Nine-year experience with subpectoral breast reconstruction after subcutaneous mastectomy in 98 patients utilizing saline-inflatable prostheses.

Over the past nine years, the saline-inflatable breast prosthesis has been used exclusively for submuscular reconstruction after subcutaneous mastectomy in 98 patients. Its expansion capability offers greater versatility in addressing various reconstructive situation. Acting as an immediate tissue expander, it accommodates a larger residual skin envelope or expands a smaller one for better cosmetic results. A low percentage of capsular contracture results in significant softness of the reconstructed breast. Indications, complications, technical considerations, and interesting findings are included for readers' consideration. The saline-inflatable breast prosthesis offers a unique alternative to the silicone and foam-covered prosthesis for subcutaneous mastectomy breast reconstruction.