1 00:00:00.000 --> 00:00:04.175 Q. How someone with a broken implant finds a clinic 2 00:00:04.175 --> 00:00:05.075 During checkup 3 00:00:05.075 --> 00:00:06.525 if the clinic says "something's wrong" 4 00:00:06.525 --> 00:00:09.375 [Something is definitely there] They usually say they're not sure if it's broken or not 5 00:00:09.375 --> 00:00:11.425 (Breast checkup) clinics don't have much experience 6 00:00:11.425 --> 00:00:12.025 with implant mishaps 7 00:00:12.025 --> 00:00:12.675 Why? 8 00:00:12.675 --> 00:00:15.225 [Checkups focus on tumors and cancer] There aren't many patients with breast implants 9 00:00:15.225 --> 00:00:16.725 So clinics that do both ultrasound 10 00:00:16.725 --> 00:00:18.175 and plastic surgery 11 00:00:18.175 --> 00:00:19.574 [Rare] hardly exist in Korea 12 00:00:19.574 --> 00:00:21.724 So ordinary clinics that just do checkups 13 00:00:21.724 --> 00:00:23.374 don't often get plastic surgery patients 14 00:00:23.374 --> 00:00:24.674 (Confused after ultrasound) they don't know for sure 15 00:00:24.674 --> 00:00:25.874 But something is definitely off 16 00:00:25.874 --> 00:00:27.774 [Most patients visit after clinical consultation] So they tell them to go to a different clinic 17 00:00:27.774 --> 00:00:30.374 So patients do their research and come to our clinic 18 00:00:30.374 --> 00:00:31.474 Our clinic gets so many patients 19 00:00:31.474 --> 00:00:32.774 that have a ruptured implant! 20 00:00:32.774 --> 00:00:34.474 Other clinics would say "we haven't had any" 21 00:00:34.474 --> 00:00:35.774 But for us! 22 00:00:35.774 --> 00:00:37.074 [Estimate: 1000 people] We had about 1000 cases 23 00:00:37.074 --> 00:00:38.874 So it was a lot 24 00:00:38.874 --> 00:00:40.574 To be honest 25 00:00:40.574 --> 00:00:43.324 [Story from a patient from a university hospital] They said it was okay two days ago at ** Hospital 26 00:00:43.324 --> 00:00:44.474 But after two days, when they visited our clinic 27 00:00:44.474 --> 00:00:45.824 both implants were broken 28 00:00:45.824 --> 00:00:46.324 Subscribe 29 00:00:46.324 --> 00:00:47.974 University hospitals focus on cancer patients 30 00:00:47.974 --> 00:00:49.223 (this area) is out of their field 31 00:00:49.223 --> 00:00:50.823 [Patient difference exists between university and local hospitals] They're good at some operations 32 00:00:50.823 --> 00:00:53.173 and local clinics are good at others 33 00:00:53.173 --> 00:00:54.323 [Key point!] Why do they break? 34 00:00:54.323 --> 00:00:55.273 In my opinion 35 00:00:55.273 --> 00:00:57.423 I think it's because the capsular contracture 36 00:00:57.423 --> 00:00:58.923 Capsular contracture has its steps 37 00:00:58.923 --> 00:01:01.523 (I don't have capsular contracture?) Even if you think you weren't affected by capsular contracture 38 00:01:01.523 --> 00:01:02.973 you might have a little bit of it 39 00:01:02.973 --> 00:01:05.073 (Slight fold) If it folds slightly like this, you can hardly feel it 40 00:01:05.073 --> 00:01:06.473 [Sometimes you do] Some people to feel it 41 00:01:06.473 --> 00:01:08.373 (Mostly unnoticeable) but most cases it goes without noticing 42 00:01:08.373 --> 00:01:10.673 [Patients that have folds in their implants!] Even if it's not a capsular contracture 43 00:01:10.673 --> 00:01:12.173 the inner space for the implant 44 00:01:12.173 --> 00:01:14.623 is made to be a little bigger than the implant itself 45 00:01:14.623 --> 00:01:16.573 Sometimes, there are cases where this space 46 00:01:16.573 --> 00:01:17.923 shrinks during recovery 47 00:01:17.923 --> 00:01:19.172 Even if it's not capsular contracture! 48 00:01:19.172 --> 00:01:20.822 Capsular contracture makes the capsule thicker 49 00:01:20.822 --> 00:01:22.372 but even when the capsule is thin 50 00:01:22.372 --> 00:01:23.522 there may be a slight fold 51 00:01:23.522 --> 00:01:24.222 But there are quite a few people 52 00:01:24.222 --> 00:01:25.472 like this!! 53 00:01:25.472 --> 00:01:26.122 I give an explanation 54 00:01:26.122 --> 00:01:28.272 "Since it's folded here, after a very long time," 55 00:01:28.272 --> 00:01:30.472 I explain that "the folded part might break" 56 00:01:30.472 --> 00:01:32.072 [No major concerns, though] It doesn't burst quickly 57 00:01:32.072 --> 00:01:34.022 [Needs long-term observation!] But after a while, it may wear out and burst 58 00:01:34.022 --> 00:01:35.972 So we just monitor regularly 59 00:01:35.972 --> 00:01:37.222 And if it seems to burst? 60 00:01:37.222 --> 00:01:38.222 You can replace it then~ 61 00:01:38.222 --> 00:01:39.972 I explain that because it's not a toxic substance 62 00:01:39.972 --> 00:01:40.472 Subscribe 63 00:01:40.472 --> 00:01:43.072 Q. What if the implant bursts and is left for a long time? 64 00:01:43.072 --> 00:01:45.822 [Confusing] It can be okay or not okay, because 65 00:01:45.822 --> 00:01:47.222 This implant is made of silicone 66 00:01:47.222 --> 00:01:49.821 The inside is silicone, and the outer shell is silicone as well 67 00:01:49.821 --> 00:01:52.521 [Non-toxic, silicone itself doesn’t harm the body] But silicone doesn't cause tissue reactions in the body 68 00:01:52.521 --> 00:01:54.621 [It doesn't harm you~] That's why silicone is approved 69 00:01:54.621 --> 00:01:56.671 So in fact, it doesn't interact with the body 70 00:01:56.671 --> 00:01:57.971 But the problem is, if it bursts!? 71 00:01:57.971 --> 00:01:59.521 It spreads along the lymph.. 72 00:01:59.521 --> 00:02:00.571 It spreads... 73 00:02:00.571 --> 00:02:02.471 What’s in the armpit? 74 00:02:02.471 --> 00:02:04.971 (Turns out to be silicon) Oh, it turns out the silicone has spread to the armpit 75 00:02:04.971 --> 00:02:06.671 And you can feel the lymph nodes in the armpit 76 00:02:06.671 --> 00:02:07.971 PD) When that happens.. 77 00:02:07.971 --> 00:02:09.971 Patients with bulging armpits want to remove it 78 00:02:09.971 --> 00:02:13.171 [Why?!] But not removing it is the answer, ironically 79 00:02:13.171 --> 00:02:15.421 Why? Because silicone itself doesn't harm the body 80 00:02:15.421 --> 00:02:17.071 But if the armpit lymph nodes are removed 81 00:02:17.071 --> 00:02:19.471 [It could cause a bigger problem] Lymphedema might develop in the arm 82 00:02:19.471 --> 00:02:20.871 That would cause a lot of suffering 83 00:02:20.871 --> 00:02:22.121 It’s better to just leave it 84 00:02:22.121 --> 00:02:23.821 That’s the opinion of doctors worldwide! 85 00:02:23.821 --> 00:02:25.020 The conclusion is already clear 86 00:02:25.020 --> 00:02:26.720 [There are clear downsides!] However, it won't harm your health 87 00:02:26.720 --> 00:02:28.720 but it might interfere during screenings, which is the downside 88 00:02:28.720 --> 00:02:29.870 If you have regular check-ups 89 00:02:29.870 --> 00:02:31.220 And quickly find if it’s burst 90 00:02:31.220 --> 00:02:33.370 [The reason why regular breast exams are important!] You can remove it before it spreads 91 00:02:33.370 --> 00:02:33.870 Subscribe 92 00:02:33.870 --> 00:02:35.170 Focus! 93 00:02:35.170 --> 00:02:37.820 If you have these symptoms, suspect it!! 94 00:02:37.820 --> 00:02:39.270 1. Hardened breast 95 00:02:39.270 --> 00:02:41.520 It can also be a sign of capsular contracture 96 00:02:41.520 --> 00:02:43.770 But when the implant bursts, it often becomes hard 97 00:02:43.770 --> 00:02:45.120 And instead 98 00:02:45.120 --> 00:02:46.870 2. Softened breast 99 00:02:46.870 --> 00:02:47.570 It was hard, but now it’s softer? 100 00:02:47.570 --> 00:02:49.670 This has spread out and become softer 101 00:02:49.670 --> 00:02:52.419 [Cases where a hard implant has become soft] When they thought it was capsular contracture but it feels soft again 102 00:02:52.419 --> 00:02:54.919 and they think it's ruptured 103 00:02:54.919 --> 00:02:56.369 (Or if they feel something) and they feel something in their armpit 104 00:02:56.369 --> 00:02:58.519 they feel something in the breast 105 00:02:58.519 --> 00:02:59.019 Subscribe 106 00:02:59.019 --> 00:03:01.619 As a breast surgeon 107 00:03:01.619 --> 00:03:03.269 I want to say one thing 108 00:03:03.269 --> 00:03:04.269 If you have an implant 109 00:03:04.269 --> 00:03:05.969 There will be cases where it breaks 110 00:03:05.969 --> 00:03:08.219 regardless of the reason! 111 00:03:08.219 --> 00:03:09.769 Get regular checkups 112 00:03:09.769 --> 00:03:12.519 That's how you keep them healthy 113 00:03:12.519 --> 00:03:14.519 Taking care of yourself is 114 00:03:14.519 --> 00:03:15.769 taking care of your family 115 00:03:15.769 --> 00:03:17.319 Don't avoid it because you're lazy or scared 116 00:03:17.769 --> 00:03:23.793 Watch other videos