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Subcutaneous Tissue Expansion and Subsequent Subpectoral Implantation for Breast Reconstruction in Asian Patients: Safety and Outcome

Engel, Holger MD*†; Huang, Jung-Ju MD; Lin, Chia-Yu MSc; Lam, Wee Leon MD; Gazyakan, Emre MD, MSc*†; Cheng, Ming-Huei MD, MBA, FACS

doi: 10.1097/SAP.0b013e3182367bbe
Breast Surgery
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Asian women are generally thin with smaller breasts. The objective was to investigate the outcomes for patients who underwent 2-stage breast reconstruction using subcutaneous expansion followed by subpectoral implantation. Between 2003 and 2008, 22 patients underwent subcutaneous expansion and subsequent submuscular implantation for 23 breast reconstructions. Mean age was 44.6 ± 7.0 years. The outcome was assessed with a pain visual analog scale, a questionnaire, and the cosmesis. Mean expansion volume was 350.3 ± 80.8 mL. Mean implant size was 306.7 ± 84.6 mL. The complication rate was 8.6%, 13.0% in first and second stages. Mean pain scale was 2 ± 1.4. At a mean follow-up of 42.5 ± 18 months, patient’s satisfaction was 3.2 ± 0.9. Overall shape of the reconstructed breast was rated as 2.8 ± 0.5. Subcutaneous expansion with subsequent subpectoral implantation is feasible and reliable in low body mass index, nonsmoking, nonradiated patients with small and projective breasts.

From the *Department of Hand-, Plastic-, and Reconstructive Surgery, Burn Center, BG Trauma Center, Ludwigshafen, Germany; †Department of Plastic and Hand Surgery, University of Heidelberg, Ludwigshafen, Germany; and ‡Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Received September 25, 2010, and accepted for publication, after revision, September 6, 2011.

Conflicts of interest and sources of funding: none declared.

Reprints: Ming-Huei Cheng, MD, MBA, FACS, Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5, Fu-Hsing Street, Kweishan, Taoyuan 333, Taiwan. E-mail: minghueicheng@gmail.com or minghuei@adm.cgmh.org.tw.

© 2013 Lippincott Williams & Wilkins, Inc.