[Eton TV] Breast Augmentation Surgery Q&A

For those who are considering

breast augmentation surgery

and also have questions,

I’m here to give clear answers!

With Eton’s breast augmentation specialist

Director Jo Jeong-mok,

Breast augmentation surgery

Q & A

Shall we get started right away? 😀

Q1. Breast augmentation, before dieting vs. after dieting! When is the best time to do it?

Many people plan their breast surgery

while also thinking about dieting.

Should you lose weight first

and then have the surgery?

Or

should you diet after

having the surgery?

I usually recommend doing it in the middle.

The truth is, dieting never really ends,

so it is rare to reach your target weight.

As a result,

you may keep putting off the surgery.

But if you have the surgery in the middle,

the increased breast volume

can become a strong motivation to keep dieting.

If I lose a little more here,

I can look even better!

With that kind of thought,

you can keep your motivation for dieting going.

So when you have reached about 50% of your target weight,

have the surgery,

and then use that momentum to achieve the remaining 50%.

However, some people worry that

exercise will be restricted after surgery.

The exercises restricted after breast surgery

are some strength-training exercises.

Aerobic exercise for weight loss

usually does not have a major effect on breast surgery.

Q2. How is breast size determined?

Even if implant size is the same,

it does not necessarily produce the same cup size.

So how is cup size determined?

The important thing is to make it as large as possible without problems.

Implants can differ in how much they project forward

or how much they spread outward.

They are selected according to the width of your ribcage.

Because cup size is determined

by the difference between the underbust measurement and the bust measurement,

even implants with the same cc can vary greatly in shape and size

depending on the design and surgical method.

Q3. Is it hard to correct breast asymmetry with surgery?

In cases of left-right asymmetry, like uneven breasts,

over 90% of people actually do not realize

they have uneven breasts before the consultation.

A certain amount of asymmetry is actually natural,

so it can be accepted.

But it also makes me uneasy,

so I try my best to match the volume, nipple position,

and inframammary fold position as closely as possible.

Human eyes can create optical illusions,

so I think errors can happen.

That is why I use a special laser device that aligns horizontal and vertical lines,

called a standardizer,

and I always check with it when designing.

Q4. What does a breast augmentation specialist think a beautiful breast is?

In my opinion, a beautiful breast is one

that makes the person look attractive.

Just as every face has its own charm,

I think the breast shape that suits each person is different too.

Personally, I prefer a size between a full B and a C cup,

that is, just a little below a full C.

I prefer a natural shape

without the upper breast looking too round and full.

If the cleavage is too wide,

it can look artificial,

so I tend to avoid that.

Q5. Do you only use implants that have FDA approval?

Many people wonder whether breast implants must be

only those that have received FDA approval.

The FDA refers to the U.S. Food and Drug Administration,

and the approval process is extremely strict.

Unfortunately, however, among the implants used after breast augmentation surgery,

there have also been implants that later developed cancer

and had once been FDA approved.

So FDA approval is not万能.

Among the so-called three major implants,

Motiva, Mentor, and Sebbin,

Sebbin has received European CE certification

and simply did not obtain FDA approval because it had no plans to enter the U.S. market.

What matters is

using implants approved in Korea,

and in that case, I think there is no major problem.

When you look at revision surgery,

sometimes implants appear whose manufacturer cannot be identified,

and sometimes implants are found that used materials that should not be used globally,

but patients may not know this.

That is why, after surgery,

you must keep the warranty card we give you safe.

It has a serial number,

so it can be tracked and managed by the government,

and we also report it to the government.

Please do not forget!

Q6. Can implants rupture?

The rough-surface implants used in the past

(textured implants)

used to adhere to the capsule,

and there were cases where they were worn down by movement and tore.

Although I translated it as rupture,

more accurately, they tear.

It does not burst open;

the silicone leaks through the torn opening.

But the smooth implants used nowadays

do not adhere to the capsule,

so because they are slippery,

it is actually not easy for them to tear.

Even when they receive a very strong impact,

the surrounding tissue is more likely to be damaged first

rather than the implant itself.

Q7. How do you choose the type of implant?

When choosing an implant,

I do not think a specific manufacturer or a specific implant

is the best.

It depends on the person.

If your own breasts are soft,

but you insert an implant that is too firm,

the sense of mismatch will be large.

Conversely, if the breasts are firm

but you insert an implant that is too soft,

the sense of mismatch will also be large.

In principle, I think touch and feel are important,

and to perform the surgery naturally,

you need to choose something whose texture is similar to the texture of your own breasts.

Then how much does the implant’s feel

affect the actual feel after surgery?

This also varies from person to person.

For people who are thin and have thin skin,

the feel of the implant is very noticeable.

For these people, you should use an implant with a good feel.

But for people with thick skin,

it does not matter much what implant is used.

This means there are individual differences.

Q8. After surgery, when can I touch it freely?

The time when patients can freely go about their activities after surgery

is basically after 6 months,

when whatever you do is generally not a major issue,

but within one month you should be a little careful.

Excessive physical impact

can cause rebleeding.

Even if you touch it gently, if you move it too much,

the breast pocket can widen,

causing the cleavage to spread apart,

or the implant can move downward,

leading to bottoming out or lateral displacement.

That is why I explain that,

until 6 months after surgery,

it is best to minimize movement as much as possible.

After one month,

gentle physical contact is usually not a major problem.

Q9. After breast surgery, what is the chance of capsular contracture?

One of the side effects that people worry about most after breast surgery

is capsular contracture.

The occurrence rate is known to be about 0.5%

based on a 10-year period.

Symptoms usually appear

between 8 and 12 months after surgery.

After that period,

unless a major problem such as a sudden immune disorder occurs,

the chance of capsular contracture is almost nonexistent.

When I look at the statistics,

it is less than 0.1%.

The smooth implants used these days

have greatly reduced the chance of capsular contracture.

In fact, not wearing a bra

makes it more likely that the cleavage will spread apart

or the implant will slip downward,

causing shape-related problems.

Q10. Is revision breast surgery more painful than the first surgery?

People also wonder whether,

if revision surgery is done,

it can be less painful than the first surgery.

For simple revision surgery for aesthetic purposes,

such as simply replacing the implant

or adjusting the size,

the pain may be less than the first surgery.

In such cases,

the range of manipulation is small, around 10–20%,

such as slightly opening or reducing the breast pocket.

However, in cases where the capsule is too thick,

as with capsular contracture, and the capsule must be removed,

more tissue has to be handled than in the first surgery,

so it can become a 120–150% level operation,

and it may be more painful.

Q11. Is it necessary to wear a drain after surgery?

Lastly,

regarding the drain tube, commonly called a blood drain,

many studies have found that

infection can also occur through the drain,

and above all, it causes severe pain and interferes with recovery.

So I do not use drains

for primary surgery.

Even in secondary revision surgery,

unless there is a lot of bleeding due to capsule removal,

I try to avoid using a drain as much as possible.