• Archives of Plastic Surgery
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• 제32권2호
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• pp.231-236
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• 2005

Nowadays breast reconstruction with autologous tissues after radical mastectomy is commonly performed, and a natural inframammary fold in the reconstructed breast is considered to be an essential aspect of symmetrical breast shape and location. Total of 104 patients underwent breast reconstruction with free TRAM flap and formation of inframammary fold with free TRAM breast reconstruction was done in 79 patients. No suture fixation for inframammary fold were done in 19 patients. 27 patients(24.0%) were made of inframammary fold with absorbable suture, 52 patients (50.0%) underwent inframammary fold creation with nonabsorbable suture. There were 4 cases(16.0%) of displacement of reconstructed breast and 2 cases(8.0%) of partial disruption of inframammary fold in the group of no suture. There were 2 cases(7.4%) of displacement of reconstructed breast and 3 cases(11.1%) of partial disruption of inframmamary fold in the fixed group with absorbable suture. There was only 1 case(1.9%) of partial disruption of inframammary fold fixed with nonabsorbable suture group. Therefore, we could speculate that the reinforcement of ligamentous structure for making the definite inframammary fold is necessary, and the area of the inframammary fold should not be undermined in immediate breast reconstruction as much as possible in order to preserve the zone of adherence. If the fold is disrupted during the mastectomy, it should be re-created with the non-absorbable sutures. Nonabsorbable suture fixation seemed to be more stable than absorbable suture. Preoperative marking and design are very important to make the symmetrical shape and location of inframammary fold in both of immediate and delayed reconstruction of breasts.

• 패션비즈니스
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• 제20권4호
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• pp.189-206
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• 2016

A breast model was for the human body was devised by studying a body scan and human body index of a desirable breast type. Thus, when manufacturing various 3D models, these results can accordingly become a fundamental basis for realizing a desirable breast model. This study aims to provide a basic data for designing the cup patterns of brassieres in order to improve the function and wearing comfort. The comfort of three kinds of brassieres were compared: one manufactured by the actual measured size; another manufactured as per the ratio of desirable upper and lower breast lengths; and the third manufactured by the 3D model attained by the desirable human body ratio. In this study, we suggest a process for realizing the desirable breast model using the ratio of bust breadth and waist front length, which are the components for deciding the appropriate position and size of breast, and which are easy to measure. The ideal breast shape is an equilateral triangle formed by connecting the nipple with the center of the clavicle. After deciding the interval between the nipples, this value can be used to configure the locations of nipples by drawing a tangent, with equal length, from the anterior neck point (which is the center of clavicle) to the nipple. Also, since inside points of breast do not exist, the outer point of breast, upper point of breast, and below point of breast on the same plane, and the depths from the nipple point to the respective points, are applied to simulate a 3D image, by modifications along the x, y, and z axes. Depending on the type of breast, the length from the center of shoulder to the nipple, the diameter of breast, upper length of breast, and the position of nipple, are different. In conical or protruding breast, the wearing sensation is better when the nipple point of brassiere was lifted, by modifying the upper and lower lengths of breast. Considering the wearing sensation and function of a brassiere, it was better to leave the wearer's size as it is and use a pad within the same cup, rather than increase the basal area of the breast in order to increase the volume.

• 복식문화연구
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• 제8권2호
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• pp.282-292
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• 2000

The purpose of this study is to provide for some basic data useful to the development of the brassieres comfortable and more suitable for obese women. The results of this study can be summarized as follows ; 1. Obese women were categorized using Rohrer index into three groups, and thereupon, their breast forms were analyzed. As a result, it was found that group 1 and 2 had similar small breasts, while group 3 had the largest size of breasts. 2. The forms of obese women's breast split, protrusion and volume, factors related with breast area and drooping, factor affecting the breast protrusion and factor defining the lower form of breast. 3. The actual breast types of obese women could be classified into cone type, protrusion type, drooping type Ⅰ and Ⅱ. The more obese a woman was, her breast tended more to droop.

• 복식문화연구
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• 제11권3호
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• pp.447-457
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• 2003

The shape of womens breast is the most important part of body silhouette. For the high-fitted clothes, in particular, more refined brassiere effective enough to show the beautiful line of female breast is asked. This study focuses on comparing the difference of the two different textiles of brassiere as to their effectiveness as a brassiere. The Stockman Lingerie Mannequin made by England is used for the draping method for the brassiere pattern. Two different brassieres of stretchable and unstretchable(cotton) textiles respectively were made out of this pattern, and the difference of effectiveness wearing the two brassieres was compared. 30 females ranging in the ages of 19 through 24, and whose size is 75A were selected as the test group who are to wear them. The result of each measurement proves that the cotton brassiere is more effective than the stretchable brassiere as a whole considering center concentration of breast, projection of breast, and bust up function. The result of the test on satisfaction of wearing brassiere was also in favor of cotton brassiere as to projection effect, bust up effect, making a good shape of bust. For the cup, in particular, unstretchable textile is more effective for making a breast look better.

• Archives of Plastic Surgery
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• 제32권1호
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• pp.76-84
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• 2005

Immediate breast reconstruction in breast cancer patients is universalized and now with a wide variety of methods to choose from, we can select a breast reconstruction method according to the patient's condition. Among these methods, immediate breast reconstruction with TRAM free flap is the most commonly used. Nipple reconstruction is usually performed as a secondary procedure, reconstructed. Nipple is reconstructed with contralateral nipple composite graft or with local flap. Areola is reconstructed with skin graft and tattooing. Therefore, to reconstruct complete breast, two or more staged operations are needed and are troublesome to both the surgeon and the patient. If we could reconstruct breast mound and nipple at same time, we would reduce the operative stages and heighten the patient's satisfaction. The author performed delayed or immediate breast reconstruction with TRAM free flap and nipple reconstruction at the same time. If the TRAM flap was to situate in the whole of the breast or at the center of the breast mound, nipple was reconstructed with a local flap from the TRAM flap. If the TRAM flap was not situated in center of breast mound, nipple was reconstructed with a local flap from remnant breast skin. Immediate nipple reconstructions in breast reconstruction consisted total of 22 cases. Among these, delayed breast reconstruction were 5 cases and immediate breast reconstruction were 17 cases. According to patient's condition and mastectomy method, nipple reconstruction method was selected; nipple reconstruction with contralateral nipple composite graft(3 cases); nipple reconstruction with remnant breast skin(6 cases); nipple reconstruction from flap margin(10 cases); nipple reconstruction with prefabricated nipple on flap(3 cases). Malposition of the reconstructed nipple was the most common and serious complication(6 cases). The other complications were atrophy of the nipple(1 case), and necrosis(1 case). Reconstruction of the breast and nipple at the same time can reduce the need of a secondary operation and use remnant skin or redundant flap tissue maximally. On the other hand, it must be considered that position and shape of nipple could be deformed, because the nipple reconstruction is performed before the shape of reconstructed breast settles completely. Prudent attention is needed, because the danger of complication is higher than delayed nipple reconstruction.

• 대한영상의학회지
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• 제79권6호
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• pp.303-310
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• 2018

목적: 이 연구의 목적은 흉부 전산화단층촬영(CT)에서 우연히 발견된 유방 병변의 임상적 중요성을 평가하고 유방 전문 진료 의뢰가 필요한 영상 소견을 제안하는 것이다. 대상과 방법: 2009년 5월부터 2014년 4월까지 촬영된 조영증강 흉부 CT 중에서 판독문에 '유방'이라는 단어가 포함된 검사를 후향적으로 검토하였다. 이 중 우연히 발견된 유방 병변으로 유방 초음파와 유방 촬영술을 한 뒤, 병리학적 확인이나 1년 이상의 추적 관찰을 받은 총 86명의 환자(모두 여성, 평균 연령, $48.9{\pm}12.6$세)를 대상으로 하였다. 흉부 CT에서 유방 병변의 크기, 위치, 모양, 경계 및 조영 증강을 포함한 영상 특징을 평가하였다. 다양한 CT 특징과 병리소견과의 연관성을 평가하고 여러 조합의 CT 특징의 진단 정확도를 평가하였다. 결과: 흉부 CT에서 우연히 발견된 유방 병변 중 악성 종양은 16.3%(14/86)였다. 악성 병변은 양성 병변에 비해 불규칙한 모양, 불분명한 경계, 높은 조영증강을 보였다. CT 특징의 조합 중 불분명한 경계와 높은 조영증강의 조합이 악성 병변을 예측하는데 가장 높은 정확도를 보였다(97.7%). 결론: 흉부 CT에서 우연히 발견된 유방 병변의 16.3%는 악성이었으며, 불분명한 경계와 높은 조영증강을 동시에 보일 경우 악성 가능성이 높으므로, 정확한 진단을 위해 유방 전문 진료 의뢰가 필요하다.

• 복식문화연구
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• 제16권3호
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• pp.488-501
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• 2008

The purpose of this study presents bra pattern using the 3D measurements of the upper body subject to women in their 30's. Brassieres available in the market are mostly designed for straight body shape and many women seem to have experienced bearing discomfort in a great extent as they grow older. Brassieres should be designed to cover diverse body types and the accurate measurement of body type and breast shape is needed to accomplish that. As for the study method, 3D human body types were analyzed with RapidForm 2006, and the upper-body types and breast shapes were statistically classified through technical statistics analysis, cluster analysis, t-test, variance analysis, and cross analysis. The wearing tests went through the comparison of the brassieres of three makers in the market and the experiment brassieres(first and second) and then the evaluations were made by the subjects, the outer appearance assessment by experts, and 3D measurements. The results of this study showed that the evaluation of experiment brassieres was excellent in every item, and the significant difference was found out particularly in the items of pressure, rear center, front center, breast underneath, adequate level by wing, and adequate level by armhole. According to the results of 3D evaluation, experiment brassieres had a highest point in fitness with no physical pressure at the wing part and no overall deviation at the cup part.

• Human Ecology Research
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• 제57권2호
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• pp.159-170
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• 2019

The growth accelerator period from a child's body into an adult body is a huge transition characterized by rapid growth in the near term. Body shape changes at this time of growth should be continually studied because they can result in different outcomes due to various variables. This study is basic study for the production of a junior brassiere patternmaking was conducted to separate the upper torso and breasts of adolescents by growth level. Analysis was conducted by age classification according to sales trends. In this study. 3D body shape data of Korean girls, Based on the 6th Size Korea data, analyzed statistically the upper body and breast according to the rate of growth. The results of this study represent the basis for the development of a junior brassiere to help lead a better life in regards to clothing. The study used 3D-data from girls aged 13 to 18. The analysis indicates that the upper body is in a different shape at age 15 with an increasing circumference, width and shoulder length of the chest; in addition, the sides are analyzed differently, suggesting that the brassiere configuration should be made differently at age 15. The breast form also showed different growth patterns at age 13 and the result was that the shape of the cup in brassiere should be configured differently depending on type.

• 패션비즈니스
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• 제9권6호
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• pp.12-28
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• 2005

The purpose of this study is to help develop high quality brassieres with functionality and comfort, fitting adolescents' physical features during their growth period. This study conducts a comparative analysis of juvenile brassiere and adult brassiere to identify the problems of brassieres in the market. The raw data for this study was processed by SPSS 10.1. The results of this study are summarized as follows: 1. The results of this survey show that the girls' satisfaction of their breasts has correlations between breast protrusion degree and volume. The girls think that if they have protrusive breasts their breast volume is big, and their breast satisfaction level shows high. 2. The results show that the objective of brassiere wearing is to prevent breasts sag and rupture, make good breast shape, balance their entire body shape, and make beautiful outer garment line. Brassiere functions are to prevent jiggle of breasts, make a good body line, and cover the nipples. For the grader school students, they are wearing brassiere to make a good balanced body and as their breasts developed, they are wearing brassiere for beautiful body shape not just to cover up their breasts. 3. In regard to brassiere cup size recognition, as students have higher grade at school, they have better recognition abouxt their cup size. As they are better aware of their cup size, they have better satisfaction with their cup size. Therefore, choosing the right size of brassiere for their bust is very important. 4. Girl students' brassiere preference shows that 317 students (56.9%) prefer white for brassiere colors, following pink and flesh color. Their most preferred brassiere material is cotton (354 people, 63.6%) because cotton is not sensitive even for weak skin. For brassiere style, 273 students (49%) prefer round style, following spots and mold. Their most preferred brassiere style is stake. In addition, brassiere should not press their breasts because their breasts are developing during puberty period.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.503-506
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• 2009

Purpose: Unilateral breast reconstruction after mastectomy confront the challenges of recreating a natural appearing breast mound and achieving symmetricalness of the breasts. If the patient's remaining breast is large compared to reconstructed breast, the most common procedure is reduction mammoplasty of the large breast side. The authors experienced a new method of breast reconstruction using the excess breast tissue from the contralateral breast after breast reduction. Methods: The excess tissue from the contralateral breast after vertical reduction mammoplasty with superior pedicle and remaining lower breast tissue were transferred to the mastectomy site breast through the subcutaneous tunnel on the chest wall. The main blood supplies of the flap are perforator branches of the 4th, 5th and 6th anterior intercostal artery. After elevating and detaching the flap on the lower lateral area of the breast, the turn overed flap is fixed on the upper portion of the chest wall of the mastectomy site. Results: On two cases of the breast reconstructions, remaining excess breast tissue from reduction mammoplasty was transferred to the contralateral breast side as pedicles. Both patient and operator were satisfied with the outcome of the reconstruction as the breasts were symmetrical and natural shape. Conclusion: We have performed unilateral breast reconstruction using the excess breast tissue after reduction mammoplasty of the contralateral breast. As Oriental women's breasts are relatively smaller than that of Caucasian women, delayed breast reconstruction cases of Oriental women with large breasts(macromastia) seem to be ideal for this procedure.