ArticlePlastic and reconstructive surgery2019
Tissue Expander Complications Do Not Preclude a Second Successful Implant-Based Breast Reconstruction.
Article in Plastic and reconstructive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 27 citations in OpenAlex.
- Reconstructing Failure: Assessing Surgical and Patient-Reported Outcomes after Loss of Initial Breast Reconstruction.Plastic and reconstructive surgery · 2025Article
- Textured versus Smooth Tissue Expanders: A Comparison of Complications in 3526 Breast Reconstructions.Plastic and reconstructive surgery · 2024Article
- Article
- Does a Latissimus Dorsi Flap Improve Surgical Outcomes of Implant-based Breast Reconstruction following Infected Device Explantation?Plastic and reconstructive surgery. Global open · 2022Article
- Acellular bovine pericardium matrix in immediate breast reconstruction compared with conventional implant-based breast reconstruction.JPRAS open · 2021Article
- Evaluation of Dual-port versus Single-port Tissue Expanders in Postmastectomy Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2021Article
- Implant Loss and Associated Risk Factors following Implant-based Breast Reconstructions.Plastic and reconstructive surgery. Global open · 2021Article
- Safe and Efficient Implant-based Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2020Review
- Experiences of implant loss after immediate implant-based breast reconstruction: qualitative study.BJS open · 2020Article
- The Impact of Device Innovation on Clinical Outcomes in Expander-based Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2019Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundImplant-based breast reconstruction is the most common method of breast reconstruction in the United States, but the outcomes of subsequent implant-based reconstruction after a tissue expander complication are rarely studied. The purpose of this study was to determine the long-term incidence of implant loss in patents with a previous tissue expander complication.
methodsThis is a retrospective review of the long-term outcomes of all patients with tissue expander complications at a large academic medical center from 2003 to 2013. Patients with subsequent tissue expander or implant complications were compared to those with no further complications to assess risk factors for additional complications or reconstructive failure.
resultsOne hundred sixty-two women were included in this study. The mean follow-up period was 8.3 ± 3.1 years. Forty-eight women (30 percent) went on to undergo a second tissue expander or implant placement. They did not differ from women who went on to autologous reconstruction or no further reconstruction. Of these, 34 women (71 percent) had no further complications and 38 women (79 percent) had a successful implant-based reconstruction at final follow-up. There were no patient or surgical factors significantly associated with a second complication or implant loss.
conclusionsFollowing tissue expander complications, it is reasonable to offer women a second attempt at tissue expansion and implant placement. This study demonstrates that long-term success rates are high, and there are no definitive patient or surgical factors that preclude a second attempt at implant-based breast reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.
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