After mastectomy there are many types of breast reconstruction procedures possible. If you choose implant-based reconstruction, implants may be placed immediately at the time of mastectomy or during a two-staged surgery. During the first phase, a tissue expander is placed to create a stable envelope for the final implant; during the second surgery, the implants are placed and additional fat grafting and final breast contouring are performed.
Who makes a good candidate for two-stage implant reconstruction?
Women who have larger breasts or more breast ptosis (sagging) of the breasts may benefit from a temporary expander. This allows the breast skin envelope to shrink and mold around the expander, to achieve a smaller, lifted breast.
Women who have a higher chance of mastectomy skin flap necrosis or thin skin may be approached more safely with a temporary expander than with immediate implant. The decision of how to approach your implant reconstruction is a highly personal one, and this can be discussed in detail with Dr. Zampell during a private consultation. Rest assured you will receive all the information you need to make an empowered decision that is right for you.