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(Honey, they will spread apart if you get implants)
Even if you get surgery or implants

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They will end up spreading more

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that’s why they had stopped her

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So I told them

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(Mother, there is always a way)
 that they need to be brought in

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to stay together

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SHINYU CLINIC

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(Today’s question
How do you bring together spread out nipples?)

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If they’re just spread apart

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then it’s a simple procedure but usually

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(Spread+a)
there’s an accompanying problem

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Either the breasts are too small

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or too big

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they’ve spread because of the size

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that is a common case

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If the spread is because of the large size

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(Reduction + lift + gather)
You have to reduce, life and gather

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(The procedure is called Flap)
You do a Flap

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and strengthen a certain part of

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or remove some volume

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in those cases

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(What if the breasts are small and far apart?)

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It depends on what you want

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If you want them to be bigger and closer together

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(Implant and gathering according to size)
you can pull them together with an implant

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but if you just want to gather

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then it’s can be rather

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awkward

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(Why? No flesh to gather)
It’s difficult to change the flow of preexisting tissue

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It’s like how hard it is to change your bone structure with braces

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it comes with its difficulties

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(Subscribe)

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(Do people visit the clinic a lot?)

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(More than you can imagine)
Yes

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They say they’re too far apart

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(Once you start seeing it…)
If it starts irritating you it’s the only thing you see

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I had a visitor a while ago

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who said her mom got the surgery

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who said that her daughter had far apart nipples

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(Honey, they will spread apart if you get implants)
Even if you get surgery

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or implants

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they will spread even more

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and told her not to

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So I said

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(Mother, there is always a way)
told them that they need to be brought in

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I told her that

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It’s called the nipple areola complex

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Nipple areolar complex

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It’s hard to move the complex

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In my case

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Since I've done loads of breast cancer surgeries

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(Definitely doable now)
I did lots of adjustment surgeries too

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Breast cancer surgeries require lots of cutting and stuff

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(How do you manipulate the inside of breast?)

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It's important to avoid touching blood vessels

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(Placing new breast without interfering the five vessels)
There are five vessles  around the breast

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and you need to rotate the breast like this

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without interfering the direction of those blood vessels

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For surgeries that involve bringing two breasts closer together

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we do incisions like letter "C"

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after the C-shaped incision

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we bring the breast tissue upward

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But since it requires a C-shaped incision

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(The downside is the blood vessel also gets cut..)
it's hard to avoid cutting the blood vessel just a bit

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(That's why we do flap surgeries)
But we can't do that

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The tissue can only thrive when blood circulates in there

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There are five major blood vessels around the breast

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The four vessels go through the inside of the breasts

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and one that goes around the breast

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So we do everything

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keep at least one of them intact

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per tissue we manipulate

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If we cut it straight away in this direction

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(Necrosis)
the tissue will die immediately

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That's why we do surgeries and do the pull

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with this information in mind

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It's not all about manipulating the skin

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(Skin manipulation is just a part of it.. Surgery is all about working with the inside)
The skin reflects what goes on the inside

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so if you manipulate the inside, the skin will adjust with the change by itself later

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(Things to look out for when doing nipple closing surgery?)

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Closing an opened-nipple

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also requires not intering the blood vessels

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so we work with the direction of the blood vessels

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to not interfere it

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and overlap

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(The key is to not interfere the blood circulation in the nipple)
the tissue together

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or we do a folding

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or roll it

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we apply these methods

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If not

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the blood circulation gets poor in the nipple

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and cause necrosis

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on nipple and areola

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We need to watch out for that

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(The case of necrosis is not common since he's done so many surgeries for it)
But I highly doubt it causes necrosis

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It will just make the blood circulation poor

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and cause small scabs and they will come off later

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Well that's for the most case

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(How long does it take to recover?)

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(Two months)
Your body will look better after this time

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Will the scar get better?

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Will it fade to the point when it’s hardly visible

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It depends on the person

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After the first one or two months

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Some people say it’s already barely visible

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(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

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For those whose scars initially look worse

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(They may end up with a lasting scar)
Oh, the scar might turn out to be worse later on

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That’s something I would say

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(But don’t worry! Scar correction will be done)
But, after you see the scar

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so well

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It’s unpleasant to look at

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Then, I’ll take care of the scar correction for you

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I’ll do the laser treatment again

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This process will be repeated

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(Don’t stress, just go for a consultation)
I need to make sure it’s done right until the end