Accessory Breast Surgery: The Standard for Skin Excision!

Hello.

Today, let’s start with a one-line summary.

“Whether to cut the skin or not is ultimately determined by elasticity!”

When counseling patients about accessory breast surgery, there is a question I hear very often.

“Do I have to remove the skin?”

“Or is a minimal incision enough?”

How do we decide that?

Simply put,

skin elasticity

determines it.

When the inner fat or breast tissue is reduced through surgery, whether the skin that covers it naturally snaps back into place is exactly the role of elasticity.

If the skin shrinks naturally and covers the area well, an incision becomes unnecessary.

On the other hand, if the skin is stretched and loose, the remaining skin may sag, and the shape can look uneven or sunken.

The 기준 I use to judge skin excision is this: when you pinch the skin and let go, if elasticity is good, it recovers within 1 second.

When pressed, wrinkles do not remain for long, the skin texture is smooth and firm, and when the arm is raised, the underarm area naturally stretches out.

In such cases, even with only a minimal incision, you can still get sufficiently good results.

When elasticity is reduced, when you pinch and let go, recovery is slow, wrinkles remain for a long time when pressed, and the skin texture feels a bit rough and dry.

When you raise your arm, fine wrinkles or folded skin may become visible.

In such cases, even if the breast tissue is removed well, the remaining skin can be left loose and floppy, which may distort the shape.

That is why excision is needed.

For people in their 20s or 30s, or those whose body shape has not changed much, elasticity is usually good, so excision is often not necessary.

However, if the area suddenly sags after childbirth or elasticity has been reduced due to weight changes, elasticity may be significantly diminished, and excision may be necessary.

How can I self-check my skin elasticity?

Stand in front of a mirror and raise both arms overhead once.

Then check for wrinkles.

When you raise your arms, if the skin smooths out neatly, that is OK. If wrinkles fold or the skin sags, that may mean elasticity is insufficient.

So today’s conclusion is this:

When planning surgery, rather than simply choosing a minimal incision,

approach it based on

“which method will produce the most beautiful result.”

Thank you.