박진석성형외과 박진석원장은 2011년 4월 코엑스에서 열린 대한미용성형외과학회에서 처진 가슴을 교정하는 방법에 대한 강연을 하였음.

Breast augmentation for the correction of small ptotic breasts

Introduction :

Large breast seems ptotic appearance due to its weight and gravity. In contrast with large breast, ptotic appearance in small breast is occurred by volume-envelope discrepancy as a result of pregnancy, lactation, weight loss, and aging.

Methods:

If nipple is located higher than the level of 2cm below the inframammary fold(IMF),  ptosis can be improved by simple augmentation with implant into the dual plane or retroglandular plane or fat graft. If we decide simple augmentation, we have to consider several things. First, the pushing force to soft tissue envelope is mainly directed to lower pole(below the nipple). For this purpose, unfortunately not yet approved in Korea, it is helpful using an anatomical implant of which the maximal projection point is lower than that of the round implant. Second we have to consider similar condition showing ptotic appearance such as lower pole hypoplasia and tubular breast. If the inframammary fold is located too highly, we have to add the lowering IMF in breast augmentation plan. If breast tissue is rigid and constricted, we have to add managing the parenchyma in operation plan. Sometimes internal pexy along the subglandular plane can be added in dual plane breast augmentation.  

Patient oriented treatment is also important The most appropriate correction method is not easy to decide, however it can be chosen if we consider several things such as patient physical condition, patient’s demand about size and shape, scar, and realistic expectation. I would like to give presentation about my various experiences.

박진석성형외과 원장은 이중풍선변형(이중밑주름선 변형)을 교정하기 위한 마스터코스의 진행자로서 성형외과 회원들에게 의견들을 취합하여 제시하였으며 청중들로부터도 고견을 듣는 시간을 가졌다.

이중 밑주름선 변형은 처진 가슴이나 수축형 유방의 환자가 가슴확대수술을 받는 경우 종종 생길 수 있는 변형으로 살이 처진 위치와 유방보형물이 밀어주는 위치가 균형이 맞지 않아서 생기는 현상이다.

박진석원장이 알러간 아카데미에서 교정한 재수술환자입니다. 타병원에서 1차수술을 받은 환자로 재수술전 흉은 배쪽에 있으며 원래 밑주름선이 살아있는 상태로 이중주름이 있었던 환자입니다. 피막구축현상도 동반된 상태로 3년정도 고생을 했는데 수술후 아래와 같이 흉도 주름선에 가려지고 이중주름도 개선되었습니다.

Double Bubble Deformity in Breast Augmentation

Sungchul Park, Wonjune Yoon, Youngwoo Lee, Jinseok Park

UBA plastic surgery clinic, Migo Aesthetic Surgical Clinic, Leeview plastic surgery clinic, Parkjinseok Aesthetic Clinic

Prominent double bubble deformity is one of the most complicated problems in breast operation. This phenomenon is occurred by the different response of tissue between above and below old IMF. And so double bubble deformity may occur in case of prominent of tight IMF such as ptotic breast, and the breast base constriction.

We will discuss thoroughly about the causes and anatomical points of double bubble deformity and suggest some idea for the prevention and the correction of double bubble deformity.

박진석성형외과 박진석원장은 2011년 9월 24일부터 25일까지 중국 상하이에서 열린 국제 최소침습학회 초청연자로 강연하였습니다.

박진석 원장은 우수 강연자에게 주는 Excellent Speaker Award를 수상하였습니다.

강연 주제는

처진가슴을 교정하는 방법으로 확대술, 확대-거상술, 거상술, 가슴축소술 등을 강연하였습니다.

박진석원장은 2009년 9월 4일부터 6일까지 코엑스 컨벤션센터에서 열린 제 1회 최소침습학회에 초청되어 강연을 함.

제목

내시경을 이용한 겨드랑이절개 가슴성형술

처진가슴 교정수술

The correction of ptotic breast

Introduction

Breast ptosis is caused by volume envelope discrepancy as a result of pregnancy, lactation, weight loss, and aging. Although surgical grading according to nipple level help the correction, in the viewpoint of the patient, ptotic appearance of the breast means various status from small flat skinny sagging breast to huge breast.

Characteristics of the ptotic breast:

In general the ptotic breast has some characteristics such as lower position of nipples, excess of envelope, lack of breast parenchyma, highly mobile parenchyma mainly due to loosening of subglandular space or failure of Cooper’s ligament action as supporters and well defined inframammary fold

Methods

Patient oriented treatment is not simple and we have to manage ptosis with considering many things such as patient physical condition, patient’s demand about size and shape, scar, and realistic expectation.

Ptosis can be improved by simple augmentation with implant into the dual plane or retroglandular plane or fat graft.  If nipple is located 2cm below inframammary fold, mastopexy is more reliable and sometimes simultaneous augmentation mastopexy is needed.

The most appropriate correction method is not easy to decide, however it can be chosen if we  consider several things such as patient physical condition, patient’s demand about size and shape, scar, and realistic expectation.

I would like to give presentation about my various experiences.