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Updated: Feb 4, 2026
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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Tissue Expander Complications Do Not Preclude a Second Successful Implant-Based Breast Reconstruction
Louis H Poppler1, Minh-Bao Mundschenk1, Andrew Linkugel1
1From the Division of Plastic and Reconstructive Surgery, Washington University in St. Louis School of Medicine.
Plastic and Reconstructive Surgery
|October 11, 2018
Summary
Women experiencing tissue expander complications can have successful implant-based breast reconstruction on a second attempt. This study shows high long-term success rates, with no factors preventing a repeat procedure.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- Implant-based breast reconstruction is common in the US.
- Outcomes after tissue expander complications are understudied.
- Long-term implant loss incidence requires investigation.
Purpose of the Study:
- Determine long-term implant loss rates after tissue expander complications.
- Identify risk factors for subsequent complications or reconstructive failure.
Main Methods:
- Retrospective review of patients with tissue expander complications (2003-2013).
- Comparison of patients with and without further complications.
- Assessment of risk factors for additional complications or implant loss.
Main Results:
- 162 women included; mean follow-up 8.3 years.
- 30% underwent a second tissue expander/implant placement.
- 79% achieved successful implant-based reconstruction; no significant risk factors identified.
Conclusions:
- A second attempt at tissue expansion/implant placement is reasonable after complications.
- High long-term success rates support repeat implant-based breast reconstruction.
- No definitive patient or surgical factors preclude a second attempt.
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