Use of a permanent tissue expander for breast reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Tissue expansion is a recognized surgical approach for breast reconstruction.
• The second-generation permanent reverse double-lumen expander represents an advancement in this technique.

Purpose of the Study:

• To evaluate the clinical benefits and patient outcomes of using permanent tissue-expanding prostheses in breast reconstruction.
• To assess complication rates and overall efficacy of this method.

Main Methods:

• A series of 100 breast reconstructions were performed using permanent tissue expanders.
• The study included both delayed (75) and immediate (25) reconstructions following mastectomy for malignant and premalignant conditions.
• Follow-up extended up to 3 years.

Main Results:

• The use of permanent tissue expanders resulted in moderate mound ptosis and reduced pain during expansion.
• Significant advantages included cost savings, elimination of a second procedure and anesthetic, and high patient satisfaction.
• Observed complications included infection (3%), capsular contracture (4%), and implant failure (3%).

Conclusions:

• Permanent tissue-expanding prostheses are a viable and beneficial alternative in reconstructive breast surgery.
• The method demonstrates clear advantages, a low rate of significant complications, and high patient acceptance.
• Reconstruction was achievable in all cases despite minor complications.