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[Immediate and late reconstruction of the breast using tissue expanders]
F Carramaschi1, R Gemperli, M Speranzini
1Disciplina de Cirurgia Plástica, Faculdade de Medicina, Universidade de São Paulo.
Revista Do Hospital Das Clinicas
|January 1, 1995
Summary
Breast reconstruction using tissue expanders and silicone prostheses yielded good results in 89% of patients. While effective, late complications like capsular contraction can occur.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- Radical modified mastectomies necessitate breast reconstruction.
- Tissue expanders offer a method for breast mound creation.
- Silicone prostheses are commonly used in reconstructive procedures.
Purpose of the Study:
- To evaluate the efficacy of tissue expanders for breast reconstruction.
- To analyze indications, advantages, and complications of the technique.
- To report outcomes of breast reconstruction using tissue expanders and prostheses.
Main Methods:
- A retrospective study of 64 patients undergoing breast reconstruction.
- Use of tissue expanders followed by silicone prosthesis implantation.
- Application in both immediate and delayed reconstruction settings.
Main Results:
- Successful reconstruction achieved in 89% of cases.
- The technique demonstrated good aesthetic and functional outcomes.
- Identified late complications included capsular contraction.
Conclusions:
- Tissue expander-based breast reconstruction is a viable option.
- The procedure offers a valid solution for post-mastectomy patients.
- Awareness of potential late complications is crucial for patient management.