Technical approach and clinical outcomes of delayed two-stage tissue expander/implant breast reconstruction: a single-institution experience
- Author:
Myeong Jae KANG
1
;
Jung Ho LEE
;
Hyeon Jun JEON
;
Jeong Yeop RYU
;
Joon Seok LEE
;
Kang Young CHOI
;
Ho Yun CHUNG
;
Byung Chae CHO
;
Jeeyeon LEE
;
Ho Yong PARK
;
Jung Dug YANG
Author Information
- Publication Type:Original Article
- From:Archives of Aesthetic Plastic Surgery 2023;29(2):89-96
- CountryRepublic of Korea
- Language:English
-
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.
