1 00:00:00.000 --> 00:00:02.075 When I'm saying breast reduction can get dangerous 2 00:00:02.075 --> 00:00:03.175 I'm not meaning that it threatens one's life 3 00:00:03.175 --> 00:00:05.225 [Matter of possible nipple necrosis] but it's the matter of the possibility of nipple necrosis 4 00:00:05.225 --> 00:00:06.275 If your blood circulation is poor 5 00:00:06.275 --> 00:00:08.575 your skin can still thrive 6 00:00:08.575 --> 00:00:09.475 but your nipple and aerola 7 00:00:10.325 --> 00:00:13.776 Shinyu Clinic 8 00:00:13.776 --> 00:00:14.726 PD / When one visits for breast reduction 9 00:00:14.726 --> 00:00:15.826 I heard that what patients are most concerned about is 10 00:00:15.826 --> 00:00:16.826 the scarring 11 00:00:16.826 --> 00:00:17.526 But I heard doctors get concerned about 12 00:00:17.526 --> 00:00:18.126 something more than 13 00:00:18.126 --> 00:00:19.226 scarring 14 00:00:19.226 --> 00:00:21.126 If you do something a lot to your breast 15 00:00:21.126 --> 00:00:23.926 necrosis might occur to your nipple and aerola 16 00:00:23.926 --> 00:00:25.226 (It's not that common though) It happens sometimes 17 00:00:25.226 --> 00:00:28.126 (Same goes for breast cancer surgery) Since you're doing a lot to your breast for breast cancer surgery 18 00:00:28.126 --> 00:00:30.476 your nipple and aerola can undergo necrosis 19 00:00:30.476 --> 00:00:31.576 It's not common 20 00:00:31.576 --> 00:00:32.726 And when one undergoes FTM surgery 21 00:00:32.726 --> 00:00:33.627 or transgender surgery 22 00:00:33.627 --> 00:00:34.977 especially after a transgender surgery 23 00:00:34.977 --> 00:00:36.227 where they remove most of their breast fat 24 00:00:36.227 --> 00:00:37.627 [Worsens your blood circulation] it's inevitable that their blood circulation gets poor 25 00:00:37.627 --> 00:00:38.777 Your skin can still thrive 26 00:00:38.777 --> 00:00:41.077 with poor circulation 27 00:00:41.077 --> 00:00:42.277 but your nipple and aerola 28 00:00:42.277 --> 00:00:45.077 [Higher risk of necrosis due to poor blood circulation] are vulnerable to poor blood circulation 29 00:00:45.077 --> 00:00:46.627 So if they opt for breast reduction 30 00:00:46.627 --> 00:00:48.327 or undergo transgender surgery 31 00:00:48.327 --> 00:00:49.727 or breast cancer surgery 32 00:00:49.727 --> 00:00:51.827 your nipple and aerola can experience necrosis 33 00:00:51.827 --> 00:00:54.327 So when I'm saying breast reduction surgery is dangerous 34 00:00:54.327 --> 00:00:55.427 I'm not talking about that it can threaten your life 35 00:00:55.427 --> 00:00:57.528 [Matter of nipple necrosis] but there's the possibility of nipple necrosis 36 00:00:57.528 --> 00:01:00.178 We do reconstructive surgery when your nipple gets necrosis 37 00:01:00.178 --> 00:01:02.378 [Impossible to do reconstructive surgery for aerola] and we do tattoos for aerola necrosis 38 00:01:02.378 --> 00:01:05.028 That's whats done for breast cancer surgery patients 39 00:01:05.028 --> 00:01:07.078 so if your nipple undergoes necrosis 40 00:01:07.078 --> 00:01:08.528 from transgender or breast reduction surgery 41 00:01:08.528 --> 00:01:10.078 we do reconstructive surgery 42 00:01:10.078 --> 00:01:12.478 [Must understand such risks before going into surgery] That's what happens when you do something to your breast 43 00:01:12.478 --> 00:01:15.728 PD / So the root cause of necrosis 44 00:01:15.728 --> 00:01:16.778 is what you just explained..? 45 00:01:16.778 --> 00:01:18.529 It's due to poor blood circulation 46 00:01:18.529 --> 00:01:20.279 but that varies from person to person 47 00:01:20.279 --> 00:01:23.729 [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 48 00:01:23.729 --> 00:01:25.679 There's a big blood vessel that pass on the outer side of our body 49 00:01:25.679 --> 00:01:27.629 So there are five in total 50 00:01:27.629 --> 00:01:29.829 even if you keep those 5 in place 51 00:01:29.829 --> 00:01:32.879 You get your nipple getting pressed 52 00:01:32.879 --> 00:01:34.329 There is a scab 53 00:01:34.329 --> 00:01:35.579 the colors change 54 00:01:35.579 --> 00:01:37.129 even if thankfully necrosis didn't happen 55 00:01:37.129 --> 00:01:39.329 I see some people suffer 56 00:01:39.329 --> 00:01:41.580 I hope every surgery gets good results 57 00:01:41.580 --> 00:01:43.530 and expected results 58 00:01:43.530 --> 00:01:44.580 [But according to the patient's physical traits] Human body really 59 00:01:44.580 --> 00:01:47.280 [The surgical result will always be different] You do the same surgery but get different results 60 00:01:47.280 --> 00:01:49.330 So I always say 61 00:01:49.330 --> 00:01:50.730 [Surgery result follows the background] The background is important 62 00:01:50.730 --> 00:01:52.630 Patients who have good results 63 00:01:52.630 --> 00:01:54.930 thank me a lot 64 00:01:54.930 --> 00:01:55.830 then I always say 65 00:01:55.830 --> 00:01:58.180 I'm not being modest but your background is good 66 00:01:58.180 --> 00:02:00.130 but thankfully the results came out well 67 00:02:00.130 --> 00:02:01.030 so I always feel thankful 68 00:02:01.030 --> 00:02:02.280 I always say 69 00:02:02.280 --> 00:02:05.281 Q. If there is a precaution? 70 00:02:05.281 --> 00:02:06.481 My breast is extended like this 71 00:02:06.481 --> 00:02:07.831 If you do the lifting a little 72 00:02:07.831 --> 00:02:09.881 There isn't much difference 73 00:02:09.881 --> 00:02:11.381 so the blood flow will be better 74 00:02:11.381 --> 00:02:13.481 [Overdoing the lift] But if you pull up a lot 75 00:02:13.481 --> 00:02:16.631 If you try to lift the nipple that reached your belly button 76 00:02:16.631 --> 00:02:21.481 I think the risk goes up since the blood vessels get folded 77 00:02:21.481 --> 00:02:23.481 and as a matter of fact conservative surgery 78 00:02:23.481 --> 00:02:26.482 [Too much goals X] There are people that says please lift mine up to the chin 79 00:02:26.482 --> 00:02:27.082 But... 80 00:02:27.082 --> 00:02:28.832 Don't lift it up to the chin 81 00:02:28.832 --> 00:02:31.332 [Mindset to improve better than now] Just improving moderately from now 82 00:02:31.332 --> 00:02:32.832 Don't pursue perfection 83 00:02:32.832 --> 00:02:35.182 Just keep your goal as improving it 84 00:02:35.182 --> 00:02:35.832 That is safer 85 00:02:35.832 --> 00:02:37.082 Human body is all different 86 00:02:37.082 --> 00:02:37.882 Subscribe 87 00:02:37.882 --> 00:02:38.832 Surgery is 88 00:02:38.832 --> 00:02:41.132 [There can't be no risk at all] You just take the risk and go on 89 00:02:41.132 --> 00:02:44.582 I have been having back pains for more than 25 years 90 00:02:44.582 --> 00:02:46.182 My friends tell me to endure it 91 00:02:46.182 --> 00:02:48.932 [But I feel so uncomfortable...] But I feel like having an operation 92 00:02:48.932 --> 00:02:49.533 due to the back pain 93 00:02:49.533 --> 00:02:51.183 but my friends tell me 94 00:02:51.183 --> 00:02:52.983 you are taking a risk 95 00:02:52.983 --> 00:02:54.083 Just know that it could get worse 96 00:02:54.083 --> 00:02:56.483 expecting that it will get better 97 00:02:56.483 --> 00:02:57.783 The idea that it could get worse 98 00:02:57.783 --> 00:03:00.033 you should think about it 99 00:03:00.033 --> 00:03:01.833 but for now just hold on to it 100 00:03:01.833 --> 00:03:04.633 [Those that know the meaning of going under a surgery] I'm just holding as long as I can although my back hurts 101 00:03:04.633 --> 00:03:06.133 The surgery can be done one day 102 00:03:06.133 --> 00:03:07.883 But some people get worse 103 00:03:07.883 --> 00:03:08.933 They always told me that 104 00:03:08.933 --> 00:03:09.933 So, breast is the same 105 00:03:09.933 --> 00:03:11.384 I know there's a risk 106 00:03:11.384 --> 00:03:14.384 But it's so big that it's hard to live 107 00:03:14.384 --> 00:03:16.234 In this state... We're living 100 years now 108 00:03:16.234 --> 00:03:17.334 Even if you're 60 years old 109 00:03:17.334 --> 00:03:20.334 You have 40 more years to live 110 00:03:20.334 --> 00:03:21.184 It's too tough. 111 00:03:21.184 --> 00:03:22.584 The quality of life is so low 112 00:03:22.584 --> 00:03:24.134 Well, I can get inflammation 113 00:03:24.134 --> 00:03:25.484 Asymmetry can happen 114 00:03:25.484 --> 00:03:27.084 Even the nipples could be necrotic 115 00:03:27.084 --> 00:03:28.184 It could get crushed 116 00:03:28.184 --> 00:03:29.884 [They have to decide whether to have surgery or not] Even with that risk 117 00:03:29.884 --> 00:03:32.384 I look forward to a good result, and want to try it 118 00:03:32.384 --> 00:03:33.435 You have to judge it like this 119 00:03:33.435 --> 00:03:34.635 I'm scared of something 120 00:03:34.635 --> 00:03:36.885 Then don't do it. It's better not to do it 121 00:03:36.885 --> 00:03:38.835 It's up to you 122 00:03:38.835 --> 00:03:40.685 Only those who are desperate will get surgery 123 00:03:40.685 --> 00:03:41.835 Surgery is not a simple thing 124 00:03:41.835 --> 00:03:44.335 Breast reduction, colossus, enlargement 125 00:03:44.335 --> 00:03:46.085 Breast cancer surgery, who wants to do it? 126 00:03:46.085 --> 00:03:47.535 You have breast cancer, so you're forced to do it 127 00:03:47.535 --> 00:03:49.335 Who wants to get a big breast off 128 00:03:49.335 --> 00:03:50.335 You have no choice but to do it 129 00:03:50.335 --> 00:03:50.985 out of desperation 130 00:03:50.985 --> 00:03:54.135 You could be desperate for cosmetic surgery 131 00:03:54.135 --> 00:03:55.235 I'm doing this out of desperation 132 00:03:55.235 --> 00:03:56.636 Well…Should I just do it? 133 00:03:56.636 --> 00:03:58.736 It's hard to think about it like this 134 00:03:58.736 --> 00:04:00.086 Surgery is surgery 135 00:04:00.536 --> 00:04:06.561 Watch another video