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Tissue expander for breast reconstruction

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Breast reconstruction may take place during, soon after, or much later after mastectomy or lumpectomy. During the reconstruction, your plastic surgeon will work to recreate a breast shape using an artificial implant, or tissue flap obtained from another area of your body. Specifically for patients needing to undergo radiation, a temporary expander will be inserted to hold the shape of the breast and stretch the skin and tissues to create room for a permanent implant or tissue flap later on. Because radiation would kill the tissue flaps, the expander will need to be placed until treatment is completed. Tissue expanders are indeed temporary devices that make way for the permanent changes in your breast reconstruction.
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Tissue Expander/Implant Breast Reconstruction

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Predictors for Prolonged Drainage following Tissue Expander-Based Breast Reconstruction

Fast Facts:. Tissue expander to implant exchange involves removing the existing tissue expander and replacing it with a silicone implant, but could be a saline implant. This procedure is generally done through the same scar or incision as the initial mastectomies. The tissue expander is removed. The pocket is adjusted, if needed, with capsulotomies, prior to placing the silicone implants. Sometimes an internal Ryan flap may be performed to better position the inframammary fold or shelf for the future implant. Then the future implant is placed in the pocket and the skin is sewn up.
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Predictors for Prolonged Drainage following Tissue Expander-Based Breast Reconstruction

This woman underwent bilateral nipple sparing mastectomy. She desired in the end to have larger fuller breasts. We therefore initially reconstructed her at the time of mastectomy with tissue expanders to get her to her goal size. After that she returned to the Operating Room to exchange the expanders to implants.
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Many women who have a mastectomy—surgery to remove an entire breast to treat or prevent breast cancer—have the option of having the shape of the removed breast rebuilt. Women who choose to have their breasts rebuilt have several options for how it can be done. Breasts can be rebuilt using implants saline or silicone. They can also be rebuilt using autologous tissue that is, tissue from elsewhere in the body.
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