Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Immediate Direct-To-Implant Breast Reconstruction Using Anatomical Implants

  • Kim, Sung-Eun (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Jung, Dong-Woo (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Chung, Kyu-Jin (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Lee, Jun Ho (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Kim, Tae Gon (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Lee, Soo Jung (Department of Surgery, Yeungnam University College of Medicine) ;
  • Kang, Su Hwan (Department of Surgery, Yeungnam University College of Medicine) ;
  • Choi, Jung Eun (Department of Surgery, Yeungnam University College of Medicine)
  • Received : 2013.09.16
  • Accepted : 2014.04.22
  • Published : 2014.09.15
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Rinker B, Veneracion M, Walsh CP. Breast ptosis: causes and cure. Ann Plast Surg 2010;64:579-84.
  2. Korean Breast Cancer Society. Breast cancer facts & figures [Internet]. Seoul: Korean Breast Cancer Society; c2009 [cited 2014 Jun 20]. Available from: http://www.kbcs.or.kr/.
  3. Hammond DC. Breast augmentation using anatomic implants. Oper Tech Plast Reconstr Surg 2000;7:125-30. https://doi.org/10.1053/otpr.2000.22059
  4. Spear SL, Majidian A. Immediate breast reconstruction in two stages using textured, integrated-valve tissue expanders and breast implants: a retrospective review of 171 consecutive breast reconstructions from 1989 to 1996. Plast Reconstr Surg 1998;101:53-63. https://doi.org/10.1097/00006534-199801000-00010
  5. Weum S, de Weerd L, Kristiansen B. Form stability of the Style 410 anatomically shaped cohesive silicone gel-filled breast implant in subglandular breast augmentation evaluated with magnetic resonance imaging. Plast Reconstr Surg 2011;127:409-13. https://doi.org/10.1097/PRS.0b013e3181f95aba
  6. Maxwell GP, Falcone PA. Eighty-four consecutive breast reconstructions using a textured silicone tissue expander. Plast Reconstr Surg 1992;89:1022-34. https://doi.org/10.1097/00006534-199206000-00003
  7. Fruhstorfer BH, Hodgson EL, Malata CM. Early experience with an anatomical soft cohesive silicone gel prosthesis in cosmetic and reconstructive breast implant surgery. Ann Plast Surg 2004;53:536-42. https://doi.org/10.1097/01.sap.0000134508.43550.6f
  8. Kisner WH. Round versus tear-drop breast prostheses: their superiority when supine. Br J Plast Surg 1977;30:284-6. https://doi.org/10.1016/0007-1226(77)90119-9
  9. Maxwell GP, Gabriel A. The evolution of breast implants. Clin Plast Surg 2009;36:1-13. https://doi.org/10.1016/j.cps.2008.08.001
  10. Heden P, Bronz G, Elberg JJ, et al. Long-term safety and effectiveness of style 410 highly cohesive silicone breast implants. Aesthetic Plast Surg 2009;33:430-6. https://doi.org/10.1007/s00266-009-9360-x
  11. Capozzi A, Pennisi VR. Clinical experience with polyurethane-covered gel-filled mammary prostheses. Plast Reconstr Surg 1981;68:512-20. https://doi.org/10.1097/00006534-198110000-00006
  12. Hester TR Jr, Cukic J. Use of stacked polyurethane-covered mammary implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg 1991;88:503-9. https://doi.org/10.1097/00006534-199109000-00023
  13. Brown MH, Shenker R, Silver SA. Cohesive silicone gel breast implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg 2005;116:768-79. https://doi.org/10.1097/01.prs.0000176259.66948.e7
  14. Baeke JL. Breast deformity caused by anatomical or teardrop implant rotation. Plast Reconstr Surg 2002;109:2555-64. https://doi.org/10.1097/00006534-200206000-00060
  15. Tebbetts JB. Patient acceptance of adequately filled breast implants using the tilt test. Plast Reconstr Surg 2000;106:139-47. https://doi.org/10.1097/00006534-200007000-00027
  16. Niechajev I, Jurell G, Lohjelm L. Prospective study comparing two brands of cohesive gel breast implants with anatomic shape: 5-year follow-up evaluation. Aesthetic Plast Surg 2007;31:697-710. https://doi.org/10.1007/s00266-006-0057-0
  17. Heden P, Jernbeck J, Hober M. Breast augmentation with anatomical cohesive gel implants: the world's largest current experience. Clin Plast Surg 2001;28:531-52.
  18. Tebbetts JB. Warning about a warning about anatomical breast implants. Plast Reconstr Surg 2001;107:1912-7.
  19. Nahabedian MY. AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation. Plast Reconstr Surg 2009;124:1743-53. https://doi.org/10.1097/PRS.0b013e3181bf8087

Cited by

  1. Revisions in Implant-Based Breast Reconstruction: How Does Direct-to-Implant Measure Up? vol.137, pp.6, 2014, https://doi.org/10.1097/prs.0000000000002173
  2. The Comparison of Strattice and SurgiMend in Acellular Dermal Matrix–Assisted, Implant-Based Immediate Breast Reconstruction vol.141, pp.2, 2014, https://doi.org/10.1097/prs.0000000000004018
  3. Prepectoral Implant-Based Breast Reconstruction with Postmastectomy Radiation Therapy vol.142, pp.1, 2018, https://doi.org/10.1097/prs.0000000000004453
  4. Surgical Outcomes of Prepectoral Versus Subpectoral Implant-based Breast Reconstruction in Young Women vol.7, pp.3, 2014, https://doi.org/10.1097/gox.0000000000002119
  5. Two-Staged Implant-Based Breast Reconstruction: A Long-Term Outcome Study in a Young Population vol.55, pp.8, 2014, https://doi.org/10.3390/medicina55080481
  6. Current status of breast implant-associated anaplastic large cell lymphoma in South Korea vol.64, pp.1, 2014, https://doi.org/10.5124/jkma.2021.64.1.5