What is Tissue Expander Reconstruction?

Tissue expander reconstruction is a two-step process designed to rebuild the breast after a mastectomy. It begins with placing a tissue expander, a temporary device inserted in the mastectomy space.This can be done either sub-pectoral (below the muscle) or pre-pectoral (above the muscle). Over time, the expander is gradually filled with saline solution, stretching the skin and creating a pocket for a permanent implant. Once the desired expansion is achieved, a second surgery is performed to replace the expander with the final implant or your own tissue to complete the reconstruction. 

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What is the Procedure?

The tissue expander is placed during the initial surgery, often at the same time as the mastectomy. The expander stretches the skin and or muscle gradually over several weeks or months. During follow-up visits, Dr. Cohen will add saline to the expander through a small valve, allowing the breast area to expand slowly over time. Once the expansion process is complete, the tissue expander is removed in a second surgery, and the final implant or your own tissue is inserted.

Who is a Candidate?

Tissue expander reconstruction in Denver with Dr. Cohen is ideal for patients who are looking for a controlled and gradual approach to breast reconstruction. It is particularly suitable for women who may need additional treatments, such as radiation, before completing their reconstruction. This method allows for more flexibility in timing and can be tailored to fit the patient’s specific needs and lifestyle.

What is the Recovery?

Recovery from tissue expander reconstruction involves two phases. After the initial surgery to place the expander, most patients can return to light activities within a week, with full recovery taking a 4-6 weeks. During the expansion phase, there may be some very mild discomfort as the tissue stretches, but this is typically manageable without pain medicine. After the second surgery to place the permanent implant, recovery is similar, with most patients resuming normal activities within a few weeks.

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Why Choose Us?

Dr. Cohen’s expertise in tissue expander breast reconstruction in Denver ensures that each patient receives a customized and carefully managed reconstruction process. With his extensive training and experience, Dr. Cohen’s meticulous approach prioritizes aesthetic outcomes and patient comfort. His boutique practice offers a personalized and supportive environment where each patient is treated with the utmost care and attention. Dr. Cohen’s commitment to his patients and his ability to create very natural-looking results make him a top choice for breast reconstruction in Denver.

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How long does the tissue expansion process take?

The expansion process typically takes several weeks to a few months, depending on the desired breast size and the rate at which your skin and tissue can comfortably expand.

Is the expansion process painful?

Some very mild discomfort is expected during the expansion process as the tissue stretches. However, this discomfort is usually minimal and can be managed with over-the-counter pain relief.

Can I resume normal activities during the expansion process?

Yes, most patients can continue with their normal daily activities during the expansion process, though you should avoid heavy lifting and strenuous exercise.

When is the second surgery performed?

The second surgery to replace the tissue expander with a permanent implant is usually scheduled after the expansion process is complete and your tissue has adequately stretched.

Is the tissue expander noticeable under the skin?

The expander may feel firm and somewhat different from a natural breast, but this is temporary. The final implant will have a more natural feel and appearance.

Will my insurance cover tissue expander reconstruction?

Most insurance plans cover tissue expander reconstruction as part of breast cancer treatment. Our office will work with your insurance provider to confirm coverage.

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