Breast reconstruction using permanent tissue expanders

D. J. Hunter-Smith, S. W S Laurie

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5 Citations (Scopus)

Abstract

The breast is a variable organ and as such reconstructive surgeons need to use a variety of reconstructive techniques. Prosthetic reconstruction is a good technique for women who are either unsuitable for or not accepting of autogenous tissue reconstruction. We reviewed the last five years' experience at Monash Medical Centre with permanent tissue expander breast reconstruction. Forty patients underwent reconstruction of 54 breasts. Immediate reconstruction was performed in 70% with an overall average patient age of 45 years. The selection criteria, advantages, and disadvantages of this technique are discussed. Inflation of expanders took an average of 71 days and creation of breast mound (excluding nipple/areolar reconstruction) took an average of 2.3 operations. Overall aesthetic results have been judged to be good to excellent in 81%. Symmetry was more easily achieved in bilateral reconstructions. Capsular contracture rate was Baker Grade I or II in 83%. Minor complications occurred in 17% of patients. We believe thai there still exists a significant number of women who are either unsuitable for or not accepting of autogenous tissue reconstruction. It is this group of women who, if well selected, can be reconstructed safely and efficiently by the use of permanent tissue expander breast prosthesis.

Original languageEnglish
Pages (from-to)492-495
Number of pages4
JournalAustralian and New Zealand Journal of Surgery
Volume65
Issue number7
Publication statusPublished - 1995
Externally publishedYes

Keywords

  • breast
  • breast reconstruction
  • implants
  • mammaplasty
  • prosthesis

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