Immediate breast reconstruction in two stages using textured, integrated-valve tissue expanders and breast implants: a retrospective review of 171 consecutive breast reconstructions from 1989 to 1996

Plastic and Reconstructive Surgery
Scott L Spear, A Majidian

Abstract

A 7-year experience with 171 consecutive immediate breast reconstructions by one surgeon using a textured integrated-valve tissue expander was reviewed. All patients were reconstructed in multiple stages using a temporary biodimensional tissue expander followed months later by a long term implant. There was one (0.6 percent) spontaneous expander deflation that was replaced. Two (1.2 percent) expanders were removed for infection, and one was removed electively. Fourteen patients (8 percent) had flaps as well as expanders. Initially, expanders were replaced with silicone gel-filled and round saline-filled implants. Later, expanders were replaced mostly with anatomically designed textured saline-filled implants. Of the 171 expanders, 139 were thus ultimately followed by such anatomic designs. Seven (4 percent) of the implants were replaced because of deflation over 7 years. Five patients were lost to follow-up during the expansion phase of their reconstruction. Thirteen percent of these reconstructions received local radiation either before, during, or after expansion. There were a total of five (2.9 percent) significant capsular contractures, with four of them occurring in radiated patients. Ninety-eight percent of a subgroup of ...Continue Reading

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Citations

Mar 14, 2008·Aesthetic Plastic Surgery·S L SpearN G Menon
Jun 7, 2008·Aesthetic Plastic Surgery·R Yanko-ArziM Brezis
Jan 22, 2009·Aesthetic Plastic Surgery·Federico Mayo, Maria González Vecino
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Aug 24, 1999·Plastic and Reconstructive Surgery·N Handel
Nov 30, 1999·Plastic and Reconstructive Surgery·J J DisaD A Hidalgo
Apr 1, 2000·Plastic and Reconstructive Surgery·S L SpearC Hess
Jan 12, 2002·Plastic and Reconstructive Surgery·Norma BaciliousDavid A Hidalgo
Jan 31, 2002·Plastic and Reconstructive Surgery·Marguerite E Aitken, Thomas A Mustoe
Jun 5, 2002·Plastic and Reconstructive Surgery·Roger E De Filippo, Anthony Atala
Mar 7, 2003·Plastic and Reconstructive Surgery·Ngi-Wieh Yii, Christopher T K Khoo
Jul 2, 2003·Plastic and Reconstructive Surgery·Scott L SpearJason C Ganz
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Aug 1, 2009·Plastic and Reconstructive Surgery·James D Namnoum
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Mar 26, 2010·Plastic and Reconstructive Surgery·Scott L Spear, Mitchel Seruya
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