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Original Articles

Immediate two-stage tissue expander breast reconstruction compared with one-stage permanent implant breast reconstruction: A multi-institutional comparison of short-term complications

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Pages 344-349 | Accepted 18 Nov 2012, Published online: 03 Apr 2013

Keep up to date with the latest research on this topic with citation updates for this article.

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Victorien M. T. van Verschuer, Marc A. M. Mureau, Bernadette A. M. Heemskerk-Gerritsen, Pravesh S. Gadjradj, Cleo Rogier, Cornelis Verhoef, Jessica P. Gopie, Caroline Seynaeve & Linetta B. Koppert. (2018) Long-term outcomes of bilateral direct-to-implant breast reconstruction in women at high breast cancer risk. Journal of Plastic Surgery and Hand Surgery 52:4, pages 245-252.
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Ingvild O. Moberg, Inger Schou Bredal, Michael R. Schneider, Kim A. Tønseth & Ellen Schlichting. (2018) Complications, risk factors, and patients-reported outcomes after skin-sparing mastectomy followed by breast reconstruction in women with BRCA mutations. Journal of Plastic Surgery and Hand Surgery 52:4, pages 234-239.
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Articles from other publishers (53)

Alexander van der Wielen, Vera Negenborn, George Louis Burchell, Sharon Remmelzwaal, Oren Lapid & Caroline Driessen. (2023) Less is more? One-stage versus two-stage implant-based breast reconstruction: A systematic review and meta-analysis of comparative studies. Journal of Plastic, Reconstructive & Aesthetic Surgery 86, pages 109-127.
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Altug ALTİNKAYA, Sukru YAZAR, Halil KARA, Akif Enes ARIKAN & Cihan URAS. (2023) Direct to Implant versus 2-Stage Expander Implant Immediate Breast Reconstruction: Comparison of Incidence and Predictors of ComplicationsMastektomi ile Eşzamanlı İmplant ile Tek Aşamalı ve İki Aşamalı Meme Rekonstrüksiyon Yöntem Sonuçlarının Kıyaslanması ve Komplikasyon Oluşumuna Etki Eden Faktörlerin Tespiti. Acibadem Universitesi Saglik Bilimleri Dergisi 14:4.
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Huong T Le-Petross, Marion E Scoggins & Mark W Clemens. (2023) Assessment, Complications, and Surveillance of Breast Implants: Making Sense of 2022 FDA Breast Implant Guidance. Journal of Breast Imaging 5:3, pages 360-372.
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Babette E. Becherer, Erik Heeg, Danny A. Young-Afat, Marie-Jeanne T. F. D. Vrancken Peeters, Hinne A. Rakhorst & Marc A. M. Mureau. (2022) Revision Incidence after Immediate Direct-to-Implant versus Two-Stage Implant-Based Breast Reconstruction Using National Real-World Data. Plastic & Reconstructive Surgery 151:4, pages 693-702.
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Osama A. Samargandi & Sarah Al-Youha. (2022) Invited Discussion on 'A Descriptive Comparison of Satisfaction and Well-being Between Expander-Based and Direct-to-Implant Breast Reconstruction After Nipple-Sparing Mastectomy'. Aesthetic Plastic Surgery 47:1, pages 40-42.
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Shannon D. Francis, Kometh Thawanyarat, Thomas M. Johnstone, Pooja S. Yesantharao, Trudy S. Kim, Mallory A. Rowley, Clifford C. Sheckter & Rahim S. Nazerali. (2023) How Postoperative Infection Affects Reoperations after Implant-based Breast Reconstruction: A National Claims Analysis of Abandonment of Reconstruction. Plastic and Reconstructive Surgery - Global Open 11:6, pages e5040.
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Angela Gurrado, Alessandro Pasculli, Alessia Toma, Michele Maruccia, Rossella Elia, Marco Moschetta, Michele Telegrafo, Giuseppe Massimiliano De Luca, Walter Lavermicocca, Elisabetta Poli, Francesco Paolo Prete, Lucia Ilaria Sgaramella, Giuseppe Giudice & Mario Testini. (2022) Mastectomy with one-stage or two-stage reconstruction in breast cancer: analysis of early outcomes and patient’s satisfaction. Updates in Surgery 75:1, pages 235-243.
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E. A. Baychorov, A. D.  Zikiryakhodzhaev, A. Kh.  Ismagilov & Yu.  V. Przhedetskiy. (2022) The influence of synthetic and biologic matrices on the choice of the implant plane during breast reconstruction. The modern state of the problem. Tumors of female reproductive system 18:3, pages 64-70.
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Charles T. Lee, Karen Ruth, Sameer Patel, Richard Bleicher, Elin Sigurdson, Stephanie Weiss, Shelly Hayes, Penny Anderson & J. Karen Wong. (2022) Factors Associated with Reconstruction Failure and Major Complications After Postmastectomy Radiation to a Reconstructed Breast. Practical Radiation Oncology.
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Matteo Atzeni, Rosa Salzillo, Richard M. Haywood, Paolo Persichetti, Diego Ribuffo & Andrea Figus. (2022) Unilateral immediate deep inferior epigastric artery perforator flap breast reconstruction following skin sparing mastectomy: A comparative study on revision surgeries to improve breast symmetry. Microsurgery 42:8, pages 766-774.
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Joanna Wolska, Tareq Ammari, Arran Turnbull, Neil Johns, Dagmar Stafova, Mussa Mensa, Mark Schaverien, Cameron Raine, Michael Dixon & Ewa Majdak-Paredes. (2022) Comparison of long-term outcomes of breast conservation and reconstruction after mastectomy using BREAST-Q. Journal of Plastic, Reconstructive & Aesthetic Surgery 75:9, pages 2930-2940.
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Merisa L. Piper, Arturo J. Rios-Diaz, Rotem Kimia, Jessica Cunning, Robyn Broach, Liza Wu, Joseph Serletti & Joshua Fosnot. (2022) Direct-to-Implant Versus 2-Stage Breast Reconstruction. Annals of Plastic Surgery 89:2, pages 159-165.
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Yu Gui, Qingqiu Chen, Shichao Li, Xi Yang, Jing Liu, Xin Wu, Yilin Zhu, Linjun Fan, Jun Jiang & Li Chen. (2022) Safety and Feasibility of Minimally Invasive (Laparoscopic/Robotic-Assisted) Nipple-Sparing Mastectomy Combined with Prosthesis Breast Reconstruction in Breast Cancer: A Single-Center Retrospective Study. Annals of Surgical Oncology 29:7, pages 4057-4065.
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C.I.J.M. Theunissen, R.M. Brohet, Y. Hu, J.H. van Uchelen, J.H.C. Mensen & A.L. van Rijssen. (2022) Risk of breast implant removal after one- versus two-stage breast reconstructive surgery. Journal of Plastic, Reconstructive & Aesthetic Surgery 75:5, pages 1610-1616.
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Hsing-Yi Lee, Yu-Hsiu Yen, Yu-Lun Tsai, Pei-Chih Tu, Chi-Ming Pu, Chia-Hong Lin, Louis Tak Lui, Suzun Shaw, Ching-Jung Wu & Hsin-Hua Nien. (2022) Critical Factors of Dose Distribution in Breast Cancer Tomotherapy With Metallic Port Breast Tissue Expander: Image Correction, Delivery Mode, and Volume Impact. Technology in Cancer Research & Treatment 21, pages 153303382210931.
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Hannah Coudé Adam, Axel Frisell, Yihang Liu, Helena Sackey, Ira Oikonomou, Ann-Charlot Docherty Skogh, Jan Frisell & Jana de Boniface. (2021) Effect of radiotherapy on expanders and permanent implants in immediate breast reconstruction: long-term surgical and patient-reported outcomes in a large multicentre cohort. British Journal of Surgery 108:12, pages 1474-1482.
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Damaris Patricia Rojas, Maria Cristina Leonardi, Samuele Frassoni, Anna Morra, Marianna Alessandra Gerardi, Eliana La Rocca, Federica Cattani, Rosa Luraschi, Cristiana Fodor, Mattia Zaffaroni, Mario Rietjens, Francesca De Lorenzi, Paolo Veronesi, Viviana Enrica Galimberti, Mattia Intra, Vincenzo Bagnardi, Roberto Orecchia, Samantha Dicuonzo & Barbara Alicja Jereczek-Fossa. (2021) Implant risk failure in patients undergoing postmastectomy 3-week hypofractionated radiotherapy after immediate reconstruction. Radiotherapy and Oncology 163, pages 105-113.
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Daiwon Jun, Jin Kwan Kim, Byung Yeun Kwon, Young Jin Kim, Ji Young Rhu, Kwan Ho Lee & Jung Ho Lee. (2021) Tissue Expansion after Non-Skin-Sparing Mastectomy: A Comparative Study of Expansion Courses of Prepectoral and Subpectoral Tissue Expander Placement with Acellular Dermal Matrix. Journal of Clinical Medicine 10:19, pages 4502.
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Ben Finlay, Victoria Kollias, Kelly A. Hall, Zackariah Clement, Janne Bingham, Robert Whitfield, James Kollias & Melissa Bochner. (2021) Long‐term outcomes of breast reconstruction and the need for revision surgery. ANZ Journal of Surgery 91:9, pages 1751-1758.
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Icro Meattini, Carlotta Becherini, Marco Bernini, Elisabetta Bonzano, Carmen Criscitiello, Fiorenza De Rose, Maria Carmen De Santis, Antonella Fontana, Pierfrancesco Franco, Oreste Davide Gentilini, Lorenzo Livi, Bruno Meduri, Silvana Parisi, Nadia Pasinetti, Agnese Prisco & Nicola Rocco. (2021) Breast reconstruction and radiation therapy: An Italian expert Delphi consensus statements and critical review. Cancer Treatment Reviews 99, pages 102236.
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Steven J.R. Hermiz, Steve Lauzon, Geoffrey Brown & Fernando A. Herrera. (2021) Use of a 5-Item Modified Frailty Index for Risk Stratification in Patients Undergoing Breast Reconstruction. Annals of Plastic Surgery 86:6S, pages S615-S621.
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Wen-Kuan ChiuMegan FracolLauren N. FeldCecil S. QiuJohn Y. S. Kim. (2020) Judging an Expander by Its Cover: A Propensity-Matched Analysis of the Impact of Tissue Expander Surface Texture on First-Stage Breast Reconstruction Outcomes. Plastic & Reconstructive Surgery 147:1, pages 1e-6e.
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Lorna Jane Cook & Michael Douek. 2021. Breast Cancer Essentials. Breast Cancer Essentials 359 371 .
Joohyun Woo, Ik Hyun Seung & Seung Eun Hong. (2020) Funnel usefulness in direct-to-implant breast reconstruction using periareolar incision with prepectoral implant placement and complete coverage with acellular dermal matrix. Journal of Plastic, Reconstructive & Aesthetic Surgery 73:11, pages 2016-2024.
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Jin-Woo Park, Jae Hoon Jung, Byung-Joon Jeon, Goo-Hyun Mun, Sa Ik Bang & Jai-Kyong Pyon. (2020) Complications After Immediate 2-Stage Tissue Expander/Implant Breast Reconstruction. Annals of Plastic Surgery 84:6, pages 638-643.
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Oscar J. Manrique, Trishul Kapoor, Joseph Banuelos, Steven R. Jacobson, Jorys Martinez-Jorge, Minh-Doan T. Nguyen, Nho V. Tran, Christin A. Harless, Amy C. Degnim & James W. Jakub. (2020) Single-Stage Direct-to-Implant Breast Reconstruction. Annals of Plastic Surgery 84:4, pages 361-365.
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Nikhil Sobti, Rachel E. Weitzman, Kassandra P. Nealon, Rachel B. Jimenez, Lisa Gfrerer, David Mattos, Richard J. Ehrlichman, Michele Gadd, Michelle Specht, William G. Austen & Eric C. Liao. (2020) Evaluation of capsular contracture following immediate prepectoral versus subpectoral direct-to-implant breast reconstruction. Scientific Reports 10:1.
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Rong Guo, Lun Li, Yonghui Su, Bingqiu Xiu, Qi Zhang, Jia Wang, Weiru Chi, Benlong Yang, Yingying Zhang, Ayong Cao, Zhimin Shao & Jiong Wu. (2020) Current practice and barriers of mesh-assisted implant-based breast reconstruction in China: A nationwide cross-sectional survey of 110 hospitals. European Journal of Surgical Oncology 46:1, pages 65-70.
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Sukru Yazar, Altug Altinkaya, Fuat Baris Bengur, Emine Cigdem Karadag, Halil Kara & Cihan Uras. (2019) Factors Associated With Complications in Immediate Breast Reconstruction in 1 Stage With Completely Submuscular Implants. Annals of Plastic Surgery 83:3, pages 264-270.
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M B Nava, J R Benson, W Audretsch, P Blondeel, G Catanuto, M W Clemens, P G Cordeiro, R De Vita, D C Hammond, J Jassem, L Lozza, R Orecchia, A L Pusic, A Rancati, M Rezai, G Scaperrotta, A Spano, Z E Winters & N Rocco. (2019) International multidisciplinary expert panel consensus on breast reconstruction and radiotherapy. British Journal of Surgery 106:10, pages 1327-1340.
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Jordan D. FreyAra A. SalibianNolan S. KarpMihye Choi. (2019) Implant-Based Breast Reconstruction: Hot Topics, Controversies, and New Directions. Plastic & Reconstructive Surgery 143:2, pages 404e-416e.
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Kyou Hyun Kim, Seung Mi Yeo, In Yae Cheong, Yoon Kim, Byung Joon Jeon & Ji Hye Hwang. (2019) Early Rehabilitation after Total Mastectomy and Immediate Reconstruction with Tissue Expander Insertion in Breast Cancer Patients: A Retrospective Case-control Study. Journal of Breast Cancer 22:3, pages 472.
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Hyun Ho Han, Hyung Bae Kim, Eun Key Kim & Jin Sup Eom. (2018) Direct-to-Implant as a Frontline Option for Immediate Breast Reconstruction. Annals of Plastic Surgery 81:3, pages 274-279.
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Nadine S. Hillberg, Patrick I. Ferdinandus, Rieky E. G. Dikmans, Bjorn Winkens, Juliette Hommes & René R. W. J. van der Hulst. (2018) Is single-stage implant-based breast reconstruction (SSBR) with an acellular matrix safe?. European Journal of Plastic Surgery 41:4, pages 429-438.
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Nora Hansen, Sasa Espino, Jordan T. Blough, Michael M. Vu, Neil A. Fine & John Y.S. Kim. (2018) Evaluating Mastectomy Skin Flap Necrosis in the Extended Breast Reconstruction Risk Assessment Score for 1-Year Prediction of Prosthetic Reconstruction Outcomes. Journal of the American College of Surgeons 227:1, pages 96-104.
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Amy L. Strong, Emily T. Wolfe, Nina Shank, Abigail E. Chaffin & David A. Jansen. (2018) Gauze Impregnated With Quaternary Ammonium Salt Reduces Bacterial Colonization of Surgical Drains After Breast Reconstruction. Annals of Plastic Surgery 80:6S, pages S426-S430.
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Vitali Azouz, Stephen Lopez & Douglas S. Wagner. (2018) Surgeon-Controlled Comparison of Direct-to-Implant and 2-Stage Tissue Expander–Implant Immediate Breast Reconstruction Outcomes. Annals of Plastic Surgery 80:3, pages 212-216.
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Rebecca Knackstedt, James Gatherwright & Andrea Moreira. (2018) Direct-to-Implant Breast Reconstruction in Women Older than 65 Years: A Retrospective Analysis of Complication Rate and Overall Outcomes. Plastic & Reconstructive Surgery 141:2, pages 251-256.
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Alice Y Ho, Zishuo I Hu, Babak J Mehrara & Edwin G Wilkins. (2017) Radiotherapy in the setting of breast reconstruction: types, techniques, and timing. The Lancet Oncology 18:12, pages e742-e753.
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Kyeong-Tae Lee & Goo-Hyun Mun. (2017) Optimal Sequencing of Postmastectomy Radiotherapy and Two Stages of Prosthetic Reconstruction: A Meta-analysis. Annals of Surgical Oncology 24:5, pages 1262-1268.
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M. Cheng, M. Chhaya, M. Hintz, S. Piper, L. Visscher, J.-T. Schantz, C. Wong, O. Ung, M. Wagels & D.W. Hutmacher. 2017. Comprehensive Biomaterials II. Comprehensive Biomaterials II 435 454 .
Kyeong-Tae Lee & Goo-Hyun Mun. (2016) Comparison of one-stage vs two-stage prosthesis-based breast reconstruction: a systematic review and meta-analysis. The American Journal of Surgery 212:2, pages 336-344.
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Emily M. Clarke-Pearson, Alex M. Lin, Catherine Hertl, William G. Austen & Amy S. Colwell. (2016) Revisions in Implant-Based Breast Reconstruction: How Does Direct-to-Implant Measure Up?. Plastic & Reconstructive Surgery 137:6, pages 1690-1699.
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R.E.G. Dikmans, F. El Morabit, M.J. Ottenhof, S.M.H. Tuinder, J.W.R. Twisk, C. Moues, M.B. Bouman & M.G. Mullender. (2016) Single-stage breast reconstruction using Strattice™: A retrospective study. Journal of Plastic, Reconstructive & Aesthetic Surgery 69:2, pages 227-233.
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Brent R DegeorgeJrJr, Alexander F Mericli & Kant Y Lin. (2015) Rupture of a Breast Tissue Expander Due to Chest Wall Exostosis: Case Report and Literature Review. Plastic Surgery Case Studies 1:3, pages 57-61.
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Kyeong-Tae Lee & Goo-Hyun Mun. (2015) Prosthetic breast reconstruction in previously irradiated breasts: A meta-analysis. Journal of Surgical Oncology 112:5, pages 468-475.
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Jose Rodriguez-Feliz & Mark A. Codner. (2015) Embrace the Change. Plastic and Reconstructive Surgery 136:2, pages 221-231.
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P. M. Valente & D. J. Hodgkinson. (2015) Autoderm: An Alternative Option for Immediate Primary Breast Reconstruction after Mastectomy—A Case Report. The American Journal of Cosmetic Surgery 32:2, pages 77-84.
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Hilton Becker, Jeffrey G. LindIIII & Elizabeth G. Hopkins. (2015) Immediate Implant-based Prepectoral Breast Reconstruction Using a Vertical Incision. Plastic and Reconstructive Surgery - Global Open 3:6, pages e412.
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