[Clinic applications of primary breast reconstruction with a subpectoral silicone tissue expander].
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.
Zhao
Ru
R
Peking Unon Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.
Qiao
Qun
Q
Zhang
Hai-lin
HL
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D015626:Tissue Expansion; D055815:Young Adult