Poland's deformity reconstructions with a customized, extrasoft silicone prosthesis

Chest and breast reconstruction with a customized prosthesis in 5 patients with Poland's syndrome are presented. The customized, textured silicone prostheses are fabricated from an extrasoft silicone polymer that more closely approximates the softness of natural tissue. Two women and three men underwent the reconstructive procedure. Both women had composite implants made of the solid, extrasoft polymer in the superior portion and silicone gel with a saline fill option for the breast portion. The men were reconstructed with solid, textured prostheses that filled the various chest deficiencies and irregularities of their Poland's deformity. Seroma formation was seen in 2 patients and needle aspirations were required to resolve the problem. All patients have comfortable, soft, and aesthetically acceptable results after a mean of 5 years. The reconstructive technique presented with this initial group of patients is a simple, alternative procedure to the more complex surgery of muscle transposition. The extrasoft polymer is an advance in implant technology that merits consideration for use in a customized prosthesis when reconstructing patients with Poland's syndrome deformity.