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KMID : 1037220200260030118
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Archives of Aesthetic Plastic Surgery
2020 Volume.26 No. 3 p.118 ~ p.120
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An alternative method to create a breast mound after tissue expander insertion: The modified Goldilocks technique
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Jeon Dong-Nyeok
Min Kyung-Hyun
Han Hyun-Ho
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Abstract
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With the recent increase in reported cases of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), fears of breast implants have increased. In particular, some patients now desire expander removal without implant insertion. In the case described herein, a 41-year-old female patient who had undergone a skin-sparing mastectomy with expander insertion due to breast cancer requested expander removal due to fear of BIA-ALCL during expansion. The authors modified the Goldilocks technique to prevent a chest wall deformity due to expansion. The expanded skin was sufficiently thick, as it was engrafted with acellular dermal matrix, and some of it was de-epithelized and rolled in. The patient’s chest wall depression was completely corrected and an acceptable breast mound was created. To summarize, this technique was used to correct a chest wall deformity and to form a breast mound in a patient who underwent expander removal without implant insertion.
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KEYWORD
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Acellular dermis, Tissue expansion devices, Breast implant, Breast mound
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