The attitude of taking responsibility for the connections between a patient for life.

Recently, the customers for the breast augmentation demand more than a volume increase for satisfaction. The expectation level of patients has increased due to the sharing of the experienced, increased number of cases, and sharing of the before and after comparison and it requires more detailed care to fulfill the satisfaction among patients.
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.

The safety of the breast prosthesis and breast augmentation

With the study results accumulated for a long time, it is concluded that the breast prosthesis is harmless to the human body. Especially, the risk of prosthesis rupture is significantly low but even if the prosthesis ruptures, the cohesiveness of it is high enough to stay within its position without penetrating into the body, causing no harm. However, the symptom is not severe even if the rupture occurs, the regular sonogram examination is required. Additionally, many research results suggest that the prosthesis is not related to breast cancer and it causes no problem to the breast-feeding after giving birth.

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.

Selection of prosthesis size

We tend to respect the patient's decision in selecting the prosthesis size, but we provide guidance for the proper decision. For our guidance, we consider the size of the chest, size of the lobule-alveolar-system and level of subcutaneous fat, the elasticity of the skin, and the nipple position. The larger breast is not necessarily a beautiful breast and a smaller breast not necessarily more natural. We consider the body shape, tissue condition, and other elements to propose you with the available options and we provide a reasonable range of choices for patients. In conclusion, we insert the prosthesis underneath the pectorals major muscle by incising the armpit and we fundamentally prevent the bleeding by using the endoscope in creating the prosthesis space while preserving the fascia. Additionally, we utilize quick flacking and specialized insertion device called Keller Funnel to minimize the prosthesis damage, external substance intrusion and bacterial infection while securing enough space for the prosthesis chamber. Such practice does not require a blood pack, reduce pain and enables the use of both arms within a short period of time, leading to quick recovery and high satisfaction of result.

Pain : Efforts to minimize the pain

The level of pain is the measurement which shows how elaborate the surgery. The pain occurs due to the muscle damage, bleeding and following swelling in the process of creating the space in which the prosthesis is inserted. By flacking the precise layer with an elaborate technique for reducing the muscle damage and the occurrence of the pain can be reduced. In turn, the surgery must take place by confirming the location on the fascia, the membrane that wraps around the muscle and enlarging the gap between fascia and muscle rather than inserting the prosthesis beneath the muscle.
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.

Incision technique for prosthesis insertion

There are many controversies on the incision slit in prosthesis insertion. The technique that our center mainly utilizes is the endoscope breast enlargement using the armpit incision. As we mentioned earlier, the prosthesis chamber is similar to disentangling the tangled skein. The fascia located near armpit is relatively thick so, we can performed the surgery while examining it visually. Following the trace of the fascia that was found through the armpit incision leads to the formation of an ideal prosthesis chamber; doing so requires more sophisticated surgical techniques but it also lead to better result. The scar from the surgery becomes indistinguishable to the natural wrinkle on the armpit and it can be the best way to leave no sign of surgery.