The use of drains is strongly recommended to control seromas and maintain the orientation of contoured implants. In bilateral reconstructions, great care should be taken to obtain symmetric expander placement. Placement of a tissue expander will also allow the patient to choose the size of her permanent implants. Consult a plastic surgeon who's board certified and experienced in breast reconstruction following mastectomy. Electromyogr Clin Neurophysiol. Prosthetic breast reconstruction: indications and update.
Published Jul 3. Drains are then placed and a secure, layered skin closure performed. If you've had only one breast reconstructed, you'll need to have screening mammography done regularly on your other breast. Figure For patients with large breasts who will require contralateral reduction, this surgery is best performed at the time of final implant placement to maximize symmetry of the breasts mounds Figs. If you already have an expander with a metal port, ask the plastic surgeon about possibilities that include:. The original tissue expanders had a port where saline salt water could be injected into the implant via a connecting tube.
