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J Korean Med Assoc. 2011 Jan;54(1):51-60. Korean. Original Article.
Ahn S .
Department of Plastic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.

Since the early detection rate of breast cancer is increasing and skin- or nipple-sparing mastectomies have become popularized recently, the need for breast reconstruction using implants is continuously increasing. Simplicity of surgical techniques, short operation time, short hospital stay, short recovery time, no need for donor site defects and scars, and reconstruction with tissue of same color, texture, and sensation are the main advantages of implant reconstruction. However, reconstructed breasts using implants tend to be less natural and ptotic, sensitive to external temperature, unable to adapt to the normal aging process of the breast, and may have implant related complications. In patients with postoperative radiation, implant reconstruction is not indicated because of decreased skin flap circulation and increased implant related complications. Although autologous tissue reconstruction is known to produce natural and aesthetic breasts, similar results can be achieved by implant reconstruction when it is well indicated and performed with appropriate techniques by experienced surgeons. Implant reconstruction is best suited for young, active women with small round breasts and slender bodies.

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