1 00:00:00.000 --> 00:00:02.025 Breast reduction is the highlight of all breast surgeries! 2 00:00:02.025 --> 00:00:03.075 People say that for a reason 3 00:00:03.075 --> 00:00:06.375 breast reduction is both technically difficult and really important 4 00:00:06.375 --> 00:00:08.024 To be honest, there are less than 10 hospitals 5 00:00:08.024 --> 00:00:09.224 throughout the nation 6 00:00:09.224 --> 00:00:10.424 There are reasons 7 00:00:11.624 --> 00:00:15.124 SHINYU CLINIC 8 00:00:15.124 --> 00:00:17.923 PD) You handle breast reduction, lift, and others 9 00:00:17.923 --> 00:00:20.573 PD) How much experience do you have in breast reduction? 10 00:00:20.573 --> 00:00:23.173 It's been over 15 years since I first performed breast reduction surgery 11 00:00:23.173 --> 00:00:23.873 I was poor at it 12 00:00:23.873 --> 00:00:25.773 It took 7 hours when I performed the first breast reduction.. 13 00:00:25.773 --> 00:00:27.472 [(Sunken) slimmer] It was so challenging that I lost 3 kg after the surgery 14 00:00:27.472 --> 00:00:30.122 I've gained experience since 7 to 9 years ago 15 00:00:30.122 --> 00:00:31.972 And I've performed lots of breast reduction for 5 to 6 years recently 16 00:00:31.972 --> 00:00:35.072 Doing perfect surgery is more important than performing lots of surgeries! 17 00:00:35.072 --> 00:00:37.272 As you know, practice makes perfect 18 00:00:37.272 --> 00:00:40.171 My teacher is the professor Lee Eun-suk 19 00:00:40.171 --> 00:00:41.521 According to her 20 00:00:41.521 --> 00:00:43.521 Breast reduction is the highlight of all breast surgeries! 21 00:00:43.521 --> 00:00:44.571 People say that for a reason 22 00:00:44.571 --> 00:00:47.871 breast reduction is both technically difficult and really important 23 00:00:47.871 --> 00:00:49.520 Honestly, there are likely less than ten places nationwide 24 00:00:49.520 --> 00:00:50.720 that really do breast reduction surgery 25 00:00:50.720 --> 00:00:51.920 There are reasons 26 00:00:51.920 --> 00:00:55.170 This is because the surgery is challenging and anyone never gets used to doing it 27 00:00:55.170 --> 00:00:58.670 PD) Isn’t it true that how much you reduce depends on the person? 28 00:00:58.670 --> 00:00:59.969 When it comes to breast cancer surgery 29 00:00:59.969 --> 00:01:01.069 it's done after removing the part around the cancer 30 00:01:01.069 --> 00:01:03.269 The easiest cancer surgery: Breast Cancer Surgery 31 00:01:03.269 --> 00:01:03.769 But... 32 00:01:03.769 --> 00:01:05.269 There are risks of nipple necrosis 33 00:01:05.269 --> 00:01:06.669 Breast reduction of any size can be possible 34 00:01:06.669 --> 00:01:08.269 But after breast cancer surgery 35 00:01:08.269 --> 00:01:10.119 there are possibilities of nipple necrosis 36 00:01:10.119 --> 00:01:12.019 But with breast reduction, you’re still 37 00:01:12.019 --> 00:01:13.818 removing tissue just like in breast cancer surgery 38 00:01:13.818 --> 00:01:15.668 So the real concern is whether blood flow to the nipple 39 00:01:15.668 --> 00:01:16.518 can be maintained 40 00:01:16.518 --> 00:01:18.418 So if nipples and areolas are removed 41 00:01:18.418 --> 00:01:20.318 there will be risks.. 42 00:01:20.318 --> 00:01:21.617 Even Professor Lee Eun-suk said 43 00:01:21.617 --> 00:01:23.667 “I don’t really see why the nipple is so important” 44 00:01:23.667 --> 00:01:25.367 Because it would be easy surgery if there are no nipples 45 00:01:25.367 --> 00:01:27.367 Why does nipple necrosis happen? 46 00:01:27.367 --> 00:01:28.167 No one knows 47 00:01:28.167 --> 00:01:30.067 If the larger part of the breast is removed during breast cancer surgery, 48 00:01:30.067 --> 00:01:31.767 there must be higher risks of nipple necrosis 49 00:01:31.767 --> 00:01:33.566 Like this, if the breast reduction part is larger 50 00:01:33.566 --> 00:01:35.966 and the more sagging breast is removed 51 00:01:35.966 --> 00:01:37.416 [Larger surgical areas] When blood vessels are running through the area 52 00:01:37.416 --> 00:01:39.266 [can disrupt blood vessels and cause tissue necrosis] and the shape of the breast changes, 53 00:01:39.266 --> 00:01:41.616 those vessels can get compressed or bent 54 00:01:41.616 --> 00:01:44.565 and that’s when problems like necrosis can happen 55 00:01:44.565 --> 00:01:45.665 So you have to do it in moderation 56 00:01:45.665 --> 00:01:49.365 PD) In your opinion, what counts as a successful breast reduction? 57 00:01:49.365 --> 00:01:50.515 There are statistics 58 00:01:50.515 --> 00:01:52.115 It's based on the patient's body shape 59 00:01:52.115 --> 00:01:53.465 A long time ago, the anesthesiologist said 60 00:01:53.465 --> 00:01:54.664 Before they came into the operating room 61 00:01:54.664 --> 00:01:56.314 everyone's breasts were different 62 00:01:56.314 --> 00:01:58.414 [Huh..? The breasts look the same after the surgery..?] but after the surgery, everyone goes out similarly 63 00:01:58.414 --> 00:02:00.464 That's the ideal shape 64 00:02:00.464 --> 00:02:02.314 This is called Sternal Notch 65 00:02:02.314 --> 00:02:03.564 'Sternal Notch' The sternum area corresponding to the bottom of the center of the neck 66 00:02:03.564 --> 00:02:04.414 I guess so in Korean 67 00:02:04.414 --> 00:02:09.064 [Ideal breast] 18-23cm in distance from the sternal notch to the nipple 68 00:02:09.064 --> 00:02:10.213 I think it's the most appropriate 69 00:02:10.213 --> 00:02:11.413 You have to match it to that extent 70 00:02:11.413 --> 00:02:13.113 But if you're short, of course 71 00:02:13.113 --> 00:02:16.612 [What if you're a short patient?] 15 to 16cm high to fit the body type 72 00:02:16.612 --> 00:02:17.312 The plastic surgery textbook says that 73 00:02:17.312 --> 00:02:18.462 an equilateral triangle shape is ideal 74 00:02:18.462 --> 00:02:20.212 but in reality, that makes the breasts look too wide and flat 75 00:02:20.212 --> 00:02:22.812 So in our case, we do an isosceles triangle 76 00:02:22.812 --> 00:02:24.412 You might not really look closely at your own chest, 77 00:02:24.412 --> 00:02:26.562 but when you see yourself undressed, the breast extends from the nipple 78 00:02:26.562 --> 00:02:29.561 all the way to the front edge of the armpit 79 00:02:29.561 --> 00:02:31.061 [Due to Breast Sagging] In reality, a lot of people have nipples 80 00:02:31.061 --> 00:02:33.961 that point downward and sit below the waistline 81 00:02:33.961 --> 00:02:35.261 In those cases, we need to bring it back up 82 00:02:35.261 --> 00:02:37.111 I don't pull it too much and pull it in moderation 83 00:02:37.111 --> 00:02:38.861 [The most important thing is the design of the surgery!] So, you need to design well before surgery 84 00:02:38.861 --> 00:02:41.160 Design is almost everything 85 00:02:41.160 --> 00:02:42.610 I used to get over-corrected a lot in the past 86 00:02:42.610 --> 00:02:44.660 [Even after surgery, sagging still can happen..] It does sag a little over time and you can't avoid it 87 00:02:44.660 --> 00:02:46.910 Since I said I'll do A/S for 10 years 88 00:02:46.910 --> 00:02:48.910 So, I had to over-correct it as a routine 89 00:02:48.910 --> 00:02:51.009 Complaining that it went up too high.. 90 00:02:51.009 --> 00:02:52.109 So, I don't overdo it.. 91 00:02:52.109 --> 00:02:54.309 If they're really disappointed 92 00:02:54.309 --> 00:02:56.059 I raise it up again 93 00:02:56.059 --> 00:02:57.109 So, I recently had another surgery 94 00:02:57.109 --> 00:02:58.859 for someone after 8 years 95 00:02:58.859 --> 00:03:00.558 In the meantime, 96 00:03:00.558 --> 00:03:02.358 she gave birth and breastfeeding 97 00:03:02.358 --> 00:03:05.008 [A simple reoperation to remove the saggy breast!] The skin underneath had stretched, like loose leather 98 00:03:05.008 --> 00:03:06.858 So in that case, I simply removed a bit more skin 99 00:03:06.858 --> 00:03:08.358 Such a procedure is a simple one 100 00:03:08.358 --> 00:03:10.357 The breast shape is a little different from person to person 101 00:03:10.357 --> 00:03:11.157 In my case 102 00:03:11.157 --> 00:03:15.007 These days! People hate the shape of their breasts spreading outward 103 00:03:15.007 --> 00:03:17.157 People used to say that their breasts spread out on the side are pretty 104 00:03:17.157 --> 00:03:19.107 But now, they like the shape where the breast only comes out forward 105 00:03:19.107 --> 00:03:22.607 I open the breast up to the front armpit line 106 00:03:22.607 --> 00:03:24.206 and pull it in from the outside to the inside 107 00:03:24.206 --> 00:03:26.656 [It's the difference between other hospitals and ours!] I think that's the big difference 108 00:03:26.656 --> 00:03:28.056 Bring your soul together!! 109 00:03:28.056 --> 00:03:29.656 I'm proud of this 110 00:03:29.656 --> 00:03:31.456 I don't think there's a hospital like this 111 00:03:31.456 --> 00:03:37.780 Watch More Videos