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A Rare Chest Wall Deformity after Usage of a Tissue Expander for Breast Reconstruction

Kuramoto, Yukiko, MD; Yano, Tomoyuki, MD, FACS; Sawaizumi, Masayuki, MD; Tanakura, Kenta, MD; Miyashita, Hiroki, MD

Plastic and Reconstructive Surgery – Global Open: November 1, 2018 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000001950
Latest Articles: PDF Only

Summary: A 2-stage breast reconstruction using a breast tissue expander and prosthesis is a simple method of breast reconstruction with little donor-site morbidity and short surgery time. In this report, we present a rare case of chest wall deformity, which appeared during breast skin expansion with tissue expander. We present a case of a 31-year-old woman who underwent a 2-stage breast reconstruction with a tissue expander and breast prosthesis. She had a former history of autologous microtia reconstruction using costal cartilages to create a framework of the ear at the age of 10. During expansion, the woman developed an abnormal hollowing of the chest wall. Even though it was difficult to select an ideal size for the breast prosthesis, an excellent breast shape was obtained by measuring the actual breast projection that we needed, using ultrasound sonography. The patient was satisfied with the final result. In this case, the patient suffered from a postoperative chest wall deformity due to cartilage harvesting. This unfavorable result highlights the need for careful preoperative evaluation of risk factors that may lead to chest wall deformity when patients will have tissue expansion as a part of breast reconstruction. When thoracic deformity occurs, surgeons should realize that choosing an adequate implant becomes rather difficult. Ultrasound sonography helps surgeons in measuring the actual breast projection preoperatively.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

From the Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital, Tokyo, Japan.

Published online 1 November 2018.

Received for publication December 27, 2017; accepted July 27, 2018

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Yukiko Kuramoto, MD, 3-8-31 Ariake, Koto-ku, Tokyo, Japan, E-mail:

Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.