Arch Aesthetic Plast Surg.  2023 Apr;29(2):89-96. 10.14730/aaps.2022.00745.

Technical approach and clinical outcomes of delayed two-stage tissue expander/implant breast reconstruction: a single-institution experience

• Kang MJ
• Lee JH
• Jeon HJ
• Ryu JY
• Lee JS
• Choi KY
• Chung HY
• Cho BC
• Lee J
• Park HY
• Yang JD

• KMID: 2541851
• DOI: http://doi.org/10.14730/aaps.2022.00745

Abstract

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.

Keyword

Breast surgery / Tissue expansion / Breast implant