Prosthetic Implant Breast Reconstruction – A Simple Introduction The use of prosthetic implants for breast reconstruction began in the early 60s of the last century with silicone gel filled implants. Over the following years, breast implant technologies and surgical techniques have evolved markedly, resulting in improvement in the quality of the reconstructed breast. Currently there are multiple surgical procedures of prosthetic breast reconstruction and numerous types of implants with variable shapes, textures, and filling materials for the plastic surgeon to choose from. The popularity of single stage implant reconstruction has declined over the years with the development of two stage expandable implant reconstructions. Early experience with breast implant tissue expanders used smooth surface, round devices with remote ports for injection of the implant’s filling. These devices were fraught with problems, including fibrosis of the capsule of the breast, poor expansion of the breast pocket and failure of the breast implant as a consequence of mechanical problems with the filling port. The current evolutionary era of tissue expanders in breast reconstruction implants uses textured surface and anatomically shaped tissue expanders with integrated valves. These devices have a semirigid back to allow for preferential expansion of the implant in the front plain which aids in optimizing the overall volume of the breast. Implant design also allows for preferential expansion in the region of the lower pole of the reconstructed breast, so as to create a better match with a natural breast. Breast augmentation Los Angeles plastic surgeons recommend the thorough examination of each candidate for breast reconstruction which is an important factor in determining the perfect surgical technique and type of implant convenient for each patient. Depending on the manufacturer, breast implant tissue expanders typically come in varying heights, widths, degrees of projection, and shapes, so that the optimum device can be selected for the individual patient’s needs. Moreover, choosing the appropriate breast implant tissue expander is based on several factors, including the current breast volume, breast dimensions (height, width, and projection), breast shape, and the patient’s body habits (lying down all the time, stands for long periods,…etc). In general, Cosmetic surgeon Los Angeles community recommends an anatomically designed, textured surface, integrated valve tissue expander. The expander comes in variable heights, widths, and degrees of projection that either can be compared to the other breast or can be matched to another expander if a two side breast reconstruction procedure is planned. Breast reconstruction is one of those plastic surgeries that require a highly skilled surgeon. The right surgeon will help the patient achieve the best breast appearance she can get. Moreover, the skill of the surgeon is of outmost importance and would be an essential factor in determination of success of a prosthetic breast reconstruction procedure. Dr. Jay Calvert is a professional plastic surgeon who practices in California, Orange County and Beverly Hills. He is a Board Certified Plastic Surgeon who performs almost all plastic surgical procedures especially aesthetic surgeries. Dr. Calvert is an expert of prosthetic breast reconstruction and implantation procedures. Feel free to make an appointment for consultation and be sure that Dr. Calvert will help you achieve the results you’ve been dreaming of.