TWO-Stage Implant Reconstruction
A Personalized Approach to Restoring Confidence
When the amount of chest skin is insufficient to complete a breast reconstruction immediately after a mastectomy, two-stage implant reconstruction provides a solution that gradually expands the tissue to accommodate a full-sized implant. This method ensures that the skin is properly prepared for the final implant placement, resulting in a natural and balanced outcome.
A tissue expander, a temporary balloon-like device, is inserted beneath the pectoral muscle and chest skin during the first stage of the reconstruction process. Over several months, the tissue expander is gradually filled with saline to stretch the skin, creating a space large enough for the final implant. At the second stage of surgery, the expander is replaced with a soft, permanent implant that completes the reconstruction.
Two-Stage Implant Reconstruction Procedure: Customized Steps for Lasting Results
Dr. Yau ensures that each step of the two-stage implant reconstruction is performed with precision and care. The first stage typically lasts 1.5 hours for one breast and 3 hours for both breasts. The second stage, which completes the reconstruction, takes approximately 1 hour for one breast and 2 hours for both breasts.
Step 1: Tissue Expander Placement
During the first surgery, Dr. Yau places a temporary tissue expander beneath the pectoralis major muscle. This expander is designed to gradually stretch the chest skin to make room for the final implant.
Step 2: Gradual Expansion
Over the course of several months, the tissue expander is sequentially filled with saline during follow-up visits with Dr. Yau. This expansion process, typically occurring every 2-3 weeks, gradually stretches the skin and tissues to the desired size.
Step 3: Implant Placement
Once the tissue expander has created sufficient space, the second stage of surgery is performed. The tissue expander is replaced with a soft, permanent implant, providing the final contour and volume to the reconstructed breast.
Recovery After Two-Stage Implant Reconstruction: Gentle Guidance for a Smooth Recovery
Following the first stage of surgery, patients stay overnight in the hospital to ensure proper recovery and monitoring. The second stage of surgery is typically completed as a day procedure, not requiring an overnight stay. Drainage tubes are placed in the breast and are removed by Dr. Yau once the drainage has sufficiently decreased, usually between 10 to 14 days after surgery.
There will be a transverse scar across the breast, but this will fade and become less visible with time. Patients typically resume regular activities within 10 days of surgery and can engage in full, strenuous exercise after 4 weeks. Nipple reconstruction, if desired, generally occurs 3 months after the final surgery, allowing patients to complete their reconstruction journey with confidence and satisfaction.