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If you think of the nipple as the endpoint

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blood vessels run past it and supply the rest of the breast

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But if you make a C-shaped incision

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[Cutting certain areas can affect breastfeeding..]
only this part would be able to produce milk

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But in my case, I don’t do it that way

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[Using a different method to minimize the effect on breastfeeding]
I fold it upward like this

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so I preserve most of the milk ducts

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SHINYU CLINIC

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[Today’s question?]
If I get a breast reduction, can I not breastfeed?

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After you get a breast reduction

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you might produce less breast milk!

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Is the breast reduction surgical method the issue?

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So the traditional surgical method is

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[A method that uses a C-shaped incision]
I refer to it as a C shape

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where they cut in a C shape like this

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They cut and then pull it together

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But there is a pathway where blood vessels run

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We need to preserve that

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[Usually avoiding the vessels on the inside of the breast]
Typically, they preserve the vessels running on this side

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[They tend to make the incision on the outer side of the breast]
so they cut here and lift it up that way

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But we don’t do it that way

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[Using minimal incisions and folding upward(?)]
and fold the entire area upward

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stacking it in layers as we fold

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By doing that

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we preserve all the blood vessels here

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We keep those vessels intact

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and as a result

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[Milk duct tissue?]
we also preserve all of the milk duct tissue

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If you think of the nipple as the endpoint

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blood vessels run past it and supply the rest of the breast

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But if you make a C-shaped incision

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[Cutting certain areas can affect breastfeeding..]
only this part would be able to produce milk

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But in my case, I don’t do it that way

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[Using a different method to minimize the effect on breastfeeding]
I fold it upward like this

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so I preserve almost all of the milk ducts

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PD: Oh, so it’s a reduction surgery,

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PD: but you fold and lift it up?

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Sure, from the outside

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[Isn’t this the same as what other clinics do??]
it might look like any other clinic

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doing a standard vertical lollipop incision

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You might think that

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But the internal technique is completely different

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So breastfeeding won’t be a problem?

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[It’s not like it completely goes away…]
I do think it might decrease a little

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Because I’m lifting by

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making incisions in specific areas

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I think some reduction is inevitable

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I think overall it should be fine

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I used to perform breast cancer surgeries

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coming from a breast surgery background

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I’m particularly sensitive about breastfeeding

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Even for me

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when I perform breast reductions

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technique inside the breast has changed a lot over time

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Even I find that the details keep evolving

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Subscribe

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PD) Then there are cases like that

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PD) I’ve heard it’s pretty common to reduce the areola

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PD) during breast reduction surgery too…

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Most want to reduce the areola

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[Breast Size = Areola Size]
People with larger breasts usually have larger areolas too

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So if they do a vertical incision

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or a O-type incision,

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they also want to reduce the areola

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PD) If we do the areola reduction together

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PD) Is there any damage when breastfeeding?

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[It doesn't affect breastfeeding at all!]
It's different from the areola reduction

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When I do areola reduction surgery, I only cut off my skin

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But it's a question of whether it works properly,

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and whether it leaves a scar

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Most of the time, the reduction of the areola cuts only the skin

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So if cut deeper,

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it can be necrotic

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The areola itself can be necrotic

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so we have to take off the skin a little

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If you get the areola reduction surgery,

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The amount of feeding will be reduced.. 
It is what it is

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But it is traditional way!

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If you do it the way we do it

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although the amount of lactation is reduced,

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it will not decrease much

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[Different incision techniques and internal breast handling]
The direction we make the incision is a bit different

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And if

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you still think your breasts are too large

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then it's better to go ahead with the surgery

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rather than waiting until after childbirth

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If you’re like, “It’s manageable for me,”

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then you really don’t have to get the surgery at all

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I operated on a 63-year-old patient today

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The older you get,

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the more likely you are to get inflammation

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So If you're too old,

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you may not be able to have surgery

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Other hospitals will probably refuse too

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Because (when you're old), the results don't come out well

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The body and recovery..

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The recovery is all different even if 
the surgery is done in the same way

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[Might not be able to do it later on]
It's best to get breast reduction

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while you're still young

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The breast reduction surgery is

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a big operation

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It is a bigger operation than breast cancer surgery

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So we say that the breast reduction surgery is

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the flower of the breast surgery

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(I miss my teacher all of a sudden)
That's what my teacher said

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In conclusion!!

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No breastfeeding problem after chest reduction surgery!

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