover up the mistrust between the patient and the doctor. This is just a policy. This system might temporarily make the patient to trust you but it cannot change the root or the origin of the mistrust.

I feel sad that I have to share what is happening int he operating room through the CCTV> However, this is the only method that can help the patients at the present moment. I don’t think that there is no other way to slowly build up trust between the patient and the doctor without this.

Thank you for reading. Have a good day.

Getting to know about breast augmentation

Today I would like to share details on treatment and follow-up service of breast augmentation.

1.
‘Treatment’ refers to activites that involve taking care of the wound, protecting the scar and bleeding, stabilizing  the surgery area, dressing, and prescribing medication.

Treatment means
Sterilizing the wound and providing dressing for it
Applying pressure bandage
Prescribing / injecting antibiotics, pain killers
Providing painless injecting
Providing drainage tubes
Removing stitches

Treatment is mostly conducted by the nurses



2.
Follow-up service refers to checking up on the patient to see if she is on the proper recovery process after the surgery, and proving appropriate care when necessary.

There are those patients who think that it would be more comfortable if they could as for whatever they want just like what the people do as they ask for specific spots when getting a massage. It is important to check if the patient is at a normal recovery status rather than doing what the patient wants.

Laser treatment for wound should be decided after finding out if there is pigmentation or not. Those with redness would only make it worse with the laser toning. But, there are those who want laser toning no matter what because they have paid some amount for treatment. I actually do not know what to do in such cases.

There is no preset process for follow-up service as it is with treatment. Follow-up service is conducted differently case by case.  There are various types of follow-up service such as,


Swelling, Helium-neon laser
Fulguration, managing pain
Hand massage ; to enlarge the breast skin (only for tight skin)
Ultrasonography ; To check if there is anythin wrong with the implant and surrounding area
Caring the wound, scar ; taping, laser toning, injecting, whitening etc




This is what I have for treatment and follow-up service.

There are many of those who are confused on the two. Maybe it is because they do not know the difference between treatment and follow-up service. Also, it may be because many think that follow-up is something similar to a social service.

Both treatment and follow-up service are medical actions. Medical actions are only to be conducted by the experts through their accurate decisions. Such are decided through examining ont the patient staturs and progress.

I believe that our clinic has all the experience and know-how in conducting treatment and foolow-up service for all types of patients. If you think that you need something after a surgery, please be sure to share about it with the doctor and the nurses.
 

Thank you for reading. Have a good night.