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Eighty-four consecutive breast reconstructions using a textured silicone tissue expander.

G P Maxwell1, P A Falcone

  • 1Institute for Aesthetic and Reconstructive Surgery, Baptist Hospital, Nashville, Tenn.

Plastic and Reconstructive Surgery
|June 1, 1992
PubMed
Summary
This summary is machine-generated.

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Textured silicone breast tissue expanders significantly reduce complications like capsular contracture and displacement compared to smooth expanders. This innovation simplifies breast reconstruction, leading to better aesthetic outcomes with fewer procedures.

Area of Science:

  • Plastic Surgery
  • Biomaterials Science

Background:

  • Smooth-surface silicone tissue expanders for breast reconstruction present challenges including capsular contracture, displacement, infection, and pain.
  • Remote fill valves associated with smooth expanders can also lead to complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of a novel textured-surface silicone expander with an integrated fill valve in breast reconstruction.
  • To compare the outcomes of textured expanders against known issues with smooth expanders.

Main Methods:

  • Eighty-four consecutive breast reconstructions were performed using textured silicone expanders by a single surgeon.
  • Intraexpander pressures were measured during the expansion process.
  • Patient charts, photographs, and procedural data were collected and notarized.

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Main Results:

  • Eighty-one reconstructions were completed with minimal complications and no expander losses.
  • Average tissue expander volume was 580 cc, with an average expansion duration of 5.6 months.
  • 84% of reconstructions were completed in two procedures, with 17 long-term adjustable expander/implants requiring only one operation.

Conclusions:

  • Textured-surface silicone expanders with integrated fill valves simplify breast reconstruction and reduce complications associated with smooth expanders.
  • These textured expanders facilitate easy expansion with minimal patient discomfort, creating a soft tissue envelope for implants.
  • The use of textured expanders leads to aesthetically pleasing breast reconstructions with improved patient outcomes.