Implant Based Reconstruction begins at our Spokane practice with placement of an adjustable tissue expander beneath the skin of the breast. The tissue expander may be placed above (“pre pectoral”) or below (“sub-pectoral”) the pectoralis muscle. Patients typically are discharged home on the day of procedure, even when tissue expanders are placed at the time of mastectomy. The acute recovery period is approximately three weeks with an expected return to normal activities by 6-8 weeks. Drains are present in the breast after surgery. Drains are usually removed within two weeks of the breast reconstruction procedure.
Tissue expanders may be placed at the time of mastectomy immediate reconstruction or after mastectomy, when you have previously healed flat delayed reconstruction.