Summary
Since 1986 we have considered the permanent expandable implant (PEI) as the first choice of prosthesis breast surgery. The possibilities offered by multiple over-expansions and deflations have been explored; 187 PEI were utilized in 136 patients for aesthetic (32 with bilateral hypoplasia), corrective (17 with asymmetry, tubular breasts or Poland's syndrome) and reconstructive breast surgery (87 patients for immediate or delayed reconstruction following radical, modified radical, partial or subcutaneous mastectomy). All implants were positioned submuscularly; a latissimus dorsi muscular flap was transposed when the pectoralis major was absent or damaged. Either the Becker or the Gibney implant was used. The filling port was retained in order to take permanent advantage of the properties of the PEI. The dome was placed deep in the axilla, where it could not readily be palpated by patients. All PEI were immediately or progressively overinflated by 25–80% and then deflated to the planned optimal volume. Twenty-two patients developing capsular contracture were treated by overinflations and deflations with subjective and objective improvement. Many of the augmentation mammaplasty patients refused implant deflation to the planned preoperative volume. The over-expansion/deflation process proved to be effective in obtaining ptosis, in maintaining permanent volume symmetry and in keeping the base of tubular breasts unfolded. Moreover, the psychological advantages of patient's involvement in the procedure are significant.
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References
Becker H (1984) Breast reconstruction using an inflatable breast implant with detachable reservoir. Plast Reconstr Surg 73:678
Becker H (1987) Breast augmentation using the expander mammary prosthesis. Plast Reconstr Surg 79:192
Becker H (1987) The expandable mammary implant. Plast Reconstr Surg 79:631
Becker H (1989) The permanent expander implant: an update. Perspect Plast Surg 3:164
Berrino P, Campora E, Santi PL (1987) Postquadrantectomy breast deformities: classification and techniques of surgical correction. Plast Reconstr Surg 79:567
Eckert P (1987) Implant injector for retropectoral augmentation. Plast Reconstr Surg 80:622
Gibney J (1989) Use of a permanent tissue expander for breast reconstruction. Plast Reconstr Surg 84:607
Santi PL, Berrino P, Galli A (1985) Poland's syndrome: correction of the thoracic anomaly through minimal incisions. Plast Reconstr Surg 76:639
Santi PL, Berrino P, Galli A, Quodamcarlo C, Rainero ML (1986) Anterior transposition of the latissimus dorsi through minimal incisions. Scand J Plast Surg 20:89
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Berrino, P., Santi, P.L. The permanent expandable implant in breast aesthetic, corrective and reconstructive surgery. Eur J Plast Surg 14, 63–68 (1991). https://doi.org/10.1007/BF00209805
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DOI: https://doi.org/10.1007/BF00209805