title: Immediate direct-to-implant breast reconstruction using anatomical implants.
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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Sung-Eun
authors.initials: SE
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Dong-Woo
authors.initials: DW
authors.lastname: Jung
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Kyu-Jin
authors.initials: KJ
authors.lastname: Chung
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Jun Ho
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Tae Gon
authors.initials: TG
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Yong-Ha
authors.initials: YH
authors.lastname: Kim
authors.affiliation: Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Soo Jung
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Su Hwan
authors.initials: SH
authors.lastname: Kang
authors.affiliation: Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Jung Eun
authors.initials: JE
authors.lastname: Choi
keywords: Breast implantation; Breast implants; Breast neoplasms; Mammoplasty; Mastectomy