When I'm saying breast reduction can get dangerous
I'm not meaning that it threatens one's life
[Matter of possible nipple necrosis] but it's the matter of the possibility of nipple necrosis
If your blood circulation is poor
your skin can still thrive
but your nipple and aerola
Shinyu Clinic
PD / When one visits for breast reduction
I heard that what patients are most concerned about is
the scarring
But I heard doctors get concerned about
something more than
scarring
If you do something a lot to your breast
necrosis might occur to your nipple and aerola
(It's not that common though) It happens sometimes
(Same goes for breast cancer surgery) Since you're doing a lot to your breast for breast cancer surgery
your nipple and aerola can undergo necrosis
It's not common
And when one undergoes FTM surgery
or transgender surgery
especially after a transgender surgery
where they remove most of their breast fat
[Worsens your blood circulation] it's inevitable that their blood circulation gets poor
Your skin can still thrive
with poor circulation
but your nipple and aerola
[Higher risk of necrosis due to poor blood circulation] are vulnerable to poor blood circulation
So if they opt for breast reduction
or undergo transgender surgery
or breast cancer surgery
your nipple and aerola can experience necrosis
So when I'm saying breast reduction surgery is dangerous
I'm not talking about that it can threaten your life
[Matter of nipple necrosis] but there's the possibility of nipple necrosis
We do reconstructive surgery when your nipple gets necrosis
[Impossible to do reconstructive surgery for aerola] and we do tattoos for aerola necrosis
That's whats done for breast cancer surgery patients
so if your nipple undergoes necrosis
from transgender or breast reduction surgery
we do reconstructive surgery
[Must understand such risks before going into surgery] That's what happens when you do something to your breast
PD / So the root cause of necrosis
is what you just explained..?
It's due to poor blood circulation
but that varies from person to person
[There are in total of 5 large blood vessels that pass through our chest] There are four large blood vessels at the center of our body
There's a big blood vessel that pass on the outer side of our body
So there are five in total
even if you keep those 5 in place
You get your nipple getting pressed
There is a scab
the colors change
even if thankfully necrosis didn't happen
I see some people suffer
I hope every surgery gets good results
and expected results
[But according to the patient's physical traits] Human body really
[The surgical result will always be different] You do the same surgery but get different results
So I always say
[Surgery result follows the background] The background is important
Patients who have good results
thank me a lot
then I always say
I'm not being modest but your background is good
but thankfully the results came out well
so I always feel thankful
I always say
Q. If there is a precaution?
My breast is extended like this
If you do the lifting a little
There isn't much difference
so the blood flow will be better
[Overdoing the lift] But if you pull up a lot
If you try to lift the nipple that reached your belly button
I think the risk goes up since the blood vessels get folded
and as a matter of fact conservative surgery
[Too much goals X] There are people that says please lift mine up to the chin
But...
Don't lift it up to the chin
[Mindset to improve better than now] Just improving moderately from now
Don't pursue perfection
Just keep your goal as improving it
That is safer
Human body is all different
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Surgery is
[There can't be no risk at all] You just take the risk and go on
I have been having back pains for more than 25 years
My friends tell me to endure it
[But I feel so uncomfortable...] But I feel like having an operation
due to the back pain
but my friends tell me
you are taking a risk
Just know that it could get worse
expecting that it will get better
The idea that it could get worse
you should think about it
but for now just hold on to it
[Those that know the meaning of going under a surgery] I'm just holding as long as I can although my back hurts
The surgery can be done one day
But some people get worse
They always told me that
So, breast is the same
I know there's a risk
But it's so big that it's hard to live
In this state... We're living 100 years now
Even if you're 60 years old
You have 40 more years to live
It's too tough.
The quality of life is so low
Well, I can get inflammation
Asymmetry can happen
Even the nipples could be necrotic
It could get crushed
[They have to decide whether to have surgery or not] Even with that risk
I look forward to a good result, and want to try it
You have to judge it like this
I'm scared of something
Then don't do it. It's better not to do it
It's up to you
Only those who are desperate will get surgery
Surgery is not a simple thing
Breast reduction, colossus, enlargement
Breast cancer surgery, who wants to do it?
You have breast cancer, so you're forced to do it
Who wants to get a big breast off
You have no choice but to do it
out of desperation
You could be desperate for cosmetic surgery
I'm doing this out of desperation
Well…Should I just do it?
It's hard to think about it like this
Surgery is surgery
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