title: [Clinic applications of primary breast reconstruction with a subpectoral silicone tissue expander].
abstract: OBJECTIVE
  To investigate the application of breast reconstruction that permits the surgeon to expand and recruit sufficient tissue for modified radical mastectomy, skin-sparing mastectomy and asymmetry deformity.
  
  
  METHODS
  Placement of round tissue expander in subpectoral position below. Overexpansion of tissue expander to match over 30% approximately 50% opposite breast. After 3 months, removal of tissue expander and replacement with permanent implant.
  
  
  RESULTS
  Postoperative follow-up for 3 months to 2 years demonstrated satisfactory results in all the cases.
  
  
  CONCLUSIONS
  The breast reconstruction with a subpectoral silicone tissue expander is an ideal treatment to modified radical mastectomy, skin-sparing mastectomy and asymmetry deformity. The women can obtain a restored breast to approximate a full opposite breast and avoids a major distant surgical intervention and additional scars. Tissue expansion should be cautiously used in cases of patients with irradiated chest skin.
authors.affiliation: Peking Unon Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.
authors.forename: Ru
authors.initials: R
authors.lastname: Zhao
authors.forename: Qun
authors.initials: Q
authors.lastname: Qiao
authors.forename: Hai-lin
authors.initials: HL
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D015626:Tissue Expansion; D055815:Young Adult