New proposal for the use of the Becker 35 expander in second large volume breast reconstruction

ABSTRACT

Introduction:

Immediate breast reconstruction performed with the Becker expander is a versatile and accepted technique. We present an original proposal for the use of the Becker expander for a second breast implant.

Methods:

A retrospective study was performed between January 2014 and October 2016. Medical records were used to evaluate the indications and complications, the use of radioand chemotherapy, and comorbidities in all patients, including 5 in whom combined implantation was performed.

Results:

The Becker expander was used for 193 reconstructions in 168 patients, including 25 cases with bilateral reconstructions. The average patient age was 47 years, and 33% had comorbidities. Postoperative radiotherapy and chemotherapy were performed in 119 patients (62%). Complications included seroma in 7 patients, hematoma in the mastectomy flap in 2 patients, partial necrosis of the mastectomy flap in 3 patients, and necrosis/infection with expander exposure in 2 patients. Complications occurred in 9.5% of the cases. A total of 133 (69%) patients underwent a second surgical stage to complement breast reconstruction, with the Becker expander being replaced by a definitive implant. Patients in whom the Becker 35 expander was used in a second breast implant developed no complications.

Conclusions:

the use of the Becker 35 expander for a second breast implant was effective in achieving greater volume in breast reconstruction with a low rate of complications.

Keywords:
Mammaplasty; Reconstructive surgical procedures; Breast implantation; Tissue expansion devices; Breast.