[Something in armpit?!] I can feel a lump in my armpit!
That's
the silicone ruptured and moved into the armpit
The lymph nodes in the armpit become swollen
This condition is called an Extracapsular Rupture
Sometimes, the implant breaks through the capsule and leaks out
[Leaked material in healthy tissue…] It ends up getting stuck in the healthy tissue
But I track it down with ultrasound
and remove it completely
SHINYU CLINIC
Do you still use prosthetics with saline solution?
Saline prosthesis doesn't feel very good
So we don't use it anymore
It's been replaced with silicone gel
PD) Is there a difference in symptoms when saline vs. silicone gel prosthesis is broken?
If the saline prosthesis explodes,
it subsides
So you can tell that it burst
There are cases where the prosthesis is seriously damaged
But there are cases where it ruptures even if it is a saline prosthesis
[The contents are coming out little by little..] Then, the water comes out a little bit, stops, and repeats this
[Sometimes they get smaller slowly that they can't feel it..] So over a long period of time, it slowly got smaller
They say things like this, too
It's different for each person
PD) Isn’t it a problem when the silicone leaks like that?
Even if it's saline solution
[A bit reluctant when it's old..] after 10 years and 20 years
Wouldn't Samdasoo be a little reluctant
[It's not good to eat something that's been 10 years..] to drink a 10-year-old one?
From what we've studied so far
it's not a big problem
But we're just reluctant for no reason
Silicone gel vs. saline solution What's more dangerous if it bursts?
They say saline implants are safe and usually not a big deal
even if they rupture
but the outer shell is still made of silicone!
If it's been a while since it ruptured
it tightens up
The capsule tightens over time
making capsular contracture even worse
That makes the surgery much more difficult
[Schedule surgery at your convenience when it ruptures] If a saline implant ruptures
just pick a date and get it removed as soon as it's convenient for you
That's all I have to say
[Cohesive Gel (aka “Co-gel”)] Even if a cohesive gel implant ruptures
it’s usually not a big problem, to be honest
It's not a toxic substance
Silicon itself
Even if we eat this..
It's actually safe
[Not something you'd want to eat...] but there's really no reason to eat it
[Don't eat it, save it for your breast] I wouldn't recommend it
Do you have to remove lymph nodes if the implant ruptures?
When a silicone implant ruptures
the leaked material can travel along the lymphatic system
#Whether it's Co-gel or Saline Co-gel can migrate too
That's actually one of the signs that the implant has ruptured
[Something on your armpits?!] You can feel something in your armpit
It's because
the silicon burst and moved to armpit
Then your armpit lymph nodes get swollen
Normally, even if you find your lymph nodes, you can't see them
You can't see it because your lymph nodes are smaller in your armpit
[What if there's an inflammation problem around here?] But if you get an inflammation around here
[Lymphocytes: In the lymphatic system, blood, and bone marrow] your lymph nodes get bigger
[They play the role of protecting our bodies from germs and viruses] to make a lot of lymphocytes
Then, you can feel it
Then, you can touch it and it hurts
But anyway, this is not a toxic substance
[Don't cut lymph nodes even if it has prosthesis] Even if it goes to the armpit
don't remove the lymph nodes
There's a global conclusion like this
Because if you remove the lymph nodes
you get lymph edema
and your arms can swell
[Don't remove what matters because of a harmless substance..] That's why, we actually say, "don't remove it"
It's not a toxic substance
PD) So you're saying that even if the implant is ruptured
PD) it's okay not to remove it if I choose not to?
Medically, it's known that
there's no big problem
[Most just want it out] In my patients’ cases, they usually feel uneasy about it
so I end up removing 100% of it, just to be safe
PD) Even the capsule..?
Yes, I remove the capsule
Around breast
This condition is called an Extracapsular Rupture
Sometimes, the implant breaks through the capsule and leaks out
[Leaked material in healthy tissue…] It ends up getting stuck in the healthy tissue
But I track it down with ultrasound
and remove it completely
You know, meanwhile,
[Breast surgery only has been done using this] breast surgery has been the age of textures for 34 years
They used to say you had to use this one
because it caused less capsular contracture
[Textured Implants Banned!] It was banned after 34 years
So no matter how much the medical community says it's okay
[I'm removing everything for safety] I'm going to get rid of all of it just in case
PD) The patients must be really scared..
PD) If I mention that the implant has ruptured
PD) aren’t they scared?
They get really shocked and go, “The implant ruptured?!”
Patients don’t even know their implant has ruptured
“Looks like it’s ruptured here... and here too”
I'm the one saying this
Then people get really surprised
They become very frightened
But at present, it’s not known to contain any toxic substances
[You can have surgery on a convenient date] You can just schedule it whenever you want
(but) you shouldn’t wait too long
But it’s not an emergency procedure
So are there no emergency cases at all?
(Another reason?!) That would be for a different cause
It is, the capsule is damaged
What if the capsule keeps bleeding
or gets inflamed?
[Severe pain calls for prompt surgery] Patients are in a lot of pain, so in those cases, we operate quickly
If the implant is about to rupture
delaying it just makes the surgery more difficult
But if it has simply ruptured
I suggest scheduling a treatment within one to two weeks
[Don’t be too scared just because it ruptured!] There’s no need to be overly frightened
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