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(Shin Yu Clinic) As fat undergoes necrosis

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(Survival rate 50%!?) 50% die, and 50% survive

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Could it have only calcified?

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(Chronic inflammation too?!) 
It could turn into chronic inflammation

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or a foreign body reaction

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(Shin Yu Clinic)

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Doctor, today I'd like to talk about breast fat transfer

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I saw on YouTube that you had a news interview in the past

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How did you end up doing that interview?

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(It was so long ago, my memory is hazy...) Honestly, it was so long ago that I don't remember

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but I used to write blogs consistently

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I think it was more than 10 years ago

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A broadcasting station saw it

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and requested an interview

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If you look for it now, it's probably not even there anymore

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There aren't really any doctors

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explaining the side effects of fat transfer

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So they had no choice

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but to come to me for the interview

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Back then, there must have been even fewer, right?

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Even now, the side effects aren't well known

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Of course, back then, people knew even less

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About 10 to 15 years ago, fat transfer was done a lot, knowingly or unknowingly

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But those clinics gradually disappeared

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It was because of effectiveness issues

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and in some cases, people got unintended results

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(Implant surgery is much better) So clinics started avoiding it

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So, because many patients were doing it

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Numerous side effects had occured

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And because I was based in Gangnam

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Many patients came to me

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and I learned a lot from them

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By solving patient cases

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both the patients

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and I went through hardships

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(Respecting myself for working hard) Oh, and I went through hardships too

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You know I said that to be funny, right?

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As I kept doing this, my skills improved a lot

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In the end, patients are the teacher

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For doctors, patients are the teachers

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(Should fat transfer be avoided?)

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If you look it up, even plastic surgeons say

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(Absolutely no fat transfer!) "Never do fat transfer on the breasts or buttocks."

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Many doctors strongly oppose it

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But everything depends on the individual

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(Some people are a good match for fat transfer) There are people for whom it works well

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Some people end up with great results of fat transfer

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Personally, Koreans

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(Compared to Westerners, it doesn't work as well) Westerners have better fat transfer survival rates

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while Koreans have a harder time with it

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So it's hard for me to recommend it

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Personally

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(Are there any other reasons?)

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(In the past)
A patient had fat transfer done to her breasts

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(The patient suffered from sepsis, a side effect of fat transfer)
She had to be in the intensive care unit for 5 days

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Sepsis is a very scary condition because

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It means that germs are moving around the body

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(50% chance of survival, 50% chance of death)
50% dies and 50% lives

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Sepsis is a terrifying condition

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But sepsis to the breasts

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is just absurd

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Usually those problems don't occur in the breasts

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(It isn't an area that affects life or death)
Actually, breasts aren't body parts that determine life or death

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But there are people that experience severe side effects

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However, they are very rare

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(Fat transfer side effect
calcification occuring from the transfered fat)
Calcification is a whole different story

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Calcification often occurs from getting fat transfer

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(Calcification: calcium accumulates and hardens due to cells dissolving) What calcification is, when cells dissolve

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The calcium builds up

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and it hardens

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So when cells die, calcification could occur

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It means that when something dissolves

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it could occur

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It's fine, calcification itself isn't harmful to the body

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But calcification after a fat transfer

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It means something else

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In other words, the fat has dissolved

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When the fat undergoes necrosis

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Would calcification be the only condition occuring?

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It could convert to chronic inflammation or foreign body reaction

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These reactions make it difficult for humans

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It hurts patients

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So while removing chronic inflammation and foreign body reaction

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calcification ends up being removed together

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Patients don't get surgery just to remove calicification

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(How do you treat fat transfer side effects?)

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The ultrasound is very important

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I need to take a good look at the ultrasound

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in order to judge if this case would be a problem or not

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But there are ambiguous cases

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It could result into a problem if not treated

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but the patient is able to live 5~60 years without being treated

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Then I just explain

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It would be better to remove

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(There could be no problem for you to live)
But if you're lucky, there might be no problem from the rest of your life

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I explain to them that if it gets infected later on, when the patient is an elderly

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it could lead to bigger problems

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But whatever it is, if a little symptom shows up

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(There might be a bigger problem that is hidden)
That is just the tip of an iceberg

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Usually, many cases tend to hide bigger problems

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So, when the symptoms appear

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It is already a bit late

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You will have to suffer

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So even if it seems okay

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(An accurate examination through ultrasound required!)
Get a mammary ultrasound examination

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So that you can notice at an early stage

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A sudden symptom such as inflammation will

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(the breakdown of one's daily life)
mess up daily life

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A total breakdown

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(So check it out at an early stage and get treatment at your convenience)

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For those of you who have done fat transfer

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(Regardless of symptom)
Get regular examination

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You can get second opinion

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(Examination from multiple hospital)
It is also a good idea to get examination from another hospital

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I could depend on doctors

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(Get multiple opinions)
So try to hear from several doctors