Breast reconstruction with expander and implant

In this reconstruction method, after the mastectomy the remaining muscles and skin are stretched with an expander. The balloon expander is gradually filled over a period of three to six months. It is then replaced with a silicone implant, which is generally slightly smaller than the expander. The final step involves the restoration of the nipple and areola, using tissue from the patient’s own body. A simple breast reconstruction with an implant may be performed either at the same time as the mastectomy or as a delayed procedure after the mastectomy, provided no radiotherapy has taken place.

Breast implant with tissue matrix

Alternatively, nowadays a tissue matrix can be used in breast reconstruction with breast implants, to strengthen the soft tissue. In some cases, the initial stretching phase using the expander is not necessary and the definitive breast implant, combined with the tissue matrix, can be used straight away. The matrix is fixed to the chest muscles and the lower breast crease. Until recently, only acellular dermal matrix was available for use in this way. This is an animal product (produced, for example, from pigs). Since the beginning of 2014, an advanced form of silk has been available, which can be used instead of the animal product. The results and experiences of the approximately 30 patients who have benefited from this new matrix are very pleasing.

A breast implant with tissue matrix can only be offered in an immediate reconstruction of the breast and can achieve very good aesthetic results. Initial studies also show that the risk of capsular contracture can be significantly reduced with this procedure.