[Fat Grafting]

Any concerns regarding FAT GRAFTING?

Some of the points that were dissatisfying to the patients underwent fat grafting are as below:
- There is no difference between before and after surgery or fat disappeared in a very short span of time.
- I look unnatural with too much fat.
- There are lumps on the grafted sites.

The outcome of fat grafting largely depends on surgical techniques and fat viability.
Also if the grafted areas have soft tissues, then it is relatively easier to graft fat than on areas with thin skin or soft tissues such as temples and lower lids.
Depending on grafted areas or one's conditions, there could be a limitation on amount of fat that can be added with a single procedure to achieve a desired enhancement. Otherwise, one might experience unnatural appearance.

Fat grafting is vulnerable and it is difficult to predict the degree of fat survival in advance because it varies depending on patient's conditions and procedures. So, some surgeons graft fat in an excessive amount, assuming that a significant amount of the grafted fat will not survive.
This could lead to unnatural enhancement, especially while animating a face.

Lump kind appearance might occur on the grafted site where it has thin skin or soft tissues,.
In order to avoid such outcome, a surgeon must choose the right type of cannulas and need to pay great attention while performing fat grafting.

Fat grafting should not be considered as one-time surgery. One needs to be patient until the outcome of the first procedure comes out and consult with the surgeon regarding amount of fat needs to be implemented for the secondary procedure.
ITEM Plastic Surgery performs fat grafting in a way that fat left from the first procedure will be stored for the second 'touch-up' procedure in 3 months in order to accelerate fat survival and also avoid over-grafting fat.


Also it is important to choose an experienced certified plastic surgeon who has good knowledge and has performed a lot of cases of fat grafting.

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[Facial Sculpting] Fat Dissolving Contouring Injection

INJECTION TREATMENT FOR DOUBLE CHIN

Many people think that a double chin makes them look older than they actually are.
Double chin is caused by weight gain, aging and genetics. But mostly when it has resulted from aging and genetics, it is difficult to slim it down with diet and exercise.

A smooth neck presents a sense of refinement and youthfulness that serves to improve your appearance.
Contouring injection is a treatment that can help you achieve the slim and beautiful jaw line.

Jaw line or neck contouring injection creates a firmer and more refined appearance to the neck and chin. With improving a sagging or heavy jaw line can dramatically enhance your appearance, helping you look younger.

- Contours and improves the appearance of fullness under the chin or jowl
- Causes destruction of fat cells, leaving the surrounding cells and tissues undamaged

This injection treatment can be applied to dissolve fat on cheeks. So, it is generally recommended to those who have chubby cheeks, but do not desire to undergo liposuction.

Contouring injection cannot resolve a problem of sagging skin under chin since it only takes care of fat cells. If you have severe droopiness under chin, then you might need to get neck or jowl lifting.


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[Body Contouring] Key Factors of Breast Augmentation

Choosing an implant for breast augmentation

For those who are concerned about their breast shape or volume due to their genetic conditions or loss of weight, breast augmentation would be the best option for solving their concerns.

Nowadays, breast augmentation gives natural shapes and tactile sensation unlike how it used to give unnatural looks. However, it could still result in unnatural shapes if unsuitable types or sizes of implants are used.

Everything from size to shape and position can make a big difference to the final outcome, meaning it is important to understand what your options would be.
There are different types and shapes of implants. And, you may become confused which one you should go for.

Therefore, most of all, it is important to assess your current condition of the breasts in terms of shapes and anatomical structures of chest.

Dr. Shin Kyung-Jin from ITEM Plastic Surgery said, “If you pursue to enlarge the size of breasts, then a round-shaped implant would be suitable whereas one with teardrop shape would be suitable for those who pursue natural line on the upper portion of breast and more volume on the bottom portion of breast, making the breast appear like an oval shape from the front”

And she added, “a teardrop-shaped implant is recommended for those who have protrusion on the upper thorax (upper chest) or developed chest muscles.

Size of the implants varies in a wide range. And the amount of breast tissue you have, as well as the width of your chest, are the key factors to be considered. To achieve the same cup size, you may need to use the different implant sizes, which would be normal for most cases. 

Aside from the size of implants, another key factor for breast augmentation is profile (projection) of implants. This determines how far the implant projects from the wall of your chest. Implants may have low height but wide diameter or tall height but narrower diameter or middle between.

The plan for breast augmentation, such as shape and size of implants or method of surgery, should vary from person to person depending on one’s conditions like the original shape of the breasts or chest structure. You would need to consider the most suitable size and shape of an implant for your own case as taking into account the ratio of the breast to a whole body.

Lastly, we recommend consulting with a doctor, specialized in breast augmentation, to get professional recommendations and answers to your inquiries. That way, you can be confident in making the best decision for your concerns regarding breast augmentation.


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[Body Contouring] Misconceptions about Breast Augmentation

BREAST AUGMENTATION


Those who have considered getting breast augmentation probably have heard about risks or misconceptions about breast augmentation.

In recent years, the number of case for consultation and surgery for body contouring has increased a lot. And, in fact, it is no more difficult to find people who have undergone breast augmentation.

On internet such as blogs or forums, the platforms where people share information about plastic surgery, you can find negative opinions or concerns about breast augmentation due to its risks or side effects. And, a lot of times, they make some of the misconceptions to be considered as fact and affect people making a decision for it.

Here are some misconceptions or questions regarding breast augmentation.

◆ Will I be able to breastfeed after breast augmentation?
YES. The methods of surgery vary depending on one's conditions, but they, all in common, are performed as not to damage the mammary glands. Therefore, breastfeeding will not be affected by breast augmentation.


◆ Does it require regular revision surgery?
Most of patients are concerned about the possibility of being in need of revision surgery. Some assert that the patients will need to change breast implants regularly. However, this is not true. Revision surgery of breast augmentation is rarely performed. If it is, then it would be mostly because patients desire to change the size of the implants or they experience side effects such as capsular contracture or asymmetric shapes of the breasts. Besides the case where patients want to change the size of the implants due to their personal preferences, these side effects can be managed by post-operative care and prevented with an exact diagnosis by a doctor who is specialized in breast augmentation.


◆ Is there any correlation between breast augmentation and breast cancer?
Many studies have proven over years and years that there is no relation between breast cancer and breast augmentation. Because the site where an implant is inserted is underneath mammary gland tissues, it does not even affect the procedure of breast cancer screening and tests.


◆ "I am afraid of getting capsular contracture."
Capsular contracture is one of the side effects that those considering or undergoing breast augmentation are most concerned about.
It refers to the case when body defense mechanism towards a foreign material (an implant for breast augmentation) is initiated as fibrosis cells surround the implant by forming thick membranes. In order to prevent this, it is important to perform surgery as using a rough-textured implant, inserting an implant underneath the pectoralis major (main muscle situated at the chest area) and using an endoscope to check the surgical sites as ensuring internal bleeding will not occur.


Breast augmentation is performed under general anesthesia, and it is a major surgery that will change the volume of breasts and body contour of females.
Although it brings out satisfying results, one should carefully consider the types of implants and methods of surgery.
Therefore, one should not be rushed on making a decision based on unproven information. It is highly advised to consult with a doctor who is specialized and well-experienced in breast augmentation in order to find and choose the most suitable methods of your own case.


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[Body Contouring] Liposuction & Botox

Are you getting ready for summer?




You have been covered up with thick sweaters, pants and coats over the winter.
The cold breeze is going away, and summer is coming faster than you expect!
Well, if you reside in the tropics, then you need to start getting your body ready for hot weather right now! :-)


Do you feel you will not have enough time doing a daily exercise or going on a long-term diet?
Do you feel like you are not patient enough to go through long-term plans to make your body fit?

Liposuctions on body such as abdomen, back, lovehandles, thighs and arms can help you achieve slimmer body contour!


If you are concerned about wearing shorts because of thick calves, you can get botox injections on calves.

Some of you may have prominent muscles on shoulders making your shoulder slope higher or making you look masculine. If you are concerned about your shoulders and wish to wear strapless shirts and have your hair up for a hot weather, then you can get botox injections on shoulders.


Let's start getting ready for summer at ITEM Plastic Surgery.



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Rejuran Healer

Repair your skin with Rejuran Healer


Are you hesitant to get fillers or toxin injections?
Do you have fine wrinkles across the face?
Do you have sensitive and thin skin, and desire for healthy skin?


Rejuran Healer repairs damaged skin cells and keeps them healthier.

Rejuran Healer is high concentration of polynucleotides which are DNA fragments optimized for tissue regeneration.
Rejuran helps the damaged skin to become healthier and more elastic.
It reduces pores and sebum, but increases skin moisturization.
It also provides lifting and tightening effects--improving fine wrinkles.


Polynucleotide
- Promotes favorable conditions for the growth of cells in the skin.
- Increase the production of extracellular matrix substances and fibroblast activation
- Improve skin elasticity, tonicity and turgidity



And it has no immune or antibody reaction.
It gives normal tissue formation and it requires very minimum downtime as you can resume your daily life after treatment.


It is injected in the desired location, normally face, neck or decollete, after applying of topical numbing cream for 30~40 minutes.
The injected area will swell up and become bumpy, but these bumps will go away in a few days, depending on one's skin conditions.
In 3~5 days from the initial injection, you will be able to see more fair texture on your skin and enhanced elasticity after 2~4 weeks.

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[Eyelid Surgery] Revision Double Eyelid Surgery

The primary surgery is the key for plastic surgery.

Double eyelid surgery has been the most performed plastic surgery as it is the most popular among females and males of both young-aged and middle aged.


But, because it is widely performed and often considered as a 'simple' surgery, people tend to rush on making a decision for undergoing double eyelid surgery.
In fact, double eyelid surgery is known as the number of case for its revision surgery is the greatest out of other plastic surgeries.


If one does not consider his or her original conditions, such as size, shapes and skin types of the eyelids etc, in a careful manner when deciding methods of surgery, it might easily lead to a case where revision surgery is required.


Especially thick crease of the eyelids has become one of the common reasons for revision surgery. If the crease is too high or looks swollen, as it looks like a 'sausage' type, even after around a year from surgery, then one might need to consider undergoing revision surgery.


If the previous surgery was performed with an incision method, unnecessary skin and scar on eyelids can be removed as lowering the height of the crease. If it was done by a non-incision method, then revision surgery of untying the sutures can be performed within 2 weeks to remake the crease.
However, if it has been long since the previous surgery was performed, then a plan for revision surgery will have to depend on the conditions of the eyes.
Moreover, minor swelling on eyelids may last long, up to 3~6 months in some cases, therefore a decision for undergoing revision surgery has to be made after enough time has passed.


And revision surgery requires comprehending the conditions of patients like what would be an exact problem from the previous surgery, and solving that problem as well.
Therefore, it is more complicated and thus requires more of techniques and practical knowledge from a doctor.


So, if you are considering undergoing double eyelid surgery or other plastic surgeries, you need to choose a plastic surgery clinic where there are experienced doctors, who will be in charge of the whole process of surgery.


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[Facial Contouring] Wide or Square Jaws

What would be the best way to improve wide jaws?


In many cases of consultation for wide or square jaws, patients bring a question like 'Do I need to get facial contouring surgery?'

If you have wide jaws, you might have developed bones, but it may not be the reason.
You would have normal size of the jaw bones but have developed masseter muscles (chewing muscles) or excessive fat on cheeks and jaw lines, or even a combination of these conditions.


If you have a lot of fat on cheeks or jaw lines, you may get a contouring injection to get rid of excessive fat. If you have developed masseter muscles, then you may get a botox injection on them to reduce the size of the muscles.
However, if the case is determined as you have a wide or big mandible (lower jaw) bone, as checking the bone conditions via CT-scans, you are recommended to undergo mandible reduction surgery.


The types and methods of surgery can be determined during face to face consultation. And, some of anatomic factors may limit the surgical process, therefore the expectations and goals of the surgery must be thoroughly discussed prior to surgery.




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Post-Operative Care for Bruises and Swelling

General postoperative symptoms that patients experience are bruise, swelling, pain and fever.



Q) What causes bruises?
In the course of surgery, blood vessels get damaged from incision, resection or exfoliation etc, and internal bleeding beneath the skin causes a discoloration of the skin.
A bruise initially appears reddish and it will then turn blue or dark purple and then yellow after a few days.

Q) What causes swelling?
Circulation of body flulid is not smooth on surgical sites, resulting in the build-up of fluid and therefore causing swelling.

To reduce bruises and swelling after surgery, applying cold compression (ice pack) for 2~3 days is recommended since the degree of swelling reaches maximum up to 3 days. And, from the 4th day, applying a warm pack is recommended to help bruises heal.
When applying an ice pack or warm pack on a surgical site, it is advised to place a towel or gauze underneath the pack, rather than placing the pack directly onto the surgical site.

Some of foods are known to be effective for reducing swelling.
- Pumpkin
- Potatoes
- Black beans
- Kiwi, Banana, Grapes, Plum

They help activating blood circulation and inducing metabolism.

Taking a walk or doing light exercises is advised.
And, because having the surgical area elevated higher than the level of heart helps reduce swelling, putting a high pillow underneath the surgical area (mostly a head) is recommended

Making living conditions that can raise body temperature a lot, such as going in a sauna or having an indoor temperature too hot, may delay healing of surgical sites.
And drinking alcohol and smoking should be avoided for a proper healing process after surgery.


Lastly, the best way is to keep the post-operative instructions given by the staff.




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[Eyelid Surgery] Ptosis correction (for sleepy eyes)

It is recommended to those who have a weak or defective levator muscle, raising the eyelid, therefore having difficulty in opening eyes widely without moving brows or forehead muscles.

Ptosis can be corrected by tightening the levator muscle.
The surgery is performed concurrently with full or partial incision double eyelid surgery.
If you undergo only double eyelid surgery without ptosis correction even you have symptoms of blepharoptosis, you could get uneven double eyelids or thick creases. Furthermore, eyes might look smaller than before surgery.

Some of anatomic factors may limit the surgical process, therefore the expectations and goals of the surgery must be discussed prior to surgery.





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[Nose Surgery] Men's Rhinoplasty

The surgical method of rhinoplasty for male is similar to one for female, but there are some differences between them.

And, men's rhinoplasty aims to create more powerful looking and sophisticated appearance as creating a nose in a straight line, from the nose bridge to the nose tip, without any deviation.

Corrections for deviated nose, hump nose and upturned nose or flat nose are the most common types of rhinoplasty that male patients desire to have.

A lenght of a nose differs from person to person. So, the plan for men's rhinoplasty, in terms of the nose length, has to be made carefully as considering frontal and lateral appearance.


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[Facial Contouring] Small or Short Chin

Solutions for Small or Short Chin - Chin implant, Fat graft on chin or Chin advancement


Short chin refers to the case in which the lower portion of a face appears to be absent because the lower jaw bone is situated too far back or the tip of the chin is too small.

In this case, the boundary between the neck and face becomes undefined and thereby giving relative protrusion of the mouth.

Small or short chin can be corrected by different surgical methods: chin implant, fat graft and bone advancement.




When the case is not severe, the size of a chin can be enlarged with inserting an implant (gore-tex or silicone) at the tip of a chin or with fat graft on a chin.

But, for a severe case of short chin, bone advancement is recommended. Chin bone advancement (genioplasty) consists of cutting the chin bone horizontally and moving the lower portion of the cutted bone forward and fix the upper and lower parts with pins.

The accurate methods of surgery will be determined depending on one's conditions.



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[Eyelid Surgery] Upper Blepharoplasty

It will be so nice if we can reserve youth.
But, unfortunately, aging is irresistible.

Among common symptoms of aging, eye wrinkles and saggy eyelids are the ones that appear at the earliest stage of aging.
And they cannot be improved by home remedies only.
Sagging skins of the eyelids can become a major problem because they obstruct one's vision - they are associated with functional impairments of eyes such as poor vision.
So, upper blepharoplasty (surgery of removing excess skins on the upper eyelids) is popular among the middle aged.

According to the research by the Health Insurance Review and Assessment Service, the number of patients who had received treatment for saggy eyelid skins has increased every year by 6.2%.
And, most of those patients are found to be aged over 50.

ITEM plastic surgery clinic also performs a lot of cases of upper blepharoplasty.



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[Rhinoplasty] Revision Nose Surgery

REVISION RHINOPLASTY


The most frequently consulted case of plastic surgery is rhinoplasty, as many cases as eyelid surgery.

Nose is positioned right in the middle of a face, so it is considered as the main feature of the face which draws the most attention. And, with simple correction or improvement added onto the nose structures, one can achieve more balanced looks.

Because rhinoplsasty includes usage of an implant in most cases, making an imprudent

decision on rhinoplasty may lead to a greater chance of postoperative side effects.
It is found that more than 30% of the patients who had undergone rhinoplasty went for their revision surgery.

According to Dr. Lee Jin Hwa from ITEM clinic, out of many reasons for revision nose surgery, ‘dissatisfying results of surgery’ takes more part than postoperative complications such as infection or contracture.


Many cases where an ‘L-shaped’ silicone implant was used for the primary surgery, without cartilage graft, the dermal tissues of the nose tip may become thinner and result in modification of the overall nose shape. And, as time goes by, the nasal tip may become droopy and the profile of the nose bridge or the tip may change as well.











In case of having a droopy tip or change in the nose shape after surgery, cadaver rib cartilage graft is mostly recommended for revision surgery to strengthen the columella, thus preventing it from modification.

Along with this procedure, ear cartilage graft on the nose tip can result in a balanced height of the tip.

And Dr. Lee advised that patients need to discuss their symptoms and reasons for revision surgery thoroughly with a doctor, specialized in rhinoplasty, who is in charge of a whole process of the surgery.






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REAL STORY from ITEM Plastic Surgery Clinic

She had a flat and bulbous nose even though she had nose surgery done before.

That was her one of the main concerns.

So, she decided to get corrective surgery for her nose at ITEM clinic

At the same time, she wanted some more surgeries for more adorable look and dimensional profile.

 


<Operartion Plan>
1) Natural adhesion method of double eyelid surgery & ptosis correction and epicanthoplasty
2) Revision nose surgery - nose bridge augmentation, correction of bulbous nose & cartilage graft on the tip
3) Paranasal augmentation by using an implant
4) Fat graft on forehead and cheeks

 


Let's take a look how her appearnace changed.




<After 7 Days>
Most of swelling had gone down, but still she had little degree of brusing.
She was able to cover bruises by applying BB cream on her face.

 


<After 2 Weeks>
Swelling and bruising had gone down dramatically.
She could go out bare-faced, and she could see curvy line on the nose.

<After 1 Month>
What a beautiful lady!
She looks more adorable.

<After 3 Months>
She sometimes forgets that she had the surgeries.
She does not feel any irritation on surgical areas.


We were very glad to see her being happy and satisfied with the changes she got from the surgries!

If you have any inquiry, contact ITEM clinic
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Experience a miracle at ITEM plastic surgery clinic

★ITEM PLASTIC SURGERY Clinic,  Eun-Young's Real Story★











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[Body Contouring] Breast Augmentation

When the cold breeze goes away, you’ll probably feel you need to be prepared for wearing light clothes.

In spring and summer, ladies love to exude their confidence as wearing tight shirts or topless shirts etc. But, if you are not confident with your body line, especially with your breast size, then you will probably be stuck with wearing loose shirts or using bra pads.

Do you ever imagine yourself wearing topless dresses or swimsuits and look beautiful on them?

Check ITEM clinic's Breast Augmentation :)

This lady used to wear the size of 75A (32AA) with thick bra pads. 

She had breast augmentation at ITEM clinic.

She was surprised to see the change!

She ended up loving wearing tight shirts or topless shirts.

Now she wears the size of 65F (30D) for the bra. 

Feel free to consult or ask questions about Breast Augmentation or other plastic surgeries.


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Skull reshaping, a solution for flat back of head

According to the International Society of Aesthetic Plastic Surgery, the number of cases of aesthetic plastic surgery in South Korea was ranked 3^rd after the United States and Brazil. As based on this fact, the markets of plastic surgery are reaching 7 billion dollars, and more of various and developed technologies of surgeries have emerged to keep pace with this fever of aesthetic plastic surgery.

Especially, in recent years, skull reshaping for flat or asymmetric head contour has drawn a lot of attention. We interviewed Dr. Chung Woo Jin from ITEM plastic surgery clinic to find out what this surgery is about.

Q) Skull reshaping does not sound familiar.

A) Most of people will question like, “is there such surgery of reshaping back of the head?”

In the past, it referred to an invasive surgery modifying the shape of skull. But, nowadays it is more considered as an aesthetic surgery to make the head contour in a round and more balanced manner.

Q) Who decides to get this surgery?

A) Some may have well shaped and round head since they were born, whereas others have flat or depressed area or asymmetric shape on head from deformation of bone itself or from changes in skull shape due to a habit of lying in one position for a long period of time. Those with concerns about their head shape choose ‘skull reshaping (back of head augmentation)’. 

Skull reshaping using osteobond, which is very effective in contouring the frontal and lateral profile, is recommended to whoever feels they are limited to some hair styles or wearing caps due to their flat back of head.

Q) Please explain the procedures of skull reshaping (back of head augmentation) using osteobond

A) Back of head augmentation using osteobond takes around 30~40 minutes. A 3~4cm-long incision is made on the scalp at top of head, and delicate dissection will be performed around membrane covering the bone to obtain enough space for insertion of osteobond.

Paste-like osteobond is inserted into the desired area, and then it will be solidified into the planned shape. And, scalp closure by using surgical staples and sutures will be performed as the last stage of the surgery.

Surgery is performed under local anesthesia with sedation, and a patient is discharged around an hour from the surgery. Moreover, patients feel less burdened for this surgery because it does not require hair removal for an operation and preoperative period of production of an implant.

Q) Message to people who are interested in skull reshaping

A) The safety of skull reshaping (back of head augmentation) using osteobond has been proven by numerous studies through more than 30 years of observation in postoperative progresses.

Therefore, it is surely an effective method for solving one’s concern on flat back head.

But, it cannot avoid the possibility of side effects such as an infection or fluid collection just same as other general surgeries. So, for safe and satisfying surgery, it is essential to choose a doctor who is specialized and experienced in many cases of skull reshaping and provides the most suitable operative plans to patients.

By Geumgang News, 02 Feb 2017

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