Breast Reconstruction Expander FAQ

What is tissue expander reconstruction?

A tissue expander is a temporary implant placed under the breast skin and muscle, and is slowly inflated with saline to gradually and safely stretch the skin. The tissue expander has a port within it that saline (salt water solution) is injected into on a weekly basis until desired size has been reached. A second operation will be required in a few months to have the temporary tissue expander removed and a permanent implant placed. Tissue expander reconstruction can be done at the same time as the mastectomy or in a delayed manner.

Who is a good candidate for tissue expander reconstruction?

Tissue expander reconstruction is a good procedure for most people. Tissue expander surgery involves decreased time in the operating room, decreased length of hospitalization, and decreased recovery. It does, however, involve another surgery to have the permanent implant placed.

Where is the scar from tissue expander reconstruction?

The scar from tissue expander reconstruction is usually dependent on the mastectomy scar; it will be in the same location as the mastectomy scar.

What are the possible risks of tissue expander reconstruction?

Potential risks include bleeding, infection, seroma, pain, scarring, numbness, asymmetry, hematoma, DVT, capsular contracture, and need for additional surgery. Dr. Sood will discuss these risks further during your consultation.

How long is tissue expander reconstruction?

Tissue expander surgery usually takes about 2 hours.

What is the typical recovery time for tissue expander reconstruction?

An overnight stay in the hospital is typical dependent on your recovery from surgery and other medical problems. You will be sent home on pain medicine and antibiotics. You will have surgical drains in place on the reconstructed breast. You will need to be off work for 3-4 weeks dependent on the type of work you perform. You should not do any strenuous activity for at least 6 weeks following this procedure. You will be on a 10 pound lifting restrictions for the first several weeks following surgery.

When do I return for a follow up visit?

You will be seen while in the hospital as well as within a week of being sent home. You will have weekly follow up visits for tissue inflation over the next 6-8 weeks. Dr. Sood will determine if you will need any additional visits.

How long before I can return to work?

Most patients are able to return to work in 3-4 weeks depending on the work requirements.

How long before I can return to normal activity?

Most activities of daily living can be resumed within a few days. You will be given a 10 pound lifting restrictions for the first few weeks following surgery. It is important to get up and move around within a day of surgery to help decrease the chance of developing a blood clot. Strenuous activities should be avoided for about at least 6 weeks or until Dr. Sood has given you clearance.

When will I have surgery for the removal of the expander and placement of the permanent implant?

Your next procedure will usually take place about 2  months after your last expansion. This will be determined by Dr. Sood after the inflation process is complete.

Dr. Sood's primary goal is to provide excellent clinical results along with a high level of patient care and service. Patient satisfaction is our highest concern. We are dedicated to providing every patient with a pleasant experience, beginning with the first visit and continuing on through surgical procedures and treatments and postoperative care. We encourage patients to evaluate the benefits as well as the risks of each procedure within the confines of realistic expectations.