Abstract
The use of adjustable implants has proven to be of great value in breast reconstruction.
The use of adjustable implants has evolved from delayed to immediate reconstruction and more recently from submuscular to prepectoral reconstruction. The adjustable implant expands the range of patients that are suitable for immediate prepectoral implant reconstruction by reducing pressure on the skin flaps following mastectomy thus reducing circulatory problems. Underfilling an adjustable implant with air beneath the mastectomy flap allows the skin flaps to contract and thicken, reducing the need for ADM coverage. Adjustable implants are beneficial in revision cases and correction of implant complications. In this fashion, better symmetry, with reduced surgical time and cost, is achieved.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
American Society of Plastic Surgeons. Plastic surgery statistics report. 2018. Available at http://www.plasticsurgery.org/News-and-Resources/2018-Statistics.html. Accessed 15 Apr 2019.
Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982;69:195–208.
Becker H. Breast reconstruction using an inflatable breast implant with detachable reservoir. Plast Reconstr Surg. 1984;73:678–83.
Becker H. The permanent tissue expander. Clin Plast Surg. 1987;14(3):10–3.
Becker H. The expandable mammary implant. Plast Reconstr Surg. 1987;79(4):631–7.
Becker H, Maraist F. Immediate breast reconstruction after mastectomy using a permanent tissue expander. South Med J. 1987;80(2):154–60.
Becker H. One stage immediate breast reconstruction with adjustable implants. In: Spear SL, editor. Surgery of the breast, vol. 1. Philadelphia: Lippincott, Williams and Wilkins; 2006.
Spear SL, Pelletiere CV, Lockwood M. Immediate breast reconstruction with tissue expanders and AlloDerm. In: Spear SL, Wiley SC, Robb GL, Hammond DC, Nahabedian MY, editors. Surgery of the breast: principles and art. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 484–8.
Zienowicz RJ, Karacaoglu E. Implant-based breast reconstruction with allograft. Plast Reconstr Surg. 2007;120:373–81.
Sbitany H, Piper M, Lentz R. Prepectoral breast reconstruction: a safe alternative to submuscular prosthetic reconstruction following nipple-sparing mastectomy. Plast Reconstr Surg. 2017;140(3):432–43.
Vidya R, Iqbal FM. A guide to prepectoral breast reconstruction: a new dimension to implant-based breast reconstruction. Clin Breast Cancer. 2017;17(4):266–71.
Becker H, Lind JG 2nd, Hopkins EG. Immediate implant-based prepectoral breast reconstruction using a vertical incision. Plast Reconstr Surg Glob Open. 2015;3(6):e412.
Becker H, Zhadan O. Filling the spectrum expander with air—a new alternative. Plast Reconstr Surg Glob Open. 2017;6:e1541.
Becker H, Zhadan O. Tissue contraction –a new paradigm in breast reconstruction. Plast Reconstr Surg Glob Open. 2018;6:e1865.
Becker H, Carlisle H, Kay J. Filling of adjustable breast implants beyond the manufacturer’s recommended fill volume. Aesthet Plast Surg. 2008;32(3):432–41.
Jagsi R, Jiang J, Momoh AO, et al. Complications after mastectomy and immediate breast reconstruction for breast cancer: a claims-based analysis. Ann Surg. 2016;263(2):219–27.
Zenn MR. Staged immediate breast reconstruction. Plast Reconstr Surg. 2015;135(4):976–9.
Disclosure
Dr Becker is a consultant for Mentor Corp. and Surgical Innovation Associates.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Pre-pectoral breast reconstruction with an adjustable breast implant (MP4 309017 kb)
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Becker, H. (2020). Breast Reconstruction with the Adjustable Breast Implant. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_3
Download citation
DOI: https://doi.org/10.1007/978-3-030-34603-4_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-34602-7
Online ISBN: 978-3-030-34603-4
eBook Packages: MedicineMedicine (R0)