• Archives of Plastic Surgery
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• 제34권1호
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• pp.93-98
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• 2007

Purpose: Many options are available for the incision and pocket selection in breast augmentation. Each method has its advantages and disadvantages. To leave an invisible operation scar and to achieve easier pocket dissection by the central location of the incision on the breast, we made a transareolar-perinipple incision. To overcome the disadvantages of the transareolar incision, originally advocated by Pitanguy in 1973, we modified the direction of incision line and dissection plane. Methods: To avoid the injury of 4th intercostal nerve responsible for nipple sensation, we made perinipple incision on the medial side of the nipple instead of trans-nipple incision and made the transareolar incision as 11-5 o'clock on the left side and 1-7 o'clock on the right side instead of 3-9 o'clock on both sides. To avoid the possible infection and breast feeding problem caused by the injury to the lactiferous duct, and the possible implant hernia caused by the incisions lying on a same plane of pocket dissection, we made a subcutaneous dissection just above the breast tissue medially down to the bottom of breast tissue and made a subglandular or subfascial pocket, which may avoid the injury of lactiferous duct and create different planes for skin incision and pocket dissection. Other advantages of the transareolar-perinipple incision include easier pocket dissection, less chance of hematoma, and as a result less postoperative pain because of the central location of the approach which allow finger dissection and meticulous bleeding control with direct vision, without any specialized instrument such as an endoscope or long mammary dissectors. As for pocket selection, we made dual pockets. We prefer subglandular or subfascial pocket. Also, we made a subpectoral pocket in the upper 1/4 of the pocket to add more volume on the upper part of the augmented breast, which can make aesthetically more desirable breasts in thin Asian women with small breasts. Possible disadvantages of our method are subclinical infection and scar widening, which could be overcome by meticulous operation techniques, antibiotic therapy, and intradermal tattooing. Results: From September, 2003 to August, 2005, 12 patients underwent breast augmentation using round smooth surface saline implants by our method. During the mean follow-up period of 13 months, there were no complications such as infection, hematoma, capsular contracture, and sensory change of nipple, and results were satisfactory. Conclusion: We suggest breast augmentation via transareolar-perinipple incision and dual pockets(subpectoral-subglandular or subfascial) as a valuable method in thin oriental women with small breasts.

• 패션비즈니스
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• 제26권3호
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• pp.72-86
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• 2022

Volume-up pads are the most common and easiest way to make women with small breasts beautiful. In this study, to develop a volume-up brassiere pad with excellent wearing effects and appearance, 24 different types of volume-up pads commercially available in the online market were investigated and then 11 types were purchased. Among these eleven types, four pads (PAD1, PAD2, PAD3, PAD4) with distinct shapes and materials were selected through a pre-test. They were compared to the newly developed pad for research (PAD5). The results of the study follow. The results of evaluating appearance when wearing the developed pad (PAD5) were significantly higher than that of other pads, and the appearance evaluation score for the full-cup type pad was excellent. In the wearing satisfaction evaluation result, PAD5 showed generally excellent evaluation scores, and in the case of the touch, preference for the fabric material was higher than that of the silicon pad. In the evaluation of motion adaptability, the developed PAD5 showed generally excellent evaluation scores in all movements, indicating that the full-cup type pads had better motion adaptability than the partial-type pads.

• 한국축산식품학회지
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• 제43권6호
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• pp.975-988
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• 2023

The fatty acid composition and small molecular metabolites in breast and leg meat of Yanjin blackbone chickens (YBC) and Piao chickens (PC) were detected by gas chromatography-mass spectrometry and liquid chromatography-quadrupole static field orbital trap mass spectrometry. Thirty-two fatty acids were detected, and the total fatty acid content of PC was significantly higher than that of YBC (p<0.05). Oleic acid, linoleic acid, palmitic acid, stearic acid, and arachidonic acid were the main fatty acids in the two chicken varieties, and the composition of fatty acids in the two varieties were mainly unsaturated fatty acids, being more than 61.10% of the total fatty acids. Meanwhile, 12 and 16 compounds were screened out from chicken legs and chicken breasts of YBC and PC, respectively, which had important contributions to the differences between groups.

• 한국의류학회지
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• 제38권6호
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• pp.887-895
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• 2014

The study provides baseline data on developing ready-to-wear clothes for adult females in their twenties who have finished shaping their bodies and have realized an ideal shape. We analyzed the data from females aged from 20 to 29 in "The $5^{th}$ Size Korea Survey" and "The $6^{th}$ Size Korea Survey", and sorted body shapes into several types according to drop values before analyzing and comparing the characteristics among groups. We also referred to the change by year in the size of upper inner wear. To classify body shapes, three drop values were assigned for bust girth - waist girth, hip girth - waist girth, hip girth - bust girth; through cluster analysis all data were classified into three body types. Type 1 is more like normal body shapes with small drop values at the bust girth - waist girth and well-build lower body. Type 2 is X-shaped body shaped like a fiddle with big drop values at all parts. Type 3 is Y-shaped body with a big drop value at the bust girth - waist girth and well-build upper body. Type 2, X-shaped body, has the majority of distribution in every year, which proved to be the most idealistic body shape. There was a change in the brassiere cup size. Korean ladies in their twenties have larger breasts. The body shapes of Korean females in their twenties are increasingly like those of westerners. Bust girth is a very critical element to set measurements and design patterns for upper wear; consequently, a change in the size of breasts should be considered.

• Archives of Plastic Surgery
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• 제42권4호
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• pp.438-445
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• 2015

Background Breast auto-augmentation (BAA) using an inferior pedicle dermoglandular flap aims to redistribute the breast tissue in order to increase the fullness in the upper pole and enhance the central projection of the breast at the time of mastopexy in women who want to avoid implants. The procedure achieves mastopexy and an increase in breast volume. Methods Between 2003 and 2014, 107 BAA procedures were performed in 53 patients (51 bilateral, 2 unilateral and 3 reoperations) with primary or secondary ptosis of the breast associated with loss of fullness in the upper pole (n=45) or undergoing explantation combined with capsulectomy (n=8). Six patients (11.3%) had prior mastopexy and 2 (3.7%) patients had prior reduction mammoplasty. The mean patients' age was 41 years (range, 19-66 years). All patients had preoperative and postoperative photographs and careful preoperative markings. Follow-up ranged from 6 months to 9 years (mean, 6.6 months). Results The range of elevation of the nipple was from 6 to 12 cm (mean, 8 cm). The wounds healed completely with no complications in 50 (94.3%) patients. Three patients had complications including 2 (3.7%) hematomas and 1 (1.9%) partial necrosis of the nipple-areola complex. Three (5.7%) patients were dissatisfied with the level of mastopexy achieved underwent a further procedure. No patient complained of scar hypertrophy. Conclusions BAA is a versatile technique for women with small breasts associated with primary or secondary ptosis. It is also an effective technique for the salvage of breasts after capsulectomy and explantation.

• 한국의류학회지
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• 제28권7호
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• pp.983-994
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• 2004

The aim of this study is to provide fundamental data on the development of ready-to-wear clothes appropriate for the body types of elderly women. The study was conducted targeting 318 elderly women over 60 years of age whose fields of action were colleges for the elderly, sports centers, or business sites in Seoul and the neighboring districts. A total of 44 features in the upper body were used for the anthropometric measurement and analysis using anthropometry and photometry. The results of the study are as follows: 1. Somatotypes were classified into three types according to a cluster analysis using height and weight indices. Type 1 is the group with long and undersized upper body and straight body type since the face of the upper body is long relative to height and width, girth and depth are the smallest relative to weight, the breasts are somewhat fat, with a small extent of drooping and a straight back. Type 2 is the group that is considered fat relative to the body, has broad shoulders, drooping breasts with a wide space between them, and a back-bent upper body. Type 3 is the group that has a bent shape, the shortest upper body relative to height, and showing average obesity factors. 2. Indices of height and weight were used for factor analysis, cluster analysis, and discriminant analysis in order to classify upper body somatotype according to shape while excluding size factors of elderly women＇s upper body somatotype. The same method was used to compare and verify the result according to the absolute measurement and height index. Classification based on height and weight indices demonstrate that such somatotype classification minimizes the personal equation of body shape and it induces better classification based on shape as the results showed the highest cumulative sum of square(CUSUM) at 78.38% while six factors showed the smallest result and the hit rate for the classified three groups showed the highest result at 95.30%.

• Archives of Plastic Surgery
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• 제45권1호
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• pp.37-44
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• 2018

Background Oncoplastic surgery is being increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors should be considered to determine the optimal surgical method. Methods A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty, to restore the breast volume and symmetry. Results The mean weight of the tumor specimens was 40.46 g, and the ratio of the tumor specimen weight to breast volume was 0.12 g/mL in the patients who underwent glandular tissue reshaping (n=59). The corresponding values were 101.47 g and 0.14 g/mL, respectively, in the patients who underwent reduction oncoplasty (n=17), and 82.54 g and 0.20 g/mL, respectively, in those treated with an LD flap (n=32). Glandular tissue reshaping was mostly performed in the upper outer quadrant, and LD flap transposition was mostly performed in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results. Conclusions We report satisfactory outcomes of oncoplastic surgical procedures in Korean patients. The results regarding specimen weight and the tumor-to-breast ratio of Asian patients will be a helpful reference point for determining the most appropriate oncoplastic surgical technique.

• 한국의상디자인학회지
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• 제21권2호
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• pp.95-108
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• 2019

This study aims to determine the characteristics of new senior women's torso shapes. The data was collected from the 7th Size Korea, which analyzed 412 women between the ages of 55-69. A factor analysis was performed based on 20 indices, including eight based on circumference, eight based on height and length measurements, and four based on torso flattening. The results of the factor analysis suggest five main factors: torso silhouette, longitudinal size of the body, torso flattening rate, abdominal shape, and posterior longitudinal size. The results of the cluster analysis suggest three overall types: Type 1 is the inverted triangular obese shape which is characterized by large breasts, small buttocks, a short height, and a forward-bending posture; Type 2 is the rectangular, slim shape which is characterized by a forward neck and a flat front and back of the torso, and is the most slender among the three types; Type 3 is the large rectangular, overall obese shape, which is characterized by a round shape with large breasts, waist, and buttocks, and a forward-bending posture with a protruding back, and this is the most obese type. According to the results of the cross-tabulation, women aged 55-59 showed no trend in body shape; women aged 60-64 showed an increases in the inverted triangular obese shape and the large rectangular, overall obese shape; women aged 65-69 showed an increase in the large rectangular, overall obese shape and a decrease in the rectangular slim shape. In summary, new senior women showed body shape characteristics of being short, more obese having, a bent over posture. As they grew older, the curves disappeared, and the body becomes rounder. The study found that variation in body shape exists among new senior women in the aged society.

• International Journal of Human Ecology
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• 제8권1호
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• pp.19-26
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• 2007

The object of this research was to observe the female college 220 students of aged 19-24 for four years and to examine somatotypes distribution; this research intends to contribute to the fitness of clothes by studying the body distribution that affects the clothing structure. The measurement and wearing experiment for somatotypes are done years annually. The average, standard deviation and coefficient of variation was calculated by the SAS program. The research results are as follows: The three somatotypes of side view silhouette (straight type, bend-forward type, lean-back type) showed fairly even distribution. As a result of dressing experiment with the basic bodice pattern, the most influential factor on its suitability was found to be the neck area, shoulder and ease of bodice respectively. The partial body types to observe were categorized as: shoulder(normal, slope, squared), bust(A cup, B cup, C cup), hips (normal, droop, projecting). As for the result for full body type by BMI, normal type was most dominant, and for the categorization by drop, the type A which is with small breasts and large hips was most prevalent.

• Radiation Oncology Journal
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• 제28권3호
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• pp.177-183
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• 2010

목 적: 유방암 치료를 위한 방사선치료계획에 전산화단층촬영을 이용한 모의치료가 널리 이용되고 있다. 이는 환자 개개인의 해부학적 특징에 기반하여 종양 표적과 정상 조직을 정의할 수 있다. 본 연구는 일반적으로 유방 크기가 작은 한국인 유방암 환자에서 적용하는 방사선치료계획 방법에 따라 치료용적 및 치료범위에 차이가 있는지를 알아보기 위해 시행하였다. 대상 및 방법: 2008년 11월부터 2009년 1월까지 조기유방암으로 유방보존술을 시행 받은 25명의 환자를 대상으로 통상적인 접면조사의 이차원치료 계획과 전산화단층촬영을 기반으로 한 삼차원치료계획을 시행하였다. 이차원 치료계획에서 방사선조사영역의 경계는 유방실질을 촉지하여 결정하였고 위쪽으로는 쇄골의 바로 아래, 내측은 몸의 정중선, 외측은 중심 액와선 그리고 아래쪽은 유방밑주름에서 2 cm 아래에 표시하였다. 삼차원치료계획에서 임상표적체적은 모든 유선 조직을 포함하였고 계획용 표적체적은 임상표적체적에서 피부 쪽을 제외한 모든 방향으로 1 cm의 여유를 두어 결정하였다. 이차원과 삼차원치료계획 간의 조사영역의 경계 차이 및 동등조사영역의 차이를 확인하고 신체질량지수, 폐경 여부 및 유방크기의 관련성을 평가하였다. 그리고 선량분포로 지정한 유방조사량과 삼차원 선량분포에 기반하여 측정된 조사된 폐용적과 심장용적을 평가하였다. 결 과: 2명의 환자를 제외하고 계획용표적체적(PTV)은 삼차원치료계획이 이차원치료계획보다 모든 방향에서 표시한 방사선조사영역을 감소시켰고 위쪽 경계에서 그 차이값이 가장 컸다. 동등조사영역크기는 한 명을 제외하고 삼차원치료계획에서 이차원치료계획에서보다 작았으며(평균 0.9 cm), 신체질량지수, 폐경 여부 및 유방크기(브래지어 사이즈)와의 관련성은 보이지 않았다. 조사된 폐용적은 삼차원치료계획에서 유의하게 감소하였고, 심장용적 또한 감소하였지만 통계적으로 유의한 차이는 보이지 않았다. 결 론: 통상적인 치료계획과 비교하여 전산화단층촬영을 기반으로 한 삼차원치료계획이 작은 유방을 가진 환자에서 방사선조사영역 및 손상위험장기의 조사량을 줄이면서 수술 후 변화를 포함하여 더 정확한 종양치료가 가능할 수 있음을 보여주었다. 그러나 앞으로 임상표적체적의 정의에 대한 추가적인 연구 및 일반적인 합의가 필요하다.