A breast expander is a medical device commonly used in breast reconstruction surgeries. It is designed to stretch the skin and muscle tissue in the breast area in order to create a suitable pocket for the insertion of breast implants. Both from the perspective of a patient and a plastic surgeon, it is important to have a clear understanding of what a breast expander looks like. In this article, we will explore the key aspects of a breast expander in detail.
1. Material and Appearance
A breast expander typically consists of a silicone shell, similar to breast implants, but with a different structure. The surface of the expander is smooth, allowing it to slide easily within the breast pocket during the expansion process. The device is filled with either saline solution or silicone gel, depending on the surgeon's preference and patient's needs.
For patients, a breast expander may resemble a deflated balloon or a small pouch. It is important to note that the size and shape of the expander can vary depending on individual needs and the surgeon's technique.
2. Size and Volume
Breast expanders come in various sizes to accommodate different patient requirements. Volume options can range from as low as 50cc (cubic centimeters) to over 1000cc. The chosen size of the expander will depend on factors such as the patient's current breast size, desired final size, and the amount of tissue available for expansion.
It is important to consult with a plastic surgeon to determine the appropriate size and volume for the best possible outcome.
3. Texture and Feel
Unlike breast implants, which are available in different textures, breast expanders typically have a smooth surface. This allows for easier movement within the breast pocket during the expansion process.
4. Shape and Contour
Breast expanders are available in different shapes, including round and anatomical (teardrop-shaped). The choice of shape depends on the desired final result and the surgeon's recommendation. Round expanders provide fullness in the upper pole of the breast, while anatomical expanders help recreate a more natural breast shape.
5. Port and Valve System
Breast expanders have a port and valve system that allows for the controlled expansion of the device. The port is a small, self-sealing device that is either placed under the skin or accessible through a small incision. It allows the surgeon to inject saline solution or remove fluid from the expander using a specialized needle.
6. Expansion Process
During the expansion process, the surgeon will gradually fill the expander with saline solution or silicone gel through the port. This process may take several weeks or months, depending on the individual's progress and comfort level. The expander stretches the surrounding tissues, creating space for the final breast implant.
7. Expansion Techniques
There are two main techniques for breast expansion: gradual filling and serial deflation. In gradual filling, the surgeon gradually adds small amounts of fluid to the expander over a period of time. Serial deflation, on the other hand, involves periodically removing fluid from the expander to stretch the tissues.
8. Post-Expansion Options
Once the desired expansion has been achieved, the breast expander is typically replaced with a permanent breast implant. Patients have a variety of options when it comes to choosing the type, size, shape, and texture of the final breast implant, depending on their preferences and the surgeon's recommendation.
It is important to note that the cost of breast expanders and breast reconstruction surgeries may vary significantly depending on factors such as geographical location, surgeon's experience, and additional procedures required. Please consult a healthcare professional for specific pricing information.
Overall, a breast expander is an essential device in breast reconstruction surgeries, providing a temporary solution to tissue expansion. Its appearance, size, shape, and texture can be customized to meet each patient's individual needs, ensuring a successful and satisfying outcome.
References:
1. American Society of Plastic Surgeons. "Breast Reconstruction with Expanders and Implants." https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/expander-implant
2. National Health Service (NHS). "Breast Reconstruction." https://www.nhs.uk/conditions/breast-implants/breast-reconstruction/
3. Canadian Society of Plastic Surgeons. "Breast Reconstruction." https://plasticsurgery.ca/procedures/breast/breast-reconstruction/
