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Breast reconstruction utilizing subcutaneous tissue expansion followed by polyurethane-covered silicone implants: a
J S Artz1, M I Dinner, M A Foglietti
1Plastic Surgery, Inc., Cleveland, Ohio 44122.
Plastic and Reconstructive Surgery
|October 1, 1991
Abstract:
Reconstruction of the breast after modified radical mastectomy can be safely and adequately performed in the subcutaneous plane. Placement of a subcutaneous tissue expander (as either an immediate or a delayed procedure), rapid expansion over a 3- to 4-month period, capsulotomy, and placement of a polyurethane-coated implant have led to satisfactory results over a 6-year period. Breast reconstruction methods are well documented; however, the utilization of expanded subcutaneous chest wall skin has not been reported heretofore.