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Tissue Expansion
Tissue expansion is a procedure that enables the
body to “grow” extra skin by stretching adjacent
tissue. A balloon-like device called an expander is
inserted under the skin near the area to be repaired
and then gradually filled with salt water over time,
causing the skin to stretch and grow. The time
involved in tissue expansion depends on the
individual case and the size of the area to be
repaired.
The advantages of tissue expansion are many-it
offers a near-perfect match of skin color,
sensation, and texture; the risk of tissue loss is
decreased because the skin remains connected to its
original blood and nerve supply; and scars are less
apparent than those in flaps or grafts. The expander
temporarily creates what can be an unsightly bulge,
making this option undesirable for some patients.
Previous or future
radiation therapy to the site of disease is a
relative contraindication to tissue expansion and
permanent implant placement.
The majority of
patients who undergo this type of breast
reconstruction who also receive radiation therapy
have an undesirable outcome, frequently resulting in
removal of the implant.
Restoration of the nipple and areola follow. Scars
fade substantially with time. The reconstructed
breast will likely differ in contour and feel to the
their natural breast.
Implants
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