Thoughts on product development

Product developed with medical staff and about 40 monitors

Currently, about 90,000 people suffer from breast cancer annually, and breast reconstruction with implants has been covered by insurance since 2013. As a result, the number of people undergoing breast reconstruction surgery is increasing year by year.
After breast reconstruction, it takes days for the swelling of the patient's breast to subside, and there has never been an inexpensive brassiere that can be used practically due to the difference between the left and right breasts. From the desire to create a brassiere that can be used by breast reconstruction patients and that can be used even after that, we spoke directly to Dr. Akisei Takeishi, a plastic surgeon who was a pioneer in breast reconstruction surgery, and female healthcare professionals and breast reconstruction patients 40. With the cooperation of the name, the products that have been completed after 20 trials in 2 years are Lulufitand Emerita (patented product) .
Dr. Takeishi, who gave us advice on development, commented on the developed product.

Profile of Dr. Akisei Takeishi

Studied at UCLA and received direct guidance from Professor William Shaw, a pioneer in breast reconstruction through autologous tissue transplantation.
He has undergone breast reconstruction surgery for both autologous tissue and implants, with more than 1,000 reconstruction cases. In his own organization, he devised a "breast reconstruction MT type weighing system".

Chairman, Breast Reconstruction Research Institute
Visiting Professor, Plastic Surgery, Juntendo University
Part-time Lecturer, Plastic Surgery, Tokyo Medical University
Shizuoka Prefectural Shizuoka Cancer Center Reconstructive Plastic Surgery Special Part-time

"Breast reconstruction" for patients after breast cancer surgery to lead a better life

I strongly sympathized with Dr. William W. Shaw, a plastic surgeon who studied at UCLA, where he studied abroad, for his sincere attitude toward reconstructive medicine 30 years ago. It was an opportunity to aspire to breast reconstruction. "Is it okay for patients to live with a complex as long as they save their lives? If there is medical care that saves lives, there should be medical care to live happily with that life." This philosophy of breast reconstruction presented by Dr. Shaw is still my backbone.
My mission is to convey to young teachers the techniques and philosophies I learned from Dr. William Shaw, and my experience of breast reconstruction that I have cultivated over the next 30 years, to nurture younger generations and broaden the base of breast reconstruction. , I am working hard every day.

Bra specializing in breast reconstruction
About Rurufit

Breasts after reconstructive surgery have swelling and decreased sensation. Therefore, with a normal brassiere, the feeling of tightening is strong and it feels painful. Further compression of the reconstructed breast can impair postoperative new capillaries.

The reconstructed breast continues to recover even after the surface wound has healed. A typical change is capillary angiogenesis that occurs in the reconstructed breast. Capillaries are cut during breast cancer surgery and reconstructive surgery and regenerated after surgery.
Breasts reconstructed by autologous tissue transplantation have the original blood circulation of the transplanted tissue, so even if some pressure is applied after the surface wound is healed, they will not die.

However, the original blood circulation alone cannot reproduce a sufficiently soft breast. Capillaries are also important for regaining a sufficiently soft breast. By regenerating the capillaries, the transplanted tissue becomes richer in blood circulation and regains its original softness.
Capillary regeneration is completed within a few months after surgery. If you press on the reconstructed breast with a brassiere that is not in time, the capillaries will not regenerate.
Capillaries are delicate tissues that can be impaired in regeneration even with light pressure, as evidenced by the whitening of the nails when lightly pressed with a finger. Postoperatively reconstructed breasts are dull and may not be noticed by the individual.

Lulufit is a brassiere developed to eliminate the discomfort caused by tightening on the swelling and desensitized breasts and not to impair capillary angiogenesis due to compression. Lulufit is a brassiere specializing in breast reconstruction that realizes a "wearing" feeling that does not press the breast by devising the material of the fabric, sewing and hooks.

You can adjust the difference between the left and right breasts after reconstruction.
About Emerita (patented product)

The breast originally has a slight laterality in size and shape. However, the reconstructed breast may have a different laterality than it did before breast cancer surgery. Implants in particular are off-the-shelf products, and although there are many types, there are restrictions on the shape and size.

Due to age changes, the effects of childbirth and breastfeeding, and those who have a large breast at a young age, there are many cases where the lower part of the breast is below the underline, the so-called drooping state. Reconstruction of the implant is difficult to reconstruct the ptosis, and if the under position is aligned, there will be a difference in appearance between the left and right. Also, if you match the appearance position, there will be a left-right difference in the under position. Even if the ptosis can be reproduced, it may become difficult to maintain the ptosis over the years after surgery.

Even if you wear a normal brassiere in such a state, the difference between the left and right appearance may not be improved. Especially when the under position of the reconstructed breast is shifted downward, the brassiere will be in the under position on the healthy side depending on the anatomical skeletal condition when wearing a normal brassiere.
On the reconstruction side, the wire presses against the skin and implant while the under part of the brassiere rests on the reconstruction breast. If this condition persists for many years, it can damage the skin and cause the implant to break, which can lead to future exposure or damage to the implant.

Emerita is a brassiere developed to adjust the laterality caused by this reconstruction process without straining the breast. Emerita can adjust the top and bottom of the left and right under positions and the length of the wire separately, so it does not overload the reconstructed breast. Also, unlike a general pad, the size and position of the pad can be adjusted according to the difference between the left and right after reconstruction, so the difference between the left and right looks is also improved.

About breast cancer

Avoire wants to not only sell its products, but also engage in a variety of activities to help breast cancer patients. This time, we interviewed Dr. Shigehiko Mizuta, the director of the Paddy Breast Clinic, about breast cancer. Breast cancer is said to be the most common cancer among women, and the number of patients is increasing year by year. I hope many people will know the current situation of breast cancer.

Profile of Dr. Shigehiko Mizuta

Graduated from Osaka Medical University
Kyoto Prefectural University of Medicine Second Surgery Department
Kyoto Prefectural University of Medicine Second Surgery Work
Kyoto Prefectural University of Medicine Second Surgery Work
Kyoto Prefectural University of Medicine Endocrine and Breast Surgery Assistant Professor
Paddy Breast Clinic Opened
Kyoto Prefectural University of Medicine Endocrine and Breast Surgery Visiting Lecturer

Certified Doctor
Japanese Surgery Society Instructor / Japanese Surgery Society Specialist / Japan Breast Cancer Society Specialist / Cancer Treatment Certified Doctor

Comment from Dr. Mizuta

The incidence of breast cancer in Japan is increasing year by year. The causes are diverse, including increased childbirth age, short lactation periods, alcohol drinking, smoking, and stress. Since the transition to 1998, the number of breast cancer cases in Japan has been the highest.

Breast cancer is found in people in their twenties, so if you have breast cancer related to your blood, such as your mother or aunt, you should have regular breast cancer screening in your twenties. Highly recommended. Previously, a characteristic of breast cancer in Japan was that it peaked in women in their 40s, but in recent years it has become more common in women in their 60s, as in Europe and the United States. In other words, it can be said that it is a cancer that develops in a wide range of age groups.

Breast cancer has a large number of cases, but it is a cancer that can save lives with a very high probability if it can be detected early. For early detection, palpation alone is not enough, and we strongly recommend that you undergo breast cancer screening by mammography and ultrasonography.
There is currently no definitive preventive measure. The best preventive measure is to have an annual breast cancer image screening to detect cancer at an early stage.