(Shin Yu Clinic) As fat undergoes necrosis
(Survival rate 50%!?) 50% die, and 50% survive
Could it have only calcified?
(Chronic inflammation too?!) It could turn into chronic inflammation
or a foreign body reaction
(Shin Yu Clinic)
Doctor, today I'd like to talk about breast fat transfer
I saw on YouTube that you had a news interview in the past
How did you end up doing that interview?
(It was so long ago, my memory is hazy...) Honestly, it was so long ago that I don't remember
but I used to write blogs consistently
I think it was more than 10 years ago
A broadcasting station saw it
and requested an interview
If you look for it now, it's probably not even there anymore
There aren't really any doctors
explaining the side effects of fat transfer
So they had no choice
but to come to me for the interview
Back then, there must have been even fewer, right?
Even now, the side effects aren't well known
Of course, back then, people knew even less
About 10 to 15 years ago, fat transfer was done a lot, knowingly or unknowingly
But those clinics gradually disappeared
It was because of effectiveness issues
and in some cases, people got unintended results
(Implant surgery is much better) So clinics started avoiding it
So, because many patients were doing it
Numerous side effects had occured
And because I was based in Gangnam
Many patients came to me
and I learned a lot from them
By solving patient cases
both the patients
and I went through hardships
(Respecting myself for working hard) Oh, and I went through hardships too
You know I said that to be funny, right?
As I kept doing this, my skills improved a lot
In the end, patients are the teacher
For doctors, patients are the teachers
(Should fat transfer be avoided?)
If you look it up, even plastic surgeons say
(Absolutely no fat transfer!) "Never do fat transfer on the breasts or buttocks."
Many doctors strongly oppose it
But everything depends on the individual
(Some people are a good match for fat transfer) There are people for whom it works well
Some people end up with great results of fat transfer
Personally, Koreans
(Compared to Westerners, it doesn't work as well) Westerners have better fat transfer survival rates
while Koreans have a harder time with it
So it's hard for me to recommend it
Personally
(Are there any other reasons?)
(In the past) A patient had fat transfer done to her breasts
(The patient suffered from sepsis, a side effect of fat transfer) She had to be in the intensive care unit for 5 days
Sepsis is a very scary condition because
It means that germs are moving around the body
(50% chance of survival, 50% chance of death) 50% dies and 50% lives
Sepsis is a terrifying condition
But sepsis to the breasts
is just absurd
Usually those problems don't occur in the breasts
(It isn't an area that affects life or death) Actually, breasts aren't body parts that determine life or death
But there are people that experience severe side effects
However, they are very rare
(Fat transfer side effect calcification occuring from the transfered fat) Calcification is a whole different story
Calcification often occurs from getting fat transfer
(Calcification: calcium accumulates and hardens due to cells dissolving) What calcification is, when cells dissolve
The calcium builds up
and it hardens
So when cells die, calcification could occur
It means that when something dissolves
it could occur
It's fine, calcification itself isn't harmful to the body
But calcification after a fat transfer
It means something else
In other words, the fat has dissolved
When the fat undergoes necrosis
Would calcification be the only condition occuring?
It could convert to chronic inflammation or foreign body reaction
These reactions make it difficult for humans
It hurts patients
So while removing chronic inflammation and foreign body reaction
calcification ends up being removed together
Patients don't get surgery just to remove calicification
(How do you treat fat transfer side effects?)
The ultrasound is very important
I need to take a good look at the ultrasound
in order to judge if this case would be a problem or not
But there are ambiguous cases
It could result into a problem if not treated
but the patient is able to live 5~60 years without being treated
Then I just explain
It would be better to remove
(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
I explain to them that if it gets infected later on, when the patient is an elderly
it could lead to bigger problems
But whatever it is, if a little symptom shows up
(There might be a bigger problem that is hidden) That is just the tip of an iceberg
Usually, many cases tend to hide bigger problems
So, when the symptoms appear
It is already a bit late
You will have to suffer
So even if it seems okay
(An accurate examination through ultrasound required!) Get a mammary ultrasound examination
So that you can notice at an early stage
A sudden symptom such as inflammation will
(the breakdown of one's daily life) mess up daily life
A total breakdown
(So check it out at an early stage and get treatment at your convenience)
For those of you who have done fat transfer
(Regardless of symptom) Get regular examination
You can get second opinion
(Examination from multiple hospital) It is also a good idea to get examination from another hospital
I could depend on doctors
(Get multiple opinions) So try to hear from several doctors