How is stage II of breast reconstruction with acellular dermis performed?

Updated: Jul 29, 2021
  • Author: John Y S Kim, MD, FACS; Chief Editor: James Neal Long, MD, FACS  more...
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After completion of adjuvant therapy and tissue expansion, stage II reconstruction with tissue expander–to-implant exchange can be performed if necessary. Procedures for contralateral symmetry are performed if the need becomes apparent or if they were previously planned but not performed during stage I. Preoperative and postoperative photos of a 2-stage expander-to-implant reconstruction and a single-stage direct-to-implant reconstruction are shown below.

Acellular dermis–assisted 2-stage bilateral breast Acellular dermis–assisted 2-stage bilateral breast reconstruction in 35-year-old woman with bilateral mastectomies. Preoperative view (left) and result after exchange to permanent implants and nipple reconstruction (right).
Acellular dermis–assisted single-stage bilateral b Acellular dermis–assisted single-stage bilateral breast reconstruction in 33-year-old woman who underwent prophylactic nipple-sparing mastectomy. Preoperative view (left) and final result 1 month after breast reconstruction (right).

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