Immediate Direct-To-Implant Breast Reconstruction Using Anatomical Implants.
10.5999/aps.2014.41.5.529
- Author:
Sung Eun KIM
1
;
Dong Woo JUNG
;
Kyu Jin CHUNG
;
Jun Ho LEE
;
Tae Gon KIM
;
Yong Ha KIM
;
Soo Jung LEE
;
Su Hwan KANG
;
Jung Eun CHOI
Author Information
1. Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea. junojunho@gmail.com
- Publication Type:Original Article
- Keywords:
Breast implants;
Breast implantation;
Mammoplasty;
Mastectomy;
Breast neoplasms
- MeSH:
Acellular Dermis;
Breast;
Breast Implantation;
Breast Implants;
Breast Neoplasms;
Contracture;
Esthetics;
Female;
Hematoma;
Humans;
Korea;
Mammaplasty*;
Mastectomy;
Seroma;
Silicone Gels;
Skin;
Wounds and Injuries
- From:Archives of Plastic Surgery
2014;41(5):529-534
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In 2012, a new anatomic breast implant of form-stable silicone gel was introduced onto the Korean market. The intended use of this implant is in the area of aesthetic breast surgery, and many reports are promising. Thus far, however, there have been no reports on the use of this implant for breast reconstruction in Korea. We used this breast implant in breast reconstruction surgery and report our early experience. METHODS: From November 2012 to April 2013, the Natrelle Style 410 form-stable anatomically shaped cohesive silicone gel-filled breast implant was used in 31 breasts of 30 patients for implant breast reconstruction with an acellular dermal matrix. Patients were treated with skin-sparing mastectomies followed by immediate breast reconstruction. RESULTS: The mean breast resection volume was 240 mL (range, 83-540 mL). The mean size of the breast implants was 217 mL (range, 125-395 mL). Breast shape outcomes were considered acceptable. Infection and skin thinning occurred in one patient each, and hematoma and seroma did not occur. Three cases of wound dehiscence occurred, one requiring surgical intervention, while the others healed with conservative treatment in one month. Rippling did not occur. So far, complications such as capsular contracture and malrotation of breast implant have not yet arisen. CONCLUSIONS: By using anatomic breast implants in breast reconstruction, we achieved satisfactory results with aesthetics better than those obtained with round breast implants. Therefore, we concluded that the anatomical implant is suitable for breast reconstruction.
