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KMID : 1037220230290020089
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Archives of Aesthetic Plastic Surgery
2023 Volume.29 No. 2 p.89 ~ p.96
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Technical approach and clinical outcomes of delayed two-stage tissue expander/implant breast reconstruction: a single-institution experience
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Kang Myeong-Jae
Lee Jung-Ho
Jeon Hyeon-Jun
Ryu Jeong-Yeop
Lee Joon-Seok
Choi Kang-Young
Chung Ho-Yun
Cho Byung-Chae
Lee Jee-Yeon
Park Ho-Yong
Yang Jung-Dug
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Abstract
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Background : Immediate breast reconstruction after mastectomy can be challenging in some patients for medical or oncological reasons. Delayed two-stage tissue expander/implant breast reconstruction is a reliable option for these patients. However, data regarding surgical techniques, outcomes, and complication rates are limited. This study reports our experience using the two-stage tissue expander/implant procedure for delayed breast reconstruction.
Methods : This retrospective study included 32 patients (34 breasts) who underwent delayed two-stage tissue expander/implant breast reconstruction at our institution from January 2018 to July 2022. We summarized the techniques used in the procedure and evaluated the 1-year postoperative outcomes and complication rates.
Results : The mean time from mastectomy to expander insertion was 210±25 days, and 8.2±2.3 additional expansions were required prior to the implant insertion. The mean time of tissue expansion was 187±15 days, and the mean volume of expansion was 495±31 mL. No major complications occurred that required reoperation, and the patients were highly satisfied with the surgical results.
Conclusions : Although delayed two-stage tissue expander/implant breast reconstruction resulted in satisfactory outcomes, consensus regarding the operative technique is still needed. Two-stage tissue expander/implant breast reconstruction is a safe and effective option for delayed breast reconstruction.
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KEYWORD
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Breast surgery, Tissue expansion, Breast implant
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