Immediate Implant Reconstruction using Silicone Prosthesis in Breast Cancer Patients after Skin Sparing Mastectomy.

Cho, Young Kyoo; Yang, Jung Dug; Kim, Gui Rak; Chung, Ho Yun; Cho, Byung Chae; Park, Ho Yong

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(6):749-757.
Published online November 1, 2010.

Immediate Implant Reconstruction using Silicone Prosthesis in Breast Cancer Patients after Skin Sparing Mastectomy.

Young Kyoo Cho, Jung Dug Yang, Gui Rak Kim, Ho Yun Chung, Byung Chae Cho, Ho Yong Park

¹Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea. lambyang@paran.com
²Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Abstract

PURPOSE
Since skin sparing mastectomy removes the mammary gland and the nipple-areolar complex preserving all mammary skin, it makes the widespread use of implants in immediate reconstruction. This article reports our experience in immediate breast reconstruction after skin sparing mastectomy by using the silicone implants in patients especially who have small to moderate sized and minimal ptotic breast. METHODS: From September of 2007 to July of 2009, we performed breast reconstruction for 44 breasts of 40 women with silicone implant after mastectomy. Tumors were divided into 5 malignant types (21 IDC, 18 DCIS, 2 ILC, 2 phylloides tumor, 1 mucinous carcinoma). The implant is placed in a submuscular pocket or in a submuscular-subfascial pocket depending upon the condition of the muscles and skin flaps after mastectomy.
RESULTS
The mean age was 47 years and the average follow-up period was 11 months. Cosmetic outcome was assessed by evaluation of photographs and assessment of breast volume and shape, breast symmetry, and overall outcome. About 80% of each of these parameters was scored as good or excellent. Breast complication was developed in a total of 6 cases including 2 capsular contracture, 2 partial skin necrosis due to blue dye injection and 2 implant infection.
CONCLUSION
The use of definitive implants in a skin sparing mastectomy is a one-stage immediate breast reconstruction with low morbidity and acceptable result. This method is considered reliable with favorable aesthetic result.

Keywords: Silicone prosthesis; Immediate implant reconstruction; Skin sparing mastectomy