Surgeon philosophy
Surgery duration
30minutes~1hour
Anesthesia
Local or sleeping anesthesia
Hospitalization
Needless
Stitch removal
After 7 days
Dr. WOOJUNG, KIM Representative of WOOA PLASTIC SURGERY
- Graduated from college of medical of Seoul National university
- Doctoral Degree in plastic surgery at Seoul National University Hospital plastic
- Clinical faculty at SNU Hospital
- Plastic Surgery Department consultant doctor at SNY Hospital Plastic Surgery Department
- Regular member at the Korea society of plastic and reconstructive Surgeons
- Regular member at the Korean society for aesthetic plastic surgery
- Regular member of the IPRAS International society of plastic surgeons
- Grand prize at medical Korea Awards from 2010 to 2014(1st place in customer satisfaction
- Media coverage by LA times in 2012
- Media coverage by CCTV network
- Media coverage by Russian National TV
- Media coverage by People’s Daily
- Appearances on “LET ME IN” Korean plastic surgery shows season 1 to 5
Therefore, It is demanded that the surgeons have an aesthetic principle a wide range of case experiences, elaborate techniques and proper surgery principles. In addition, the selection of the proper prosthesis that suits the body condition of the patient, post-surgery care and responsibility on the relationship that is formed through the prosthesis are required.
Side effects and revision
Capsular contracture, the side effect feared the most by patient can be minimized by placing the prosthesis in the structure space secured at the fascia, the membrane that covers the pre-existing muscle. Additionally, it is required to minimize the muscle tissue damage and bleeding and reduce the chance of infection with a short surgery time, and leave no foreign substance within the prosthesis space. There are common side effects of surgery such as bleeding, hematoma and infection but I am minimizing the occurrence of the them with my expertise and experience.
The prosthesis rupture may occur rarely but in the case of the rupture the revision is required. However, the prosthesis replacement utilizes that ready made prosthesis chamber and it causes the minimal inconvenience that you do not require general anesthesia and can lead daily life form the day after the surgery. In other words, among the breast revision cases, there may be some occasions that require revision due to the rupture, capsular contracture, and bottom line asymmetry but the chance of such cases in minimal.
Therefore, It is important to make an incision from an armpit to confirm the position of the fascia is important and the inner side of the chest has to be examined with the camera to locate the fascia layer. The damage to the chest muscle is reduce and the pain can be reduced as well.
We use the endoscope in cutting edge electrical cutter to confirm each of the bleeding points and stanch the bleeding. This reduces bleeding significantly and the careful examination of anatomical structures while performing a surgery prevents severe pain. Additionally, the method does not required a blood pack and it can diminished the swelling. Typically, the patients who just forward the surgery can minimize the pain after four hours from the surgery. And it is more common that patients complain about the pain. However, The purpose of maintain the proper pressure while the prosthesis is placed in the correction position and the surgery can be completed by wearing the pressing brassier for three weeks. For our WOOA Plastic Surgery center, The endoscopic handling technique after the armpit incision is fully matured and can performed the whole surgery from incision, prosthesis insertion and precise flacking within an hour with the endoscope technique. The most significant surgery skill of the armpit incision should be the size of 3~4cm, and it can take place along the natural wrinkles that exists on an armpit, making the suture mark almost invisible.
The prosthesis used in breast augmentation
Among all available breast augmentation techniques, the technique that utilize the prosthesis yields the highest level of satisfaction and sound results. For the prosthesis used in the augmentation, there are saline solution prosthesis, the favored choice of the past, the smooth prosthesis that requires massage and the texture prosthesis that does not required also. Currently, the saline solution prosthesis is rarely used due to the issue of its haptic texture. The smooth prosthesis features a smooth surface and it is haptic texture can be the best when the prosthesis insertion is performed while detaching the anatomical structures completely. However, this material requires proper massage to prevent capsular contracture and it requires daily massage to maintain the prosthesis chamber. The texture type prosthesis is developed to minimize such a difficulties while lowering the chance of capsular contracture. The surface of the prosthesis is treated to be somewhat rough and the body’s autogenously tissue grows through the surface, reducing the chance of capsular contacting and not requiring the post-surgery massage. However, the rough surfacing can be felt through the skin and deteriorates the haptic texture when the patient has thin skin or has insufficient autogenous breast tissue. The micro texture type Motiva, Bellagel and Sebbin are the fourth generation prosthesis that overcome the shortcoming of pre-existing prosthesis. The fourth generation prosthesis maintains the merits of smooth and texture type prosthesis. The haptic texture is excellent as the smooth prosthesis and similarly to the texture type prosthesis and it does not require additional massage. When the patient is standing , it maintains the water drop shape and it spreads naturally as the patient lies down. The prosthesis is filled with the semisolid silicone gel that feels like jelly and unlike the liquid silicone. The cohesiveness of the semisolid silicone is strong enough in preventing the leakage and body penetration in the case of the surface rupture and securing high level of stability. Thanks to these characteristics, the prosthesis rupture does not cause a visible symptom and it is crucial that the patient checks for the status of the prosthesis through a sonogram once every year.