1 00:00:00.000 --> 00:00:01.720 University hospitals tend to perform surgery in a bigger and more serious way 2 00:00:01.720 --> 00:00:02.560 For example, they cut it off 3 00:00:02.560 --> 00:00:04.760 And a patient needs to be in the hospital for about one to two weeks 4 00:00:04.760 --> 00:00:06.140 (Compared to university hospitals) Our hospital is relatively smaller 5 00:00:06.140 --> 00:00:07.320 We perform surgery as small as we can 6 00:00:07.320 --> 00:00:08.600 (Possible to leave the hospital on the very day) So that the patient can go home on the day of the surgery 7 00:00:08.600 --> 00:00:09.520 Because we need to... go home... 8 00:00:09.520 --> 00:00:09.960 Because the doctor needs to go home 9 00:00:09.960 --> 00:00:11.180 (Of course) Yes 10 00:00:12.389 --> 00:00:15.629 (SHINYU CLINIC) 11 00:00:15.630 --> 00:00:18.250 (There are different types of breast cancer surgery?!) 12 00:00:18.250 --> 00:00:19.680 When we hear someone had gotten breast cancer surgery 13 00:00:19.680 --> 00:00:21.160 (Is it not?!) Most people tend to think of a mastectomy 14 00:00:21.160 --> 00:00:22.500 Like flattening breast 15 00:00:22.500 --> 00:00:24.280 There are two types: complete and partial 16 00:00:24.280 --> 00:00:26.240 (Misunderstood truth) Only 30 percent of the patients get a complete mastectomy 17 00:00:26.240 --> 00:00:27.440 The rest of them get a partial mastectomy 18 00:00:27.440 --> 00:00:29.500 Almost 60 to 70 percent of the patients 19 00:00:29.500 --> 00:00:31.139 It's not completely cutting off, but partially 20 00:00:31.139 --> 00:00:32.339 A breast is divided quarterly 21 00:00:32.339 --> 00:00:33.960 On the spot where the cancer is located 22 00:00:33.960 --> 00:00:36.220 The part of the quarterly-divided breast will be cut off 23 00:00:36.220 --> 00:00:37.900 And the rest, three-quarters, remains 24 00:00:37.900 --> 00:00:40.420 (The half remains at least) Cutting off more 50 percent is not a common case 25 00:00:40.420 --> 00:00:41.660 Even if a patient gets breast surgery 26 00:00:41.660 --> 00:00:42.720 It's not common for a patient to have big breast cancer 27 00:00:42.720 --> 00:00:43.780 It's rare 28 00:00:43.780 --> 00:00:46.540 (Advanced cancer The state that the cancer spreads beyond the primary part) We called it advanced 29 00:00:46.540 --> 00:00:47.519 Advanced breast cancer is 30 00:00:47.519 --> 00:00:48.360 As of today 31 00:00:48.360 --> 00:00:49.700 A rare case 32 00:00:49.700 --> 00:00:51.160 Because the cancer can be detected in advance 33 00:00:51.160 --> 00:00:52.659 So the patients visit the hospital when in 1st or 2nd stage 34 00:00:52.659 --> 00:00:54.820 So now we have a totally different surgery process compared to the past 35 00:00:54.820 --> 00:00:55.999 (Focus on the trend) We need to look into the trend 36 00:00:55.999 --> 00:00:57.320 (Complete mastectomy is easier) If a complete mastectomy is performed 37 00:00:57.320 --> 00:00:58.520 There's nothing left 38 00:00:58.520 --> 00:01:00.280 So we can make breasts with implants 39 00:01:00.280 --> 00:01:01.420 But today's trend is 40 00:01:01.420 --> 00:01:02.819 To perform a partial mastectomy 41 00:01:02.819 --> 00:01:04.899 (Different patients, different shapes..) Every patient has different shapes 42 00:01:04.899 --> 00:01:06.499 They have different dented parts 43 00:01:06.499 --> 00:01:07.959 (Hard to make shapes) It's hard to make shapes 44 00:01:07.959 --> 00:01:09.620 If a breast is dented after surgery 45 00:01:09.620 --> 00:01:11.759 (To reshape by autografting) We use patients' fats on their belly or back 46 00:01:11.759 --> 00:01:12.799 To fill the dented part 47 00:01:12.799 --> 00:01:13.580 We perform it in this way 48 00:01:13.580 --> 00:01:15.580 Is it possible to reshape only in university hospitals? 49 00:01:15.580 --> 00:01:17.920 People usually think of reshaping as a hard and big surgery 50 00:01:17.920 --> 00:01:20.020 (Maybe most people) They would think that it's possible only in university hospitals 51 00:01:20.020 --> 00:01:21.399 That was the common opinion 52 00:01:21.399 --> 00:01:22.499 (Our hospital is available) There were so many patients like that 53 00:01:22.499 --> 00:01:23.839 So I had no choice but to do it 54 00:01:23.839 --> 00:01:24.319 (Subscription) 55 00:01:24.319 --> 00:01:26.199 There are two kinds of reconstructive techniques 56 00:01:26.200 --> 00:01:27.379 There's an immediate reconstruction 57 00:01:27.379 --> 00:01:28.960 There's a delay reconstruction 58 00:01:28.960 --> 00:01:31.359 (Immediate reconstruction=Reconstruction proceeds simultaneously with surgery) 59 00:01:31.359 --> 00:01:32.280 It's actually convenient 60 00:01:32.280 --> 00:01:33.279 I mean, at a university hospital 61 00:01:33.279 --> 00:01:34.580 They usually have breast cancer surgery 62 00:01:34.580 --> 00:01:35.980 They do it right away at the university hospital 63 00:01:35.980 --> 00:01:37.580 (Delayed reconstruction=rebuilding after time) It's a little ambiguous to rebuild after delay 64 00:01:37.580 --> 00:01:38.520 When should they do it 65 00:01:38.520 --> 00:01:39.280 Breast cancer usually 66 00:01:39.280 --> 00:01:40.459 Has the most recurrence within two years 67 00:01:40.459 --> 00:01:41.480 All cancers are like that 68 00:01:41.480 --> 00:01:42.799 They feel relieved after 2 years 69 00:01:42.799 --> 00:01:43.739 After 5 years 70 00:01:43.739 --> 00:01:44.759 They feel very relieved 71 00:01:44.759 --> 00:01:46.959 I mean, thinking about rebuilding it by then 72 00:01:46.959 --> 00:01:48.580 If you keep going to a university hospital 73 00:01:48.580 --> 00:01:49.960 (Patients are exhausted...) You'll feel uncomfortable 74 00:01:49.960 --> 00:01:51.179 It's so hectic 75 00:01:51.179 --> 00:01:52.300 There are a lot of people 76 00:01:52.300 --> 00:01:55.240 University hospitals are mostly rebuilding 77 00:01:55.240 --> 00:01:56.840 There are more and more people 78 00:01:56.840 --> 00:01:57.860 Who come to private hospitals and do it 79 00:01:57.860 --> 00:02:00.636 (What's the difference between SHINYU's breast reconstruction and a university hospital?) 80 00:02:00.636 --> 00:02:02.200 University hospitals have big surgeries 81 00:02:02.200 --> 00:02:03.179 Cut it big!! 82 00:02:03.179 --> 00:02:04.560 Patients have to stay at the hospital for a week or two 83 00:02:04.560 --> 00:02:05.360 That's what they do 84 00:02:05.360 --> 00:02:06.719 (Compared to university hospitals) For us.. our hospital is small 85 00:02:06.719 --> 00:02:07.940 (Can be discharged on the same day with a little touch) I'll touch it a little bit 86 00:02:07.940 --> 00:02:09.160 So that they can go home right away on that day 87 00:02:09.160 --> 00:02:11.239 That's how I do it 88 00:02:11.239 --> 00:02:12.460 (How do you do it??) 89 00:02:12.460 --> 00:02:13.480 This is a trend, too 90 00:02:13.480 --> 00:02:15.859 We also refer to trends in the U.S 91 00:02:15.859 --> 00:02:17.080 But the trend in the U.S 92 00:02:17.080 --> 00:02:19.119 (Reconstruction using only self-organization in the past) In the past, they used the belly fat of the patient 93 00:02:19.119 --> 00:02:20.299 There were a lot of things like it 94 00:02:20.299 --> 00:02:22.679 (At some point, they started using implants) It's gradually changing to implants 95 00:02:22.679 --> 00:02:24.220 Our country is following them in that direction 96 00:02:24.220 --> 00:02:25.920 We mostly put in implants 97 00:02:25.920 --> 00:02:26.980 (Patient will feel comfortable) Because it's simple 98 00:02:26.980 --> 00:02:28.700 (Simple reconstruction method: It's possible only when you have enough skin) But you have to see 99 00:02:28.700 --> 00:02:29.359 How much skin you have left 100 00:02:29.359 --> 00:02:30.500 If you don't have much skin 101 00:02:30.500 --> 00:02:31.839 To get rid of belly fat or back fat 102 00:02:31.839 --> 00:02:34.479 You need to take the skin from there and cover it over the area 103 00:02:34.479 --> 00:02:35.920 (Method of breast reconstruction, implant + autograft) It can't only use implants 104 00:02:35.920 --> 00:02:37.479 Using the autograft tecnique 105 00:02:37.479 --> 00:02:39.980 There are quite a few cases that use both 106 00:02:39.980 --> 00:02:41.420 I usually put in implants 107 00:02:41.420 --> 00:02:42.480 But I couldn't handle it by only using implants 108 00:02:42.480 --> 00:02:45.700 I had no choice but to use back/belly fat 109 00:02:45.700 --> 00:02:47.120 (Same for complete mastectomy and partial mastectomy) For those who have been controlled safely 110 00:02:47.120 --> 00:02:48.519 It's the same for those who have done partial mastectomy 111 00:02:48.519 --> 00:02:50.879 Is there a problem with not getting the breast reconstruction?? 112 00:02:50.879 --> 00:02:52.919 If the patient says it's okay 113 00:02:52.919 --> 00:02:53.939 They don't have to do it 114 00:02:53.939 --> 00:02:54.760 Everything is like that 115 00:02:54.760 --> 00:02:56.879 Even if it's uneven or asymmetrical 116 00:02:56.879 --> 00:02:58.919 If they say it doesn't matter to them, they don't have to do it 117 00:02:58.919 --> 00:03:00.220 But if that bothers them 118 00:03:00.220 --> 00:03:01.799 One side is too big and the other side is too small 119 00:03:01.799 --> 00:03:03.499 If they correct the difference 120 00:03:03.499 --> 00:03:05.759 People are very comfortable 121 00:03:05.759 --> 00:03:09.339 (Doctor who used to perform breast cancer surgery) You used to perform breast cancer surgeries 122 00:03:09.339 --> 00:03:10.660 You must be good at reconstructive surgery? 123 00:03:10.660 --> 00:03:11.759 So for those who came 124 00:03:11.759 --> 00:03:12.859 During the breast cancer check-up 125 00:03:12.859 --> 00:03:14.699 I also found quite a few breast cancer relapses 126 00:03:14.699 --> 00:03:15.679 (Awesome) I sometimes find it 127 00:03:15.679 --> 00:03:17.000 It's really absurd 128 00:03:17.000 --> 00:03:18.500 Since I had done breast cancer surgery before 129 00:03:18.500 --> 00:03:21.500 (I'll always repay your trust) I think they trust me more and come