title: Breast reconstruction utilizing subcutaneous tissue expansion followed by polyurethane-covered silicone implants: a 6-year experience.
abstract: Reconstruction of the breast after modified radical mastectomy can be safely and adequately performed in the subcutaneous plane. Placement of a subcutaneous tissue expander (as either an immediate or a delayed procedure), rapid expansion over a 3- to 4-month period, capsulotomy, and placement of a polyurethane-coated implant have led to satisfactory results over a 6-year period. Breast reconstruction methods are well documented; however, the utilization of expanded subcutaneous chest wall skin has not been reported heretofore.
authors.affiliation: Plastic Surgery, Inc., Cleveland, Ohio 44122.
authors.forename: J S
authors.initials: JS
authors.lastname: Artz
authors.forename: M I
authors.initials: MI
authors.lastname: Dinner
authors.forename: M A
authors.initials: MA
authors.lastname: Foglietti
authors.forename: J
authors.initials: J
authors.lastname: Sampliner
mesh_terms: D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D015411:Mastectomy, Modified Radical; D008722:Methods; D011140:Polyurethanes; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012828:Silicones; D013997:Time Factors; D015626:Tissue Expansion
chemical_list: D011140:Polyurethanes; D012828:Silicones