1
00:00:00.000 --> 00:00:02.475
A body that has moved slowly for decades

2
00:00:02.475 --> 00:00:05.325
[Doesn't transform at once]
won't just change in a couple hours

3
00:00:05.325 --> 00:00:07.175
If they expanded and shrunk with pregnancy

4
00:00:07.175 --> 00:00:08.925
and only the areola has stretched

5
00:00:08.925 --> 00:00:11.825
you can just remove the excess skin, right?

6
00:00:11.825 --> 00:00:12.424
But that's not the case

7
00:00:12.424 --> 00:00:15.124
If you insert an implant or have large breasts

8
00:00:15.124 --> 00:00:16.274
You cannot try to shrink

9
00:00:16.274 --> 00:00:17.124
the areola

10
00:00:17.124 --> 00:00:18.824
But people will still say

11
00:00:18.824 --> 00:00:20.774
they want large breasts and small areolas..

12
00:00:20.774 --> 00:00:21.874
That doesn't work

13
00:00:22.824 --> 00:00:26.274
SHINYU CLINIC

14
00:00:26.274 --> 00:00:28.024
This time I'm talking about areola reduction surgery

15
00:00:28.024 --> 00:00:30.624
About 15 years ago, I tried an areola reduction surgery

16
00:00:30.624 --> 00:00:34.074
[It was a disaster...] 
It failed, and was told off by my patient

17
00:00:34.074 --> 00:00:37.173
That person got the reduction with an implant

18
00:00:37.173 --> 00:00:38.973
It had already failed at a different clinic

19
00:00:38.973 --> 00:00:41.773
and came to our clinic for a re-operation

20
00:00:41.773 --> 00:00:43.023
(Pressure x100)
So it was a difficult case

21
00:00:43.023 --> 00:00:45.123
I should have stopped the patient

22
00:00:45.123 --> 00:00:47.923
[I can do well this time]
but I didn't stop them and tried, which led to failure

23
00:00:47.923 --> 00:00:48.973
Still it ended well!

24
00:00:48.973 --> 00:00:50.823
Clinical science is still a science

25
00:00:50.823 --> 00:00:53.123
Existing in the realm of physics

26
00:00:53.123 --> 00:00:55.523
[Like drawing on a balloon being blown leads to a wider drawing]
If you put an implant in, the areola expands

27
00:00:55.523 --> 00:00:57.373
People with large breasts have large areolas

28
00:00:57.373 --> 00:00:59.473
and people with small breasts have small ones

29
00:00:59.473 --> 00:01:00.972
Small breasts and large areola?

30
00:01:00.972 --> 00:01:02.022
No way

31
00:01:02.022 --> 00:01:03.772
Those people had big ones that shrunk

32
00:01:03.772 --> 00:01:05.372
[If breasts had expanded during pregnancy, small breasts+large areola is possible]
If they had a baby and their breasts had expanded

33
00:01:05.372 --> 00:01:07.472
and the breasts came back to normal

34
00:01:07.472 --> 00:01:08.972
and the areola stayed the same

35
00:01:08.972 --> 00:01:10.022
This is a common case

36
00:01:10.022 --> 00:01:11.522
It's like a deflated balloon

37
00:01:11.522 --> 00:01:12.972
If the areola expands

38
00:01:12.972 --> 00:01:14.522
It is difficult for an areola to return to its original size

39
00:01:14.522 --> 00:01:17.522
So how do you reduce them?

40
00:01:17.522 --> 00:01:19.772
Removing the excess skin

41
00:01:19.772 --> 00:01:22.622
that's the common way for areola reduction

42
00:01:22.622 --> 00:01:25.021
But a body that has moved slowly for decades

43
00:01:25.021 --> 00:01:27.921
[Doesn't transform at once]
It won't just change in a couple hours

44
00:01:27.921 --> 00:01:29.771
If they expanded and shrunk with pregnancy

45
00:01:29.771 --> 00:01:31.521
and only the areola has expanded

46
00:01:31.521 --> 00:01:34.371
You can just remove the excess skin, right?

47
00:01:34.371 --> 00:01:34.971
But that's not the case

48
00:01:34.971 --> 00:01:37.671
If you insert an implant or have large breasts

49
00:01:37.671 --> 00:01:38.871
When you try do reduce the areola

50
00:01:38.871 --> 00:01:39.671
It won't work

51
00:01:39.671 --> 00:01:41.671
Then, we either reduce the breast or

52
00:01:41.671 --> 00:01:42.771
Remove the implant or

53
00:01:42.771 --> 00:01:44.221
Replace it with a smaller implant

54
00:01:44.221 --> 00:01:46.021
This way, the areola can shrink

55
00:01:46.021 --> 00:01:47.571
This tension continues to act, you see

56
00:01:47.571 --> 00:01:49.270
Even so, people still say things like

57
00:01:49.270 --> 00:01:51.220
They want big breasts but small areolas...

58
00:01:51.220 --> 00:01:52.670
But that's not possible

59
00:01:52.670 --> 00:01:55.120
At such times, you need to direct this tension elsewhere

60
00:01:55.120 --> 00:01:57.020
That's why we need the "vertical incision"

61
00:01:57.020 --> 00:01:58.520
So if you send the circular (areola shape)

62
00:01:58.520 --> 00:01:59.720
tension vertically

63
00:01:59.720 --> 00:02:01.570
the tension won't be applied to the round part

64
00:02:01.570 --> 00:02:02.920
What does this mean?

65
00:02:02.920 --> 00:02:04.770
If you want to increase the size of the breast,

66
00:02:04.770 --> 00:02:07.770
the areola also tries to enlarge due to the tension

67
00:02:07.770 --> 00:02:09.970
But if you make a straight incision

68
00:02:09.970 --> 00:02:12.969
the tension affects the incision area

69
00:02:12.969 --> 00:02:15.219
so the areola doesn't get bigger

70
00:02:15.219 --> 00:02:16.519
By reducing the areola

71
00:02:16.519 --> 00:02:18.119
and sending the force vertically

72
00:02:18.119 --> 00:02:19.219
You can reduce the areola

73
00:02:19.219 --> 00:02:21.119
So, to address the fundamental cause

74
00:02:21.119 --> 00:02:22.319
Breast reduction

75
00:02:22.319 --> 00:02:23.919
Implant size down

76
00:02:23.919 --> 00:02:25.069
Implant removal

77
00:02:25.069 --> 00:02:27.669
This makes sense for reducing the areola

78
00:02:27.669 --> 00:02:31.819
But if you want to maintain large breasts 
and reduce the areola, a "vertical incision" is essential

79
00:02:31.819 --> 00:02:34.869
How long is the recovery period?

80
00:02:34.869 --> 00:02:36.018
Typically, the scar itself...

81
00:02:36.018 --> 00:02:39.168
It becomes okay between one to two and a half months

82
00:02:39.168 --> 00:02:40.168
(But) the degree is the problem

83
00:02:40.168 --> 00:02:41.868
Normally, after about a month and a half to two months

84
00:02:41.868 --> 00:02:43.368
it returns to a normal shape

85
00:02:43.368 --> 00:02:45.268
Breasts may drop down to the navel

86
00:02:45.268 --> 00:02:46.718
There was someone over 100kg

87
00:02:46.718 --> 00:02:49.018
Who underwent breast reduction and areola reduction

88
00:02:49.018 --> 00:02:50.468
For the shape of that person to return

89
00:02:50.468 --> 00:02:51.518
It took 4 months

90
00:02:51.518 --> 00:02:54.068
Normally, it takes one and a half to two and a half months to be settled

91
00:02:54.068 --> 00:02:56.768
Also, lifting surgeries are quite big procedures

92
00:02:56.768 --> 00:02:59.617
and after lifting, the breast can get squashed quite a bit

93
00:02:59.617 --> 00:03:00.367
This happens right after the surgery

94
00:03:00.367 --> 00:03:02.817
But after about a month and a half, it returns

95
00:03:02.817 --> 00:03:05.817
They say nipple areola surgery causes a loss of sensation...

96
00:03:05.817 --> 00:03:07.317
It does happen sometimes

97
00:03:07.317 --> 00:03:09.467
but textbooks say that 15% of sensation is lost

98
00:03:09.467 --> 00:03:13.067
This is based on Western statistics, but for Koreans, it seems like around 7-8% is lost

99
00:03:13.067 --> 00:03:14.667
But most of it returns with time

100
00:03:14.667 --> 00:03:16.067
[Huh???]
If it doesn’t return, there’s nothing you can do

101
00:03:16.067 --> 00:03:17.867
That's because breast surgery itself is big surgery

102
00:03:17.867 --> 00:03:20.467
[Intercostal nerves are for sense around nipples]
The fourth intercostal nerve has its direction

103
00:03:20.467 --> 00:03:21.717
If it's different from others

104
00:03:21.717 --> 00:03:22.817
After you get breast augmentation surgery

105
00:03:22.817 --> 00:03:23.816
Or after you get a breat reduction

106
00:03:23.816 --> 00:03:25.466
The sense will be reduced

107
00:03:25.466 --> 00:03:26.716
If you want both big breasts and small areolas?

108
00:03:26.716 --> 00:03:28.366
Don't forget vertical incision!

109
00:03:28.816 --> 00:03:34.841
Go see other videos