0. Introduction
In the end, the patient will lie on the operating table trusting only the doctor... but I think intense study before that is essential.
I saw a post saying that before surgery, the hospital is the biggest concern, but after surgery, you have to think intensely every day about changes in your body.
If you had not recognized those changes in advance and tried to prevent them, I wonder how frightening that process would be.
Reviews on plastic surgery apps and reviews in regular forums are definitely different.
If writing 6 review posts gets you 1 million won off, there is no reason not to do it, so I think photo reviews should be used only for reference.
Each director varies completely in which areas they consider important and which parts they think will be difficult.
At this hospital, I learned about an issue with my breasts that I had not even thought of at the previous hospitals.
The more experienced the director, the more they tend to mention various problems and suggest solutions for them.
The more hospitals I visited, the longer my question list became.
Rather than the size of the implant that can be placed in my breasts, I ended up asking more questions about revision surgery 10 to 20 years later and whether side effects could be prevented.
1. Implants
I started consultations assuming it would obviously be Motiva, but as I encountered various information, serious 고민 began.
Most directors who recommended a specific implant recommended Motiva.
However, the fact that more than 10 years have passed since its release but it still has not received FDA approval, suspicions of a cartel between the Ministry of Food and Drug Safety and the company, and excellent academic journal marketing bothered me. Some hospitals also dislike Motiva. However, I think this may also be each director’s personal preference depending on their relationship with the company.
Because I was considering a budget of up to 12 million won, I did not even look at Mentor,
but now I question whether the proposition “Motiva is safer than Mentor” is valid.
In addition, I began considering anatomical teardrop implants rather than round ones (Mentor CPG).
They are advantageous for correcting a short inframammary fold, but textured implants may cause the rare cancer ALCL.
2. Constricted Breasts
Constricted breasts (aka pointy breasts, tuberous breasts) occur because the breast develops with glandular tissue clustered together instead of being evenly distributed throughout the breast.
A different surgical method from ordinary breasts is required. They say breast surgery for transgender patients, whose glandular tissue is hardly developed, is actually easier.
For example, some directors said that if the glandular tissue is not released, a “double bubble” can form even if an implant is placed inside.
On the other hand, some directors said the glandular tissue must never be touched. They said this is because during future breastfeeding, milk flowing through the glandular tissue could lead to capsular contracture of the implant.
I started 고민 about whether to reshape the glandular tissue.
3. Surgical Method
Most hospitals operate using the dual-plane method.
Because the implant goes under the muscle, it is disadvantageous for natural feel and movement.
I often see hospital posts saying that subfascial placement is better in terms of feel.
I need to study this more.
4. Incision Site
Because I am unmarried, I prefer a transaxillary incision over an inframammary fold incision.
However, depending on the director, some said transaxillary incision is impossible for constricted breasts.
They said it is because glandular tissue reshaping is possible only through an inframammary incision.
Directors who said they would not touch the glandular tissue said there was no problem with a transaxillary incision.
For an inframammary fold incision, one consultant who had surgery 3 years ago directly showed me her scar. It had faded to the point that it was not visible.
However, I also have to think about the situation 20 to 30 years later, when the implant has been removed but the scar remains.
5. Preventing Side Effects
I have relatively well-developed upper-body muscles from exercising for a long time.
Directors who pointed out that bottoming out or animation deformity could occur suggested alternatives such as leaving the ligaments under the breast accordingly.
Rather than directors who only talked about the immediate surgical result, saying it would go well and that a lot could be placed in the breast,
I trusted more those who thought about actual side effects and explained how they would address them.
Personally, I need to study more.
6. Plus Alpha
Only after all the above is resolved do I think I can consider the shape of the cleavage, how close the breasts can be to each other, and how many cc can be inserted.
Depending on the director, based on Motiva Demi, the range differed from 300 to as much as 360.
Personally, I trust hospitals that place implants more conservatively.
There was a case where the director carefully finished even the closure of the incision site. At other hospitals, someone else may do even the suturing.
In addition, some places tracked and managed scars afterward, while some hospitals said they had no scar photos at all and did not show any.