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Breast reconstruction using permanent tissue expanders

D J Hunter-Smith1, S W Laurie

  • 1Department of Plastic and Reconstructive Surgery, Monash Medical Centre, Clayton, Victoria, Australia.

The Australian and New Zealand Journal of Surgery
|July 1, 1995
PubMed
Summary
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Permanent tissue expander breast reconstruction offers good to excellent aesthetic results for many women. This technique provides a safe and effective option for those unsuitable for or preferring not to use autogenous tissue reconstruction.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Breast reconstruction aims to restore aesthetics and symmetry after mastectomy.
  • Autogenous tissue reconstruction is not suitable for all patients.
  • Prosthetic reconstruction offers an alternative for selected patients.

Purpose of the Study:

  • To review the experience with permanent tissue expander breast reconstruction.
  • To evaluate the safety, efficacy, and aesthetic outcomes of this technique.

Main Methods:

  • Retrospective review of 54 permanent tissue expander breast reconstructions over five years.
  • Analysis of patient demographics, surgical procedures, complication rates, and aesthetic outcomes.
  • Inclusion of selection criteria, advantages, and disadvantages.

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Main Results:

  • 40 patients underwent 54 breast reconstructions, with 70% immediate reconstructions.
  • Average patient age was 45 years; average inflation time was 71 days.
  • 81% achieved good to excellent aesthetic results, with 83% experiencing minimal capsular contracture (Baker Grade I or II).

Conclusions:

  • Permanent tissue expander breast reconstruction is a safe and effective option for carefully selected patients.
  • It provides a viable alternative for women unsuitable for or unwilling to undergo autogenous tissue reconstruction.
  • The technique yields high rates of patient satisfaction and good aesthetic outcomes.