Primary augmentation with anatomical implant

Jinseok Park, MD, PhD

Parkjinseok Aesthetic Clinic

breastpark@naver.com

After the approval of the cohesive silicone gel implant by KFDA, I have used round textured cohesive gel implants about 80% of my patients. Underfilled round textured implant made more ripples than smooth implants.

The Natrelle 410 shaped, form-stable silicone gel implant was introduced in Europe in 1993. Its “"form stability”" relates to increased cohesivity or stiffness of the gel filler, allowing the implant to maintain its shape in the upright position. This form stability is helpful for reducing ripples.

The highly cohesive anatomical shaped implant provides more natural looking due to less upper pole fullness, so it has some benefits for the thin patients. And it provides more expansion to the lower pole, it has also benefits for the ptotic breasts or lower pole constricted breasts.

The possibility of rotation is additional possible complications. So the pocket for shaped implant should be made precisely. I think the first recommendable site of incision is inframammary fold.

For better result with Natrelle 410, I would like to recommend Dr Randquist formula because he has had lots of experiences with this implant for 16 years. As experiences accumulate, I can modify and improve his method for Korean ladies rather than western patients.

I would like to share my several experiences of Natrelle 410 in this Allergan Academy.

My present priorities for Natrelle 410 are

1. IMF incision

①　New IMF location is decided by implant width.

②　Making dual plane

③　Closing without tension

2. Making dry pocket by preventive hemostasis

3. Making precise pocket

4. Using nipple shield and Tegaderm for incision site

5. Using Keller funnel for inserting larger than 350g.

6. Using lubricant.

7. Prohibition of strong Pectoralis exercise during 8 weeks