1
00:00:00.000 --> 00:00:01.175
[Something in armpit?!]
I can feel a lump in my armpit!

2
00:00:01.175 --> 00:00:01.975
That's

3
00:00:01.975 --> 00:00:03.775
the silicone ruptured and moved into the armpit

4
00:00:03.775 --> 00:00:05.475
The lymph nodes in the armpit become swollen

5
00:00:05.475 --> 00:00:07.325
This condition is called an Extracapsular Rupture

6
00:00:07.325 --> 00:00:09.875
Sometimes, the implant breaks through the capsule and leaks out

7
00:00:09.875 --> 00:00:12.075
[Leaked material in healthy tissue…]
It ends up getting stuck in the healthy tissue

8
00:00:12.075 --> 00:00:13.675
But I track it down with ultrasound

9
00:00:13.675 --> 00:00:14.974
and remove it completely

10
00:00:15.824 --> 00:00:19.273
SHINYU CLINIC

11
00:00:19.273 --> 00:00:21.923
Do you still use prosthetics with saline solution?

12
00:00:21.923 --> 00:00:24.273
Saline prosthesis doesn't feel very good

13
00:00:24.273 --> 00:00:25.773
So we don't use it anymore

14
00:00:25.773 --> 00:00:28.073
It's been replaced with silicone gel

15
00:00:28.073 --> 00:00:31.822
PD) Is there a difference in symptoms 
when saline vs. silicone gel prosthesis is broken?

16
00:00:31.822 --> 00:00:33.122
If the saline prosthesis explodes,

17
00:00:33.122 --> 00:00:33.922
it subsides

18
00:00:33.922 --> 00:00:35.372
So you can tell that it burst

19
00:00:35.372 --> 00:00:37.222
There are cases where the prosthesis is seriously damaged

20
00:00:37.222 --> 00:00:40.122
But there are cases where it ruptures 
even if it is a saline prosthesis

21
00:00:40.122 --> 00:00:44.471
[The contents are coming out little by little..]
Then, the water comes out a little bit, stops, and repeats this

22
00:00:44.471 --> 00:00:46.971
[Sometimes they get smaller slowly that they can't feel it..]
So over a long period of time, it slowly got smaller

23
00:00:46.971 --> 00:00:48.021
They say things like this, too

24
00:00:48.021 --> 00:00:49.221
It's different for each person

25
00:00:49.221 --> 00:00:51.621
PD) Isn’t it a problem when the silicone leaks like that?

26
00:00:51.621 --> 00:00:54.020
Even if it's saline solution

27
00:00:54.020 --> 00:00:55.720
[A bit reluctant when it's old..]
after 10 years and 20 years

28
00:00:55.720 --> 00:00:58.370
Wouldn't Samdasoo be a little reluctant

29
00:00:58.370 --> 00:01:01.320
[It's not good to eat something that's been 10 years..]
to drink a 10-year-old one?

30
00:01:01.320 --> 00:01:02.470
From what we've studied so far

31
00:01:02.470 --> 00:01:03.570
 it's not a big problem

32
00:01:03.570 --> 00:01:05.020
But we're just reluctant for no reason

33
00:01:05.020 --> 00:01:07.019
Silicone gel vs. saline solution
What's more dangerous if it bursts?

34
00:01:07.019 --> 00:01:09.619
They say saline implants are safe and usually not a big deal

35
00:01:09.619 --> 00:01:10.769
even if they rupture

36
00:01:10.769 --> 00:01:13.169
but the outer shell is still made of silicone!

37
00:01:13.169 --> 00:01:14.569
If it's been a while since it ruptured

38
00:01:14.569 --> 00:01:15.269
it tightens up

39
00:01:15.269 --> 00:01:16.569
The capsule tightens over time

40
00:01:16.569 --> 00:01:17.819
making capsular contracture even worse

41
00:01:17.819 --> 00:01:19.518
That makes the surgery much more difficult

42
00:01:19.518 --> 00:01:20.718
[Schedule surgery at your convenience when it ruptures]
If a saline implant ruptures

43
00:01:20.718 --> 00:01:23.068
just pick a date and get it removed
as soon as it's convenient for you

44
00:01:23.068 --> 00:01:23.968
That's all I have to say

45
00:01:23.968 --> 00:01:25.168
[Cohesive Gel (aka “Co-gel”)]
Even if a cohesive gel implant ruptures

46
00:01:25.168 --> 00:01:26.518
it’s usually not a big problem, to be honest

47
00:01:26.518 --> 00:01:27.768
It's not a toxic substance

48
00:01:27.768 --> 00:01:28.518
Silicon itself

49
00:01:28.518 --> 00:01:29.368
Even if we eat this..

50
00:01:29.368 --> 00:01:29.967
It's actually safe

51
00:01:29.967 --> 00:01:30.767
It's actually safe

52
00:01:30.767 --> 00:01:31.667
[Not something you'd want to eat...]
but there's really no reason to eat it

53
00:01:31.667 --> 00:01:33.467
[Don't eat it, save it for your breast]
I wouldn't recommend it

54
00:01:33.467 --> 00:01:36.067
Do you have to remove lymph nodes if the implant ruptures?

55
00:01:36.067 --> 00:01:38.117
When a silicone implant ruptures

56
00:01:38.117 --> 00:01:39.967
the leaked material can travel along the lymphatic system

57
00:01:39.967 --> 00:01:42.216
#Whether it's Co-gel or Saline
Co-gel can migrate too

58
00:01:42.216 --> 00:01:44.716
That's actually one of the signs that the implant has ruptured

59
00:01:44.716 --> 00:01:45.866
[Something on your armpits?!]
You can feel something in your armpit

60
00:01:45.866 --> 00:01:46.666
It's because

61
00:01:46.666 --> 00:01:48.516
the silicon burst and moved to armpit

62
00:01:48.516 --> 00:01:50.216
Then your armpit lymph nodes get swollen

63
00:01:50.216 --> 00:01:52.316
Normally, even if you find your lymph nodes, you can't see them

64
00:01:52.316 --> 00:01:53.616
You can't see it because your lymph nodes are smaller in your armpit

65
00:01:53.616 --> 00:01:56.315
[What if there's an inflammation problem around here?]
But if you get an inflammation around here

66
00:01:56.315 --> 00:01:57.965
[Lymphocytes: In the lymphatic system, blood, and bone marrow]
your lymph nodes get bigger

67
00:01:57.965 --> 00:01:58.965
[They play the role of protecting our bodies from germs and viruses]
to make a lot of lymphocytes

68
00:01:58.965 --> 00:01:59.915
Then, you can feel it

69
00:01:59.915 --> 00:02:01.365
Then, you can touch it and it hurts

70
00:02:01.365 --> 00:02:03.665
But anyway, this is not a toxic substance

71
00:02:03.665 --> 00:02:05.415
[Don't cut lymph nodes even if it has prosthesis]
Even if it goes to the armpit

72
00:02:05.415 --> 00:02:07.064
don't remove the lymph nodes

73
00:02:07.064 --> 00:02:08.864
There's a global conclusion like this

74
00:02:08.864 --> 00:02:10.614
Because if you remove the lymph nodes

75
00:02:10.614 --> 00:02:11.864
you get lymph edema

76
00:02:11.864 --> 00:02:12.914
and your arms can swell

77
00:02:12.914 --> 00:02:14.314
[Don't remove what matters because of a harmless substance..]
That's why, we actually say, "don't remove it"

78
00:02:14.314 --> 00:02:15.464
It's not a toxic substance

79
00:02:15.464 --> 00:02:18.114
PD) So you're saying that even if the implant is ruptured

80
00:02:18.114 --> 00:02:20.613
PD) it's okay not to remove it if I choose not to?

81
00:02:20.613 --> 00:02:21.813
Medically, it's known that

82
00:02:21.813 --> 00:02:23.713
there's no big problem

83
00:02:23.713 --> 00:02:25.613
[Most just want it out]
In my patients’ cases, they usually feel uneasy about it

84
00:02:25.613 --> 00:02:27.413
so I end up removing 100% of it, just to be safe

85
00:02:27.413 --> 00:02:28.413
PD) Even the capsule..?

86
00:02:28.413 --> 00:02:29.713
Yes, I remove the capsule

87
00:02:29.713 --> 00:02:30.262
Around breast

88
00:02:30.262 --> 00:02:32.062
This condition is called an Extracapsular Rupture

89
00:02:32.062 --> 00:02:34.612
Sometimes, the implant breaks through the capsule and leaks out

90
00:02:34.612 --> 00:02:36.462
[Leaked material in healthy tissue…]
It ends up getting stuck in the healthy tissue

91
00:02:36.462 --> 00:02:38.062
But I track it down with ultrasound

92
00:02:38.062 --> 00:02:39.162
and remove it completely

93
00:02:39.162 --> 00:02:39.962
You know, meanwhile,

94
00:02:39.962 --> 00:02:41.812
[Breast surgery only has been done using this]
breast surgery has been the age of textures for 34 years

95
00:02:41.812 --> 00:02:43.111
They used to say you had to use this one

96
00:02:43.111 --> 00:02:45.011
because it caused less capsular contracture

97
00:02:45.011 --> 00:02:46.861
[Textured Implants Banned!]
It was banned after 34 years

98
00:02:46.861 --> 00:02:49.661
So no matter how much the medical community says it's okay

99
00:02:49.661 --> 00:02:51.711
[I'm removing everything for safety]
I'm going to get rid of all of it just in case

100
00:02:51.711 --> 00:02:52.961
PD) The patients must be really scared..

101
00:02:52.961 --> 00:02:54.610
PD) If I mention that the implant has ruptured

102
00:02:54.610 --> 00:02:56.310
PD) aren’t they scared?

103
00:02:56.310 --> 00:02:57.010
They get really shocked and go,
“The implant ruptured?!”

104
00:02:57.010 --> 00:02:58.260
Patients don’t even know their implant has ruptured

105
00:02:58.260 --> 00:02:59.960
“Looks like it’s ruptured here... and here too”

106
00:02:59.960 --> 00:03:01.160
I'm the one saying this

107
00:03:01.160 --> 00:03:02.210
Then people get really surprised

108
00:03:02.210 --> 00:03:03.210
They become very frightened

109
00:03:03.210 --> 00:03:05.460
But at present, it’s not known to contain any toxic substances

110
00:03:05.460 --> 00:03:07.609
[You can have surgery on a convenient date] 
You can just schedule it whenever you want

111
00:03:07.609 --> 00:03:09.059
(but) you shouldn’t wait too long

112
00:03:09.059 --> 00:03:11.709
But it’s not an emergency procedure

113
00:03:11.709 --> 00:03:13.309
So are there no emergency cases at all?

114
00:03:13.309 --> 00:03:14.609
(Another reason?!)
That would be for a different cause

115
00:03:14.609 --> 00:03:15.909
It is, the capsule is damaged

116
00:03:15.909 --> 00:03:17.509
What if the capsule keeps bleeding

117
00:03:17.509 --> 00:03:18.908
or gets inflamed?

118
00:03:18.908 --> 00:03:20.858
[Severe pain calls for prompt surgery]
Patients are in a lot of pain, so in those cases, we operate quickly

119
00:03:20.858 --> 00:03:22.608
If the implant is about to rupture

120
00:03:22.608 --> 00:03:25.208
delaying it just makes the surgery more difficult

121
00:03:25.208 --> 00:03:26.358
But if it has simply ruptured

122
00:03:26.358 --> 00:03:29.558
I suggest scheduling a treatment within one to two weeks

123
00:03:29.558 --> 00:03:31.757
[Don’t be too scared just because it ruptured!]
There’s no need to be overly frightened

124
00:03:31.757 --> 00:03:38.082
Watch More Videos