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Home > Consultation > Q&A > Breast Surgery > Breast Reconstruction Surgery |
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Breast
Augmentation
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Revision Mammaplasty |
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Correction
of Chest Deformity
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Breast
Lift |
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Breast
Reconstruction Surgery |
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Breast
Reduction Surgery
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Breast
Implant Replacement |
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Inverted
Nipple Correction |
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Areola and Nipple Reduction Surgery
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Nipple Reconstruction Surgery |
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Breast Augmentation with Injection |
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Breast Reconstruction Surgery |
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1. I heard the breast
reconstruction with tissue expansion
requires the filling of the expander
to be done every week. Will patients
suffer pain and inconvenience from this
surgery? |
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The one you mentioned
is the concept of traditional tissue
expansion, which requires 25~50cc
saline filled into the expander every
week. It is very troublesome as well
as high risk of infection. We employed
a newest technique that allows the
tissue expander to be filled with
a determined volume and well-round
shape at a time. You don’t have to
worry about both pain and inconvenience
caused by filling the expander in
stages. Furthermore, this technique
which can reduces the risk of infection
is a huge progress in medical science.
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2. Will I
have to pay another fee for the
replacement of saline or silicone
implant after three months? |
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Yes. The second
stage procedure performed after
three months is as same as regular
breast augmentation. Depending
on your demand, you can choose
either to have an implant which
is matched the size of your opposite
breast or to undergo breast augmentation
or breast lift for both sides
of the breasts at a time. We certainly
provide you a special offer for
the second surgery. The detailed
price will be determined according
to the anesthesia and implant
materials you apply.
This investment is actually very
worth that you can rebuild the
natural-looking breasts by the
fee that only for regular breast
augmentation. |
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3. What is
nipple reconstruction? When can
nipple reconstruction be carried
out? |
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In general,
nipple reconstruction can only
be performed after replaced the
permanent implants for one month.
The surgeon removes partial nipple
from the other side of the breast
and implanting it to the affected
breast. After the incision healing,
tattooing the surrounding skin
makes the nipple and areola more
natural. Finally, the areola construction
will be performed if it is necessary
after the surgeon’s assessment.
The whole procedures only take
one month to carry out. |
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4. I have
received free flap breast reconstruction
surgery but I am not satisfied
the shape of my breasts. Could
I have a replacement or rectification
surgery? |
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I don’t encourage
patients who have received free
flap transplantation to undergo
any breast surgery or remove the
tissue flap. After all, it is
a part of your body as well as
you have been suffered from the
difficult and long procedure.
If you were only not satisfied
the size or shape of your breast,
I would suggest you undergo an
unilateral breast augmentation
or reduction to accomplish an
optimal result of symmetrical
breasts. If you didn’t like some
parts of the appearance, we could
also provide you regional breast
plastic surgery to improve it.
Of course, the more detailed treatment
plan will only be established
after your consultation with our
doctors. |
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5. When can
breast reconstruction be carried
out? Will it influence on follow-up
monitoring for breast cancer? |
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There are two
timing options for carrying out
breast reconstruction. First one
is immediate reconstruction at
the time of mastectomy. This method
must employ the autologous flap
transplantation. It not only takes
more time to perform the surgery,
but also requires several more
days staying in hospital. Second
one is delayed reconstruction,
which is done at any time you
prefer after the mastectomy. You
can choose either autologous tissue
or tissue expander for the surgery.
The breast reconstruction with
tissue expansion our clinic currently
provides only takes a short surgery
time and patients can return to
work immediately without any influences
in daily lives.
Regards with the follow up monitoring
for breast cancer you concerned,
because of the majority of breast
cancer recurrence may occur on
the surrounding soft tissue instead
of on the breast itself, you have
to cooperate with your treated
general surgeon. Generally, I
would suggest patients receive
the delayed reconstruction after
follow-up monitoring breast cancer
more than one year. |
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Breast Augmentation |
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1. How is epidural
anesthesia performed? Is it dangerous? |
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Epidural anesthesia,
a safe anesthesia method, only temporarily
blocks the sense perception of your
breasts for one to two hours. It won’t
interfere your breathing and mobile
nerves. Your hands can easily move without
any problem. Regards with the procedure,
we firstly help you sitting on the operational
bed and the anesthesiologist inserts
a 0.2mm diameter soft tube through your
upper back to accurate epidural site.
We inject the medicine into the soft
tube after you lie down on the bed.
Waiting for ten to fifteen minutes and
then the surgeon can perform the surgery.
This epidural anesthesia requires
a highly professional anesthesiologist
to perform that is the main reason
for higher surgery expense.
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2. Is it terrible
to receive the surgery under awake-condition? |
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Don’t worry.
After you receiving epidural anesthesia
and lying down on the bed, we
will assist you in wearing earphones.
You can take a rest or even fall
asleep in a pleasant circumstance
along with soft music. You won’t
feel any pain during operation.
A nurse will wake you up to discuss
the size of your breasts with
the surgeon. After the decision
is made, you are thoroughly relaxed
to wait for your doctor accomplishing
the surgery. If you were very
nervous but prefer deciding the
size of your breasts by yourself,
we would assist with a small dose
of anesthesia agents via the veins
to release your anxious mood. |
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3. Is it
true that my doctor can discuss
the size of my breasts with me
during operation? I worry about
either getting small breasts that
wasted my money or getting excessive
breasts that are not suitable. |
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Yes. After making
a difficulty decision as well
as spending a plenty of money,
consumers are most concerned about
getting an expected and satisfactory
result when breast augmentation
surgery is done. By Dr. Nagumo’s
epidural anesthesia and special
designed breast expander prosthesis
with water fillings, you can lie
on the lifting operational bed
watching your breast in a mirror
and discuss the shape and size
of your breast with your surgeon.
Furthermore, you can see the brands
and volume of the implants. You
don’t need to worry about if the
surgeon has followed your requests
or applied unknown and low-quality
implants. |
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4. Is it true
that patients won’t suffer a great
deal from receiving epidural anesthesia?
I am extremely afraid of the kind
of feeling that my body seems
to be severed. |
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We don’t perform
breast augmentation surgery under
general anesthesia. Patients don’t
have to suffer throat pain, vomiting
and in tears that all associated
with anesthesia intubation just
for the less than one hour procedure.
It can certainly avoid the risk
caused by general anesthesia.
Patients who receive our epidural
anesthesia can get out of the
operational bed by themselves
with clear consciousness, and
recover the nerve conduction of
their breasts. We suggest patients
stay at our clinic for a half
day after receiving epidural anesthesia
and we can prescribe medication
via the drainage tube to release
your post-operation pain and discomfort.
This is a special extra service
offered by this anesthesia method. |
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5. Will patients
have serious post-operation pain?
I saw my friends sniveled and
bursted into tears after breast
augmentation surgery. |
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The critical
key to cause post-operation pain
is the surgery itself. If the
surgeon can separate every fascia
layers with a careful and clear
manner, the pain associated with
the surgery would be reduced.
Concerning about the pain caused
by post-operative massage, it
is hard to avoid because of the
implants and incisions rubbing
to each other. In order to release
this discomfort and reduce the
risk of capsular contracture,
we apply extracorporeal ultrasound
devices to assist the breast massage.
It only takes you five to ten
minutes in our clinic to carry
out the movement of your muscle
and incisions release. In addition
to the self-massage at home, the
problem can be effectively solved. |
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6. When can
I get back to work? Is there any
inconvenience being caused? |
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In generally,
we suggest our patients take one
more day to recovery as well as
go back to our clinic for unbinding
the bandage on the breasts and
checking the incisions by the
doctor. You can go back to work
at the third days. The only thing
you have to pay attention is the
movement of your hands, which
will affect the healing on both
sides of axillary incisions. Apart
from that, you won’t feel any
uncomfortable because of the post-operation
pain is significantly reduced. |
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7. Is it necessary
to receive post-operative massage?
How many days does it take to
carry out the treatment of post-operative
massage? |
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Yes. In order
to obtain natural and bouncy breasts,
we must severely perform post-operative
breast massage. From the 5th day
after surgery, we require you
receiving extracorporeal ultrasound
massage in our clinic everyday.
It takes fifteen to twenty minutes
every time. Either the doctor
or the nurse will guide you to
perform an auxiliary hand massage.
It takes two weeks to carry out
this treatment.
Apart from that, it would be better
to sequentially perform self-massage
at home at least three to six
months. Don’t forget to have scheduled
subsequent visits |
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8. Why is
there such a big price difference
between breasts augmentation surgeries?
What’s the difference? |
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The highest
price paid for the full set of
Japanese style self decision during
breast augmentation surgery, which
includes more expensive epidural
anesthesia. The price could be
lower if you choose to perform
the surgery under either intravenous
sedation or general anesthesia.
In order to satisfy our customers,
we provide different packaging
and combinations. We offer details
information, such as the surgery
fee, anesthesia fee, material
fee and medicine fee, to help
you completely understand all
the matters and make a decision
depending your situation and preference
before surgery. |
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9. Could I
require a replacement if I were
not satisfied the size of my post-implanted
breast? |
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If the difference
in awareness between both patients
and doctors were not apparent,
we would suggest you wait for
one to two months. Because of
the new breast tissue will execute
the auto-adjustment during this
period. Perhaps you would like
the result after a complete recovery.
Of course, if you worry about
the size of your breast after
breast augmentation surgery, we
would suggest you receiving “self
decision during breast augmentation
surgery”. Even though, the surgery
fee of self-decision therapy is
higher, it is better than having
the bothersome and regret after
surgery. |
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10. I have
hard and asymmetrical breasts
after breast augmentation surgery.
If I touch my breasts, I would
feel pain. What should I do? |
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These symptoms
you mentioned probably are caused
by capsular contracture after
breast augmentation surgery. The
main reason is you didn’t massage
your breast well after surgery,
which makes a smaller space under
the muscle because of capsular
contracture. Consequently, the
positions of implants are moved
and your breasts are out of shape
as well. In addition, the hematoma
developed after surgery and the
recessive infection are also the
reasons caused these problems.
The only method to solve the problems
is to undergo a surgery. We start
the procedure by removing your
implants and utilizing the endosocopic
surgery to remove or dissect the
capsule. Finally, we insert the
original implants (if they are
still usable) back to your breasts.
Don’t forget to have frequent
post-operative massage for preventing
another capsular contracture developed. |
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11. How do
I develop a pair of natural breasts
after breast augmentation surgery? |
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The most important
factor to create a pair of natural
breasts is the volume of breast
implants. If you had a skinny
figure but insist to enlarge your
breasts to the size of D-cup,
the appearance would certainly
not natural. Furthermore, the
space near inner breasts must
be completely open during the
procedure. Because the pectoralis
major muscle attaches the skin
very closely, it facilitate the
implants easily squeeze on both
sides of breasts, which creates
a wider cleavage. A very careful
person would detect your fake
breasts by this wider cleavage.
Finally, frequently breast massage
can keep the hollow under the
muscle a loose status that can
foster bouncy breasts. |
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12. Are the
breast implants placed under the
muscle or under the mammary gland?
Which one is better? |
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This issue depends
on individual’s demand and figure.
Basically, the doctor would suggest
a woman with a thin and tall figure
place the implants under her muscle.
In this way, the appearance of
your breasts will be more natural,
and your implanted breasts are
not easy to be detected. On the
other hand, if you have a wide
chest and thick breast tissue,
then the implants could be placed
under the mammary gland (above
the muscle). By this procedure,
the shape of breasts and cleavage
will be more natural. Concerning
about which breast augmentation
is right for you, we will provide
you an appropriate advice after
your consultation with the doctor. |
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13. Is it
true that the silicon implant
can’t be detected by the touch?
Are there any side effects if
a silicone implant has ruptured? |
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The
silicone implant is very soft
and elastic. It doesn’t have the
disadvantages that traditional
saline implant has, such as folds,
ripples, the sound of water, hard
and even the slight leaking problem.
Moreover, the filling material
of silicone has an innovative
progressive recently, which allows
a broken silicone not leaking
everywhere. Therefore, FDA has
approved this product this year
and our government is examining
it as well.
In fact, silicone filled implants
has been used in Europe and Japan
for over twenty years. It is no
doubt of its safety and it is
more comfortable than saline implants.
We can acknowledge that silicone
implants is very popular from
a lot of consumers come back from
overseas asking about it. |
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14. How do
I decide the size of my breasts
with my doctor before surgery?
Or is there any one can make a
decision for me? |
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I
always encourage consumers to
decide the size of her breasts
by herself. The doctor only provides
professional suggest without any
invasive and subjective opinions
to patients’ demand. Therefore,
our clinic offers various sizes
of silicone breast implants for
your pre-operative selection.
Before you decide the volume of
breast implants, you can wear
the implanted-breasts with a bra
to stimulate the effect after
surgery. However, this stimulation
only ensures that the size of
breasts could be similar to your
expectation. Some doctors let
patients’ families or spouse stay
in operating room and make a decision
for the patient. Nevertheless,
this behavior may increase the
infection risk and you probably
don’t like others’ decision. Hence,
I don’t suggest this method.
If you want to obtain a satisfactory
result without wasting any money,
you could consider our special
self decision during breast
augmentation surgery. The size
of your breasts will be thoroughly
under your control during the
procedure.
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15. I have
received a breast augmentation
surgery when I was young. Can
I still breast feed? |
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No matter your breast augmentation
is performed under the muscle
or the mammary gland, the implant
is placed on the bottom of the
mammary gland that won’t affect
breastfeeding function in future.
However, the operational incisions
located on the nipple or the areola
probably damage partial milk ducts
and mammary glands. If you expect
to nurse your baby in future,
it would be safer to choose the
procedure performed through the
axillary incisions. |
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16. How will
I know if my breast implant is
leaking? Is the scheduled visits
per year required? |
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The percentage of breast implants
leaking is very little unless
the filling bag is squeezed by
external pressure or pierced by
a shaped device. The leaking speed
of ordinary saline bags is faster;
you would find your breasts shrink
within a short time. On the other
hand, the leaking of silicone
implants is not detectable, it
would be found by a breast ultrasound
or MRI scan. If you regularly
accept a breast cancer medical
examination, you should ask the
doctor to check your breast carefully
when the examination has the option
of a breast ultrasound.
Our clinic provides breast implants
a warranty period of ten years.
We welcome you go back to our
clinic to receive a breasts checking. |
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17. What is
the difference between the silicone
filled implant and the silicone
fluid injection? |
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Even though both products are
called fluid silicone, they are
vastly different in manufacturing
method and ingredients. Nowadays,
the silicone filler won’t easily
leak out and will become a solid
piece once it has broken. It won’t
be absorbed by the human body.
The reason that the silicone fluid
injection has been officially
forbidden is when it was injected
into skin, it would gradually
drop by gravity and extend everywhere,
which may harm the human body. |
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