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TITLE	Solution for fat accumulated gynecomastia with skin laxity
WRITER	실루엣성형외과
DATE	2018-07-26 18:48:13
Correction of Fat Accumulated Gynecomastia with Skin Laxity Late 20s, 180cm/130kg Liposuction 1,830/1,780cc removal of fibrous tissue 19/22g The skin laxity was corrected by the lifting procedure on the extremely loose armpit part on the next day of the surgery. The skin laxity became worse after a surgery in another clinic. 4 months later 20s, 176cm/100kg Liposuction 900/1,080cc, Removal of Fibrous Tissue 13/16g Photo taken on the next day of procedure. The skin laxity is corrected by over 5cm lifting procedure. The procedure of lifting skin and suturing(fixing) the lifted skin with muscles. Approximately 1-2cm can be lifted. 20s, 178cm 80kg Liposuction 240/200cc, Removal of Fibrous Tissue 8g The lifting procedure was planned due to deep wrinkles underneath and severe skin laxity. Photo taken right after the procedure. Skin was lifted by 2cm. The most common mistake is to leave a big scar by cutting off the remaining skin as shown in the picture. The big scar is irreparable. Therefore, the lifting procedure of Silhouette Plastic Surgery can bring about the most satisfactory result.

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	It was a perfect choice to get the surgery^^ Written by Jjanggu Is Thirsty The director and nurse told me cautions again and gave me a notice after surgery in advance. While I was given information, I went to the locker and changed to an operating gown. I went to the electrocardiogram room and got an ECG. Then, I went to the doctor’s room and he checked my condition again and told me some other things. Even though I am not religious, I felt relieved and comfortable when he held my hands and prayed for my surgery. I was impressed again. He took pictures of my chest before surgery and designed the chest. I went to the recovery room and waited for a couple of minutes, and an anesthesiologist came and took me to the operation room. When I went to the operation room, there were two nurses. I lay down on the operating table calmly with my hands at a right angle. They checked my blood pressure and gave an injection of anesthetic on the left arm. I fell asleep right away. I might have heard something but I fell asleep in less than 10 seconds. I opened my eyes when the nurse woke me up. The surgery was already over. I felt like it was a short period of time, but it was already 1 hour and 40 minutes. While I was relaxing in the recovery room, the doctor entered and removed the sponge and bandage by himself. He told me the surgery was successful. I felt really relieved. I was surprised to see my flat chest. I regretted not getting the surgery earlier. When I saw my changed body, I felt content. After relaxing a little more, I changed cloths with sponge, bandage and compression tape on, and came home by subway. I wore sponge and compression bandage together for 24 hours after the surgery, and later I only wore compression bandage. It might be difficult to wear compression bandage for the next 4 weeks, but time will fly. I had a lot of worries about surgery such as side effects before I got surgery, but I didn’t have to. I think it was a perfect choice to get the surgery at Silhouette. I hope all of you who are struggling from gynecomastia will get surgery at Silhouette. You won’t regret, I guarantee. It’s been only a week, but I feel like I was in a different world. As shown in the pictures, my bruises are not that bad. I will lose weight by exercising a lot and will become in a good shape. I look forward to summer. I would like to express my gratitude to Doctor Yoon Sang-yeop, consulting director and nurses who made efforts on the surgery. Before surgery After surgery	2018-12-05
	This is a review of the second week after gynecomastia surgery. Written by Kiro It’s been two weeks since I got a surgery last month. I’m writing a review of the second week after the surgery. I wasn’t that nervous on the day of the surgery. The doctor’s sincere prayer before the surgery was very good. I fell asleep with anesthesia in the operation room and woke up at the recovery room. (too simple,,ㅡㅡ;) I got my chest wrapped with sponge and compression bandage and fixed with compression tape. I didn’t feel that much pain. It was like sore muscles for two or three days after surgery. Anyways, I kept taking medicine. I was very cautious, so I didn’t worry about pains. I just took a pill of Tylenol for a couple of days. ^^;;As you can see the pictures below, I started to get bruises severely from the next day of the surgery. It wasn’t the chest part, but under the chest and around sides. The bruises started on the second day and became the worst on the fourth and fifth days. They started to become dim after then, and now I have slight stains. (They won’t go away.)I don’t have swelling yet, maybe because I am using compression bandage well. I constantly put the compression bandage tightly.I sometimes have slight pains especially when I use arms a lot. I don’t worry too much about it. I just think time will solve the problem.I also see slight dents, which I can see after the surgery is recovered in 3 or months. If it is weird, the doctor will do surgery again for free.. ^^.That’s why I chose Silhouette. The surgery is not that difficult when I see two weeks after the surgery. I didn’t have to contemplate for 1 or 2 years. I should have done earlier… I am spending satisfactory days looking at my flat chest.	2018-11-26
	40's 156cm 67kg lipo 3,670cc exc 1,590g before after 40's 156cm 67kliposuction3,670ccexc 1,590g after surgery 8 mon	2018-11-21
	One month after the surgery.. The new chapter of my life begins. Written by Born Again I still remember vividly the sincere prayer of the doctor holding my hands before I entered the operation room a month ago. Thanks to the prayer, I felt more comfortable. I am an office worker who has a new life in thirty years. Others might have experienced. I couldn’t wear thin cloths because of my chest in summer. Now, it’s getting warm, but I don’t have to worry after I met Silhouette. It’s been a month. At this moment I am writing this review, I am really happy. ^^*If you have the same worry as I experienced, please get a surgery and be confident. You should! The pictures below are the ones that I took from time to time looking at the mirror. It’s been only a month, but I will post more pictures in 3 months, 6 months and 1 year by successfully losing weight.	2018-11-13
	Review of 4th week after Gynecomastia Surgery. I am much more confident now. Written by Doldori It’s already been the fourth week since I got gynecomastia surgery. I exercised a lot even with personal training, but I was very stressed out. Therefore, I decided to get a surgery. My gynecomastia wasn’t that severe, but areola area stuck out enough to be an obstacle of chest exercise. I am very satisfied with the surgery result. I think the cost of over 2 million won is worth it. Especially when I decided to get the surgery, I considered not only the aesthetic part but also the inconvenience caused by compression bandage.At Silhouette Plastic Surgery, I only had to wear compression bandage for two to four weeks unlike other plastic surgery clinics, and even the bandage was very light and worn just on the chest, so I didn’t experience any inconvenience such as indigestion. I wore a compression bandage for two weeks, and I can definitely say I had no inconvenience except the day of surgery (cotton and bandage in the compression underwear). Now, I can go to the gym in bright color shirts straightening my shoulders.	2018-11-07
	late 10's 184c 85kg after 13 mon lipo 440/440cc exc gland 65/79g _3 BEFORE AFTER	2018-08-28
	Mid-20's 171cm 60kg after 6 mon lipo 10cc exc gland 3/2g BEFORE AFTER	2018-08-28
	Early-10's 173cm 80kg lipo 280/310cc exc galnd 6/7g BEFORE AFTER	2018-07-28
	Solution for fat accumulated gynecomastia with skin laxity Correction of Fat Accumulated Gynecomastia with Skin Laxity Late 20s, 180cm/130kg Liposuction 1,830/1,780cc removal of fibrous tissue 19/22g The skin laxity was corrected by the lifting procedure on the extremely loose armpit part on the next day of the surgery. The skin laxity became worse after a surgery in another clinic. 4 months later 20s, 176cm/100kgLiposuction 900/1,080cc, Removal of Fibrous Tissue 13/16g Photo taken on the next day of procedure. The skin laxity is corrected by over 5cm lifting procedure. The procedure of lifting skin and suturing(fixing) the lifted skin with muscles. Approximately 1-2cm can be lifted. 20s, 178cm 80kgLiposuction 240/200cc, Removal of Fibrous Tissue 8g The lifting procedure was planned due to deep wrinkles underneath and severe skin laxity. Photo taken right after the procedure. Skin was lifted by 2cm. The most common mistake is to leave a big scar by cutting off the remaining skin as shown in the picture. The big scar is irreparable. Therefore, the lifting procedure of Silhouette Plastic Surgery can bring about the most satisfactory result.	2018-07-26
	The difference between Silhouette Plastic Surgery and other clinics, 2018 Renewal The difference between Silhouette Plastic Surgery and other clinics, 2018 Renewal Characteristics of Silhouette gynecomastia surgery; Differentiation from other clinics, 2018 RenewalHello.I am Sangyeop Yoon, the director of Silhouette Plastic Surgery.The ‘areola /armpit small pore’ gynecomastia surgery of Silhouette Plastic Surgery is the most advanced surgery so far. The surgery has been presented several times in plastic surgery conferences and international conferences, and many surgeons perform the surgery. However, it should be performed by experienced and proficient surgeons because they have to deal with very tiny pores. Especially, it is too difficult for non-specialists in plastic surgery to perform the surgery.The surgery needs an aesthetic sense and meticulous skills. Some doctors say they can remove fibrous tissue properly by making 15mm-width incision, which is too wide, so clients ask whether I can remove the fat and fibrous tissue completely. My answer is always ‘yes’. I can correct perfectly. I used to make 15mm-width incision when the gynecomastia surgery was first introduced in 2002 or 2003. I have accumulated over 15 years of experiences in one field, and the number of patients that I operated on is over 5,000, so I do not need to make a big incision. It is not appropriate to say that other people can’t do or shouldn’t do because I can’t. In the past, there was a case that only fat was absorbed and a case that only fibrous tissue was removed.When fat is only absorbed, the sharpness would still remain after the surgery, so there is no difference before and after the surgery, not to mention patients’ disappointment. Photo in the research; when fat is only absorbed The nipple areas are still prominent. Nowadays, there are few doctors who still claim this.Some clinics specializing in liposuction advertise they do the gynecomastia surgery with liposuction without removing fibrous tissue. Except for 1~2% special cases, the gynecomastia can’t be corrected only with liposuction. Dents after breast surgery When fibrous tissue is removed excessively without liposuction, there is a side effect of ‘dent’ as shown in the picture. Especially applying the methods of breast cancer surgery such as mastectomy and fibrous tissue mastectomy to the gynecomastia surgery often causes the side effect of dent. If doctors who lack the cosmetic or plastic surgeon perspective perform the surgery as they do breast cancer surgery, the above result can occur. You need to be very careful. Recently, it is common sense that ‘fibrous tissue removal’ and ‘liposuction’ should be done together. There are two types of surgery method broadly. 1. Surgery to remove tumors such as breast cancer(removing cancerous tumors instead of the concept of cosmetic or plastic surgery) Areola 180’ incision Removing fat and lacteal gland as a lump It is a surgery that removes fibrous tissue(white) and fat(yellow) excessively at the same time while making a big scar on areola. It can leave a big scar and dent. We Silhouette Plastic Surgery never apply this method to gynecomastia surgery. 2. The Silhouette gynecomastia surgery with scar invisible Removing fibrous tissue; high-frequency/ Silhouette Scissors The above pictures show the method of liposuction and removing fibrous tissue by making the minimum incision(approximately 5mm) on the areola.Before 2010, this method was used for the surgery. Recently, the surgery is done with the method of making scar invisible. We make a small hole on each areola or make a 2mm small hole on the part under each nipple where the shadow of the nipple lies(where the nipple and the areola meet).Ultrasound liposuction and electric knife fibrous tissue removal; using small hole(2mm) under the nipple With ‘ultrasound liposuction’ and ‘electric knife fibrous tissue removal’ through a small hole(less than 2mm) under the nipple, the scar is totally invisible. The above photos are from similar procedures in different clinics. The scars are from surgeries using various incisions. Even making a hole on the armpit or on the side often leaves a big scar. The part with hair can conceal the scar, but the scar on the side is not good. There shouldn’t be a scar of over 1cm on the areola. Especially, there shouldn’t be a scar on the upper part of the areola in the 12 o'clock position rather than in the 6 o’clock position. It is too noticeable. Some doctors cut off the skin with a 360-degree of areola, which leaves a severe scar. The surgery shouldn’t be done in this way. Some non-specialists perform surgery without predicting the result, which causes disastrous scars. Patients who have breast cancer surgery get scars outside of the areola. The gynecomastia is not breast cancer, so patients with gynecomastia shouldn’t get a severe scar outside of the areola. The photo on the far left of the bottom is from the recent surgery in ‘Silhouette Plastic Surgery’. The photo was taken right after the surgery, but the scar is invisible. Silhouette Plastic Surgery does the highest number of gynecomastia surgeries in Korea. The differences of Silhouette Plastic Surgery from other clinics are as follows. 1. We do not leave noticeable scar. The scar is almost invisible. 2. We guarantee radical effects thanks to liposuction and fibrous tissue removal. We can remove completely without big scar or incision. 3. There are almost no side effects because of no damage on the surrounding tissue since it is not a mastectomy.	2018-07-26

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