Short reports and correspondence| Volume 60, ISSUE 10, P1165, October 2007

Download started.


A cautionary note for the use of the McGhan® 133LV Biodimensional Breast Tissue Expander

      A 51-year-old lady underwent delayed two-stage right breast reconstruction following right mastectomy with radiotherapy, 2 years previously. A McGhan® 133LV 500 cc (Inamed Aesthetics, Allergan Inc, CA, USA) low height biodimensional tissue expander with integrated-valve was inserted subcutaneously with no intraoperative saline inflation. Postoperatively, after the fourth saline inflation the implant was leaking and was subsequently removed. A hole was found through the full thickness of the implant 5 mm from the edge of the lower pole. We noted that the uninflated lower pole folds over the implant back plate in such a way that the lower pole then approximates the filling port. When the empty implant is placed in situ, tucked up against the lower edge of the pocket at the level of the inframammary fold, the lower pole may overlay the lower edge of the filling port. Subsequent percutaneous expansion may therefore inadvertently catch the lower pole of the implant (Fig. 1). We would therefore advocate care when placing these uninflated devices to avoid this problem.
      Figure thumbnail gr1
      Figure 1Image showing how the non-inflated tissue expander tends to fold at the inferior pole and the passage the needle must have taken to create the two punctures.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect