1 00:00:00.000 --> 00:00:01.400 After the Allergan fiasco 2 00:00:01.400 --> 00:00:03.675 The texture implant kept scraping at the capsule 3 00:00:03.675 --> 00:00:06.175 and led to chronic infections 4 00:00:06.175 --> 00:00:07.875 [Further developing into cancer!] and even rare cancers 5 00:00:07.875 --> 00:00:09.675 Treating and preventing are different concepts 6 00:00:09.675 --> 00:00:12.825 but you can't remove it totally with prevention 7 00:00:12.825 --> 00:00:15.325 The results have been reported worldwide 8 00:00:15.325 --> 00:00:17.175 Don't remove healthy capsule, this is the rule of the road 9 00:00:17.175 --> 00:00:19.725 The results are out, there are tons of studies 10 00:00:19.725 --> 00:00:21.525 But they keep scaring people 11 00:00:21.525 --> 00:00:23.225 to remove them all! 12 00:00:23.225 --> 00:00:25.375 That doesn't make sense, that's not being a good doctor 13 00:00:26.275 --> 00:00:29.575 Shinyu Clinic 14 00:00:29.575 --> 00:00:33.025 [Question of the day?] Breast capsule, should it be removed? 15 00:00:33.025 --> 00:00:34.725 Um, well... 16 00:00:34.725 --> 00:00:37.075 [No absolutes!] I hate absolutes 17 00:00:37.075 --> 00:00:39.575 When you're taking an exam, if it says "you must" 18 00:00:39.575 --> 00:00:40.925 it means it's wrong 19 00:00:40.925 --> 00:00:42.225 It's not right 20 00:00:42.225 --> 00:00:44.125 Absolutes don't exist 21 00:00:44.125 --> 00:00:45.275 For real 22 00:00:45.275 --> 00:00:47.625 (Exception) Except for a parent's love 23 00:00:47.625 --> 00:00:48.925 Everything has its conditions 24 00:00:48.925 --> 00:00:49.425 Subscribe 25 00:00:49.425 --> 00:00:51.625 Some of the capsule should be removed 26 00:00:51.625 --> 00:00:53.125 but it's so wrong to say that 27 00:00:53.125 --> 00:00:54.425 all of it absolutely must be removed 28 00:00:54.425 --> 00:00:55.425 Because! 29 00:00:55.425 --> 00:00:56.775 This is fear marketing 30 00:00:56.775 --> 00:00:58.225 I really dislike it 31 00:00:58.225 --> 00:00:59.575 But after the Allergan fiasco 32 00:00:59.575 --> 00:01:01.875 The texture implant kept scraping at the capsule 33 00:01:01.875 --> 00:01:04.375 and led to chronic infections 34 00:01:04.375 --> 00:01:06.075 [Even rare cancers!!] and led to rare cancers, that's the logic 35 00:01:06.075 --> 00:01:07.325 It's a rare lymph tumor 36 00:01:07.325 --> 00:01:08.925 but it doesn't apply to everyone! 37 00:01:08.925 --> 00:01:09.975 If not, why would they 38 00:01:09.975 --> 00:01:12.525 [Rare cancer with few cases] have called it a rare cancer 39 00:01:12.525 --> 00:01:13.575 It's very rare 40 00:01:13.575 --> 00:01:15.825 and the prognosis is not too bad 41 00:01:15.825 --> 00:01:16.325 Subscribe 42 00:01:16.325 --> 00:01:18.125 Treating and preventing are different concepts 43 00:01:18.125 --> 00:01:20.225 The capsule causes the cancer 44 00:01:20.225 --> 00:01:21.825 If the implant led to cancer? 45 00:01:21.825 --> 00:01:24.025 Then we should remove it 100% 46 00:01:24.025 --> 00:01:25.175 But this is a treatment! 47 00:01:25.175 --> 00:01:28.325 But it doesn't make sense to remove it all in order to prevent it 48 00:01:28.325 --> 00:01:28.875 Because! 49 00:01:28.875 --> 00:01:30.825 Let's say you get stomach or intestine cancer 50 00:01:30.825 --> 00:01:33.575 But in order to prevent it 51 00:01:33.575 --> 00:01:36.325 There's no doctor in the world who recommends you 52 00:01:36.325 --> 00:01:37.825 to cut all your stomach and colon 53 00:01:37.825 --> 00:01:39.125 [Absurd statement] That just doesn't make any sense 54 00:01:39.125 --> 00:01:39.625 Subscribe 55 00:01:39.625 --> 00:01:41.575 Medicine comes from solid reasoning 56 00:01:41.575 --> 00:01:45.375 I despise marketing strategies without good reasoning that aims to create fear amongst people 57 00:01:45.375 --> 00:01:47.876 There's already a conclusion behind this that's known by all people in the world 58 00:01:47.876 --> 00:01:49.776 No need to remove healthy capsule, that's the conclusion 59 00:01:49.776 --> 00:01:52.326 The conclusion is out there already, there's lots of supporting thesis 60 00:01:52.326 --> 00:01:54.126 It doesn't make sense for any doctor 61 00:01:54.126 --> 00:01:55.776 to state they must remove all the capsule 62 00:01:55.776 --> 00:01:57.576 by causing fear, their license has to be checked... 63 00:01:58.076 --> 00:01:59.076 Please collect yourself!! 64 00:01:59.476 --> 00:02:00.326 I didn't mean that.. 65 00:02:00.326 --> 00:02:02.426 PD) Are you going to ask me to edit this part out?? 66 00:02:02.426 --> 00:02:04.426 (LOL) Maybe you can make the audio quieter... 67 00:02:04.426 --> 00:02:05.476 (You can still hear it tho LOL) 68 00:02:05.476 --> 00:02:05.976 Subscribe 69 00:02:05.976 --> 00:02:08.476 Q. How to distinguish which capsule to remove?? 70 00:02:08.476 --> 00:02:09.776 [Reason why he can distinguish!] It's all about the doctor's experience 71 00:02:09.776 --> 00:02:11.476 I've done loads of reconstructive surgery 72 00:02:11.476 --> 00:02:14.176 Had lots of patients who've asked for implant replacement as the credible hospital for reconstructive surgery 73 00:02:14.176 --> 00:02:15.926 Lots of patients ask for implant removal as well!! 74 00:02:15.926 --> 00:02:19.076 These problems can occur amongst patients in their 20~30s 75 00:02:19.076 --> 00:02:20.526 [They get sick of the silicon in their body!!] and ask for removal when they can sick of it 76 00:02:20.526 --> 00:02:22.476 But most of them come back after 2~3 years 77 00:02:22.476 --> 00:02:24.276 [They ask him for re-insertion...] and ask for re-insertion 78 00:02:24.276 --> 00:02:25.226 When I open their skin for surgery 79 00:02:25.226 --> 00:02:26.876 I don't see any thin layer of capsule 80 00:02:26.876 --> 00:02:28.026 But the thick layer?? 81 00:02:28.026 --> 00:02:29.226 Still lingers.. 82 00:02:29.226 --> 00:02:30.926 To summarize!! There's no need to remove all the capsule 83 00:02:30.926 --> 00:02:32.526 It's fine to remove thick and solid capsule 84 00:02:32.526 --> 00:02:34.126 but can leave the thin and small layer of capsule intacted 85 00:02:34.776 --> 00:02:35.826 PD) I watched some YouTube videos 86 00:02:35.826 --> 00:02:39.526 of doctors who claim they do beautiful surgeries of removing capsule 87 00:02:39.526 --> 00:02:41.076 I heard it has to be circular 88 00:02:41.076 --> 00:02:41.876 You can do it 89 00:02:41.876 --> 00:02:42.676 technically 90 00:02:42.676 --> 00:02:44.476 but the scale of removal becomes big for it to come out like that 91 00:02:44.476 --> 00:02:46.576 Implants are prone to pressure and agression 92 00:02:46.576 --> 00:02:48.026 (That's why) it can come out through a small hole 93 00:02:48.026 --> 00:02:50.526 but the implants don't get affected when covered in capsule 94 00:02:50.526 --> 00:02:52.626 so the cut has to be bigger than 6cm for it to come out as a whole 95 00:02:52.626 --> 00:02:54.226 which would require additional surgery on top of that 96 00:02:54.226 --> 00:02:57.626 such as lift or vertical or inframammary incision 97 00:02:57.626 --> 00:03:00.326 [With big incision, one can remove their entire prothesis as a whole!!] More incision can make it happen 98 00:03:00.326 --> 00:03:02.476 I do this for fun 99 00:03:02.476 --> 00:03:04.126 like I dig out the capsule 100 00:03:04.126 --> 00:03:04.926 if the incision is big but 101 00:03:04.926 --> 00:03:06.226 [No need to make it pretty really] There’s no need to do it that way 102 00:03:06.226 --> 00:03:08.326 (Did I say that too harsh..?) 103 00:03:08.326 --> 00:03:11.026 It’s not bad to do it like that 104 00:03:11.026 --> 00:03:12.876 PD) You mean the incision is too large? 105 00:03:12.876 --> 00:03:15.176 Exactly! The incision has to be large 106 00:03:15.576 --> 00:03:18.076 Capsule removal mandatory! An early opinion after rare cancer was discovered 107 00:03:18.076 --> 00:03:21.026 (Rare cancer research ongoing~!!) Now, research is somewhat globally advanced 108 00:03:21.026 --> 00:03:22.976 there’s no need to remove everything! 109 00:03:22.976 --> 00:03:25.726 Global results have been announced 110 00:03:26.176 --> 00:03:32.201 Watch other videos