1 00:00:01.275 --> 00:00:04.375 SHINYU CLINIC 2 00:00:04.375 --> 00:00:06.025 (Hesitates) 3 00:00:06.025 --> 00:00:07.375 The staff at our hospital say... 4 00:00:07.375 --> 00:00:08.724 After getting a job here... 5 00:00:08.724 --> 00:00:10.674 [Why are there so many people with large breasts?;;] They didn't know there were so many people with large breasts 6 00:00:10.674 --> 00:00:11.624 Like, "Why are there so many people 7 00:00:11.624 --> 00:00:12.774 with large breasts in our country?!" 8 00:00:12.774 --> 00:00:14.524 They say they've never seen anyone like that before 9 00:00:14.524 --> 00:00:16.174 There are many hospitals that do breast augmentation 10 00:00:16.174 --> 00:00:17.224 There are so many across the country, but 11 00:00:17.224 --> 00:00:19.324 [There aren't many hospitals for breast reduction] There are only a few places nationwide that do breast reduction 12 00:00:19.324 --> 00:00:21.123 There are only a few cases each year 13 00:00:21.123 --> 00:00:22.623 [Specializing in reduction] Hospitals like ours that do it all the time are 14 00:00:22.623 --> 00:00:23.473 practically non-existent 15 00:00:23.473 --> 00:00:24.423 Even university hospitals 16 00:00:24.423 --> 00:00:25.723 might seem like they do a lot of breast reduction 17 00:00:25.723 --> 00:00:27.073 but university hospital plastic surgery departments 18 00:00:27.073 --> 00:00:29.423 focus on reconstructive or special surgeries 19 00:00:29.423 --> 00:00:31.073 If you go to a university hospital for a double eyelid surgery... 20 00:00:31.073 --> 00:00:32.823 [All the residents gather to watch the surgery] All the residents go to watch 21 00:00:32.823 --> 00:00:34.672 because it's such a rare surgery 22 00:00:34.672 --> 00:00:35.672 But around here... 23 00:00:35.672 --> 00:00:37.572 [Near Gangnam Station, it's common lol] A single hospital might do ten a day 24 00:00:37.572 --> 00:00:38.672 Back to the main point! 25 00:00:38.672 --> 00:00:42.022 There are hardly any hospitals that do breast reduction or lift 26 00:00:42.022 --> 00:00:43.322 so when it comes to reduction 27 00:00:43.322 --> 00:00:44.722 it's about reducing the breast size 28 00:00:44.722 --> 00:00:45.872 The question is how to reduce it 29 00:00:45.872 --> 00:00:47.272 The traditional method is... 30 00:00:47.272 --> 00:00:48.921 called the '오' shaped incision 31 00:00:48.921 --> 00:00:50.521 It's a surgical method that's over 100 years old 32 00:00:50.521 --> 00:00:52.321 It's just a simple cut 33 00:00:52.321 --> 00:00:53.571 PD) How is it an '오'? (Please explain in detail) 34 00:00:53.571 --> 00:00:54.321 (Startled) 35 00:00:54.321 --> 00:00:56.971 [Incision around the areola in a circle] 36 00:00:56.971 --> 00:00:59.971 [Inverted T incision below] It's called an Inverted T, meaning the T is flipped upside down 37 00:00:59.971 --> 00:01:01.071 Like this 38 00:01:01.071 --> 00:01:03.470 [A clear Korean '오' shape] The scar looks like this, but it's an '오' 39 00:01:03.470 --> 00:01:05.470 Got it! 40 00:01:05.470 --> 00:01:07.620 It might seem like the incision stops there, but actually 41 00:01:07.620 --> 00:01:09.420 [An incision across the breast] it almost connects all the way here 42 00:01:09.420 --> 00:01:12.020 And it doesn't stop there 43 00:01:12.020 --> 00:01:13.220 [Quite common in reality...] Many people have scars that go this far 44 00:01:13.220 --> 00:01:13.970 PD) Oh my... 45 00:01:13.970 --> 00:01:14.920 It's no joke... 46 00:01:14.920 --> 00:01:17.219 That's why there are so few hospitals that do breast reduction 47 00:01:17.219 --> 00:01:18.719 Because the scar is so large... 48 00:01:18.719 --> 00:01:20.369 Nonetheless, people with excessively large breasts 49 00:01:20.369 --> 00:01:21.719 suffer so much 50 00:01:21.719 --> 00:01:23.369 they say they don't mind if they get damaged 51 00:01:23.369 --> 00:01:25.419 A lot of people visit me and ask for reduction 52 00:01:25.419 --> 00:01:26.469 (Feeling sorry for them) and say they don't care about the scarring 53 00:01:26.469 --> 00:01:28.069 The pain that comes from 54 00:01:28.069 --> 00:01:29.968 having large breast is inexplicable... 55 00:01:29.968 --> 00:01:32.318 You guys might not understand 56 00:01:32.318 --> 00:01:34.918 or the viewers might not understand too lol 57 00:01:35.518 --> 00:01:38.118 Showing the scarring side effects 58 00:01:38.118 --> 00:01:40.368 (Patient that underwent horizontal incision) Patients get scared when I show this image to them 59 00:01:40.368 --> 00:01:42.767 and ask "was the surgery done at this hospital?" 60 00:01:42.767 --> 00:01:45.667 (We don't do '오' incision...) so I wrote it down that it wasn't, they asked so many times 61 00:01:45.667 --> 00:01:46.467 I don't do it like this 62 00:01:46.467 --> 00:01:48.417 I heard this from other female doctor at the breast surgery department 63 00:01:48.417 --> 00:01:50.617 and I learned that there's minimal scarring from horizontal incision 64 00:01:50.617 --> 00:01:53.117 [Took a note of it lol] I learned that from her 65 00:01:53.117 --> 00:01:55.317 You can't ignore the gravity with horizontal incision 66 00:01:55.317 --> 00:01:56.267 It will open eventually 67 00:01:56.267 --> 00:01:59.267 You can tape the incision for couple months 68 00:01:59.267 --> 00:02:01.566 but it can't handle more than a year 69 00:02:01.566 --> 00:02:02.666 [Horizontal incision will keep opening] It will open eventually 70 00:02:02.666 --> 00:02:04.316 It's because of the gravity 71 00:02:04.316 --> 00:02:05.766 and human body is made like this 72 00:02:06.016 --> 00:02:08.766 (Patient with an extreme '오' incision) This patient visited me couple days ago and had this much of scarring 73 00:02:08.766 --> 00:02:10.515 [A case with good surgery even with extreme scarring] but I complimented how well the surgery was done 74 00:02:10.515 --> 00:02:13.165 The patient said she's satisfied with the surgery 75 00:02:13.165 --> 00:02:14.815 [1. Scarring from armpit to back] But her breast is here but the scarring goes from the armpit to her back 76 00:02:14.815 --> 00:02:16.015 and you can't see this clearly now but 77 00:02:16.015 --> 00:02:17.615 [2. Extreme scarring] the scarring is extreme 78 00:02:17.615 --> 00:02:20.815 [3. Scars not fading even after 2 years..] And she said she goes for laser removal even after 2 years of surgery 79 00:02:20.815 --> 00:02:22.115 (Feeling bad) This can't happen forever 80 00:02:22.115 --> 00:02:24.315 I thought she'd have to stop the laser treatment 81 00:02:24.315 --> 00:02:27.164 and do scar revision surgery for a much better look 82 00:02:27.164 --> 00:02:30.264 We do partial numbing and sew it again 83 00:02:30.264 --> 00:02:32.564 (Please do scar removal asap..) She can't do the laser treatment forever 84 00:02:32.764 --> 00:02:34.664 (Patient who looks she has no problems when sat up right) The picture looks good from this angle right? 85 00:02:34.664 --> 00:02:36.264 but you can see her scar when laid down 86 00:02:36.264 --> 00:02:39.063 [Looks fine when sat up right] You might think she looks okay when sat 87 00:02:39.063 --> 00:02:41.213 but the scars show when laid down... 88 00:02:41.213 --> 00:02:43.413 She visited me after 9 months of surgery due to inflammation 89 00:02:43.413 --> 00:02:45.913 [Surprised (the screen's not frozen)] There's a picture of it but I'd say this is acceptable 90 00:02:45.913 --> 00:02:47.813 so it's best to not create any kind of scarring in the first place 91 00:02:47.813 --> 00:02:49.713 They say laser and good sewing will not cause any problems 92 00:02:49.713 --> 00:02:51.112 but there's no such thing as that for human body 93 00:02:51.112 --> 00:02:52.812 [Can't resolve the scarring issue] You can't change it even if you undergo the reduction procedure 94 00:02:52.812 --> 00:02:54.712 Then how do YOU do perform the surgery? 95 00:02:54.712 --> 00:02:56.312 [Has never done reduction surgery before...] I started doing it because patients kept flooding in for it 96 00:02:56.312 --> 00:02:58.412 They said they wanted to do reduction surgery but scared of scarring 97 00:02:58.412 --> 00:02:59.062 So I... 98 00:02:59.062 --> 00:03:00.962 (To minimize scarring) he recommended breast cancer method! 99 00:03:00.962 --> 00:03:02.312 I did the cresent incision 100 00:03:02.312 --> 00:03:04.961 and did the reduction like how I'd do for a breast cancer surgery 101 00:03:04.961 --> 00:03:07.861 I don't know if it will be pretty... I don't know... I said 102 00:03:07.861 --> 00:03:09.461 But it made them happy 103 00:03:09.461 --> 00:03:11.761 Surely it's the first case so the shape wasn't that pretty 104 00:03:11.761 --> 00:03:14.411 just satisfied that it went smaller without scarring 105 00:03:14.411 --> 00:03:16.161 Oh? Should I do some research? 106 00:03:16.161 --> 00:03:17.411 So (related to reduction) I started studying 107 00:03:17.411 --> 00:03:19.260 I changed the way breast cancer surgery was done 108 00:03:19.260 --> 00:03:21.110 It took me years to just change it 109 00:03:21.110 --> 00:03:23.060 [To minimize the scar and side effects I did research for a long time] Because if you cut the blood vessels 110 00:03:23.060 --> 00:03:24.060 the breast dies 111 00:03:24.060 --> 00:03:26.410 Looking at the blood vessel direction and knowing where to cut in 112 00:03:26.410 --> 00:03:28.010 took me years to calculate this 113 00:03:28.010 --> 00:03:29.510 It wasn't easily invented 114 00:03:29.510 --> 00:03:31.710 Q. Is it only you that knows the surgical way of not making scars? 115 00:03:31.710 --> 00:03:32.809 [Nondisclosure?!!] That is why I don't make it public 116 00:03:32.809 --> 00:03:34.359 Doctors are smart so they can copy it easily 117 00:03:35.159 --> 00:03:36.859 It has been years and I still can't announce it 118 00:03:36.859 --> 00:03:39.359 I'll make it public when I retire 119 00:03:39.809 --> 00:03:45.733 Go see another video