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Posts Tagged ‘silicone implants'

Choices in breast reconstruction

Wednesday, September 23rd, 2009

A few years ago I surveyed a group of female plastic surgeons as to what they would choose for reconstruction if they were faced with the diagnosis of breast cancer.,  My thinking was that this group of doctors had an unique perspective on breast reconstruction options -  they were very well informed as to  not only the options available but also to the risks and outcomes of each reconstructive option .  The results were interesting.,  A total of 54 female plastic surgeons were surveyed.  Ninety one percent stated that they would opt for mastectomy over breast conservation .  Most   (87%) choosing a mastectomy would opt for reconstruction.  For their reconstructive procedure 54% would choose tissue expansion with implant reconstruction and, 28% would choose a Tram flap and only 5% would choose a latissimus flap.  For the women choosing implant reconstruction 79% would choose a silicone implant , 24% would choose a saline implant and one respondent felt that either choice would be acceptable.  The most frequently chosen reconstruction then was tissue expansion followed by a silicone implant (43%).  Interesting  and food for thought!

A major advance in breast reconstruction.

Thursday, May 7th, 2009

  There has been a major advance in breast reconstruction with the use of acellular dermis.  Tissue expansion and implant reconstruction have  produced good results for many patients but there have been problems for some.  Now there is a new advance which can help patients with certain problems and even for some women allow them to have a single stage reconstruction .  This advance is the use of acellular dermis .  This is a product which is derived from human skin -  the cellular elements are removed and left behind is strong matrix which can be used to provide an internal sling.  This acellular dermis is used as an extension of the pectoralismajor muscle allowing  coverage and support of the breast implant.  It can be used with tissue expansion  but it is really exciting that we now have for some women the choice of a single stage reconstruction.  This product has also been helpful in correcting implant position problems as well as it has been used to add an additonal layer of coverage in areas of thin coverage over an implant.