The impact of postoperative expansion initiation timing on breast expander capsular characteristics: A prospective combined clinical and scanning electron microscopy study. Plastic and Reconstructive Surgery, April 2015, Vol. 135(4), p.967-974.
Paek, L.S., et al.
http://journals.lww.com/plasreconsurg/Abstract/2015/04000/The_Impact_of_Postoperative_Expansion
_Initiation.5.aspx
In the first stage of expander-to-implant breast reconstruction, postoperative expansion is classically initiated at 10 to 14 days (conventional approach). The authors hypothesized that it may be beneficial to wait 6 weeks postoperatively before initiating serial expansion (delayed approach). Clinical and ultrastructural periprosthetic capsule analysis is first required before determining whether a delayed approach ultimately improves capsular tissue adherence and expansion process predictability.
