1
00:00:00.000 --> 00:00:02.075
Westerners and Easterners have differences in blood clotting

2
00:00:02.075 --> 00:00:03.225
Easterners' blood don’t clot well

3
00:00:03.225 --> 00:00:04.475
But Westerners' clot well

4
00:00:04.475 --> 00:00:05.575
So, Westerners can

5
00:00:05.575 --> 00:00:08.324
discharge the day after a cholecystectomy

6
00:00:08.324 --> 00:00:09.574
(*A cholecystectomy typically requires 3-5 days of hospitalization post-surgery)
Westerners can do that, but

7
00:00:09.574 --> 00:00:11.624
Easterners can’t discharge

8
00:00:11.624 --> 00:00:12.574
the day after, never

9
00:00:12.574 --> 00:00:13.174
Because

10
00:00:13.174 --> 00:00:14.624
their skin is thin

11
00:00:14.624 --> 00:00:15.474
the scars from surgery

12
00:00:15.474 --> 00:00:16.773
[Are they human?]
almost don’t remain later

13
00:00:17.623 --> 00:00:21.073
Shinyu Surgery

14
00:00:21.073 --> 00:00:23.873
PD / Doctor, I was looking through past articles and found

15
00:00:25.823 --> 00:00:28.322
Why do Korean-Americans get breast surgeries in Korea?

16
00:00:28.322 --> 00:00:30.522
Many Korean-Americans come to our hospital

17
00:00:30.522 --> 00:00:32.272
Some have their first surgery

18
00:00:32.272 --> 00:00:34.072
in Korea

19
00:00:34.072 --> 00:00:37.222
[They tend to do their first surgery in their homeland because it's too far]
but many have it in New York

20
00:00:37.222 --> 00:00:40.421
Los Angeles, or Beverly Hills

21
00:00:40.421 --> 00:00:42.971
There are lots of people like this

22
00:00:42.971 --> 00:00:45.121
Not all Korean-Americans have their first surgery in Korea

23
00:00:45.121 --> 00:00:48.120
Eventually, they come to me for revision surgery

24
00:00:48.120 --> 00:00:49.920
I can’t say it’s all exact, but

25
00:00:49.920 --> 00:00:50.720
because of

26
00:00:50.720 --> 00:00:52.270
[Came to Korea for surgery because of ethnicity?]
racial differences, especially

27
00:00:52.270 --> 00:00:53.670
the human body is quite different

28
00:00:53.670 --> 00:00:54.770
In textbooks

29
00:00:54.770 --> 00:00:57.520
there are books like ‘Rhinoplasty for Asians’

30
00:00:57.520 --> 00:00:58.720
‘Eyelid Surgery for Asians’

31
00:00:58.720 --> 00:00:59.669
written by Westerners

32
00:00:59.669 --> 00:01:00.969
It shows how different it is

33
00:01:00.969 --> 00:01:04.069
[So are the breasts]
Breasts are also different

34
00:01:04.069 --> 00:01:05.719
Westerners have softer tissue

35
00:01:05.719 --> 00:01:07.769
Westerners and Easterners have differences in blood clotting

36
00:01:07.769 --> 00:01:08.919
Easterners' blood don’t clot well

37
00:01:08.919 --> 00:01:10.168
But Westerners' clot well

38
00:01:10.168 --> 00:01:11.268
So, Westerners can

39
00:01:11.268 --> 00:01:14.018
discharge the day after a cholecystectomy

40
00:01:14.018 --> 00:01:15.268
(*A cholecystectomy typically requires 3-5 days of hospitalization post-surgery) 
They can do that

41
00:01:15.268 --> 00:01:16.418
It’s not about being healthier

42
00:01:16.418 --> 00:01:17.868
since their blood clot well

43
00:01:17.868 --> 00:01:19.118
they can just be discharged

44
00:01:19.118 --> 00:01:21.167
Easterners can’t discharge

45
00:01:21.167 --> 00:01:22.117
the day after a cholecystectomy

46
00:01:22.117 --> 00:01:23.967
If they move, their blood pressure will rise and they might bleed

47
00:01:23.967 --> 00:01:24.767
Since their blood don’t clot well

48
00:01:24.767 --> 00:01:26.017
And their skin is also different

49
00:01:26.017 --> 00:01:27.467
Because Westerners have thin skin

50
00:01:27.467 --> 00:01:28.317
after surgery...

51
00:01:28.317 --> 00:01:29.867
[Are you a human?]
The scars are almost unnoticeable later on

52
00:01:29.867 --> 00:01:31.166
So, you can make incisions almost anywhere

53
00:01:33.316 --> 00:01:35.566
But for East Asians, if you do surgery like that

54
00:01:35.566 --> 00:01:36.716
[Shortcut to hospital failure]
it all leaves scars

55
00:01:36.716 --> 00:01:38.116
It’s called a Hidden Scar

56
00:01:38.116 --> 00:01:39.516
where the scars are hidden as much as possible

57
00:01:39.516 --> 00:01:40.616
[Scar-hiding surgery method essential for East Asians]
Using the armpit

58
00:01:40.616 --> 00:01:43.516
the less visible lower fold, or the areola

59
00:01:43.516 --> 00:01:46.165
You have to keep looking for places

60
00:01:46.165 --> 00:01:48.015
that aren't easily noticeable

61
00:01:48.015 --> 00:01:50.315
Or if there's a previous surgery site, you go there

62
00:01:50.615 --> 00:01:52.414
I had a patient

63
00:01:52.414 --> 00:01:54.214
who had breast reduction surgery with a Western doctor

64
00:01:54.214 --> 00:01:55.064
She got "오" shaped surgery

65
00:01:55.064 --> 00:01:56.264
but the scar was too large

66
00:01:56.264 --> 00:01:58.264
That doctor was the most famous in their country

67
00:01:58.264 --> 00:01:59.964
[??? : Scars will hardly remain~]
and they said it would improve

68
00:01:59.964 --> 00:02:02.264
[But I'm not Western]
but even after a year, it didn’t get better; it got worse

69
00:02:02.264 --> 00:02:04.313
For Koreans, the scars didn’t improve

70
00:02:04.313 --> 00:02:05.863
PD / So, for Westerners

71
00:02:05.863 --> 00:02:08.163
it's most suitable for

72
00:02:08.163 --> 00:02:09.913
Western doctors to operate

73
00:02:09.913 --> 00:02:11.613
and for East Asian patients

74
00:02:11.613 --> 00:02:14.312
East Asian doctors are the most suitable?

75
00:02:14.312 --> 00:02:15.312
It’s about experience

76
00:02:15.312 --> 00:02:17.212
I sometimes operate on Westerners

77
00:02:17.212 --> 00:02:18.612
and I feel the difference during surgery

78
00:02:18.612 --> 00:02:20.812
I handle it well

79
00:02:20.812 --> 00:02:23.412
but I wonder if seeing more Western patients

80
00:02:23.412 --> 00:02:26.711
would lead to better results

81
00:02:26.711 --> 00:02:28.311
PD / So, rather than the doctor’s ethnicity

82
00:02:28.311 --> 00:02:29.461
the doctor’s experience is important, right?

83
00:02:29.461 --> 00:02:31.461
Yes, you need to feel the subtle differences

84
00:02:31.461 --> 00:02:32.761
and that comes with experience

85
00:02:32.761 --> 00:02:34.861
In fact, a doctor’s experience is important

86
00:02:34.861 --> 00:02:36.410
(You can't ignore a doctor's age, to be honest)
and a doctor's age matters too

87
00:02:36.410 --> 00:02:39.410
Though being too old might be odd

88
00:02:39.410 --> 00:02:40.910
among doctors

89
00:02:40.910 --> 00:02:42.160
the older a doctor gets

90
00:02:42.160 --> 00:02:43.760
the more trust they earn

91
00:02:43.760 --> 00:02:45.360
(One ready to learn)
We think, "They must have more experience than me"

92
00:02:45.360 --> 00:02:47.409
"So that’s why they say those things"

93
00:02:47.409 --> 00:02:48.309
We respect them

94
00:02:48.309 --> 00:02:50.059
seeing their comments as based on something

95
00:02:50.059 --> 00:02:50.809
Later on, you realize

96
00:02:50.809 --> 00:02:52.959
the words of the elders were all correct

97
00:02:52.959 --> 00:02:55.909
Things they said 10-20 years ago

98
00:02:55.909 --> 00:02:58.258
you think, "They were right"

99
00:02:58.258 --> 00:02:59.458
Back to the main point, haha

100
00:02:59.458 --> 00:03:01.358
So, the reason overseas Koreans come is...

101
00:03:01.358 --> 00:03:04.858
Due to racial differences, it's a bit different

102
00:03:04.858 --> 00:03:06.658
[Finding a doctor who knows your body type well is BEST]
You have to find someone who understands your body better

103
00:03:06.658 --> 00:03:09.257
Skin or tissue tension varies

104
00:03:09.257 --> 00:03:11.207
Because of these differences

105
00:03:11.207 --> 00:03:13.507
in the end, it seems people look for doctors

106
00:03:13.507 --> 00:03:15.107
of a similar race

107
00:03:15.107 --> 00:03:16.707
in a similar country

108
00:03:17.157 --> 00:03:23.181
Watch other videos