Post-mastectomy breast reconstruction using the inflatable tissue expander

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Traditional breast reconstruction methods include silicone implants or myocutaneous flaps.
• Soft tissue coverage is critical for successful implant-based reconstruction.

Purpose of the Study:

• To evaluate the efficacy and safety of the inflatable tissue expander for breast reconstruction.
• To assess its use in cases with inadequate soft tissue cover for standard implants.

Main Methods:

• The study involved 26 patients undergoing immediate or delayed breast reconstruction.
• Serial saline inflation of the tissue expander created adequate soft tissue coverage.
• A silicone prosthesis was subsequently placed for final reconstruction.

Main Results:

• Good to excellent subjective and objective cosmetic results were achieved.
• Low complication rates: two technical issues and three mechanical failures.
• Successful reconstruction was possible even with prior radiotherapy or immediate post-mastectomy procedures.

Conclusions:

• The inflatable tissue expander is a simple, safe, and effective option for breast reconstruction.
• It provides a viable alternative when soft tissue is insufficient for silicone implants.
• It is suitable for both immediate and delayed reconstruction, offering good cosmetic outcomes.