Arch Plast Surg.  2014 Sep;41(5):529-534. 10.5999/aps.2014.41.5.529.

Immediate Direct-To-Implant Breast Reconstruction Using Anatomical Implants

• Kim SE
• Jung DW
• Chung KJ
• Lee JH
• Kim TG
• Kim YH
• Lee SJ
• Kang SH
• Choi JE

• KMID: 2267654
• DOI: http://doi.org/10.5999/aps.2014.41.5.529

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.

Keyword

Breast implants; Breast implantation; Mammoplasty; Mastectomy; Breast neoplasms

MeSH Terms

Acellular Dermis
Breast
Breast Implantation
Breast Implants
Breast Neoplasms
Contracture
Esthetics
Female
Hematoma
Humans
Korea
Mammaplasty*
Mastectomy
Seroma
Silicone Gels
Skin
Wounds and Injuries
Silicone Gels