(Honey, they will spread apart if you get implants) Even if you get surgery or implants
They will end up spreading more
that’s why they had stopped her
So I told them
(Mother, there is always a way) that they need to be brought in
to stay together
SHINYU CLINIC
(Today’s question How do you bring together spread out nipples?)
If they’re just spread apart
then it’s a simple procedure but usually
(Spread+a) there’s an accompanying problem
Either the breasts are too small
or too big
they’ve spread because of the size
that is a common case
If the spread is because of the large size
(Reduction + lift + gather) You have to reduce, life and gather
(The procedure is called Flap) You do a Flap
and strengthen a certain part of
or remove some volume
in those cases
(What if the breasts are small and far apart?)
It depends on what you want
If you want them to be bigger and closer together
(Implant and gathering according to size) you can pull them together with an implant
but if you just want to gather
then it’s can be rather
awkward
(Why? No flesh to gather) It’s difficult to change the flow of preexisting tissue
It’s like how hard it is to change your bone structure with braces
it comes with its difficulties
(Subscribe)
(Do people visit the clinic a lot?)
(More than you can imagine) Yes
They say they’re too far apart
(Once you start seeing it…) If it starts irritating you it’s the only thing you see
I had a visitor a while ago
who said her mom got the surgery
who said that her daughter had far apart nipples
(Honey, they will spread apart if you get implants) Even if you get surgery
or implants
they will spread even more
and told her not to
So I said
(Mother, there is always a way) told them that they need to be brought in
I told her that
It’s called the nipple areola complex
Nipple areolar complex
It’s hard to move the complex
In my case
Since I've done loads of breast cancer surgeries
(Definitely doable now) I did lots of adjustment surgeries too
Breast cancer surgeries require lots of cutting and stuff
(How do you manipulate the inside of breast?)
It's important to avoid touching blood vessels
(Placing new breast without interfering the five vessels) There are five vessles around the breast
and you need to rotate the breast like this
without interfering the direction of those blood vessels
For surgeries that involve bringing two breasts closer together
we do incisions like letter "C"
after the C-shaped incision
we bring the breast tissue upward
But since it requires a C-shaped incision
(The downside is the blood vessel also gets cut..) it's hard to avoid cutting the blood vessel just a bit
(That's why we do flap surgeries) But we can't do that
The tissue can only thrive when blood circulates in there
There are five major blood vessels around the breast
The four vessels go through the inside of the breasts
and one that goes around the breast
So we do everything
keep at least one of them intact
per tissue we manipulate
If we cut it straight away in this direction
(Necrosis) the tissue will die immediately
That's why we do surgeries and do the pull
with this information in mind
It's not all about manipulating the skin
(Skin manipulation is just a part of it.. Surgery is all about working with the inside) The skin reflects what goes on the inside
so if you manipulate the inside, the skin will adjust with the change by itself later
(Things to look out for when doing nipple closing surgery?)
Closing an opened-nipple
also requires not intering the blood vessels
so we work with the direction of the blood vessels
to not interfere it
and overlap
(The key is to not interfere the blood circulation in the nipple) the tissue together
or we do a folding
or roll it
we apply these methods
If not
the blood circulation gets poor in the nipple
and cause necrosis
on nipple and areola
We need to watch out for that
(The case of necrosis is not common since he's done so many surgeries for it) But I highly doubt it causes necrosis
It will just make the blood circulation poor
and cause small scabs and they will come off later
Well that's for the most case
(How long does it take to recover?)
(Two months) Your body will look better after this time
Will the scar get better?
Will it fade to the point when it’s hardly visible
It depends on the person
After the first one or two months
Some people say it’s already barely visible
(On average, it takes about 2 to 3 years for the fade) Those people usually find that after about 2 to 3 years, the scar completely fades
For those whose scars initially look worse
(They may end up with a lasting scar) Oh, the scar might turn out to be worse later on
That’s something I would say
(But don’t worry! Scar correction will be done) But, after you see the scar
so well
It’s unpleasant to look at
Then, I’ll take care of the scar correction for you
I’ll do the laser treatment again
This process will be repeated
(Don’t stress, just go for a consultation) I need to make sure it’s done right until the end