Tissue Expansion

Tissue expansion is the most popular breast reconstruction technique for our Irvine and Corona, California patients. After mastectomy, Dr. Smith places a temporary, adjustable tissue expander below the pectoral, or chest, muscle in order to stretch out the muscle and skin, making a pocket for a permanent breast implant. The tissue expander can be placed at the time of the mastectomy in what is called an immediate reconstruction. Many of Dr. Smith's Orange County breast reconstruction patients choose tissue expanders - click here to read Teri's breast surgery story for more details about this method.

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Using AlloDerm®

Although the expansion process can take several months, newer techniques have greatly reduced the process. During the initial surgery, a mesh called AlloDerm® can be used to create a pocket below the muscle for placement of the tissue expander. Using AlloDerm can allow more fluid to be placed in the expander, thereby reducing the overall duration of the expansion process in the office. It also can produce a more aesthetically pleasing breast shape for immediate reconstruction patients.

Finishing Touches

Tissue expanders are built to be strong and stretch out the muscle and the skin, but they are not soft enough to be comfortable permanent breast implants. A tissue expander will need to be changed to either a saline or silicone implant after enough space has been created. The nipple and areola can be reconstructed in a subsequent procedure.

Our Care for You

As a Corona and Irvine breast surgeon, Dr. Smith is proud to be part of a talented medical team that has helped hundreds of women reconstruct their breasts and rebuild their lives after a breast cancer diagnosis. If you are considering reconstruction, he is happy to talk with you and tell you more about the available options. Request a consultation online with Dr. Smith or call our office at 949.653.7000 and a staff member will be happy to assist you.