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KMID : 0614720110540010051
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Journal of Korean Medical Association
2011 Volume.54 No. 1 p.51 ~ p.60
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Breast reconstruction using implants
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Ahn Sang-Tae
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Abstract
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Since the early detection rate of breast cancer is increasing and skin- or nipple-sparing mas-tectomies 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 reconstruc-tion. 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 reconstruc-tion is not indicated because of decreased skin flap circulation and increased implant related complications. Although autologous tissue reconstruction is known to produce natural and aes-thetic 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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KEYWORD
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Breast reconstruction, Tissue expansion devices, Breast implants
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