Breast Reconstruction with Temporary and Definitive Tissue Expanders

Abstract

Although one-step direct form-stable implant breast reconstruction has continued to grow in terms of popularity, immediate one- or two-stage tissue expander (definitive or temporary ones) remains as the preferred approach due to its relative simplicity. More conservative mastectomies, with the preservation of the inframammary fold, skin envelope, and nipple and areola complex, allowed more anatomical reconstructions and better outcomes. In addition, patient’s expectations are greater than when the implants were first used in 1960s [1].