Breasts (Mammoplasty)

Mammoplasty in Korea

When asked about body image women report a higher level of overall confidence when having beautiful breasts and because of this, breast modification surgery has become particularly popular over the last two decades. The popularity of breast surgery has created a surge in the number or plastic surgery clinics and agencies around the world. Some with genuinely experienced and knowledgeable doctors with valid certification and others, not as much.

Unskilled doctors have been the cause of many breast revision surgeries that cost money and cause unnecessary discomfort and pain. This is why getting it right the first time is critical to us at Shin Medical. We partner with plastic surgery doctors who are specifically trained and specialize in mammoplasty. Our recommended doctors will assess your requirements based on your individual body type and make an educated evaluation on the surgery that suits you best.

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If you want to have fuller larger breasts, our surgeons will recommend a breast augmentation surgery. Breast augmentation provides extremely satisfactory results that are more long term than the alternative option; breast augmentation via fat grafting. Breast implants are done using only the best in implant technology such as Motiva ® and Mentor®. Breast augmentation is also the method of surgery used to change the shape of breasts to a more appealing form.

Patients with breasts that are too large in proportion to their body often complain of back and neck pain and extreme difficulty finding comfortably fitting clothes. If this is you, you may be a good candidate for breast reduction surgery, during which our surgeon will meticulously remove some skin, fat and tissue to lessen the burden of heaver breasts.

Some patients are satisfied with the size of their breasts but wish to change their breast elevation; in this case, breast reconstruction surgery may be the ideal choice. A breast lift can help make breasts that have become saggy due to aging and loss of elasticity, more perky and youthful. Doctors can also perform areola surgery which helps to make the nipples look more aesthetically pleasing.

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Breast Augmentation

Breast augmentation is a cosmetic procedure that focuses on three main aspects: Fullness, projection and proportion.

Breast augmentation can increase the fullness of the breast by changing the overall size of the breast to your desired dimensions. During your consultation you and the doctor will decide together regarding the ideal size for your implants. This will be dependent on factors such as height, weight, muscle tissue and body shape.

Breast augmentation can alter the projection of the breast by changing the position (low, moderate and high) and shape (round or teardrop).

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Breast augmentation can also alter the proportion of the breast by changing asymmetrical or uneven breasts to make them more balanced and symmetrical.

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Breast Augmentation can be done by receiving implants or by doing fat grafting.

Breast augmentation via implant:

  • Silicone implants – Silicone implants are gel based which means they are less liquid and therefore they are more likely to remain intact. Silicone implants are inserted in one of three ways – under the breasts, under the arms or around the nipples. This will of course depend on the recommendation of the surgeon after they have evaluated your body type, desired result, type of implant and how much enlargement you want done. In the case of rupture, the material is likely to remain intact.
  • Saline implants – This method utilizes an outer shell that is made of silicon and then filled with sterilized salt water called saline. The saline implant will be inserted, via an incision made in the breast, by one of the following methods – the empty silicone shell is inserted into the breast and then filled to the desired size with saline solution or; the silicone shell is pre-filled and then inserted into the breast. Once again this will depend on the doctor’s pre-op evaluation, the patient’s body type and expected outcome.

* The clinics we work with only use the best implant products on the market in order to guarantee the safety and satisfaction of our patients. For more information feel free to look into Mentor® and Motiva® implants.

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Silicone vs Saline implant options
Silicone Saline
Look and feel more like natural breast tissue If implant leaks, saline is sterile and not dangerous
Less likely to wrinkle Doctor can easily find leak and refill
Recovery time is fairly minimal Size of implants can be increased without surgery
Implants are durable and long lasting

Incision methods:

  • Armpit incision – Using this method the surgeon will make a 3-4cm incision near the armpit and insert the implant. Scarring with this method is nearly invisible as the scar line follows along the wrinkle of the armpit. Armpit incision is also more suitable for patients looking to get pregnant in future, as it will not affect the lobule alveolar system meaning it will not interfere with breastfeeding.
  • Underneath the breast incision – Using this method the surgeon will make a 3-cm incision underneath the breast in order to insert the implant. The targeted location is extremely accurate using this technique.
  • Areolar T-cut incision – The surgeon will make a 1-2cm cut line around the areolar(nipple) in order to insert the breast implant.
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Breast augmentation via fat transfer:

Fat graft breast augmentation uses liposuction to transfer fat from other parts of the body and inject it into the breasts. This method is used by women who are looking to increase their breast size by only a small amount and would prefer a more natural finish.

The process may require multiple sessions and there will be a limit on the breast size that can be obtained. It is essential for patients receiving a fat graft breast augmentation to have an adequate supply of excess fat. It should be noted that in most cases not all of the fat that is injected will remain over time.

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Breast Reduction

Some women have breasts that are out of proportion or excessively large compared to their weight and height. Large breasts can cause a number of problems such as back and neck pain, bad posture due to forward slumping shoulders, bra strap pain and finding bra and swimsuit tops that fit correctly. Having excessively large breasts can also severely hamper enjoyment of physical activities.

Regardless of the patient’s motivation, the objective is to achieve a desirable chest shape with minimal scarring. Various techniques are used and the qualified surgeon will choose the ideal technique based on your existing breast anatomy, type and amount of tissue to be removed, the patient's desired outcome.

  • Vertical technique - surgeons make an incision around the nipple and vertically down the nipple to the bottom of the breast. Ideal for moderate reduction in breast size. Leaves some scarring on the breast where incision is made.
  • Inverted T technique (wise, inferior pedical) - doctors make an incision around the nipple, down the bottom of the breast and then a vertical incision underneath the breast. Ideal for significant breast size reduction. The scarring is similar to that of the vertical incision, with one additional scar running along the crease underneath the breast.
  • Liposuction technique - less invasive procedures that will be completed in a shorter amount of time with almost no scarring. Ideal for slight reduction.

Depending on the level of care, most scars will fade within the first year and will be completely concealed when wearing a bra or bikini.

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Breast Lift

Mastopexy - or as it is more commonly known as breast lift – is a medical procedure to change the elevation of your breasts. People usually get breast lifts for a multitude of reasons. Examples include stretching and sagging of the breasts due to pregnancy and weight fluctuations or due to age, when gravity causes breasts to lose their natural elasticity.

A breast lift does not change the size of your breasts but it can help restore the breast to a more youthful, firm appearance by reducing sagging and raising the position of the nipple. Most patients also choose to have a breast augmentation or breast reduction done in combination with their breast lift.

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Nipple/Areola surgery

Areolas are the pigmented areas on the breast that surrounds the nipples, and just like breasts vary in size, color and shape, so do the areolas. If you are not satisfied with your natural areolas, areola surgery can change the appearance of the areola.

The procedure is relatively simple and can be performed on one or both areolas and also together with other surgeries such as breast lift and breast augmentation.

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Before Surgery

Do Do not
Stop taking all non-prescribed and unnecessary medication such as: ibuprofen, aspirin, anti-inflammatory medication. Smoke or drink two weeks before your scheduled procedure
Keep taking normal prescribed medication Wear make-up, jewelry, or contacts
Disclose to clinic staff if you’re taking any medication, including: birth control, and hormone medication Wear tight-fitting, uncomfortable clothes
Disclose all medical and physical conditions (i.e. diabetes, heart-disease etc.) and medical history (including allergies) to clinic and doctor Drive after procedure under any circumstance
Diabetes patients: consult primary physician before undergoing any procedure
Wear comfortable and loose clothes on the day of your procedure
Fast 4-8 hours before procedure (depending on physicians instructions)

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