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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)
  • 투고 : 2013.09.16
  • 심사 : 2014.04.22
  • 발행 : 2014.09.15

초록

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.

키워드

참고문헌

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피인용 문헌

  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