PURPOSE: Predicting the change in breast size for a specific patient's need is a challenging problem in breast augmentation. We intended to investigate the post-augmentation degree of breast size according to the size of cohesive silicone gel implant. METHODS: To predict post-augmentation breast size, we measured 100 patients' pre-and postoperative 3 month's bust circumference. All patients were performed by total subfascial breast augmentation with moderate profile cohesive silicone gel implant through areolar omega (transareolar-perinipple) incision. RESULTS: According to this study, each additional one pair of 100mL in implant size yielded an approximate 1.5cm increase in bust circumference(p=0.006). CONCLUSION: From this result, we conclude that each additional one pair of 100mL in implant volume yielded about 1.5cm increase in bust circumference. Although this result may not be applied to every patient, we believe that it yields a practical chart that can help to predict the amount of increase in breast size with the use of cohesive silicone gel implant of a specific size preoperatively.
Breast ; Humans ; Silicone Gels

No abstract available.
Fungi ; Silicone Gels

No abstract available.
Female ; Mammaplasty* ; Prostheses and Implants* ; Rupture* ; Silicone Gels*

Keloids are benign fibrcus growths which extend beyond the original wound and rarely regress. Available methods of treatment include surgical excision, radiotherapy, intralesional steroid injection, cryotherapy, systemie. chemotherapy, zinc tape strapping, pressure, silicon gel and combined therapy. Postoperative irradiation is a useful and effective method of eradication or prevent.ion of keloid. We describe two cases of the prevention of keloids associated with postoperative irradiation.
Cryotherapy ; Drug Therapy ; Keloid* ; Radiotherapy ; Silicone Gels ; Wounds and Injuries ; Zinc

Success of skin grafts depends on sufficient immobilization and early intervention for hematoma, seroma, or infection. To stabilize and cover skin grafts with a tie-over technique was used with translucent silicone gel sheet on flat surface. Skin defect was resurfaced with skin grafts. A sterile silicone gel sheet was placed over the skin graft. Gel was fixed to the wound edges with skin sutures. Skin graft healed without any complications. Using silicone gel sheet in skin graft on flat surface is an effective method for stabilization, which also allows direct visualization of the graft designed to inspect hematoma-like complications.
Bandages* ; Early Intervention (Education) ; Hematoma ; Immobilization ; Seroma ; Silicone Gels* ; Skin* ; Sutures ; Transplants* ; Wounds and Injuries

BACKGROUND: Rupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants. METHODS: We performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone), duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management. RESULTS: Forty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case), microfat graft (2 case), removal only (14 case), and follow-up loss (17 case). CONCLUSIONS: Saline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs.
Breast Implantation ; Breast Implants* ; Contracture ; Diagnosis ; Follow-Up Studies ; Retrospective Studies* ; Rupture ; Silicone Gels ; Transplants

Silicone gel sheets are widely used to treat keloids and hypertrophic scars. Scarclinic(TM) is a type of silicone gel sheet developed in Korea, and has been shown to improve the appearance of scars. However, Scarclinic(TM) has demerits that include weak adhesiveness, a color that differs from skin, and too great a thickness. Scarclinic-thin(TM) was recently developed with these disadvantages in mind. The purpose of this pilot study was to compare the effects of Scarclinic-thin(TM) and Scarclinic(TM) on scar appearance and wearer's comfort. From April 2010 to May 2010, Scarclinic-thin(TM) and Scarclinic(TM) were applied to treat a single scar in each of 8 patients. One half of each scar was treated with Scarclinic-thin(TM) and the other with Scarclinic(TM). After 3 months, scar quality and wearer's comfort were evaluated using the Vancouver Scar Scale(VSS) and an objective self-assessment scale (OSAS). Mean Vancouver Scar Scale scores for Scarclinic(TM) and Scarclinic-thin(TM) at 3 months were 3.4+/-1.3 and 3.3+/-2.0, respectively, and mean objective self-assessment scale scores were 21.7+/-4.5 and 22.3+/-2.9, respectively. No statistically significant difference was observed between Scarclinic(TM) and Scarclinic-thin(TM) in terms of Vancouver Scar Scale or objective self-assessment scale scores(p=0.83 and 0.70, respectively). Scarclinic-thin(TM) and Scarclinic(TM) are similar in terms of their scar improving effects and wearer's comfort.
Adhesiveness ; Cicatrix ; Cicatrix, Hypertrophic ; Humans ; Keloid ; Korea ; Pilot Projects ; Self-Assessment ; Silicone Gels ; Skin

The perfect breasts are supposed to be symmetrically balanced and proportionate to the rest of the body with softness, good-position, and mobility to respond to gravity and postural change. But saline filled implants have some disadvantages compared to silicone gel implant. Their low viscosity creates an unnatural feeling and suboptimal aesthetic result, their deflation offers the most important complication such as rippling or size reduction of breast. Therefore precise preoperative design, exact procedure and appropriate postoperative care are essential to optimal result. In past 5 years, we have performed the transaxillary subpectoral augmentation mammaplasty using saline filled implants on 183 female patients whose breasts were hypoplastic and followed up 58 months maximally. All patients were assisted with endoscopy. We employed round, textured type implant with the size ranging from 120cc to 270 cc and overinflated them 10 to 20% beyond its original volume. The overall result was satisfactory but some cases of capsular contracture, deflation, implant displacement and infection were found. On the basis of our experience, we suggest some critical points so as to obtain the best result: what conforms to the patients anatomy and satisfies her goal at the same time. First of all, preoperative design in accordance with the dimension is very important. The best dimension for each patient depends on the definition of the ideal base width of the breast. Secondly, exact subpectoral dissection using endoscopy, no-touch technique for the implant is essential to achieve excellent results. Finally, postoperative self management must not be ignored.
Breast ; Contracture ; Endoscopy ; Female ; Gravitation ; Humans ; Mammaplasty* ; Postoperative Care ; Self Care ; Silicone Gels ; Viscosity

BACKGROUND: Nipple-sparing mastectomy (NSM) is gaining popularity due to its superior aesthetic results. When reconstructing the breast with free abdominal tissue transfer, we must readdress the recipient vessel, because NSM can cause difficulty in access to the chest vessel. METHODS: Between June 2006 and March 2011, a total of 92 women underwent NSM with free abdominal tissue transfer. A lateral oblique incision was used for the nipple-sparing mastectomy. For recipient vessels, the internal mammary vessels were chosen if the mastectomy flap did not block access to the vessels. If it did, the thoracodorsal vessels were used. Age, degree of breast ptosis, weight of the mastectomy specimen, and related complications of the internal mammary vessel group and the thoracodorsal vessel group were compared. RESULTS: Thoracodorsal vessels were used as recipient vessels in 59 cases, and internal mammary vessels in 33 cases including 4 cases with perforators of the internal mammary vessels. Breast reconstruction was successful in all cases except one case involving a total flap failure, which was replaced by a silicone gel implant. The internal mammary group and the thoracodorsal group were similar in terms of age, height, breast weight, and degree of ptosis. The flap related complications such as flap loss and take-back operation rates were not significantly different between the two groups. The rate of nipple necrosis was higher in the internal mammary group. CONCLUSIONS: The thoracodorsal vessels could produce comparable outcomes in breast reconstruction after nipple-sparing mastectomies. If access to internal mammary vessels is difficult, the thoracodorsal vessel can be a better choice.
Breast ; Female ; Free Tissue Flaps ; Glycosaminoglycans ; Humans ; Mammaplasty ; Mastectomy ; Necrosis ; Nipples ; Silicone Gels ; Thorax

Keloids are benign fibrous tumors which extend beyond the original wound. Methods of treatment include surgical excision, radiotherapy, intralesional steroid injection, cryotherapy, silicon gel and combined therapy. Postoperative irradiation or steroid injection could be an effective method for prevention of recurrence after surgical treatment. We report a case of earlobe keloid which occurred after ear piercing. It was treated by excision and saved autograft using the overlying skin of the keloid and then immediate corticosteroid intrawound injection after excision.
Autografts* ; Body Piercing ; Cryotherapy ; Keloid* ; Radiotherapy ; Recurrence ; Silicone Gels ; Skin ; Wounds and Injuries